Complete Guide to Ayurvedic Piles Treatment, Symptoms, Causes & Home Remedies

Can Ayurvedic medicine for piles and fissures really offer relief without surgery? If you're struggling with bleeding, pain, or discomfort, Ayurveda provides a holistic path to healing. Hemorrhoids are among the most common anorectal disorders, affecting about 50–75% of adults at some point in their lives.

This guide explores the best Ayurvedic treatment for piles, including powerful herbs, Indian home remedies, and lifestyle tips. From radish juice benefits for piles to sesame seed remedies, discover how to manage symptoms naturally and restore digestive balance right from home.

What is Ayurvedic treatment?

Ayurveda is a traditional Indian healing system that balances the body’s three doshas, such as vata, pitta, and kapha, through diet, lifestyle, and herbs. It’s now globally recognized as a holistic therapy. For conditions like hemorrhoids (piles), which cause pain, itching, and bleeding, Ayurvedic treatment for piles focuses on natural healing.

Remedies include high-fibre diets, herbal medicines, and lifestyle changes. While severe cases may need medical care, Ayurvedic medicine for piles and fissures offers effective relief, especially when started early and practiced consistently at home.

What are Hemorrhoids?

A mass of dilated veins in swollen tissues at the margin of the anus or nearly within the rectum. Also called piles. Hemorrhoids arise from congestion of the internal and/or external venous plexuses around the anal canal. They are extremely common in adults.

Piles are associated with constipation and straining. It may develop for the first time in Pregnancy. The first-degree piles bleed, while the second-degree piles prolapse but retract spontaneously. Third-degree piles are those that require manual replacement after prolapsing.

What Causes and Symptoms Are Linked to Piles (Hemorrhoids)?

Understanding the root causes and symptoms is essential for early management and effective treatment, especially when exploring Ayurvedic medicine for piles and fissures. 

Common Causes of Piles

• A low-fibre diet leads to hard stools and straining

• Chronic constipation or frequent diarrhea

• Pregnancy, due to increased pressure on the pelvic veins

• Obesity, which raises intra-abdominal pressure

• Aging, weakening vein walls and connective tissue

• Sedentary lifestyle or prolonged sitting

• Straining during bowel movements

• Anal intercourse or excessive use of laxatives

• Pelvic tumours causing venous congestion

• Processed foods lack fibre and hydration

Research highlights that low-fibre diets, obesity, and sedentary lifestyles significantly increase risk.

Typical Symptoms of Hemorrhoids

In the United States, hemorrhoids affect 1 in 20 people annually, with over 50% of adults aged 50+ reporting symptoms.

• Pain and itching around the anal region

• Inflammation and swelling

• Bleeding during bowel movements

• Pricking or burning sensation

• Mucus discharge

• Painful lump near the anus

• Discomfort while passing stools

• Pruritus ani - intense itching due to nerve irritation

Note: Pruritus ani often results from piles and can trigger an itch-scratch-itch cycle, worsening the condition.

Herbs to Treat Piles:

• Bombax malabaricum gum (Mochras)

  Silk Cotton Tree. Styptic and astringent. Purified gum contains 8.9 % mineral matter and a considerable proportion of catechol tannin.

• Nymphaea stellata (Nilotpal)

  Indian blue water lily. Analgesic, anti-inflammatory.

• Butcher’s Broom

  Contains Ruscus aculeatus. It has anti-inflammatory properties and helps to shrink the piles.

• Contraindication

  Do not give this with anticoagulants such as Warfarin. Sesamum indicum (Til): Sesamum. Useful to treat Piles. A paste of seeds mixed with butter is used in bleeding piles.

• Horse chestnut

  It can be used in the form of tea for piles. It can also be applied externally to the hemorrhoids with cotton balls. It should not be consumed in large quantities.

• White Oak Bark (Quercus alba)

  Effective in treating bleeding and non-bleeding piles.

• Stone Root (Collinsonia Canadensis)

  Especially effective in bleeding piles. It can be applied externally to hemorrhoids.

• Santalum album (Chandan)

  The wood paste is applied externally to inflamed swellings, ulcers to relieve inflammation and Pruritus.

• Curcuma longa (Haldi)

  Turmeric acts as an anti-inflammatory. It can be used in the ointment to relieve pain, swelling, and inflammation of the anal region.

