Patient complains something coming out of anus, again going inside, or mass feeling by hands outside the anus, burning sensation in anus, sometimes bleeding sometimes severe pain while passing the stool, uneasiness, disomfort in stomach, off & on acidity, constipation.
On examination mass can feel by fingers or anal narrowness means anal stricture, fissure in anal regions.
Hot Drinks, Non Vegetarian Food, Spicy Food, Bread Items, Junk Food, Chilly, irregular diet, irregula sleep, sitting posture at one place or on hot place are main causes of piles. In ladies due to pregnancy it occurs oftenly.
Treatment of piles in 1st degree is simple only purgatives for smooth stol, ghee, Trifala, buttermilk, Gandharva Haritaki & Isabgol like Purgatives are enough to avoid complications of piles, Like prolapse piles, prolapse rectum, fistula in future. Treatment of piles in later second or third stage is only to remove it by different ways. It is called as Haemorrhidectom
Stapler - Using stapler gun just staple piles & leave it. But as piles are soft it recurrs by this method and costly to patient.
Laser - with help of laser gun arteries supplied to piles are blocked, this also recurs again
Ligation - Cutting the piles & stitching is surgical process. This is painfull methods & blood may loss & recurrence is seen. Also loss of control of stool may be seen due to rupture of internal sphincter. Admission is reqd in this procedure.
Rubber Band - by gun is very easy but recurrence is possible 50% in all cases.
Kharsutra Chikitsa - is the best way for internal bleeding piles & prolapse piles also. No admissions reqd. No recurrence, No bleeding, No diet restrictions, No complications at all, Medicated thread is tied on piles with only local anaesthesia so safe in cardiac patients also. This is old & Gold method of removing piles mass & escape from all anal troubles. This is actually Chikitsa part not surgery. In this way fissures are also dilated & heals automatically due to Kshar applications.