• A varicose condition of the hemorrhoidal veins causing painful swellings at the anus.
  • It can be inflamed and even clot can be formed.
  • Hemorrhoid that are above the boundary between rectum and anorectal junction are called internal hemorrhoids.
  • Those found below the anorectal junction are called external hemorrhoids.
  • Both may stay inside or protrude.


  • Commonly seen after pregnancy and in constipation.
  • If there is pressure in portal vein, then hemorrhoids may occur.


  • Bleeding after bowel evacuation is common, Sometimes, patient has to push back the hemorrhoid in to the anus.
  • if cleaning is improper, there may be itching in the anal region.


  • Sitz bath is useful.
  • Clot disappears in 4 to 6 weeks
  • Kutajadi Kwatha 40 ml BD (Bleeding Piles)
  • Setubandhana Gutika 1BD (Bleeding Piles)
  • Panchasakara Churna 3-5gm BD with warm water.
  • Abhayaristam 20ml BD with equal amount of water after meal.


  • Drinking at least 2 liters of water a day is desirable.
  • Prefer to eat fibrous foods.

Don't :

  • Smoking and drinking alcohol.
  • Chewing tobacco.
  • Non-veg.