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Top 11 Homeopathic Medicines For Piles

Piles, also known as hemorrhoids refer to dilatation, inflammation and swelling of the veins around the anus or lower rectum. This stagnates the blood inside these veins resulting in symptoms like anal pain, itching, bleeding and tenderness.
Homeopathy offers a very successful and effective treatment for piles. Homoeopathy works in a two pronged manner in the cases of piles.

The first is that it provides prompt relief from the symptoms like burning sensation, anal pain, swelling, bleeding, and itching. The second aspect is that it corrects the internal disturbances of the venous system to reduce engorgement of the rectal veins and the pooling of blood and ensures smooth and unobstructed blood flow that helps in complete recovery. It is known well that out of all the risk factors, the major predisposing and maintaining factor for piles is chronic constipation that causes persistent straining to pass stool leading to dilatation of the veins. Homeopathy also focuses on treating chronic constipation. Homeopathic remedies help in regulating bowel movements and softens the stool thus ensuring its easy passage.

How Homoeopathy Treats Piles?

1. Gentle and Free of Side-Effects – Homeopathic remedies are sourced from naturally obtained substances thus ensuring their safety that treats piles from its roots along with easing the symptoms. The treatment period in homeopathy for piles can range from a few weeks to a few months. The length of homeopathic treatment for piles depends upon the time period of the symptoms, their severity, and how quickly a patient responds to the medicines.

2. Homoeopathy addresses the root cause – The conventional treatment of piles involves over-the-counter (OTC) medications for piles including creams, ointments, and painkillers. For constipation, laxatives are recommended that offer temporary relief and may have side effects due to its prolonged use. On the other hand, homoeopathy not only provides symptomatic relief but also helps in treating the root cause of the problem, ensuring long-term relief in cases of piles.

3. Non-Invasive and Individualized Treatment – In many cases of piles, surgery is the only option left for most patients. However, timely homeopathic cure can help avoid invasive procedures like surgery in piles in most of the cases. The sooner the patient approaches a qualified homeopath for treatment, the higher the chances to avoid surgery. A suitable homoeopathic remedy is prescribed after thorough evaluation of an individual’s symptoms and factors such as the age of the patient, chronicity of complaint and intensity of the symptoms. Depending upon each case, and its uniqueness, the dose, potency and repetition is decided.

Top 11 Homeopathic Medicines for Piles

The top eleven homeopathic medicines for treating piles are Aesculus Hippocastanum, Nux Vomica, Aloes Socotrina, Hamamelis Virginiana, Collinsonia Canadensis, Muriaticum Acidum, Ratanhia Peruviana, Nitricum Acidum, Paeonia Officinalis, Sulphur and Thuja Occidentalis.

1. Aesculus Hippocastanum– Top Remedy for Painful, Non-Bleeding Piles

It is the best and most frequently administered medicine for painful piles. It is prescribed when pain is felt during or after passing stool. The pain continues for long hours after the passing of stool and is very sharp and may extend from the anus to the lower back. A person may have a distinct feeling of small sticks filling up the rectum. It is a specific medicine for external piles and blind piles (non-bleeding piles). This medicine does wonders on engorged haemorrhoidal veins, and brings about a lot of relief, and also helps in shrinking piles naturally.

When to use Aesculus Hippocastanum?

The characteristic feature to administer this medicine is external piles with marked pain during and after passing the stool.

How to use Aesculus Hippocastanum?

The most commonly recommended dosage of this medicine is in 30C potency that can be administered two to three times a day as per the severity of the complaint.

2. Nux Vomica– For Piles with Constipation and Ineffective Urge

Nux Vomica is the best medicine to treat piles with constipation and ineffective urge to pass the stool. Those who need this medicine have to pass stool several times a day to completely clear the bowels. They pass stool bit by bit throughout the day and yet have the urge to pass the stool. Such patients have marked pain and itching at the anus. Nux Vomica is administered for piles that are non-bleeding. Nux Vomica is the go-to medicine for piles or constipation triggered by alcohol. It is also the best choice for those with piles who lead a sedentary lifestyle.

When to use Nux Vomica?

Its use is highly suggested to manage piles with constipation where the ineffective urge to pass the stool is prominently felt.

How to use Nux Vomica?

Though, it can be used in both low to high potencies, in the beginning, it is best advised to take it in 30C potency two to three times daily for best possible results.

3. Aloe Socotrina– For Protruding, Grape-Like Piles

Aloe Socotrina is the number one medicine when it comes to treating protruding piles (internal piles take an outward bulge from the anus and can be seen as soft lumps of tissue). The protruding piles are very sore and tender and look like a bunch of grapes bluish in color. Persons who require it may find cold applications on affected areas soothing and help during soreness, pain, and tenderness. They may also have severe itching.

When to use Aloe Socotrina?

This medicine is well administered for protruding piles with marked tenderness and pain.

How to use Aloe Socotrina?

It is advised to administer this medicine in 30C potency thrice or four times a day depending on the intensity.

4. Hamamelis Virginiana– For Bleeding, Internal Piles

This natural medicine sourced from plant ‘witch – hazel’ is the best prescription for piles that bleeds. It controls bleeding piles in an outstanding manner. Hamamelis is useful in cases where piles are painless, internal, and bleed. ‘Painless, bleeding piles’ these three words are an indication to describe the use of this medicine in its entirety, and it requires no further description.

When to use Hamamelis Virginiana?

This remedy can be wonderfully administered for managing bleeding from piles without any pain.

How to use Hamamelis Virginiana?

One may take Hamamelis in 30C potency thrice or four times a day as per the intensity of the symptoms.

5. Collinsonia Canadensis – For Piles with Constipation (Dry, Hard Stool)

It is an effective medicine to treat piles with constipation especially when the stool is hard and dry. It can be administered when hemorrhoids are external or protruding and there is also marked pain. Additionally, a particular sensation of sand or sticks in the rectum may be felt. This medicine is also administered to treat piles that are painful accompanied by bleeding.

When to use Collinsonia Canadensis?

This medicine can be used to treat the patients suffering from piles who report constipation along with passing of hard and dry stool.

How to use Collinsonia Canadensis?

It can be administered in 30C potency two to three times daily for best results.

6. Muriaticum Acidum – For Piles Extremely Painful To Touch

This is a leading homeopathic remedy to manage piles that is painful even on the slightest touch. It is mainly indicated for protruding piles. The piles look bluish or dark purple like a bunch of grapes. A characteristic symptom is relief of soreness from warm applications.

When to use Muriaticum Acidum?

This remedy can be administered in cases of piles that are intensely painful even on the slightest touch.

How to use Muriaticum Acidum?

The most frequently used potency of this remedy is 30C. Muriatic Acidum 30C should be administered once a day and in severe cases twice daily, but not more than that.

7. Ratanhia Peruviana– For Piles with Intense Burning Sensation

This medicine is indicated to manage piles accompanied by severe burning sensation. Along with this, there is noticeable strain while pass stool. Piles may protrude out of the anus when one strains to pass stool. Apart from these, a peculiar sensation of little pieces of broken glass in the rectum can be felt. Pouring cold water over the anus may provide relief for a while.

When to use Ratanhia Peruviana?

Ratanhia is an ideal prescription for cases of piles that have severe burning sensation and protruding piles.

How to use Ratanhia Peruviana?

To begin with, one may initiate with its 30C potency two or three times a day. After close observation of symptoms, higher potencies can be administered if the need so arises, but only under guidance of a qualified homeopath.

8. Nitricum Acidum – For Protruding Piles with Bleeding and Sharp Pain

Nitricum Acidum is a wonderful medicine for cases of piles protrude while passing stool accompanied by bleeding. Along with it, the pain that is felt is very sharp, pricking, stitching, cutting type, or there could be sensation of burning. Constipation with dry, hard stool that passes with much strain is another accompanying factor. Pain also occurs at the anus. Constant pressure and weight is felt in the rectum.

When to use Nitricum Acidum?

This medicine can be administered for protruding piles with bleeding and sharp, stitching pain.

How to use Nitricum Acidum?

Use this medicine once or twice daily in 30C potency. Dose can be reduced once the patient starts feeling the relief.

9. Paeonia Officinalis – For Intensely Painful Piles with Fissures

Paeonia Officinalis is one of the best remedies for painful and bleeding piles associated with anal fissures. The hemorrhoids are extremely sore and tender, with violent pain during and after defecation, often lasting hours. There is oozing of dark blood, accompanied by burning sensation and itching at the anus. The anus feels ulcerated and raw that makes sitting difficult. The patient may also complain of offensive perspiration and general weakness due to blood loss.

When to use Paeonia Officinalis?

Paeonia is prescribed when piles are extremely painful, especially when associated with anal fissures. The pain is cutting, sharp, or burning and may continue for hours after passing stool.

How to Use Paeonia Officinalis?

The use of this medicine is recommended in both high and low potencies. At the outset, one may use its 30C potency once or twice daily. For using high potencies, prior consultation with a homeopath is a must.

10. Sulphur – For Chronic Piles with Intense Burning

Sulphur is indicated in chronic, congested piles, especially if the patient has chronic constipation. The piles burn and itch severely, with a sensation of heat in the rectum, often relieved by cold applications. There may be frequent ineffective urge to pass stool. The stool may be dry and hard stools that are expelled with difficulty. Hemorrhoids may bleed easily. Sulphur is particularly useful in cases of relapse, or when other remedies do not work, and in patients who are heat-loving, untidy, and mentally active.

When to Use Sulphur?

Sulphur is suited for chronic or recurrent piles with intense burning sensation felt and itching at the anus and habitual constipation with dry and hard stool.

How to Use Sulphur?

This medicine is administered in 30C potency one to two times daily for best results.

11. Thuja Occidentalis – For Moist, Oozing Piles

Thuja is useful in moist hemorrhoids, especially when there is burning sensation and smarting after stool. The piles may bleed and ooze offensive moisture. There is a peculiar sensation as if something is sticking or pressing in the rectum. Constipation is common, with painful defecation. Thuja is particularly indicated for patients with a sycotic constitution, a history of suppressed discharges, or complaints following vaccination.

When to Use Thuja Occidentalis?

Thuja Occidentalis is administered in moist, oozing piles, often with fissures and burning pain after stool.

How to Use Thuja Occidentalis?

It can be administered in 30C potency twice or thrice daily depending on the severity of the pain.

Note You may continue these medicines for about 2 to 3 weeks. If symptoms persist, or if you want to continue any of these medicines beyond 3 weeks or enhance potency, it is advised to seek consultation from a qualified homeopath.

Types of Piles: Signs And Symptoms

Piles are of different types according to their location and whether they bleed or not. External piles, internal piles, protruding/prolapsed piles, and blind piles are the most common types. The symptoms of piles depend on the type of piles.

1. External piles are visible on the surface of the skin around the anus and can be seen or felt from the outside. The main symptoms of external piles include painful swelling and hard lumps around the anus. These hemorrhoids irritate, sometimes itching or bleeding.

2. Internal piles lie deep inside the rectum and cannot be felt or seen outside. It is mostly painless since there are no pain receptors in the region where it tends to appear. The only symptom of internal piles is bleeding while straining at the time of passing stool. However, an internal hemorrhoid may protrude through the anus, causing pain and irritation.

3. Protruding or prolapsed piles is a condition when hemorrhoids get pushed out towards the anus when force is applied to pass stools. They look like pink, moist pads of skin. Prolapsed or protruding hemorrhoids tend to hurt since the anus area is dense with pain-sensitive nerves. The typical symptoms of hemorrhoids are mucus discharge, itching and pain.

4. Blind piles refer to hemorrhoids that do not bleed. They feel like protruding masses, usually detectable after passing stools, at the opening of the anus.

5. Mixed/ Interno – External pilesrefers to a condition in which internal as well as external piles appear simultaneously.

