Haemorrhoids, also known as piles, are swellings containing enlarged blood vessels found inside or around the bottom (the rectum and anus). Everyone has haemorrhoids, however, when the haemorrhoids guarding the anal passage become too big due to inflammation, so that the vein walls become stretched, thin, and irritated by passing bowel movements, that is when piles develops. Piles can be broadly classified into two categories i.e. internal piles and external piles. Internal Piles - are located far within the rectum, and cannot be seen or felt. The only symptom is usually bleeding. Internal piles can further be classified into 4 grades: Grade1: These are tiny haemorrhoids within the lining of the anus. Grade 2: These haemorrhoids too lie within the anus and are slightly larger than grade 1 haemorrhoids. These haemorrhoids may get pushed out while passing stool but return to the original position on their own. Grade 3: These are also known as 'prolapsed haemorrhoids'. They appear outside the anus. The patient can push them back in by pressing against them with his fingers. Grade 4: These haemorrhoids cannot be pushed back and stay outside the anus at all times. External Piles -are located around the anus right under the skin, where there are many pain-sensing nerves. They, therefore, hurt as well as bleed. Anyone at any age can be affected by piles.

Symptoms of piles

There is a bright red bleeding from the anus. Blood may streak the bowel movement or the toilet paper. There is a pain during bowel movements. There is a painful swelling or a lump near the anus becomes red and sore, and persist burning sensation and itching.

Safe and Effective Approach in Piles Management by Amroid

Amroid is a poly-herbal Ayurvedic proprietary formulation, developed by AIMIL Pharmaceuticals India Ltd., to fulfil all the objectives for the management of piles. Amroid provides dual therapy as tablet & ointment to treat piles systematically and locally for effective and comprehensive management. Amroid acts on the aetiological sites for piles majorly toning GIT (Gastro Intestinal Tract) motility and secretions and help prevent chronic constipation. Besides, Amroid also provides benefits by providing instant symptomatic relief via significant anti-inflammatory, haemostatic, anti-microbial, wound healing, Liver protective, metabolic corrective actions, toning functions of Gastro–Intestinal Tract as a whole. The active ingredients of Amroid are:

Ashwagandha, (Withania somnifera Dunal) :  Ashwagandha is considered as an adaptogen, a nontoxic medication that normalizes physiological functions disturbed by chronic stress. Withanolides, the active compounds of Ashwagandha have a wide range of actions and can balance the body in many ways, stimulate the immune system, while also decreasing inflammation and is an effective pain reliever. Ashwagandha showed activity against most of the bacteria, fungi, and viruses. Ashwagandha helped treat constipation, stomach pain, and vomiting. Compounds found in ashwagandha (glycowithanolides) have antioxidant effects. This great Indian herb is known for curing many symptoms including Hemorrhoids.

Asphaltum (Shilajit) : In ayurveda, Shilajit is a famous RASAYAN DRAVYA (rejuvenative remedy) and aphrodisiac agent. The principle component in Shilajit is fulvic acid, which provides it anti-anxiety, anti-stress and anti-inflammatory properties.  It is indicated in urinary disorders, kidney stones, glycosuria, dysuria, phthisis, breathing disorders, piles, anaemia, epilepsy, mental disorders, oedema, skin diseases and worm infestation. Shilajit acts as anti-inflammatory and reduces inflammation in the blood vessels. Shilajit provides strength to the intestines and improves natural peristaltic movements, which help passing stool with ease, thus helps in Chronic Constipation and shilajit is also indicated in the treatment of haemorrhoids (piles). Because it strengthens the blood vessels and restores their optimum health by acting as a Rasayana (rejuvenating agent), it further reduces the increased pressure in the lower rectum and pelvis due to vata pacifying action. The increased pressure in the lower rectum is the major cause of swollen veins (hemorrhoids). So, it acts on the root cause. Thus, it helps to reduce the swelling of the veins and alleviate the symptoms of piles.

