Brief Answer:
further information

Detailed Answer:
Dear
Thanks for contacting the Ayurveda section of [A]YUSH and after reviewing your case history I'm of the following opinion:

1. commonest cause of external piles is repeated straining during bowel movements so is there a history of chronic constipation?

2. Occupation? [does work demands sitting a lot]?

3. Is the diagnosis from a general physician/surgeon or from your side?

4. please revert back with your clarifications till then dietary regime and lifestyle changes along with medicine(s) are suggested:

DIETARY REGIMEN

i. take fresh fruits and vegetables, elephant yam, papaya, buttermilk, pistachio, almonds, pear, apple, old rice, crystallized sugar, raw radish and avoid milk and milk products in the diet, an excess of tea, coffee, tobacco, alcohol and carbonated beverages and sitting for long hours.
ii. eat slowly, avoid haste-irregular eating and sweet/heavy food which are difficult to digest and cause indigestion.
iii. take less of strong spices (ginger, garlic), oily-fried-fatty food and flatus producing foods (peas, beans, dals)
iv. take old rice, bottle gourd, moong dal, pomegranate,jaiphal, hot water, adequate rest, and sleep.

v. take fried cumin seeds 500mg,
fried asafetida 125mg,
XXXXXXX parpati 500mg, mix them and take with honey three times a day.

- Trifla because of its high nutritional-detoxification and cleansing value is very helpful in treating your present complaints. [take 3 gm with lukewarm water at bed time]

PS:
. if job demands sitting, make sure you get up every half an hour to relax for 5 minutes and then sit back, make a sponge cushion for your chair.
. Do not strain while passing stool, and use warm water or wet toilet paper but without perfume or alcohol(without soap) to clean your anus after each motion
. Avoid cold/tap/jet (western seat) water.

- In Ayurveda, we hold Piles to be due to low digestive fire and I do prepare the same effective medicines for my patients which have got digestion-aiding properties, so if interested I can courier you the medicines.

Dr. Munish Sood
Consultant Physician
Naimittika

direct online link: bit.ly/drmunishsood

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