6. Thrombosed piles refers to external hemorrhoids in which a blood clot is formed that blocks blood flow resulting in swelling of anal tissue with intense pain.

Causes, Risk Factors That Lead To Piles

Primarily, the swollen veins that are seen in piles develop due to increased pressure in the rectum. This may disintegrate the tissues supporting the anal walls, leading to hemorrhoids. Several factors contributing to this kind of pressure are enlisted below:

1. Irregular Bowel Movements (Constipation is the leading cause of piles): Factors like constipation, overuse of enema or laxatives, straining to pass stool spending too much time on the toilet seat adds to the strain on the rectum and anus, leading to piles. On the other hand, chronic diarrhea may also sometimes be the reason.

2. Diet: Lack of a fiber-rich diet, not enough hydration, excessive intake of alcohol, and consumption of spicy food and junk food are some of the contributing factors.

3. Pregnancy: There is increased pressure on the abdomen and pelvic area during pregnancy, which is a leading cause of piles during pregnancy. In some cases, hemorrhoids develop as a result of childbirth due to excessive pressure on the rectum and anus.

4. Age and Heredity: Other factors like heredity and age too may cause piles due to the weakening of the tissues supporting the rectum and anus.

5. Inactive sedentary lifestyle: Prolonged sitting and lack of exercise or physical activity, and obesity also predispose one to this disease.

6. Portal Hypertension: Portal hypertension refers to a condition where there is an increase in the blood pressure within the veins of the portal venous system. The veins coming from the spleen, stomach, pancreas, and intestines merge into the portal vein that travels through the liver. In case of any complication due to which blood cannot flow properly through the liver, high pressure develops in the portal system. This pressure can cause the development of swollen, large veins in the stomach, esophagus, and rectum. As a result, hemorrhoids may develop in the anal area.

Grading Of Piles

Grade I- No prolapse

Hemorrhoids remain inside the anal canal, they may cause bleeding and pain but they do not protrude.

Grade II- Prolapse but spontaneous receding

Hemorrhoids protrude out during straining, or while passing stool but they recede on their own. These may cause bleeding, discomfort and itching.

Grade III- Prolapsed piles requiring manual receding

Hemorrhoids prolapse during bowel movements and have to be pushed back manually.

Grade IV- Permanently Prolapsed

Piles are permanently prolapsed and cannot be pushed back; they require significant intervention as they may become thrombosed, ulcerated and extremely painful.

Management and Lifestyle Measures for Piles

Managing piles includes several factors, which when taken into consideration along with homoeopathic treatment can help in relieving symptoms and preventing recurrence.

1. Dietary Changes – Increasing fiber in your diet is essential to manage piles. Include more vegetables, fruits, whole grains such as brown rice, oats to make stools soft and bulky.

2. Water Intake – Drink 2-3 liters of water daily to prevent hard stool and constipation.

3. Limit Processed Foods – Reduce intake of fried food, highly processed foods and heavy meals.

4. Monitoring Bowel Habits- Avoid straining while passing stools, do not delay the urges and don’t sit in the toilet for long periods of time.

5. Physical Activity- Physical activity in your routine such as walking, yoga and swimming helps regulate the bowel habits.

6. Manage Body Weight – Excessive weight can exert pressure on the pelvic veins leading to improper digestion and painful symptoms.

Frequently Asked Questions

1. Is bleeding in piles dangerous?

Bleeding is usually mild and painless, but repeated bleeding can cause weakness or anemia. Persistent or heavy bleeding should always be brought to the knowledge of a physician.

2. Can piles heal on their own?

Early or mild piles may improve with proper diet, good hydration, and avoiding straining. Ongoing or worsening symptoms require treatment.

3. Are piles a lifelong condition?

No. If treatment happens on time, and healthy bowel habits are maintained along with dietary discipline, piles can be curbed and recurrence prevented.

4. Can piles be treated without surgery?

Yes. Most cases, especially early ones, respond well to medical treatment and lifestyle changes. Surgery is needed only in advanced cases.

5. What diet is best in case of piles?

A fiber-rich diet including vegetables, whole grains, fruits, and plenty of water helps soften stools. Spicy, junk, and processed foods should be limited.

6. Does sitting for long hours worsen piles?

Yes. Long sitting hours, especially on the toilet seat, increases pressure on anal veins. Regular movement and avoiding long toilet sittings are helpful.

7. Can piles come back after treatment?

Yes, if constipation and poor bowel habits return. A healthy lifestyle greatly reduces the risk of recurrence.

8. When should I consult a doctor?

Consult a doctor if there is intense pain, frequent bleeding, swelling, prolapse, or no relief with basic measures.

9. Is a lump near the anus normal in piles?

Yes. Some piles present as a tender or soft lump, which may reduce on its own or need treatment depending on the intensity.

10. Why are piles common during pregnancy?

Yes. Hormonal changes, pressure on pelvic veins, and constipation make piles common in pregnancy. They often improve after delivery.

11. Can piles cause weakness?

Repeated blood loss may lead to anemia, causing weakness and fatigue. Medical advice is important if this occurs.

12. How long does recovery take?

Most patients improve within days to weeks by bringing about lifestyle changes and proper treatment depending on the intensity of the symptoms.

Top 11 Homeopathic Medicines For External Piles

By Dr. Vikas Sharma MD 1 Comment

Piles indicates dilated, enlarged, swollen, inflamed veins in or around the anus or in the lower rectum. Depending on the location, they can be divided into external and internal piles. External piles refers to the piles that develops under the skin surrounding the anus. They are visible as little lumps outside the anus and one can feel them on the anus. However, internal piles form inside the anus or in the rectum and are not visible from outside. Several factors play a role in piles. The first and most important one among these is straining to pass stool. This occurs in cases of constipation. Reduced intake of fiber, drinking less water, prolonged sitting, and predisposition to constipation increase the risk of piles. Some other factors that increase the risk of piles include being overweight (obese), old age, lifting heavy weights, pregnancy and having a family history of piles. Piles may also form in cases of long-term diarrhea. Besides a lump on the exterior of the anus, other symptoms can attend in external piles. First among these is pain. External piles are highly painful as it appears on the outside of anus which is a sensitive area very rich in nerves. Other signs and symptoms that can attend it include tenderness (i.e. pain on touch), itching, bleeding and oozing of mucus discharge from the piles. In some cases, blood clot may form in the piles and form a hard lump with intense pain. Such piles are known as thrombosed piles.

Homeopathic Management

Homeopathic medicines offer a very natural, safe and effective treatment for treating cases of external piles. Homeopathic medicines aim at reducing the swelling of veins around the anus and improving the blood flow to help treat this condition. Along with this homeopathic medicines decrease the intensity and frequency of symptoms in this complaint. It can effectively manage pain, tenderness, burning, itching in piles and also bleeding from piles. Homeopathic medicines for this complaint are prescribed individually as per the symptom presentation. It is recommended to get any case of external piles evaluated by a homeopathic physician and take medicines as per the physician’s advice. Self-medication should be avoided in any case. In cases of extreme pain one should take help from conventional mode of treatment as it may indicate thrombosed piles needing immediate intervention.

Homeopathic medicines for External piles

1. Aesculus – Leading Medicine

Aesculus is a top-rated homeopathic medicine for managing cases of external piles. There is marked pain in the piles where this medicine is required. The nature of pain is sharp, shooting, cutting or burning type. The pain occurs after passing stool and remains for many hours after passing stool. The pain gets worse while standing and walking. There is a sensation of sharp sticks in the rectum which is a very important attending feature. The person suffers from constipation along with the passage of hard, dry stool with difficulty. Itching is felt in the anus. At times, stinging sensation occurs at the anus along with the above symptoms.

2. Aloe Socotrina – For Piles With Pain

Aloe Socotrina is the next highly effective medicine to manage external piles. In cases needing it, the piles appear outside the anus and resembles a bunch of grapes. It is attended with marked pain. There is relief in pain by cold water application on the anus. Pricking sensation is felt in the anus after passing stool. The piles are painful to touch. Itching is also felt in the piles. There is burning sensation in the piles. Itching and burning disturbs sleep at night. In addition to the above, there is a frequent urge to pass stool. Fullness sensation is well marked in the anus.

3. Muriatic Acid – For Piles That Are Painful To Touch

Muriatic Acid is a well-suited medicine for managing cases of external piles that are very painful to touch. The slightest touch causes pain on the anus. Stitching pain is marked in the piles in most cases. There is relief in pain by warm applications. The piles appears blue or reddish blue and swollen. Burning may also be felt at the anus. Bleeding may also occur from the piles. Weakness can attend it. After passing stool, itching may be felt at the anus.

4. Nux Vomica – For Piles With Constipation

Nux Vomica is highly valuable to manage cases of external piles along with constipation. There is a constant ineffectual urge to pass stool where this medicine is indicated. There is a passage of scanty stool many times a day along with a feeling of unsatisfactory stool. Burning sensation is felt on the anus along with the above indications. Burning increases from the least touch on the anus. There is pain and itching at the anus. These get relieved from cold water application on the anus. Bleeding may also occur from the piles in some of the cases needing Nux Vomica.

5. Hamamelis – To Control Bleeding From Piles

This medicine is the topmost medicine for the management of bleeding from piles. Bleeding is attended with weakness in cases needing this medicine. There is soreness and burning at the anus along with bleeding. Fullness and weight in the anus is felt along with the above complaints.

6. Sulphur – For Piles With Marked Itching

Sulphur is a very beneficial medicine to treat cases of piles with excessive itching which gets worse at night. Due to this, sleep is disturbed. Burning sensation also occurs at night along with itching. Besides, throbbing and shooting pain is felt in the anus during and after passing stool. The pain gets worse while lying down and gets better while standing. There is constipation with a continuous urge to pass stool.

7. Nitric Acid – For Piles With Bleeding And Pain

This medicine can be used when the piles bleed and cause pain. The nature of pain in anus is cutting type. Pain is felt after passing stool. Itching is felt at the anus besides the above symptoms. There is constipation with excessive straining to pass stool but only little passes.

8. Paeonia – With Anal Pain Continuing For Long Hours After Stool

Paeonia is a useful medicine for managing external piles with anal pain that remains for long hours after passing stool. The anus is swollen and is also attended with itching. There is burning at the anus along with the above features. There is oozing of fluid from the anus.

9. Arsenic Album – For Piles With Burning Pain

This medicine is highly recommended for external piles with marked burning pain. Burning is intense like fire. The burning is worse at night. This disturbs sleep at night. Stitching type of pain is also felt in the piles where this medicine is required. The pain is worse while sitting or walking.

10. Antimonium Crudum – For Piles Oozing Mucus

Antimonium Crudum is an important medicine for dealing with cases of piles that ooze mucus discharge. The discharge leaves a yellow stain. It is attended with prickling sensation on the anus. Burning on the anus also attends it.

11. Causticum – For Hard Piles Painful To Touch

This medicine is considered in cases of hard piles that are painful to touch. The piles are also painful while walking, standing or sitting. The pain gets better after passing stool. There is marked itching in the piles. Burning and stinging are also felt at the anus.

What Is Protruding Piles And Its Homeopathic Remedies

By Dr. Vikas Sharma MD 1 Comment

Piles refers to swollen, dilated, inflamed veins in or around the anus or in the lower rectum. These are broadly divided into two types — external (that form on the anus and can be seen or felt at the anus) and internal (that develop within the rectum). Protruding piles refers to protrusion of piles (that otherwise lies inside the rectum) out of the anus during straining while passing stool. In mild cases, it tends to go back inside the anus on its own after the passage of stool. In moderate cases, the piles that protrude out when straining does not recede back into the anus on its own and has to be manually pushed back. In severe cases, the piles does not move inside the anus even when pushed manually and remains outside the anus permanently. This condition is referred to as prolapsed piles. Different signs and symptoms can attend protruding piles. These might include pain, bleeding, itching, burning sensation and mucus discharge. A prolapsed piles can be severely painful if a blood clot forms inside it and such piles is termed as thrombosed piles. Prolapsed piles also has a chance to get strangulated when blood supply to the piles stops as it gets trapped in anal muscles. Thrombosis and strangulation of piles are the serious complications of piles needing urgent medical help.

