Types of Piles :- It is two types - 1. *External* - External piles are present on skin around anus and can be seen or felt from outside. symptom - Pain, swelling/lump around anus. Itching and bleeding may appear. 2. *Internal* Internal piles lie deep inside the rectum and cannot be felt or seen from outside. Symptoms - Painless Bleeding per anus while straining at stool Internal piles are graded by the degree of prolapsed *Grade 1:* Internal piles protrudes out of the canal but does not prolapse completely. There is chance of bleeding. *Grade 2* The piles bulges out the anal canal while straining during stool or even when flatus comes out, but spontaneously return back inside to their original position once the straining has subsided. *Grade 3 :* The piles may protrude out from the anal canal without any straining and requires the patient to push them inside manually. *Grade 4:* Internal piles always stays protruded or prolapsed. *Blind Piles:* Non-bleeding piles are referred to as blind piles. *Homeopathic Medicines for Piles* *Aloe Socotrina 30* 1. It is very good medicine for protruding piles 2. Piles appear blue like bunch of grapes at anal verge. 3. They are very tender, sore and painful. 4. Burning abd itching at anus Relief from cold water application 5. A history of long-standing *Nux Vomica 30, 200* 1. It is a top grade remedy for piles with constipation, frequent- ineffectual urging for stool but passes little stool at a time. 2. The urge for stool is renewed shortly after one has defecated. 3. The stool is always unsatisfactory. 4. Nux Vomica is highly beneficial for blind piles. 5. Pt with sedentary habits developing piles with constipation. *Hamamelis Q, 30* One of the best Homeopathic Remedy for Piles that bleed: 1. It is very good medicine for Bleeding piles. 2. It controls bleeding very easily. 3. Burning and soreness in the rectum may appear with bleeding. 4. There may be complain of a backache with bleeding piles. 5. Pain or rawness at anus is also marked. *Ratanhia 6 or 30* 1. Best Homeopathic Medicine for piles with long lasting burning and pain, for many hours after stool. 2. The character of Pain is ‘as if broken glass pieces are placed in the rectum.’ a knife like stabbing pain. *Aesculus 30* 1. Piles accompanied with a backache. Severe, sharp, shooting lower backache in the lumbosacral region with piles. 2. It is a remedy for blind piles. 3. Piles appear purple, painful, burning with rawness, soreness, and itching. 4. The stool is also constipated and is hard, dry and difficult to expel. 5. Rectum feels full of small sticks. 6. Cold applications may soothe the pain. *Muriatic Acid 200* 1. The piles are intensely swollen, sore and painful to slightest touch. 2. It is useful when piles prolapse even while urinating. Piles are swollen blue and very painful to touch. *Collinsonia Q, 30* 1. It is the best choice when obstinate constipation is present with piles. 2. Stool is dry, hard, knotty. 3. Piles in pregnancy condition *Mucuna Q* One drop a dose of mother tincture is specific for bleeding piles. Two or three doses a day will arrest the disease in two or three days' time. *Ficus Rel Q* Hemorrhage and hemorrhoids. Bloody hemorrhoids with bright red blood and pain, soreness, burning, itching and aching in rectum. Is another remedy which may be tried, if Mucuna fails *Sulphur 200* 1. There is burning sensation of anus after stool. 2. There is itching of anus always. 3. The person is having a tendency of early morning stool just after waking from bed. 4. There is disturbed sleep habit of waking up in little noise. 5. The person is nervous nature with an unhealthy life style. *Dr Amaan A Khan* 7005426250 Itanagar, Arunachal Pradesh, India aman_k1@yahoo.com
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