Neem (Azadirachta indica A. Juss ) :  Neem is variously known as Sacred Tree, Heal all, Village Pharmacy and Panacea for all diseases. Neem and its ingredients have therapeutic implications and have been traditionally used worldwide especially in Indian Subcontinent since ancient time. Neem is used in many medicinal treatment like skin diseases, healthy hair, improve liver function, detoxify the blood,  Pest and disease control, fever reduction, dental  treatments, cough, asthma, ulcers, piles, intestinal worms, urinary diseases etc. Clinical based studies confirmed that neem plays pivotal role in prevention of various diseases. Recent scientific studies showed immunomodulatory and anti-inflammatory effect of bark and leave extracts and antipyretic and anti-inflammatory activities of seed oil. Results also showed that leave extracts of Azadirachta indica promote wound healing activity through increased inflammatory response and neovascularization. Neem and its ingredients play role in the inhibition of growth of numerous microbes such as viruses, bacteria, and pathogenic fungi.

Daruharidra (Berberis aristata DC ) : The extract of the root and stem of the plant has anti-inflammatory, hypotensive and antiamebic activities. Berberine, the main active compound of the plant possesses laxative activity is reported to be useful in haemorrhoids.

Priyangu (Callicarpa macrophylla Vahl.) : Callicarpa  macrophylla,  commonly  known  as  Priyangu  is  a  useful  medicinal  plant  for  the treatment of various  disorders like tumour,  polydipsia, diarrhoea, dysentery, diabetes, fever, piles,  etc. The powder of the bark is used as dusting powder to control the bleeding from wounds. The decoction of the bark is given to stop internal bleeding in cases of peptic ulcer, internal piles, and burning sensation.

Amaltash (Cassia fistula L.) : Amaltash is a very valuable medicinal plant and has been used in Ayurveda since long time. It is used in the treatments of many ailments such as Skin diseases, Liver Protection, Burning Sensations, Ringworm affection, diabetes, dry cough, fever, Asthma, inflammations, heart related diseases and Piles. Fruit pulp is mild laxative that ease the bowel movement. Pharmacological studies have demonstrated that Amaltash possesses significant antimicrobial, laxative, carminative, cooling and anti-pyretic properties and used in the treatment of constipation, and also possess significant anti-inflammatory and anti-oxidant properties.

Haridra (Curcuma longa L.) : Haridra or Haldi contains  Curcumin, the active agent having anti-inflammatory, anti-oxidants, Antibacterial, Antiseptic, Carminative, and Digestive properties, has been proven to fight free radicals, rejuvenate the cells, cleanse the liver, protect the heart, boosts moods,  support the brain, Stimulate digestion, helps in anaemia and cures the complete Gastro-Intestinal system.  

Doob (Cynodon dactylon (L.) Pers.: Doob is used as a remedy for anasarca, calculus, cancer, carbuncles, convulsions, cough, cramps, cystitis, diarrhea, dropsy, dysentery, epilepsy, haemorrhoids, leukoderma, headache, haemorrhage, hypertension, hysteria, bronchitis, asthma, tumors, measles, rubella, snakebite, sores, stones, urogenital disorders, warts, wounds, eye disorders and weak vision. It is also used as a laxative, coolant, expectorant, carminative and as a brain and heart tonic. It is also useful against pains, inflammations, toothache and grippe in children. The expressed juice of plant act as astringent and is applied to bleeding cuts and wounds to stop bleeding.

Bakain (Melia azedarach L.) : Melia azedarach is used as an antioxidant, analgesic, anti-Inflammatory, insecticidal, rodenticidal, antidiarrheal, deobstruent, diuretic, antidiabetic, cathartic, emetic, antirheumatic and antihypertensive. Fruits are reported to be as Insecticidal, purgative, anti-haemorrhoidal  and anthelmintic.