Homeopathic Management

Homeopathy carries a great scope in treating cases of protruding piles. Homeopathic medicines help in gradually decreasing the signs and symptoms of this complaint. Symptoms like pain, burning sensation, itching, bleeding get well managed with these medicines very effectively. They work magnificently by improving blood flow and reducing swelling in the veins around the anus and rectum. The most suitable homeopathic medicine for managing such cases is prescribed after detailed analysis of a particular case. Homeopathic medicines work in the most natural way to treat a condition and there are no side effects of these medicines. Homeopathic medicines are recommended for mild to moderate cases of protruding piles. In severe cases with permanently prolapsed piles and in case of strangulated and thrombosed piles, homeopathy has limitations in bringing relief and in such cases, help from conventional mode of treatment should be taken.

Homeopathic Medicines For Protruding Piles

1. Aloe Socotrina – Top Recommended Medicine

Aloe Socotrina is a top listed homeopathic medicine for managing cases of protruding piles. In cases needing it, piles protrude out at the anus and looks like a bunch of grapes. These are very painful, sore, and tender to touch. There may be relief in pain from washing with cold water. In some cases, there may be bleeding from the piles. Itching can also be felt in the piles along with the above complaints. There may be an urge to pass stool frequently. It gets worse after eating. Bearing down sensation is well marked in the rectum along with the above complaints.

2. Muriatic Acid – For Piles That Are Highly Painful To Touch

Muriatic Acid is a prominently indicated medicine to manage cases in which piles are extremely painful to touch. Even the least touch is unbearable on the anus where this medicine is required. The piles looks blue and swollen. There is burning sensation. Bleeding can also occur from the piles. This may be attended with weakness. There may be stitching pain in the piles. The pain gets better by warm applications.

3. Ratanhia – With Prominent Burning In Piles

Ratanhia is a highly beneficial medicine for protruding piles with prominent burning in the anus. The burning continues for a long time after passing the stool. Burning is intense like from fire. There is relief by cold water application on anus. There is difficulty in passing stool. The stool passes with great straining followed by burning and pain in the anus. Knife-like stitching pain can also be felt in the rectum.

4. Nitric Acid – For Protruding Piles With Bleeding

Nitric Acid is the best suited medicine when there is protrusion of piles on passing stool along with bleeding. The stool is also hard, painful and difficult to pass. Mucus discharges may also occur after passing hard stool. Pricking and burning sensation and sharp, stitching type of pain is felt in the anus after passing stool. The anus is also sensitive to touch. A sensation of weight and pressure is felt in the anus other than the above symptoms.

5. Collinsonia – With Marked Constipation

This medicine is highly effective for cases of protruding piles occurring along with marked constipation. The stool is hard and its passage is painful. A characteristic attending symptom is a sensation as if the rectum is filled with sharp sticks or sand. In cases needing it, the piles is painful and can bleed as well. There is burning and constricted sensation in the rectum. Lastly itching is felt at the anus.

6. Causticum – For Pain In Piles When Standing, Sitting, Walking

Causticum is a very useful medicine to manage piles that is very painful when standing, sitting or walking. There is relief in the pain after passing stool. There is stinging, stitching or burning type of pain in the piles. Pain in the piles also occurs when touching the anus. The piles is large in size that tends to impede passage of stool. Stool is hard and covered with mucus.

7. Baryta Carb – For Piles Protruding With Passing Stool And Urine

This medicine is highly recommended when piles protrudes out while passing stool as well as while passing urine. Burning sensation is felt in the anus when passing stool and also after passing stool. Shooting pain in the piles is also felt. There is constipation also with passage of hard, difficult and insufficient stool. After passing stool, oozing of some fluid is seen from the piles.

8. Calcarea Phos – To Manage Oozing Of Fluid From Piles

Use of this medicine is suggested when there is oozing of fluid from the protruding piles. A yellow–colored fluid oozes after passing stool. Bleeding can also occur after passing stool. Itching is also felt in the piles. Stitching or shooting pain in the anus can attend. In some cases, pulsating sensation is felt in the anus. Anus feels sore in the morning after getting up.

9. Lachesis – For Piles With Continuous Urge For Stool

Lachesis is an important medicine to manage cases of protruding piles attended with a continuous urge to pass stool. Anus feels constricted with this complaint. The piles is large in size. Burning is felt at the anus after passing stool. Stitching pain is felt in the piles and rectum when coughing or sneezing.

10. Kali Carb – When Piles Protrude With Loose Stool

This medicine is helpful for protrusion of the piles along with loose stool. The piles is large and painful. It is attended with needle-like stitching pain. Burning sensation may also be felt in the piles. Bleeding can also occur from piles. The piles may be sore to touch.

11. Lycopodium – For Managing Itching In Piles

Lycopodium is a suitable medicine for managing itching in the piles. The piles protrudes and also bleeds where this medicine is required. There is pain in the piles. The pain gets worse while sitting and also when touching.

Top 11 Homeopathic Medicines for Bleeding Piles

By Dr. Vikas Sharma MD 2 Comments

Piles are defined as dilated swollen veins around the anus and or in the lower rectum. Piles can manifest itself by showing various signs and symptoms but in some cases bleeding along with the stool is the sole presenting sign indicating the presence of piles. The blood is bright red that may pass with stool or can be seen on the toilet paper in cases of piles. Constipation, straining to pass stool as well as loose stool, prolonged sitting, lifting heavy weight and pregnancy could trigger bleeding piles. Bleeding without any pain is the most common sign of internal piles. Internal piles are the ones that lie inside the rectum and cannot be seen or felt from the outside. The external piles (means the piles that can be seen or felt at the anus) can bleed too in some cases. Another type of piles called thrombosed piles can also cause bleeding that is quite serious. In such type of piles, a blood clot gets formed inside the veins. If thrombosed piles ulcerate or break, then it can cause serious bleeding that needs immediate medical help. This may happen when it becomes full or when hard stool hurts the pile’s surface.

Homeopathic Management

Homeopathy can be very helpful in treating bleeding piles. Homeopathic medicines are naturally sourced medicines. They control the intensity and frequency of bleeding episodes from piles. Along with bleeding, they can manage well any associated signs and symptoms like pain, burning, itching, tenderness of the anus as well as swelling and lump at the anus. These medicines are very safe to use without any side effects. It is advised to take any homeopathic medicine under the supervision of a homeopathic physician. Homeopathy is recommended for cases of mild to moderate bleeding. In case of heavy bleeding from thrombosed piles, homeopathy is not recommended and urgent help from conventional mode of treatment is required.

Homeopathic Medicines For Piles

1. Hamamelis – Leading Medicine

Hamamelis is the best medicine in homeopathy to manage cases of bleeding piles. This medicine helps to control bleeding and give quick relief. Besides other symptoms, the anus may be sore means painful to touch. Burning is felt in the anus. Itching may be felt at the anus. In some cases, pulsation in the rectum is also a complaint. A sensation of fullness and weight is felt in the rectum. The stool may be hard and covered with mucus. In cases needing Hamamelis, bleeding is followed by excessive weakness.

2. Nux vomica – Along With Constipation

Nux Vomica is a highly suitable medicine for bleeding piles along with constipation. The key feature of using this medicine is a constant, ineffectual urge to pass stool. Those needing it pass stool several times a day but the stool is insufficient and unsatisfactory with a ‘never get done’ feeling. Burning and smarting pain is felt in the anus. The burning sensation gets worse after some hours of passing the stool and gets worse from the least touch. Itching is felt at the anus that disturbs sleep. This medicine is prominently indicated when piles complaint worsens from taking spicy food, coffee and alcohol.

3. Millefolium – For Bright Red Bleeding

Millefolium is the next best natural medicine to manage bright red bleeding from piles. Bleeding mostly occurs after exertion or lifting heavy weights where this medicine is required. There may be loose stool with passage of mucus in some cases needing it. There may be passage of fetid gas from the rectum.

4. Nitric Acid – Along With Pain

Nitric Acid is an effective medicine to manage cases of bleeding piles along with pain. In cases needing it, sharp, pricking, stitching or cutting type of pain is felt in the rectum. The pain is well marked after passing stool. Swelling appears at the anus. Along with the above, burning may be felt at the anus. The anus is sore (sensitive to touch). A sense of constant weight and pressure is present in the rectum. The anus feel constricted. A sensation of sharp sticks pricking in the anus is felt even at the slightest touch.

5. Phosphorus – Along With Burning In Anus

Another medicine which gives relief from bleeding piles is Phosphorus. In cases needing this medicine, intense burning is felt in the anus from piles along with bleeding. Needle-like pricking pain is felt at the anus. In some cases, tearing pain occurs in the anus. Applying warmth gives relief. Itching of anus is also felt. Protrusion of piles from the rectum may be noticed on passing gas.

6. Erigeron – With Hard Lumpy Stool

Erigeron is a well-indicated medicine for bleeding piles along with hard lumpy stool. Along with this, burning sensation is felt at the anal margins. The anus feel as if it is torn. In cases needing it the bleeding is bright red in colour.

7. Aloe Socotrina – With Protruding Piles

Aloe Socotrina is a very helpful medicine for protruding piles, along with bleeding. The piles appear like a bunch of grapes at the anus. The piles are very sore and tender to touch. Pain gets better by cold water application on the anus. The anus is itchy along with burning sensation. A constant bearing down in the rectum is felt in addition to the above symptoms.

8. Collinsonia – For Painful Bleeding Piles

This medicine is valuable for managing painful bleeding piles. A very characteristic symptom indicating its use is sensation as if the rectum is full of sharp sticks or sand. Constriction feeling is also well-marked at the anus. Burning is felt at the anus as well. There is constipation along with the above symptoms. The stool is hard, attended with pain and gas. Anal prolapse with piles can also be seen in cases requiring this medicine.

9. Muriatic Acid – For Very Sore, Tender (Painful To Touch) Piles

Muriatic Acid is an important medicine to manage sore tender piles with bleeding. The piles are extremely painful to touch. Bright blood is discharged from the anus. Bleeding leads to weakness. The piles look blue and swollen. Stitching pain is felt in the anus along with the above complaints. Burning is also felt in the piles.

10. Sulphur – When Attended With Pain and Burning

Sulphur is a very beneficial medicine for cases of bleeding piles attended with pain and burning of anus. The stool is hard. Piles are large. A continuous urge to pass stool is felt in the rectum. Stitching pain from the anus upwards also appears. Throbbing pain also occurs at the anus. Anal pain gets worse on lying and better on standing. Apart from the above, an intolerable itching is felt at the anus. It gets worse at night, disturbing sleep. Anus is also swollen and sore to touch.

11. Capsicum – With Burning At The Anus As From Pepper

Capsicum can be considered in cases where violent burning is prominent at the anus. The burning is so severe that it feels as sharp as from the application of pepper. Stinging pain is felt at the anus in cases needing this medicine. There may be itching and throbbing sensation at the anus. Soreness at the anus can be another complaint. An ineffectual urge to pass stool can attend the above complaints.

Piles during Pregnancy or after Child Delivery? Check out Homeopathy

By Dr. Vikas Sharma MD 1 Comment

Piles refers to swollen, dilated, inflamed veins around the anus and/or in the lower rectum. In many women, piles tend to appear for the very first time during pregnancy or after delivery. It is quite a common problem and it has been estimated that around 40 per cent of pregnant women, and women after childbirth tend to develop piles. When piles develop after delivery, it is known as postpartum hemorrhoids. Its signs and symptoms include swelling or lump around the anus, pain with passing of stool and/or after stool, anal burning, rectal bleeding and anal itching. Having piles during pregnancy increases risk of postpartum (period after delivery) hemorrhoids.

