What are piles (Hemorrhoids)?

Hemorrhoids are painful, swollen veins in the lower portion of the rectum or anus.

Causes, incidence, and risk factors

Hemorrhoids are very common, especially during pregnancy and after childbirth. They result from increased pressure in the veins of the anus. The pressure causes the veins to swell, making them painful, particularly when you are sitting.

The most common cause is straining during bowel movements.

Hemorrhoids may be caused by:

  • Straining during bowel movements
  • Constipation
  • Sitting for long periods of time
  • Anal infections
  • Certain diseases, such as liver cirrhosis

Hemorrhoids may be inside or outside the body.

  • Internal hemorrhoids occur just inside the anus, at the beginning of the rectum. E
  • External hemorrhoids occur at the anal opening and may hang outside the anus.


Symptoms of hemorrhoids include:

  • Anal itching
  • Anal ache or pain, especially while sitting
  • Bright red blood on toilet tissue, stool, or in the toilet bowl
  • Pain during bowel movements
  • One or more hard tender lumps near the anus

Signs and tests

A doctor can often diagnose hemorrhoids simply by examining the rectal area. If necessary, tests that may help diagnose the problem include:

  • Stool guaiac (shows the presence of blood)
  • Sigmoidoscopy
  • Anoscopy

What is fissure?

It is an ulcer or crack in the anus. It is caused by the trauma due to passage of hard stool. When stool touch this ulcer, acute pain is produced. Besides pain, there may be bleeding from the fissure.

Symptoms of fissure

Patient feels extreme pain while passing faeces (stool). Blood is very little or most of the time it is absent. The pain may remain after one to several hours even after complete passing of faeces. It may be associated with a firm mass or nodule around anus. This mass is known as sentinel tag or pile. It is fissure. The patients may feel pain during sitting on a firm surface, if he has inflamed sentinel tag. Commonly in the society it is known as baadi or sukhi bawaseer. Constipation is a major cause. Other causes are infection and inflammatory bowel diseases.

1. During this procedure, not even a drop of blood is shed.

2. This therapy has 0% chance of incontinence (has never happened in the last 18 years of practice).

3. This therapy requires no hospitalization.

4. By this therapy you would have very little post operative pain and can return to work the very same day.

5. There is nil reoccurance rate of disease, after curing by this therapy.

6. Safe therapy for all group & conditions.

What is fistula?

Fistulas are an abnormal small opening next to the anus from where discharge keeps occurring. This is due to a tunnel like tract between the anal canal and the skin. This condition always requires KSHAR SUTRA for permanent cure.


Fistula-in-ano is nearly always caused by a previous anorectal abscess. Main cause of this is an injury at external anal area due to scratching, shaving and infected hair roots etc. After injury, infection occurs and an abscess is formed. Usually that abscess drains spontaneously making an opening which may be a Fistula in ano. After spontaneous drainage or surgical occasionally a tract is left behind, causing recurrent symptoms.

Occassionally they develop secondary to trauma, Crohn disease, fissures, cancer, radiotherapy, tuberculosis, and other infections.