Nagkesar (Mesua ferrea L.) : Nagkesar is an anti-inflammatory, anti-ulcer, and anti-microbial agent and is used for treating bleeding piles, fever, and renal diseases. Flowers are highly expectorant, stomachic, antioxidant and astringent. MESUA FERREA in Amroid reduces the swelling and shrinks the Piles, eradicates the pain and stops the bleeding.

Nishoth (Operculina turpethum (L.) Silva Manso: This herb was found to be a potent source of bioactive compounds such as α- and β-turpethein, turpethinic acids (A, B, C, D, and E), coumarins, cycloartenol, lanosta-5-ene, 24-methylene-δ-5-lanosterol, α- and β-rhamnose, β-sitosterol, lupeol, scopoletin, betulin, acrylamide, stigma-5,22dien-3-O-β-D-glucopyranoside, β-sitosterol-β-D-glucoside, 22,23-dihydro-α-spinosterol-β-D-glucoside, and salicylic acid, which are useful in fevers, oedema, ascites, anorexia, constipation, hepatosplenomegaly, haemorrhoids, cervical lymphadenitis, fistulas, constipation, chronic gout, fever, bronchitis, ulcers, tumors, obesity, jaundice, herpes, induce lacrimation, and other skin disorders. These compounds are reported to possess antibacterial, anti-inflammatory, analgesic, hepatoprotective, anti-arthritic, ulcer protective, antidiarrheal, antidiabetic, and cytotoxic properties. The herb is loaded with the antipyretic and Anti-inflammatory properties. The herb is good in the various problems like constipation, haemorrhoids and improper bowel movement.

Amla (Phyllanthus emblica L.) : Amla has anti-bacterial and astringent properties that help prevent infection and help in the healing of ulcers, and found to be effective in treating haemorrhage, diarrhea & dysentery. It is also used as a laxative to relieve constipation in piles. Therefore, it is an excellent content in Ayurvedic treatment of piles.

Karanj (Pongamia pinnata Piersre) Karanj is used as antimicrobial and anti-inflammatory agents in haemorrhoids. Pongamia pinnata oil is styptic, anthelmintic, and good in leprosy, piles, ulcers, chronic fever, liver pain, rheumatism, arthritis and scabies. Flowers are used to treat bleeding haemorrhoids whereas fruits aid treatment of abdominal tumors, ulcers, and haemorrhoids.

Lodhra (Symplocos racemosa Roxb.) :  Lodhra is an important medicinal tree of India has been used in Ayurveda since ancient times for treatment of variety of disorders. Lodhra was given by Charak and Sushruta both internally and externally, for bleeding disorders, persistent dysentery, menstrual and urinary disorders, obstinate skin diseases, acute constipation, piles, abdominal inflammation, intestinal paralysis, dropsy etc. Lodhra is laxative, cooling and astringent, used for bowel complaints, eye diseases, ulcers, etc.

Bahera (Terminalia bellirica Roxb.) : Bahera fruit contains Glucoside, Tannins, Gallic acid, Ethyl Gallate, Chebulinic acid which serves as an antioxidant, antimicrobial, antidiarrheal, anticancer, antihypertensive, hepatoprotective and antipyretic agent and is useful in hepatitis, bronchitis, asthma, dyspepsia, piles, diarrhoea, coughs, and hoarseness of voice, eye diseases and scorpion-sting.

Harra/ Haritaki (Terminalia chebula Retz.) : Haritaki fruit is best known for its health benefits within the digestive system. It has laxative and purgative properties and is helpful in curing piles in a magic way. Traditionally, it is found in natural colon cleansers and used to address constipation, digestive disorders, irregular fevers, flatulence, ulcers, vomiting, colic, and haemorrhoids. It may also help with other gastrointestinal ailments such as tumors, ascites (abdominal swelling), piles, enlargement of the liver or spleen, worms, colitis, and food poisoning. Terminalia chebula fruit is also considered to have antibacterial and anti-inflammatory properties.

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