Why Homeopathic Treatment Of Piles?

Homeopathy offers a natural and effective treatment of piles after delivery. Homeopathic medicines are prepared from natural substances so have zero side-effects. They help in reducing swelling and inflammation of veins and improve blood flow. Besides, they also bring relief in symptoms like pain, burning, itching and bleeding of piles. Constipation (which is the main predisposing factor for piles) is also treated well with these medicines. Though it is safe to use homeopathic medicines, it is advised to consult a homeopathic physician prior to taking any homeopathic medicine for treating piles after delivery. Homeopathic medicines for treating piles after delivery are recommended based on individual symptoms in each and every case.

Top Homeopathic Medicines For Piles In Women

1. Sepia – Top Grade Medicine

Sepia is the leading medicine to manage numerous health concerns in females and one among them is piles after delivery. It is helpful almost in treating every case of piles after delivery. It can be used when there is swelling at anus along with marked pain. Pain is worse when passing stool. A stitching pain from the anus to rectum is felt. Anus is sore to touch. Secondly, it can be given for managing burning sensation at the anus. Next, it can be used for piles that protrude out while passing stool. It can also handle cases with marked itching in anus and rectum. It can also treat marked constipation with large and hard stool. There is lack of urge to pass stool for many days together in cases that would require this medicine.

2. Nux Vomica – With Constipation And Ineffectual Urge To Pass Stool

Nux Vomica is the most important medicine for piles in which a person has constipation with an ineffectual urge to pass stool. It is recommended for women who have a constant urge to pass stool. Each time they go to pass stool, only little is evacuated at a time and there is a feeling of dissatisfaction and it feels as if some more feces will be passed. They suffer from piles attended with marked pain and burning sensation. They also complain of itching at the anus.

3. Aesculus – For Painful Piles

Aesculus is the most beneficial medicine to relieve pain from piles. It is used when piles pain is felt during or after stool. Pain is sharp shooting in nature. The pain can even be felt for many hours after passing stool. A sensation of multiple small pricking sticks in the rectum is present which is a characteristic feature for recommending Aesculus.

4. Kali Carb – With Intense Burning

This medicine is recommended when there is intense burning sensation due to piles. It may feel as if the piles are burning like fire. Cold water application temporarily gives relief. It is also helpful in managing inflamed piles that are very sensitive to touch. In cases needing it, the piles are large and are attended with stinging, tearing, pinching, or needle-like stitching pain. Itching is felt in the anus. Kali Carb is also useful for treating bleeding piles.

5. Hamamelis – To manage bleeding

Hamamelis is very effective in controlling bleeding from piles. The bleeding may be slight or profuse in cases needing it. The bleeding is attended with weakness. Burning sensation and soreness around anus is felt.

6. Pulsatilla – For Non-Bleeding Piles

Pulsatilla works magnificently in cases of non – bleeding piles (means blind piles). In cases needing it, there is burning or cutting pain in the rectum when passing stool. Stitching pain may be felt at times. Protrusion of internal piles may be noted. Itching is felt, especially on lying down and in the evening.

7. Aloe – For Piles That Bulge Out Of Anus (Protruding Piles)

Aloe is highly suitable to treat protruding piles. In cases needing Aloe, the piles at anus look like a bunch of bluish-colored grapes. The piles are painful, sore and tender. Cold water application over piles gives relief.

8. Ignatia – With Sharp Stitching Pain

Ignatia works wonderfully in cases where sharp stitching pain in anus and rectum is felt. Pain occurs even if the stool is soft, pain gets worse while standing or sitting. Sometimes slight anal bleeding can occur.

9. Lilium Tigrinum – For Painful Sore Piles

Lilium Tigrinum is indicated for painful, sore piles. Piles are highly sore to touch. These are itchy too. Besides, there is severe constipation. When bearing down while passing stool, it feels as if all the pelvic organs would protrude through the vagina.

10. Muriatic Acid – When Piles Are Painful To Touch

Like the above medicines, this medicine also suits a person well when piles are highly sensitive and painful to touch. Even the slightest touch of the hemorrhoids is not bearable. The piles look bluish or dark purple. Stitching pain is felt along with sensitivity. Heat application offers relief.

11. Sulphur – For Burning And Pain In Piles

Sulphur is well-indicated for piles with marked burning and pain at the anus. In cases needing Sulphur, the piles are very large. Stitching or shooting type of pain occurs in piles. During and after passing stool, burning occurs in the piles. Bleeding from piles may also arise. A pressing sensation in rectum can also be felt.

12. Collinsonia – With Constipation With Dry, Hard Stool

Use of Collinsonia is considered when there are piles along with constipation with dry and hard stool. It can be given for bleeding or non-bleeding piles, external piles (located on the skin around the anus that can be seen or felt from the outside) or protruding piles (internal piles that protrude out of anus). The piles are painful. The sensation of sand or sticks in rectum can be quite prominent.

13. Podophyllum – For Piles With Rectal Prolapse

This medicine is valuable to handle cases where piles are accompanied by prolapse of rectum (slipping out of the lower part of rectum out from anus). The piles can be bleeding or non-bleeding. The anus is swollen, sore and sensitive to touch. Prolapse of rectum occurs while passing stool.

What Causes Piles During Pregnancy And After Childbirth?

If we talk of piles during pregnancy, usually piles occur during the third trimester (last three months of pregnancy). During pregnancy, extra pressure is exerted on the abdomen and the pelvic area from the growing baby. As a result, circulation of blood to the pelvic area is affected resulting in pooling of blood in the veins. Secondly, increased progesterone levels cause relaxation of walls of the veins predisposing them to get swollen. Additionally, constipation (which is one of the major reason behind piles) is a common problem faced by many women during pregnancy due to hormonal changes (which slows down movement of food through the gastric tract), pressure put by the growing baby on the intestines of the mother, intake of iron and calcium supplements that can also contribute to piles during pregnancy. Intense straining and prolonged pushing during labor pains also contribute to piles after childbirth. Piles are common especially after vaginal delivery, however it can still arise after a C-section. An instrumental delivery (like forceps delivery in which a doctor uses a tool to grasp the head of the baby to get the baby out of the birth canal) also increases risk of piles.

Homeopathic Treatment for Hemorrhoids or Piles

By Dr. Vikas Sharma MD 34 Comments

Out of all the diseases, the most feared are the ones are that remind one of surgeon’s knife. Piles is just one out of those diseases . But with Homeopathic medicines for piles one can can be saved from the surgeon’s knife; Moreover they are entirely safe, gentle and the cure of piles is mostly permanent. This means that homeopathy can help in the complete recovery of piles. Homeopathic Remedies for hemorrhoids aim at correcting the internal disturbances of venous system by making the vein valves more strong which helps in a complete recovery. The sooner the patient approaches a homeopathic physician for piles treatment, higher are the chances of a complete recovery and avoidance of surgery. Homeopathy should be the preferred and the first mode of treatment in piles owing to the use of safe, natural nature of medicines before.Research Clearly shows that homeopathy is very effective for the treatment of piles.

Homeopathic Medicines for Piles

Aloe Socotrina –For Protruding Piles

Aloe Socotrina is a highly ranked homeopathic medicine for treating protruding piles.For Aesculus to be used- Piles appear blue like bunch of grapes at anal verge. They are very tender, sore and painful. Burning at anus also accompanies. Intense itching may also appear . Relief from cold applications in piles symptoms is also a guiding feature to use Aloe. A history of long-standing diarrhea may be present in persons needing Aloe in hemorrhoid complaint.
Nux Vomica – For Piles accompanied with Constipation:

Nux Vomica is a top grade remedy for piles with constipation. A person needing Nux Vomica has piles with frequent- ineffectual urging for stool but passes little stool at a time. The urge for stool is renewed shortly after one has defecated. The stool is always unsatisfactory. Nux Vomica is highly beneficial for blind piles. Blind piles with pressure/sticking/burning/shooting pains calls for use of Nux Vomica. Subjects with sedentary habits developing piles with constipation fit the complete picture for Nux Vomica to be used.
Hamamelis – For Piles that Bleed

Hamamelis is an excellent medicine for Bleeding piles. In homeopathy, Hamamelis is a top grade remedy for venous congestions and bleeding tendencies. It is very effective in controlling hemorrhages. It can be used confidently with great results in bleeding piles. Piles that bleed profusely require Hamamelis without a second thought. Burning and soreness in the rectum may appear with bleeding. Few may also complain of a backache with bleeding piles. Pain or rawness at anus is also marked. Extreme weakness also accompanies bleeding piles.
Ratanhia – For Piles with long lasting Burning and Pain

Homeopathic medicine Ratanhia offers a great help in piles which marked by burning and pain for many hours after stool. The character of Pain is ‘as if broken glass pieces are placed in the rectum.’ a knife like stabbing pain also indicates the use of Homeopathic medicine Ratanhia.
Aesculus – For Piles with Backache

Aesculus is a medicine for piles when it is accompanied with a backache. Severe, sharp, shooting lower backache in the lumbosacral region with hemorrhoids is sure shot sign for Aesculus to be used. Aesculus is mainly a remedy for blind piles. Piles appear purple, painful, burning with rawness, soreness, and itching. The stool is also constipated and is hard, dry and difficult to expel. Rectum feels full of small sticks.

Frequently Asked Questions

1. Why Should I choose Homeopathic Medicine for Piles?

I would say that the biggest reason for you to choose homeopathic medicine for piles should be the permanency and safety of the treatment. Once treated with homeopathy, piles tend to not to recur ( under conditions where lifestyle modifications are sustained for long) . Homeopathic medicines are very safe and side effects with homeopathy while treating piles are unheard of .

2. What are Piles/ hemorrhoids ?

The term hemorrhoids or piles refers to a condition in which the veins around the anus or lower rectum are swollen and inflamed. Hemorrhoids are very common in both men and women. About half of the population has hemorrhoids by age 50. Hemorrhoids may result from straining to move stool. Other contributing factors include pregnancy, ageing, chronic constipation or diarrhoea. Hemorrhoids are either inside the anus (internal) or under the skin around the anus (external). Although many people have hemorrhoids, not all experience symptoms. The most common symptom of internal hemorrhoids is bright red blood covering the stool, or in the toilet bowl. However, an internal hemorrhoid may protrude through the anus outside the body, becoming irritating and painful.

Symptoms of external hemorrhoids may include painful swelling or a hard lump around the anus. In addition, excessive straining, rubbing, or cleaning around the anus may cause irritation with bleeding and/or itching, which may produce a vicious cycle of symptoms.

3. Why do I have Piles?

There are various factors that predispose a person to develop piles include diet with less fiber content, lack of exercise, sedentary habits like prolonged sitting , increased straining during defecation, chronic constipation or diarrhoea, excessive alcohol intake, pregnancy, obesity . Genetic Factors also play a strong role in the development of piles.

4. What are the Types and Symptoms of Piles?

External Piles: External piles are present on skin around anus and can be seen or felt from outside. The main symptom are Pain, swelling/lump around anus. Itching and bleeding may appear when they are irritated.
Internal Piles: Internal piles lie deep inside the rectum and cannot be felt or seen from outside. They are painless owing to lack of pain receptors in the area in which they appear. The only symptom they cause is bleeding per anus while straining at stool.
Protruding/Prolapsed piles: piles that while straining at stool are pushed on the anal verge are referred to as protruding/prolapsed piles. They lead to symptoms of pain, itching, and mucus discharge.
Blind Piles: Non-bleeding piles are referred to as blind piles.

5. What can I do to Prevent Piles?

Some simple lifestyle modifications can help one, prevent and even cure piles. A softer stool and regular bowel movements are its primary goals. A softer stool makes emptying the bowels easier and lessens the pressure on hemorrhoids caused by straining.

