Go for surgery .it is is very minor surgery and you will get relief with in two three days. After surgery maintain healthy diet. Add beatroot in your salad.

External piles can become painful and troublesome due to factors like constipation, straining during bowel movements, or prolonged sitting. Ayurveda offers effective remedies for managing piles without surgery, focusing on reducing pain, swelling, and recurrence by addressing the root cause. Understanding the Condition External piles (hemorrhoids) occur due to the vitiation of Vata and Pitta doshas, often caused by poor digestion, improper diet, and lifestyle. Pain and inflammation arise when the condition worsens or if there's thrombosis (clot formation). Ayurvedic Approach Immediate Relief for Pain and Swelling: Kasisadi Taila: Apply this medicated oil externally to reduce pain and swelling. Panchavalkala Kwatha Sitz Bath: Prepare a decoction and sit in it for 10–15 minutes to relieve discomfort and inflammation. Jatyadi Taila: Use this oil for healing and soothing external piles. Herbal Medicines: Arshoghni Vati: Effective for shrinking piles and reducing inflammation. Kankayan Vati: To relieve pain and manage the condition. Triphala Churna: Take 1 teaspoon at bedtime with warm water to ensure soft stools and avoid straining. Avipattikar Churna: Helps to regulate digestion and reduce Pitta-related burning sensations. Lifestyle and Dietary Recommendations: Avoid Constipation: Include high-fiber foods like fruits, vegetables, and whole grains. Drink plenty of water to ensure soft bowel movements. Avoid Spicy and Oily Foods: These aggravate Pitta and worsen inflammation. Eat at Regular Times: Maintain proper meal timings to balance digestion. Stay Active: Avoid prolonged sitting and incorporate light exercises like walking or yoga. Panchakarma Therapy (if necessary): Basti (Medicated Enema): Balances Vata dosha and provides relief from chronic piles. Raktamokshana (Bloodletting Therapy): Useful in severe cases to relieve pain and reduce inflammation. Lifestyle Tips Use a cushion or donut pillow while sitting to reduce pressure on the affected area. Avoid straining during bowel movements by using a footstool to maintain a natural squatting position.

Sitz bath with panchavalkala kashaya

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Kshasutra Karma from Ayurveda will help

Consult ayurveda physician for proper diagnosis and root cause of ailment before consuming any medicine

Your problem needs proper treatment and management so you may consult with me through this chanal and solve your problem.

For external piles kshaar sutra is the best treatment. U can take arshkutthaar ras 1tab twice a day with kankayan batik for 10 days. Sitz bath ,neem, haridra, and Palash shaar is advised and kulon ointment with jatyadi tail is to be applied before and after passing stool

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Your condition of external piles can worsen due to various factors such as lifestyle habits, improper diet, or constipation. Ayurvedic Suggestions: 1. Triphala Powder: Take 1 tsp with warm water before bedtime to relieve constipation. 2. Kshar Tailam: Apply externally to reduce swelling and pain. 3. Sitz Bath: Sit in warm water with a pinch of alum or Triphala churna twice daily. 4. Dietary Changes: • Include fiber-rich foods like fruits, vegetables, and whole grains.

Got ur pain n concern, surely hot water and cold ice fomentation would serve better till u Consult in person for diagnosis then only management option will open. It's just mean ur long standing stomach upset following winter dryness may be culprit

Don't panic sir.. Start proper ayurvedic medicine .. To get rid of this problem without any side effects.. Do sitz bath twice daily.. Watch for constipation.. Use airtube to sit.. Avoid spicy and oily food.. Avoid drinking and smoking..  

You can do sitz bath and add fibre rich food in your diet. Constipation will worsen your condition. Better take consultation for proper treatment.