Piles (बवासीर / Arsha) affects nearly 50% of Indian adults at some point — yet most suffer silently, embarrassed, popping painkillers and fearing surgery. Ayurveda offers a different path: it treats piles as a digestive disorder first, and a local problem second.

What actually causes piles

In Ayurveda, piles begin with Mandagni (weak digestive fire). Weak digestion → constipation → straining → swollen rectal veins → pile mass. Sitting long hours, spicy food, low water intake and ignoring the urge to pass stool accelerate it. This is why creams alone never cure piles — the fire is inside.

The three types Ayurveda identifies

  • Bleeding piles (Raktarsha): bright red blood, often painless — Pitta type.
  • Painful dry piles (Shushkarsha): pain, itching, no bleeding — Vata type.
  • Prolapsing piles: mass comes out during motion — advanced stage, needs doctor supervision.

The Ayurvedic 3-step treatment

  • Step 1 — Fix digestion: Triphala-based churna at bedtime ensures a soft, strain-free morning motion. This alone stops 60% of the damage.
  • Step 2 — Shrink the mass: Classical herbo-mineral capsules (Nagkesar, Haritaki, Arshkalp) reduce bleeding and shrink the pile mass over 4–8 weeks.
  • Step 3 — Heal locally: A medicated oil applied to the affected area soothes pain, itching and burning while tissues heal.

Diet rules that make or break the cure

  • 3–4 litres of water daily; a glass of warm water on waking.
  • Avoid: red chilli, deep-fried food, maida, red meat, alcohol.
  • Prefer: buttermilk, papaya, soaked raisins, green vegetables, ghee.
  • Never suppress the urge; never strain. Use a footstool for a squat-angle.

When to consult our doctors

If you see blood more than twice a week, feel a mass, or have pain lasting over 10 days — don't wait. Book a ₹99 consultation: our doctor will grade your piles and design a personalised course. Grades 1–2 respond beautifully to medicines alone in our experience.