Warm Baths- bathing the perianal area in warm water can ease out the acute pain in a significant manner . This possibly relaxes the anal sphincter and gives relief from the pain.Increasing fluid intake- Increasing fluid intake can help in reducing the hardness of the stools. Drinking six to eight glasses of fluid (not alcohol) results in softer, bulkier stools.
High-fiber diet – Good sources of fiber are fruits, vegetables, and whole grains. Also, a fiber supplement such as psyllium can be very helpful.
Do not hold the urge – Prevent holding the call, as it can lead to irregular bowel movement and also hardening of the stools.
Regular exercise – Regular exercise, including walking, can be very useful in regulating your digestive system.

A Case Study- Homeopathic Treatment of Piles

For Vikram (not his real name), pain around the anus was becoming a big problem This excruciating pain would continue for hours after passing stool. He was also passing blood along with stool. Vikram at times was having difficulty in concentrating at his job, as the pain would go on for hours and an uncomforting feeling was always there. Each morning, passing stool was like a nightmare, and if he had to go twice, then nearly the whole day would pass in pain. He knew that this surely had something to do with his constipation problem, which he was having for the last decade or so. A visit to the general practitioner confirmed that he was suffering from piles (also known as hemorrhoids). He was suggested surgery . One of Vikram’s friend suggested that he should first try homeopathy as it had really helped him in treating his piles . Vikram was put on Ratanhia and later was given aesculus . Theses were the only two Homeopathic remedies for hemorrhoids that were used on him. He completely recovered in four months and it has been nearly four years that he has been completely symptom free. Vikram has also made changes to his lifestyle . He walks everyday for 1 hour and drinks lots of water.

9 Best Homeopathic Medicines for Constipation

By Dr. Vikas Sharma MD 188 Comments

Constipation refers to an infrequent bowel movement or difficulty in passing stool. Infrequent bowel movement means passing less than three stools a week. Other indicative factors are hard stool, insufficient passing of stool, a feeling of incomplete bowel evacuation, too much straining to pass the stool and in extreme cases, a need to use fingers to remove stool among small kids. The good news is that homeopathy has proved to be highly effective in treating constipation.

Homeopathic medicines along with dietary and lifestyle management help magnificently in getting rid of constipation. Any associated symptoms like gas, bloating of the abdomen, pain in the abdomen, headache, and nausea are also taken care of with these medicines. Homeopathic medicines are suitable to treat constipation in persons of all age groups.

Homeopathy addresses the root cause

Homeopathy treats constipation by identifying the root cause. These medicines help improve the bowel movement which is sluggish in the patients who suffer from constipation. These medicines also act as stool softeners thus preventing straining to pass the stool and aiding easy and smooth stool passage.

Safe and Gentle treatment

Homeopathy is the best choice of medicine that offers a natural, safe treatment for cases of constipation since it uses natural remedies which are free of any chemicals or synthetic material. Unlike mainstream medicines which uses laxatives to treat constipation and carries the risk of dependence, homeopathic medicines are non-habit-forming and under no circumstances cause any type of side effects. Once started, homeopathy will gradually reduce your dependence on laxatives.

Acute as well as chronic (long-term) cases of constipation are known to respond wonderfully to homeopathic treatment. Homeopathy is also very beneficial to manage piles and anal fissures that may result from long-term constipation.

Homeopathy is a symptom-based science therefore to treat constipation the remedies are to be prescribed as per the peculiar and unique characteristic symptoms in each case. Therefore, a homeopathic practitioner will study the symptoms in detail, identify and evaluate the important symptoms and then select the appropriate medicine that will suit any given case.

Top 9 Homeopathic Medicines for Constipation

The top medicines for treating constipation are Nux Vomica, Bryonia Alba, Alumina, Opium, Alumen, Silicea, Plumbum Metallicum, Graphites and Sulphur.

1. Nux Vomica – For Constipation With Constant Ineffectual Urge For Stool

Nux Vomica is one of the most frequently used medicines for treating constipation with a constant but ineffectual urge to pass stool. A person who needs Nux Vomica passes insufficient, scanty stool, very frequently. Even after passing stool many times in a day, there is a never a ‘got done’ feeling. Abdomen pain may arise along with constipation. Nux Vomica is also a good choice of medicine for treating constipation in persons with a sedentary lifestyle (inactive lifestyle with prolonged sitting with little or no physical activity). More importantly, it also effectively treats piles with constipation.

When to use Nux Vomica?

This medicine can be used in those who have constipation with constant ineffectual urge to pass stool and even after passing stool several times a day, do not have a satisfactory feeling.

How to use Nux Vomica?

This medicine is used in different potencies like 30C, 200C, 1M. Initially, it is best to use Nux Vomica 30C two to three times a day. Higher potencies can be used after consulting a qualified homeopath.

2. Bryonia Alba – For Dry, Hard, Stool In Lump Form

For constipation with a hard, dry stool that passes in lumps, Bryonia Alba is considered one of the best medicines. The stool is dry as if burnt and is passed with much difficulty. Abdominal distension is also noted in some cases. Headache due to constipation may also be effectively treated with Bryonia Alba.

When to use Bryonia Alba?

The main characteristic feature guiding the use of Bryonia Alba is hard and dry stool passed in the form of lumps.

How to use Bryonia Alba?

Bryonia Alba 30C can be administered twice or thrice a day.

3. Alumina – For Constipation With No Urge To Pass Stool For Days

Alumina is another very beneficial medicine when there is the absence of the urge to pass stool for days together. Those who need this medicine will go days without passing stool. The intestine functions is an extreme slow and sluggish manner. The stool is passed only when there is a large accumulation of fecal matter in the intestine. Another important symptom of using Alumina is excessive straining to pass stool even when the stool is soft. Alumina is also one of the mainly indicated medicines for constipation among children, infants (babies less than one year of age), bottle-fed babies, and elderly persons.

When to use Alumina?

Its use can be considered in persons who have no urge to pass stool for days together.

How to use Alumina?

The most frequently recommended dose of this medicine is Alumina 30C one to two times daily.

4. Opium – For Dry, Hard Stool In Form Of Balls

Opium works well in cases of constipation where the stool is hard, dry, and passed in a ball-like form. There is also a lack of urge to pass stool. In addition, Opium is also administered for constipation among those who often have depended for a long time on laxatives (medicines that increase bowel movement and relieve constipation) to pass the stool.

When to use Opium?

This medicine can be administered when the stool is dry and hard, and passed in ball-like form.

How to use Opium?

One may use this medicine in 30C potency one to two times a day.

5. Alumen – For Extremely Hard Stool Like Stone

Alumen is a well administered medicine for constipation when stool is extremely hard, almost like a stone. Passing of the stool becomes very difficult and is accompanied by some blood. After passing the stool, intense pain is felt in the rectum.

When to use Alumen?

Alumen is the best choice of medicine when the stool is hard like a stone.

How to use Alumen?

Though it can be used in both low and high potencies, the most commonly used potency is 30C. Alumen 30C can be administered twice or thrice daily.

6. Silicea Terra – For Obstinate Constipation with Receding Stool

Silicea is indicated in cases of obstinate constipation where the rectum feels paralyzed and inactive, and the stool is expelled with a lot of difficulty. A key feature is that the stool partly passes out, then slips back into the rectum, requiring repeated and painful straining. The sphincter ani is irritable, spasmodic, and closes upon the passing of the stool, causing stinging pain. Feces remain lodged in the rectum for a long time, and constipation notably gets worse before and during menses.

When to use Silicea Terra?

Silicea terra works wonders when constipation is obstinate with a paralyzed rectum, and when the stool comes out but recedes back after partial expulsion. There is too much of straining as well.

How to use Silicea Terra?

It can be used in lower potency,30C once a day. Higher potencies can be used only under the guidance of qualified homoeopath.

7. Plumbum Metallicum – Constipation with Obstructed Stool

Plumbum Metallicum is indicated for patients who report severe constipation. The stool is hard, lumpy and black, passed after intense urge, and spasmodic contraction of the anus. Evacuation is obstructed due to fecal impaction (fecal material that gets stuck in the rectum), with marked sensation of constriction as if the anus were drawn upward. The rectum feels painful and tense, often accompanied by neuralgic pain, and the stool is expelled only after a lot of straining and effort.

When to use Plumbum Metallicum?

Plumbum Metallicum works wonders when constipation is severe with hard, black, impacted stool and obstructed evacuation due to spasm and constriction of the anus.

How to use Plumbum Metallicum?

It can be administered with 30c potency, once or on alternate days. Higher potencies can be administered only under the guidance of a qualified homoeopath.

8. Graphites – Constipation with Knotty, Mucus-Bound Stool

Graphites is prescribed among patients who suffer from constipation and the condition is marked by large, difficult, knotty stools, often lumpy and coalesced by threads of mucus, making evacuation slow and incomplete. There is a burning sensation and congestion felt in the rectum, with itching or soreness after passing the stool. Constipation may alternate with loose, foul-smelling stools, but the dominant feature remains sluggish bowel action with hard, impacted evacuation.

When to use Graphites?

Graphites is administered when stool is hard, dry, and difficult to pass, often with cracks, mucus, or bleeding at the anus.

How to use Graphites?

It can be used in 30C potency, on a weekly basis or alternate day under the guidance of qualified homoeopath.

9. Sulphur – Constipation with Ineffectual Urging

Sulphur is indicated if constipation is accompanied by frequent urging but scanty, hard stool, and the patient has a sense of incomplete passing of stool. There is a marked burning sensation and heat is felt in the rectum after stool has been passed. Dryness and congestion of the anus is another accompanying symptom. The bowels feel irregular and inactive despite repeated efforts, which often gets worse in the morning.

When to use Sulphur?

Sulphur is very useful when constipation is accompanied by large, hard, and knotty stools, often with burning or itching at the anus.

How to use Sulphur?

It can be started with 30C potency, on a weekly basis or on alternate days.

Note: One can take the above medicines for constipation for about one to two months in the above-mentioned doses only. Always consider the advice of a qualified homeopath if no improvement is observed, or to continue taking these beyond 2 months, or if you wish to increase the potency/dose.

Causes and Pathophysiology

Our colon (large intestine) is 3 to 5 feet long and its wall is lined by muscle layers. The colon absorbs water and salts from the waste left behind after most of the nutrients have been absorbed into the bloodstream from the small intestine. This waste material is called stool that gets stored until it is expelled from the body. Several nerves and hormones control the motility of the colon. When the stool fills and distends the rectum, the internal anal sphincter relaxes and the need to defecate is felt. This is followed by the contraction of rectal muscles and simultaneous relaxation of the external anal sphincter and puborectalis muscle that opens the anus and expels the stool.

Constipation happens if the muscle contractions of colon are slow and sluggish which gives the colon more time to absorb water from waste resulting in dry and hard stool which is difficult to push out. Also, constipation can also happen if there is a problem with the nerves that signals contraction of the colon and the rectum and controls the muscles required for defection, or if there is some blockage in the colon or rectum.

Predisposing Factors Behind Constipation

Many factors predispose a person to constipation.

1. A diet low in fiber

2. Sedentary lifestyle and decreased physical activity

3. Decreased liquid intake

4. Old age

5. Taking calcium/iron supplements

6. Overuse of medicines (such as antidepressants, anticonvulsants, and laxatives) Stress

7. Pregnancy

Medical conditions linked with constipation are diabetes mellitus, spinal cord lesions, hypothyroidism (underactive thyroid), depression, and irritable bowel syndrome (a disorder of the large intestine that causes constipation or diarrhea or an alternation between these along with gas, bloating, and stomach cramps)

Are There Any Other Associated Symptoms of Constipation?

Yes, several different symptoms may cause constipation. These are gas in the abdomen, bloating or distension of the abdomen, pain in the abdomen, headache, and nausea. Bleeding may occur while passing stool due to fissures/piles as a result of constipation or from passing hard stool. Other attending features include pain and burning sensation in the rectum while passing stool which may continue even after passing stool.

