Piles, Fistula & Hydrocele

What are Piles, Fistula & Hydrocele?

• Piles (Arsha): Swollen and inflamed blood vessels in the rectum or anus, leading to pain, bleeding, and discomfort during bowel movements. In Ayurveda, it is caused by imbalance in Vata & Pitta doshas, poor digestion (Agni disturbance), and chronic constipation.

• Fistula (Bhagandara): An abnormal tract or tunnel between the anal canal and skin, causing pus discharge, pain, and irritation. Ayurveda explains this as a result of aggravated Tridosha with dushti (impurity) in anal tissues.

• Hydrocele (Mutradosha): Fluid accumulation in the scrotum leading to swelling and heaviness. In Ayurveda, it is related to Vata imbalance and improper fluid metabolism.

Who Needs Ayurvedic Support?

People suffering from:

• Pain, itching, or swelling in anal region

• Bleeding or discomfort while passing stool

• Recurrent pus discharge or boils near anus (fistula)

• Swelling or heaviness in scrotum (hydrocele)

• Chronic constipation, indigestion, or poor digestion

• Recurrence of symptoms after allopathic/surgical treatment

Causes & Risk Factors

• Irregular eating habits, spicy/oily food

• Chronic constipation or straining during stools

• Sedentary lifestyle, lack of exercise

• Excessive alcohol, smoking, or processed foods

• Untreated infections in anal region

• Weak digestion (Mandagni) & toxin accumulation (Ama)

Ayurvedic Approach to Treatment

1. Detox & Panchakarma

• Kshar Karma – medicated alkaline cauterization for piles & fistula

• Raktamokshana (bloodletting) – removes impurities & reduces congestion

• Virechana (purgation therapy) – balances Pitta & clears toxins

• Basti (medicated enema) – relieves constipation & Vata imbalance

2. Diet (Pathya Ahar)

• Fiber-rich foods: green vegetables, whole grains, fruits (papaya, figs, banana)

• Warm water with triphala powder at night for constipation

• Buttermilk with rock salt & cumin (improves digestion)
  Avoid: spicy, fried, junk food, alcohol, red meat, excess caffeine

3. Daily Rituals (Dinacharya)

• Regular bowel habits (avoid straining)

• Stay hydrated (2–3 liters of warm water daily)

• Gentle yoga & walks for circulation

• Sitz bath with warm water & neem decoction for anal comfort

• Avoid prolonged sitting & heavy weight lifting

4. Herbs & Remedies

• Triphala – regulates digestion & relieves constipation

• Haritaki – balances Vata, eases bowel movement

• Neem – antiseptic, reduces infection & pus in fistula

• Guggulu – reduces swelling & inflammation

• Lodhra & Daruharidra – healing herbs for fistula tract

• Punarnava – reduces swelling & water retention (useful in hydrocele)

5. Yoga & Pranayama

• Asanas: Vajrasana, Malasana, Pawanmuktasana

• Pranayama: Anulom-Vilom, Bhramari, Kapalabhati (supports digestion & detox)

• Meditation: For stress relief (stress worsens piles & fistula)