Natural Home Remedies for Piles:

In the initial stage of hemorrhoids, Natural Remedies are very effective. So one should resort to these to try and avoid surgical intervention.

High-Fibre Diet & Digestive Support

• Take high-fibre foods like beans, cereals, fresh fruits, asparagus, cabbage, and other vegetables.

• Fibre shows a beneficial effect on hemorrhoids; it helps to relieve the problems of hemorrhoids and softens the stools. To get fibre, eat whole grains and plenty of vegetables.

• Bioflavonoids strengthen the blood vessels and relieve inflammation. They help to relieve pain and disorders of the anal region occurring at the time of an acute attack of hemorrhoids.

• Fibre softens stools and reduces strain during bowel movements.
  

Vegetarian diets reduce risk: only 20% incidence among vegetarians compared to higher rates in non-vegetarians. 

Beneficial Juices for Hemorrhoids

• Take carrot juice daily.

• Drink radish juice twice daily with a little bit of salt.

• The juice of bitter gourd is beneficial for hemorrhoids. It helps to stimulate peristaltic movements. If you have a problem with gases, don’t take it.
  

• Take the juice of the green leaves of coriander.

• Take ginger juice, lime juice, and mint juice in equal parts. Add 1 tablespoon of honey to it. Take this once a day.

• Drinking buttermilk is very effective for piles. Add a bit of cumin seed or black pepper for piles, as a powder.

Traditional Ayurvedic Remedies

• A decoction of dried ginger (Zingiber officinale) twice daily is beneficial.

• Decoction of Haritaki (Terminalia Chebula) before going to bed is advisable.

• For bleeding piles, take the powder of dried mango seeds with honey.

Fruit-Based Remedies

• Soak figs in a glass of water overnight. Eat the figs early in the morning.

• Eat the fruit of Jambhul with salt.

• Onion (Allium cepa) with sugar is advisable.

Lifestyle Practices to Prevent Aggravation

• Avoid pickles, fried foods, oily and spicy foods, red chilli, excessive amounts of salt, and eggplant.

• Do not sit on a hard surface for a long time.

External Ayurvedic Remedies for Piles Relief:

• A poultice made of sesame seeds for piles can be applied over bleeding as an external treatment.
• A paste of the seeds of Sesamum indicum mixed with butter is used in bleeding piles.
• A hot poultice of dry Radish benefits for piles for application in non-bleeding piles.
• The enema of wheatgrass juice can be used as an enema for piles.
• Wear cotton underwear to prevent the accumulation of moisture.
• Apply some coconut oil to the affected area. It gives a soothing effect for a short period of time.
• Apply an ice pack to the anal region for about 10 minutes twice daily. Keep the anal region dry.
• Avoid soda beverages, beer, wine, coffee, oily, and spicy food.

Though the quantity of ingredients is mentioned in some Natural Home Remedies, consult the Ayurvedic Physician for the quantity of ingredients and also for Natural Home Remedies before taking them.

FAQs

1. What is the strongest treatment for piles?

Treatment depends on severity. Early-stage piles respond well to high-fibre diets, herbs like turmeric and Bombax malabaricum, and lifestyle changes. Advanced cases may need medical procedures like ligation or surgery.

2. Which is better for piles: homeopathy or Ayurveda?

Ayurveda uses herbs (e.g., Nymphaea stellata, turmeric) and diet to reduce inflammation. Homeopathy offers symptom-specific remedies. Ayurveda is often preferred for its holistic approach.

3. What is the best medicine to remove piles?

No single cure exists, but Ayurvedic remedies like Mochras, Butcher’s Broom, sesame seed paste, and turmeric ointments help reduce symptoms. Severe cases may need medical care.

4. Can Triphala cure piles or hemorrhoids?

Triphala doesn’t cure piles but eases symptoms by softening stools and reducing constipation. Haritaki decoctions support bowel health. Dosage should be guided by an Ayurvedic physician.

5. How can you treat piles without surgery?

Early piles can be managed with figs, radish juice, fibre-rich foods, sesame poultices, turmeric ointment, and wheatgrass enemas. Avoid spicy foods and prolonged sitting. Monitor progress with a doctor.

6. What are the best Ayurvedic treatments for piles and fissures?

Effective herbs include Bombax malabaricum, turmeric, and Nymphaea stellata. Remedies like sesame paste, radish poultices, and Haritaki decoctions relieve pain and swelling. Coconut oil and sandalwood soothe inflammation.