Frequently Asked Questions

1.Does long-standing constipation lead to complications?

Yes. Long-standing constipation can cause piles, anal fissures, rectal prolapse, and abdominal hernia due to repeated straining and pressure.

2. What does passing hard stool with blood indicate?

Passing hard stool along with blood commonly suggests conditions such as anal fissures or piles. Medical consultation is advised to confirm the diagnosis.

3. What does constipation with excessive gas and abdominal distension indicate?

Constipation with gas and abdominal distension may indicate irritable bowel syndrome (IBS), a functional bowel disorder; medical consultation is advised for confirmation.

4. Can lifestyle changes prevent constipation?

Absolutely. A fiber-rich diet, adequate water intake, exercises, and proper bowel habits are the most effective preventive measures.

5. Can stress or anxiety cause constipation?

Yes. Stress affects gut motility and can slow bowel movements, leading to constipation.

6 .Can medications cause constipation?

Certain medications, including opioids, antacids with aluminium, iron supplements, antidepressants, and some antihypertensive, may cause constipation.

7.Does age affect bowel movements?

Older people may have slower bowel movement and less physical activity increases the risk of constipation.

8.How is constipation diagnosed by a doctor?

Diagnosis involves medical history, physical examination, and sometimes blood tests, X-rays, or colonoscopy to rule out underlying causes.

9.Does suppressing the urge to pass stool cause constipation?

Yes. Regularly ignoring the natural urge weakens bowel reflexes and worsens constipation over time.

10.Can long-term use of laxatives worsen constipation?

Yes. Overuse of laxatives can weaken bowel muscles and make constipation worse or chronic.

Suffering From Intractable Anal Fistula? Safe Homeopathic Remedies for Anal Fistula

By Dr. Vikas Sharma MD 162 Comments

An anal fistula is a chronic abnormal condition in the tract or tunnel, lined by granulation tissue, that connects the anal canal or rectum to the skin around the anus. It develops as a result of a previous anorectal abscess. There is a characteristic recurrent discharge of pus or serous fluid, along with pain, irritation, and sometimes bleeding, especially during defecation.

Effectiveness of Homoeopathic Treatment in Anal Fistula

Homeopathy is the best alternative to conventional treatment for curing many diseases including anal fistula that need surgical intervention. Homeopathic medicines for anal fistula treat the condition gently with no side effects because of their natural origin. Initially, these medicines manage the signs and symptoms mentioned above. The natural medicines also assist in regularising bowel movements and treating hard stool, which could otherwise worsen the symptoms. Simultaneously, they halt the further worsening of the medical condition. Afterwards, with regular use of these medicines, gradual healing of the anal tract takes place. The results, however, vary depending on the severity and complexity of the problem.

Homeopathy treats anal fistula cases by improving the body’s own restorative healing processes. It uses highly diluted substances to heal the body from within. It helps fight germs causing pus formation and expels them out of the body and thus begins gentle healing process. In this way it brings natural recovery to fistula cases with no harmful after effects.

Individualized Homoeopathic Care for Anal Fistula

Homeopathic medicines are administered depending on how the case presents itself. Since the signs and symptoms vary from from one person to another, so does the homeopathic prescription. Also the potency, dose and repetition of medicines differ on a case-to-case basis. Therefore, it is advised to avoid self-medication and always consult a qualified homeopath for the correct prescription.

Homoeopathy as a Non-Surgical Solution for Anal Fistula

Homeopathy is really beneficial for the treatment of the anal fistula both in recently as well as chronic cases. In mainstream medicine, usually surgery is recommended to treat anal fistula that carries a risk to re-formation even after surgical correction. However, homeopathy can save a person from undergoing surgical procedures in most of the cases. Though, homeopathic remedy in fistula cases is a time-consuming process, it is the best alternative to surgical intervention.

Best 10 Homeopathic Remedies For Anal Fistula

The 10 medicines that top the list for anal fistula treatment are Silicea, Hepar Sulph, Myristica Sebifera, Calcarea Sulphurica , Berberis Vulgaris, Calcarea Phosphorica, Paeonia Officinalis, Causticum, Carbo Vegetabilis and Thuja Occidentalis.

1. Silicea – For Anal Fistula With Copious Pus Discharge

Silicea is the most widely administered remedy for cases of anal fistula in homeopathy. It has an ability to resolve multiple medical problems where pus formation occurs including anal fistula. The way it controls the process of pus formation is magnificent. It can be administered in anal fistula cases if there is copious pus discharge. Sometimes blood may be present in the discharge. The discharge is also foul-smelling and putrid. The discharge is accompanied by perianal swelling. Sharp, stitching pain in the rectum may be felt especially while walking. While passing stool, burning and itching may be felt at the anus. Silicea is also administered for anal fistula if there is brownish fluid discharge and/or accompanied by constipation. Silicea is also administered to treat hardness/indurations left around the anus after the healing of an anal fistula.

When to use Silicea?

This is a wonderful choice to treat anal fistula accompanied by excessive pus discharge that can sometimes be blood stained.

How to use Silicea?

Among its different potencies, the most commonly used is 6X power. Silicea 6X can be administered three to four times a day depending upon the severity of the symptoms.

2. Hepar Sulphuricum – For Anal fistula with Severe Pain

Hepar Sulphuricum is the best medicine to treat anal fistula accompanied by intense pain. It works in cases where the area around the perianal region is hard, highly inflamed and swollen, and is very sore and sensitive to touch. The pain, in most cases aggravates at night. Cold worsens the pain. Other symptoms may include throbbing or beating sensation around the anus. It is administered if the pus is present in the tract but hasn’t begun to discharge. This medicine will aid pus drainage from fistula tract followed by symptomatic relief. The discharge of pus from the anal fistula may be blood-stained and may smell like decaying matter. The patient may also have fever with chills.

When to use Hepar Sulphuricum?

Hepar Sulphuricum is administered in case of anal fistula with pus formation accompanied by throbbing pains, marked swelling, and the area around the anus is sensitive to any kind of touch.

How to use Hepar Sulphuricum?

Hepar Sulphuricum 30 is administered two to or three times a day based on the intensity of the condition.

3. Myristica Sebifera – Top grade remedy for Fistula

Myristica Sebifera is another natural medicine of plant origin and is used to treat many suppurative (pus forming) conditions including anal fistula. This remedy works wonders in expelling the pus readily and in healing anal fistula. It speeds up the process of pus drainage and cuts short the healing process. Use of this medicine often prevents the need for surgery in cases of anal fistula.

When to use Myristica Sebifera?

This medicine can be administered in anal fistula cases to speed up the process of pus drainage and shorten the recovery time.

How to use Myristica Sebifera?

Myristica Sebifera is administered in 30C potency one to two times daily.

4. Calcarea Sulphurica – For Thick, Yellowish Discharges

Calcarea Sulphurica is beneficial to treat anal fistula with thick and yellowish discharge of the pus. The discharge is often blood-stained. It is administered when the pus is already oozing out of an anal fistula opening on the skin. Calcarea Sulphurica aids in hastening pus expulsion. Pain is also felt noticeably in the anal region.

When to use Calcarea Sulphurica?

One may opt for it when there is thick yellowish discharge of the pus along with anal pain.

How to use Calcarea Sulphurica?

Usually its biochemic form is preferred in 6X power in most of the cases. Calcarea Sulphurica 6X can be used two to three times a day.

5. Berberis Vulgaris – For Anal fistula with Shooting and Stitching Pain

Berberis Vulgaris works wonderfully in cases where there is shooting pain around the anus. In addition to this, a stitching pain around the anus also points towards the use of Berberis Vulgaris. Tearing pain around the anus along with burning sensation is also felt. The skin around the anus gets very sore and is accompanied by itching, that worsens by the evening.

When to use Berberis Vulgaris?

Berberis Vulgaris can be administered for managing anal fistula with shooting or stitching pain along with itching and soreness around anal region.

How to use Berberis Vulgaris?

This medicine can be administered in both low and high power. However, to begin initiate with low potency dose like 30C that can be taken once to twice daily.

6. Calcarea Phosphorica – For Painless Fistula

If there is painless anal fistula Calcarea Phosphorica is the best remedy. In such cases, there is blood and pus discharge from the anal fistula. These discharges can be accompanied by a warm or burning sensation around the anus. Another key symptom for using Calcarea Phosphorica is anal fistula alternating with chest complaints. Calcarea Phosphorica hastens the healing process of anal fistula resulting in fast recuperation.

When to use Calcarea Phosphorica?

This medicine is apt for cases of anal fistula accompanied by pus or blood discharge without any pain.

How to use Calcarea Phosphorica?

This medicine is frequently prescribed in 6X power. Calcarea Phosphorica 6X can be administered three to four times every day depending on the case.

7. Paeonia Officinalis – For Pain And Itching At Anus

Paeonia Officinalis is a natural medicine for anal fistula treatment. For those who need it, there is persistent oozing of fluid from the fistula track. The fluid is extremely offensive in smell and there is also much pain in the anus region. Sitting aggravates the pain.

Itching and biting sensation around the anus also accompanies. Burning sensation at the anus is also felt. Apart from anal fistula, Paeonia Officinalis is also a good remedy for treating anal fissures and piles.

When to use Paeonia Officinalis?

It is a good medicine to deal with anal fistula cases if there persistent oozing from fistula along with anal itching and pain that usually worsens when one sits.

How to use Paeonia Officinalis?

This medicine is best used in 30C power and can be repeated twice a day.

8. Causticum – For Anal fistula with Pulsating Pain

Causticum works wonderfully when in anal fistula cases, pulsating pain is felt around the anus region. The pulsations are of high intensity in the perineum. The anal fistula discharges blood, pus, and serum. Along with anal fistula, haemorrhoids may also be present. The haemorrhoids are hard, swollen, and large. Other accompanying symptoms include hard stool, covered with mucus that has greasy, shiny appearance.

When to use Causticum?

This medicine is used to manage pulsating pains at the anus in anal fistula cases.

How to use Causticum?

Causticum can be administered in 30C potency two times daily for best possible results.

results.

9. Carbo Vegetabilis – For Anal fistula with Marked Burning In The Anus

Carbo Vegetabilis works wonders in cases of anal fistula. There is a corrosive and acrid discharge from the anus. The anus gets sore, with burning and itching, especially at night. Stool is extremely offensive, the odour is cadaverous, and is followed by marked burning. Other indications include bluish, burning haemorrhoids, at times accompanied by bleeding from the anus and pain after one has passed stool.

When to Use Carbo Vegetabilis?

It is well-administered for anal fistula with burning, sore in the anus.

How to take Carbo Vegetabilis ?

One can be administered a dose of 30C potency, once a day.

One can be administered higher potencies as well such as 200C, 1M but only after a qualified homeopath has been consulted.

10. Thuja Occidentalis – For Fistula With Burning Around the Anus

Thuja Occidentalis is considered best for anal fistula if there is an accompanying burning pain around the anus. Soreness is felt around the anus the whole day, along with burning sensation. Stitching pain, as from a needle pricking in the perianal region, may also be felt. Perianal pains aggravates after walking. Offensive sweat around the anus may also be present along with the above symptoms.

When to use Thuja Occidentalis?

It is prescribed for anal fistula cases when accompanied by marked burning around anus and also stitching or pricking pains.

How to use Thuja Occidentalis?

It is a remedy that acts deep and mostly is to be used in 30C potency, once a day.

Types of Anal Fistula

Anal fistulas are classified based on the course of the fistulous tract and its relationship to the anal sphincter muscles.

1. Intersphincteric fistula: The most common type; the tract runs between the internal and external sphincter muscles and opens near the anal margin.

2. Transphincteric fistula: Passes through both sphincter muscles and opens onto the perianal skin; often follows a perianal abscess.

3. Suprasphincteric fistula: The tract ascends above the external sphincter, then curves downward to open near the anus.

4. Extrasphincteric fistula: It runs outside the sphincter complex, usually arising from pelvic infection, trauma, or previous surgery.

Anal Fistula: What Causes It?

An anal fistula arises from a clogged anal gland, followed by an infection in anal gland. Anal glands are present in the wall of anal canal that secrete fluid. These can at times get clogged by foreign particles like faecal bacteria that may cause infection in anal glands.

Due to the infection, an abscess is formed which drains by itself or via surgery through a skin point around the anus. Anal fistula refers to a tunnel that develops along this tract running from the anal gland to a hole in the skin surrounding the anus.

Risk Factor for Anal fistula

Some of factors that increases risk of anal fistula are as follows:

1. An infection or trauma to anal region

2. The healing has not been proper of an anal abscess (pus filled mass) following pus drainage

3. A surgery near the anus

4. Having IBD means inflammatory disease, which includes Crohn’s disease and ulcerative colitis. It is an autoimmune disease that causes inflammation in gastrointestinal tract, diverticulitis (infected pouch in colon), tuberculosis and certain sexually transmitted infections (e.g. HIV, syphilis)

5. Treatment of anal cancer through radiation.

6. Chances of anal fistula are more in males than

Signs And Symptoms Of Anal Fistula

1. An opening (hole) on the skin near the anus and fluid/pus discharge from that opening. The discharge may even be blood-stained. The discharge may be foul smelling. Rarely, faecal discharge may occur.

2. Perianal swelling, inflammation, redness, and The pain could vary in nature from pulsating, throbbing, sharp and tearing, to a stitching pain. The pain usually worsens during bowel movement and also while walking or sitting. There may be tenderness around the opening of the fistula. After fistula drains, there may be relief from pain.

3. Burning and irritation or itching in the perianal area are other accompanying symptoms

4. Fever and chills may also be felt in a few cases

5. A feeling of weakness may accompany the above

Diagnosis Of Anal Fistula

To diagnose anal fistula, a physician scrutinizes the perianal area where a hole is seen in anal fistula (denoting its external opening) that in most cases drains pus or fluid. To detect internal opening and the entire tract of anal fistula, the following tests are recommended:

1. Anoscopy: The doctor views inside the anus and the rectum using a medical equipment

2. MRI and an ultrasound of anal region to see complete path of fistula tract

3. Anal Fistulogram: It is an X-ray process (taken after injecting a contrast) to view fistula

4. Colonoscopy: If ulcerative colitis is also suspected

Complications Of Anal Fistula

If anal fistula is not treated properly, recurrence of abscess near anus is possible and there are chances of developing a complex fistula. Faecal incontinence (inability to hold stool), and cellulitis (skin infection) are other complications. The surgery of anal fistula has its own complications like faecal incontinence and recurrence of anal fistula.

How to manage Anal Fistula

Its management focuses on not just the local lesion but also on the overall well-being of the patient. By addressing lifestyle modifications, dietary habits, bowel discipline, and general health, it helps manage anal fistula more effectively. A fiber-rich diet including fresh fruits, green leafy vegetables, whole grains, and salads, along with good hydration, helps maintain soft and regular stool and reduces straining. Probiotic foods such as buttermilk and curd support healthy digestion.

Regular physical activity such as yoga, brisk walk, stretching, and light exercises improve bowel motility and pelvic circulation. Day-to-day lifestyle modifications such as avoiding prolonged sitting, maintaining proper anal hygiene, taking warm sitz baths, following a fixed bowel routine, and managing stress further supports the healing. This holistic approach helps in effective, long-term management and also helps prevent recurrence by correcting the underlying contributing factors.

Frequently Asked Questions

1. Can anal fistula heal on its own?

Anal fistulas normally do not heal spontaneously and require proper medical cure to prevent recurrence and complications.

2. Is surgery always required for anal fistula?

No, not always. The treatment approach depends on the intensity, type, and also how chronic the fistula is. With appropriate lifestyle modifications, dietary regulation, and individualized homoeopathic treatment aimed at the root cause, one can prevent surgery.

3. What is the difference between Fistula and sinus?

A sinus is a blind-ending tract that opens on the skin surface but has no internal opening into a hollow organ. It usually results from chronic infection or retained debris.

A fistula is an abnormal communicating tract connecting two epithelial surfaces, such as the anal canal and perianal skin, and has both external and internal openings.

4. What complications can occur if anal fistula is left untreated?

Untreated fistulas can lead to recurrent infections, abscess formation, pain, persistent discharge, and in rare cases systemic infection can occur.

5. Can homoeopathy help in the treatment of anal fistula?

Yes, homoeopathic treatment is holistic and it addresses the root cause, improving immunity, and promoting natural healing.

6. How long does homoeopathic treatment take to show results?

The time period depends on the type, depth, and chronicity of the fistula. Also, the patient’s overall health matters. Improvement is usually gradual.

7. Can homoeopathy help in preventing recurrence of anal fistula?

Yes, homoeopathy zeroes in on treating the root cause, improving tissue healing, and strengthening immunity, that further helps in reducing the tendency for recurrence.

8. Can homoeopathy be administered with conventional medicine for anal fistula?

Yes, homoeopathy can be administered alongside conventional medicines. A minimum gap of 15-20 minutes is required between the ingestion of two medicines.

9. Is homoeopathy safe for long-term use in anal fistula?

Yes, when prescribed by a qualified homoeopath, these medicines are usually safe for long-term use and cause no side effects.

Top 6 Homeopathic Medicines For Perianal Burning

By Dr. Vikas Sharma MD 5 Comments

Perianal burning refers to a discomforting burning sensation felt around the anus. Depending on the cause behind perianal burning, certain other signs and symptoms can be an accompanying factor. These include itching, pain, soreness, and tenderness around the anus. Bleeding can also occur from the anal area. There may be redness, a rash or eruptions around the anus. Constipation or diarrhea may be present in some cases.

Homeopathic medicines ensure excellent results in cases of perianal burning. Homeopathic medicines manage this condition naturally and effectively by targeting the root cause behind the disease. Once the root cause is managed, the intensity of burning around the anus gradually begins to decline. Along with burning, the other accompanying symptoms like itching, pain, swelling around the anus, and anal bleeding also get managed well enough with the administration of these medicines. Mainstream medicine often prescribes medicated creams (ointments) to help cases of perianal burning but offers only temporary relief. But homeopathy aims to provide complete recovery and cure in these cases by working to treat the reason linked with it.

Homeopathy treats root cause

Homeopathy always emphasizes addressing the underlying cause of the health issue, including perianal burning. This is to ensure that the patient not only gets relief but a complete recovery as well. As perianal burning has numerous causes like piles, anal fissures, perianal abscess, infections in the anal area, inflammation of anus, certain skin conditions, homeopathic medicines always focus on treating the associated cause in each case to provide complete cure. Homeopathy is recommended for both recent and long-term cases of perianal burning and gives excellent results in both types.

Safe and natural medicines

A great advantage of using homeopathic medicines is that these are natural remedies that work in a very gentle way to manage perianal burning and there are no side effects. Another advantage is that they do not cause any type of dependency and can be stopped once the cause is cured.

Homeopathy prescribes after detail case analysis

The most suitable homeopathic medicine for treating these cases is selected after detailed analysis on a case-to-case basis. This is because every case is different and presents with different characteristic symptoms linked with perianal burning. So each case needs evaluation individually to finalize a homeopathic prescription and achieve wonderful results. It is advised that one should always take homeopathic medicine after consulting a homeopathic physician.

Top 6 Homeopathic Medicines For Perianal Burning

The top-listed medicines in homeopathy to manage perianal burning are Sulphur, Aesculus, Ratanhia, Aloe Socotrina, Arsenic Album and Nitric Acid.

1. Sulphur – Top Recommended Medicine

Sulphur is a prominently administered medicine to manage perianal burning. In most cases, the anus is swollen. Itching around the anus is also present. Burning and itching gets worse at night time. At times, there is bleeding from the anus. The anal area can be sore to touch. In some cases, stinging sensation also occurs around the anus. Stitching, tearing pain or pulsating pain in the anal area may also be felt. Sometimes a sticky fluid may ooze from the anal region. Piles, anal fissures or a skin rash around anus may be present, and that’s a sign for the use of this medicine.

When to use Sulphur?

This medicine should be considered to manage burning around the anus along with marked itching and swelling.

How to use Sulphur?

Among its different available potencies from low to high, initially it is recommended to take it in 30C potency once a day.

2. Aesculus – For Perianal Burning With Piles

Aesculus is a very useful medicine to manage anal burning in cases of piles. The piles look purplish and are very painful. Also, it becomes uncomfortable to sit, stand, or lie down. Along with the above-mentioned complaints, itching and stinging are felt around the anus. A feeling of fullness in the anus is also well marked. Next, there is constipation, and the stool is dry, hard, and large. Severe cutting pains take place in the anus area after passing of stool.

When to use Aesculus?

This medicine is suggested to treat perianal burning linked to piles that are very painful.

How to use Aesculus?

This medicine can be used in 30C potency two to three times a day.

3. Ratanhia – For Managing Perianal Burning Linked With Anal Fissures

Ratanhia is a highly preferred medicine to manage cases where burning around the anus is felt as a result of anal fissures. The burning continues for several hours after the passing of stool. In such cases, passing the stool becomes difficult and one has to exert a lot. The anus feels constricted. There is also intense pain around the anus. The anus is sensitive to touch as well. Cutting and stitching pain is felt in the anal area along with the above-mentioned complaints. Next, a very characteristic feature present is a peculiar sensation as if pieces of glass are present in the anus.

When to use Ratanhia?

Ratanhia is of great use in cases of perianal burning associated with anal fissures when burning continues for prolonged hours after passing stool.

How to use Ratanhia?

Though it may be used in different potencies, it is best to start with 30C potency once or twice a day.

4. Aloe Socotrina – For Burning And Itching About The Anus From Piles

It is a very effective medicine for managing burning along with itching around the anus. This complaint prevents sleep at night. For those who need this medicine, piles are present that protrude out of the anus like a bunch of grapes. These are painful and there is an accompanying sensation of heat. Application of cold water on the anus brings relief.

When to use Aloe Socotrina?

This medicine is helpful for treating burning along with itching around the anus in piles cases when piles are very tender to touch.

How to use Aloe Socotrina?

Use of this medicine is recommended in both low and high potencies. Initially one may use its 30C potency once or twice a day. For using high potencies, prior consultation with homeopathic physician is a must.

5. Arsenic Album – For Perianal Burning And Redness, Soreness Of Anus

Arsenic Album is a valuable medicine for helping cases of perianal burning and redness, and soreness of the anus. Additionally, a pressure is felt at the anus. This medicine is highly useful for managing piles with intense burning sensations like fire.

When to use Arsenic Album?

This medicine is very effective to manage perianal burning along with red, sore anus.

How to use Arsenic Album?

Arsenic Album 30C can be taken once a day.

6. Nitric Acid – For Perianal Burning With Anal Bleeding In Piles And Anal Fissures

This medicine is very helpful in cases where there is burning sensation and bleeding from the anus. It is a prominent medicine for managing piles and anal fissures. Along with the above complaints, there is swelling and redness of anus and perianal pain. The pain is very sharp, stitching type, and felt after passing stool. Pricking sensation may be felt at the anus which is sensitive to touch. Anus feels constricted. Next, there may be a feeling as if some sharp sticks are pressing in the anus when touched. A foul-smelling discharge may ooze from the anus at times. Nitric Acid is also a well-indicated medicine for managing cases of eczema around the anus.

When to use Nitric Acid?

This medicine can be taken for managing perianal burning attended with anal bleeding, and sharp, stitching, pricking pain at anus.

How to use Nitric Acid?

It is advised to use this medicine once a day in 30C power.

Causes

Perianal burning can occur due to various reasons. Improper cleaning of the anal area after passing the stool can result in skin irritation and burning around anus. However, intense cleaning and scrubbing can damage the anal region and result in burning of the perianal area. Next, it may result due to consumption of certain food items and drinks like chocolates, tea, coffee, alcohol and tomatoes. Another reason could be use of harsh soaps, perianal wipes containing alcohol, hygiene sprays, medicated creams that can also result in perianal burning. This may further arise from inflammation of the anus called anusitis. Besides these reasons, medical conditions including piles (swollen, inflamed, dilated veins in or around the anus or in the lower rectum) and anal fissures (a tear or cut in the anal lining) could cause perianal burning. It may also be caused by perianal abscess (a lump containing pus formed around the anus). Another reason could be Crohn’s disease which is an autoimmune disorder that could cause inflammation of any part of the digestive tract from the mouth to the anus. In such cases, if it reaches the anus, then perianal burning may happen. Infections in the anal area like bacterial or fungal infections could also lead to it. Some skin conditions like eczema (a skin condition causing inflamed skin), and psoriasis (an autoimmune skin disorder causing red inflamed patches on the skin covered with silvery white scales) affecting the perianal region may result in burning along with its other signs and symptoms. Lastly, sexually transmitted infections (STIs) affecting the anus can lead to perianal burning. Few such STIs include anal herpes, anal warts chlamydia and gonorrhoea.

Tendency to easy bruising? Best Homeopathic Medicines

By Dr. Vikas Sharma MD 1 Comment

Bruise refers to blue/purplish/black discolored spots on the skin that result from a skin injury. When a new bruise forms, it is red which may further change to blue, purple or black. When it fades it turns greenish or yellowish. The skin injury that results in bruises usually occurs from a blunt object like bumping against a bed, chair, door or from a fall or being hit by something. In this kind of skin injury, there is oozing of blood from broken small blood vessels under the skin followed by trapping of blood under the skin that results in discolored spots on the skin. Some people tend to get bruises more easily. They get bruises from minor injuries which may also take a relatively longer time to heal. They may get multiple bruises and suddenly see a bruise on the skin but have no idea when or why it occurred. There are certain factors and medical conditions that make a person prone to easy bruising, some of which can be serious as well. The first factor that increases the risk of easy bruising is aging. The reason behind it is that there is weakening of blood vessels in addition to thinning of the skin with age which makes a person prone to easy bruising. Another reason could be low platelet count medically known as thrombocytopenia. Platelets are the blood cells that help in the clotting of blood. Platelet count is said to be low when there are less than 150,000 platelets per microliter of blood. A low platelet count may happen either from decreased production of platelets (like in leukemia, some viral infections like hepatitis C, chemotherapy drugs, radiation therapy) or an increase in breakdown of platelets (as in autoimmune disease like lupus, bacterial infection in blood called bacteraemia, use of certain medicines like heparin, sulfa containing antibiotics). Deficiency of certain vitamins like vitamin C and vitamin K; too much sun exposure for years together; use of medications that result in blood thinning (for example medicines like warfarin and apixaban), NSAID (Non-steroidal anti-inflammatory drugs) like aspirin, ibuprofen and also steroid medicines can lead to a tendency of easy bruising.

Other reasons include bleeding disorders like haemophilia and Von Willebrand’s disease. Haemophilia is a genetic disorder in which there is a problem in blood clotting due to a lack of specific proteins that help in blood clotting. It results in prolonged bleeding after an injury. This disorder in most cases is present from birth but in some cases this condition can be acquired when clotting factors 8 or 9 are attacked by the immune system due to autoimmune conditions, drug reactions, and cancer. Von Willebrand disease is a bleeding disorder in which blood does not clot properly due to decreased levels of the Von Willebrand factor that helps in clotting of blood or when this factor is unable to perform its function well.

Inflammation of blood vessels (vasculitis) can also result in frequent bruising. Easy bruising can also run in the family. Easy bruising can also occur in those having liver disease like cirrhosis of liver. In liver cirrhosis, there is scarring in the liver that may result from various reasons like long term alcohol intake, any liver disease and hepatitis (inflammation of liver). The liver tends to repair itself whenever any injury or damage occurs to the liver and scar tissue forms resulting in cirrhosis that poses hindrance to normal functioning of the liver. Easy bruising can also be seen in cases of Cushing ’s syndrome. In this syndrome, there is an excess production of cortisol hormone in the body that results in various signs and symptoms. It results in thinning and weakening of skin making it prone to easy damage and bruising. Besides the above factors and conditions, easy bruising can result in cases of leukaemia (cancer of white blood cells WBCs).

Homeopathic Management

Homeopathy offers a highly effective treatment for cases of tendency to easy bruising. Homeopathic medicines boost the body’s self-healing mechanism to overcome health issues naturally. With the use of these medicines, the intensity and frequency of easy bruising decreases gradually. These medicines treat the tendency of easy bruising with zero side effects. Homeopathic prescription varies from case to case of easy bruising tendency depending on the characteristic individual symptoms. It is advised to take any homeopathic medicine under the supervision of a homeopathic physician. Avoid self–medication in any case. Homeopathic medicines are recommended for cases of mild to moderate intensity. In severe cases and cases where the serious cause is linked with it like haemophilia, leukaemia, kindly take help from the conventional mode of treatment.

Homeopathic Medicines For Easy Bruising

1. Arnica – Top Medicine

Arnica is a top recommended medicine to manage cases of easy bruising. This medicine is well indicated when bruises happen often from injuries like occurring from a fall, blunt objects or bumping into a hard object. Bruises occur from every slight injury on the skin where this medicine is required. It results in bluish, blackish, red spots on the skin. This medicine is also indicated when the bruise turns yellowish or greenish. This natural medicine will gradually reduce the tendency to easy bruising occurring from the slightest injuries.

2. Hamamelis – For Easy Bruising With Pain And Soreness

Hamamelis is well indicated for cases in which there is tendency to easily bruise along with pain and soreness. This medicine treats tendency to easy bruising as well as helps in healing the active bruises present on the skin. It also relieves pain and soreness in the bruises. In cases requiring this medicine, a tendency of bleeding from various body parts can be present. The bleeding can be from the nose, gums, rectum etc. The blood is dark-colored where this medicine is required.

3. Phosphorus – For Red Spots On Skin From Easy Bruising

This medicine is indicated when there are red spots on the skin from easy bruising. Along with this, there is a tendency to bleed from different areas of the body. The bleeding can be from nose, mouth, rectum, piles, polyps, ulcers. Blood can be passed in sputa, in urine and intermenstrual bleeding may also occur. The wounds also bleed profusely even when small in size.

4. Lachesis – For Bruising From Slight Touch And Pressure

This medicine is recommended when there is bruising often from slight touch and pressure. There are black, purple or blue spots on the skin. There is also a tendency of small wounds and ulcers to bleed easily and excessively in cases requiring this medicine.

5. Ledum Palustre – For easy bruising from slight injuries and prolonged discoloration

Ledum Palustre is a helpful medicine when there is easy bruising from small injuries and the discoloration of the bruise remains for a long time. Initially the injured part feels cold and is painful to touch. Relief sets in by cold application on the wound.

6. Sulphuric Acid – For Bruises On Skin Turning Very Dark Blue Or Blackish

This medicine proves effective when there are frequent bruises on the skin and turns dark blue or blackish. The discoloration lasts too long with pain on touching them. The affected area is also stiff. In cases needing it, the tendency of bleeding of dark-colored blood from different body parts may be seen.

Search Results for: piles

How Homoeopathy Treats Piles?

Top 11 Homeopathic Medicines for Piles

1. Aesculus Hippocastanum– Top Remedy for Painful, Non-Bleeding Piles

2. Nux Vomica– For Piles with Constipation and Ineffective Urge

3. Aloe Socotrina– For Protruding, Grape-Like Piles

4. Hamamelis Virginiana– For Bleeding, Internal Piles

5. Collinsonia Canadensis – For Piles with Constipation (Dry, Hard Stool)

6. Muriaticum Acidum – For Piles Extremely Painful To Touch

7. Ratanhia Peruviana– For Piles with Intense Burning Sensation

8. Nitricum Acidum – For Protruding Piles with Bleeding and Sharp Pain

9. Paeonia Officinalis – For Intensely Painful Piles with Fissures

10. Sulphur – For Chronic Piles with Intense Burning

11. Thuja Occidentalis – For Moist, Oozing Piles

Types of Piles: Signs And Symptoms

Causes, Risk Factors That Lead To Piles

Grading Of Piles

Management and Lifestyle Measures for Piles

Frequently Asked Questions

Homeopathic Management

Homeopathic medicines for External piles

1. Aesculus – Leading Medicine

2. Aloe Socotrina – For Piles With Pain

3. Muriatic Acid – For Piles That Are Painful To Touch

4. Nux Vomica – For Piles With Constipation

5. Hamamelis – To Control Bleeding From Piles

6. Sulphur – For Piles With Marked Itching

7. Nitric Acid – For Piles With Bleeding And Pain

8. Paeonia – With Anal Pain Continuing For Long Hours After Stool

9. Arsenic Album – For Piles With Burning Pain

10. Antimonium Crudum – For Piles Oozing Mucus

11. Causticum – For Hard Piles Painful To Touch

Homeopathic Management

Homeopathic Medicines For Protruding Piles

1. Aloe Socotrina – Top Recommended Medicine

2. Muriatic Acid – For Piles That Are Highly Painful To Touch

3. Ratanhia – With Prominent Burning In Piles

4. Nitric Acid – For Protruding Piles With Bleeding

5. Collinsonia – With Marked Constipation

6. Causticum – For Pain In Piles When Standing, Sitting, Walking

7. Baryta Carb – For Piles Protruding With Passing Stool And Urine

8. Calcarea Phos – To Manage Oozing Of Fluid From Piles

9. Lachesis – For Piles With Continuous Urge For Stool

10. Kali Carb – When Piles Protrude With Loose Stool

11. Lycopodium – For Managing Itching In Piles

Homeopathic Management

Homeopathic Medicines For Piles

1. Hamamelis – Leading Medicine

2. Nux vomica – Along With Constipation

3. Millefolium – For Bright Red Bleeding

4. Nitric Acid – Along With Pain

5. Phosphorus – Along With Burning In Anus

6. Erigeron – With Hard Lumpy Stool

7. Aloe Socotrina – With Protruding Piles

8. Collinsonia – For Painful Bleeding Piles

9. Muriatic Acid – For Very Sore, Tender (Painful To Touch) Piles

10. Sulphur – When Attended With Pain and Burning

11. Capsicum – With Burning At The Anus As From Pepper

Why Homeopathic Treatment Of Piles?

Top Homeopathic Medicines For Piles In Women

1. Sepia – Top Grade Medicine

2. Nux Vomica – With Constipation And Ineffectual Urge To Pass Stool

3. Aesculus – For Painful Piles

4. Kali Carb – With Intense Burning

5. Hamamelis – To manage bleeding

6. Pulsatilla – For Non-Bleeding Piles

7. Aloe – For Piles That Bulge Out Of Anus (Protruding Piles)

8. Ignatia – With Sharp Stitching Pain

9. Lilium Tigrinum – For Painful Sore Piles

10. Muriatic Acid – When Piles Are Painful To Touch

11. Sulphur – For Burning And Pain In Piles

12. Collinsonia – With Constipation With Dry, Hard Stool

13. Podophyllum – For Piles With Rectal Prolapse

What Causes Piles During Pregnancy And After Childbirth?

Homeopathic Medicines for Piles

Aloe Socotrina –For Protruding Piles

Nux Vomica – For Piles accompanied with Constipation:

Hamamelis – For Piles that Bleed

Ratanhia – For Piles with long lasting Burning and Pain

Aesculus – For Piles with Backache

2. Is surgery always required for anal fistula?