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Hemorrhoids (HEM-uh-roids), also called piles, are swollen and inflamed veins in your anus and lower rectum. Hemorrhoids may result from straining during bowel movements or from the increased pressure on these veins during pregnancy, among other causes. Hemorrhoids may be located inside the rectum (internal hemorrhoids), or they may develop under the skin around the anus (external hemorrhoids).

Hemorrhoids are common ailments. By age 50, about half of adults have had to deal with the itching, discomfort and bleeding that can signal the presence of hemorrhoids.

Fortunately, many effective options are available to treat hemorrhoids. Most people can get relief from symptoms by using home treatments and making lifestyle changes.


Signs and symptoms of hemorrhoids may include:

Painless bleeding during bowel movements — you might notice small amounts of bright red blood on your toilet tissue or in the toilet bowlItching or irritation in your anal regionPain or discomfortSwelling around your anusA lump near your anus, which may be sensitive or painfulLeakage of feces

Hemorrhoid symptoms usually depend on the location. Internal hemorrhoids lie inside the rectum. You usually can’t see or feel these hemorrhoids, and they usually don’t cause discomfort.

But straining or irritation when passing stool can damage a hemorrhoid’s delicate surface and cause it to bleed. Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation.

External hemorrhoids are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation.


The veins around your anus tend to stretch under pressure and may bulge or swell. Swollen veins (hemorrhoids) can develop from an increase in pressure in the lower rectum. Factors that might cause increased pressure include:

Straining during bowel movementsSitting for long periods of time on the toiletChronic diarrhea or constipationObesityPregnancyAnal intercourseLow-fiber diet

Hemorrhoids are more likely as you get older because the tissues that support the veins in your rectum and anus can weaken and stretch with aging.


Complications of hemorrhoids are rare but include:

Anemia. Chronic blood loss from hemorrhoids may cause anemia, in which you don’t have enough healthy red blood cells to carry oxygen to your cells. This may result in fatigue and weakness.Strangulated hemorrhoid. If blood supply to an internal hemorrhoid is cut off, the hemorrhoid may be “strangulated,” which can cause extreme pain and lead to tissue death (gangrene).


Your doctor may be able to see if you have external hemorrhoids simply by looking. Tests and procedures to diagnose internal hemorrhoids may include:

Examination of your anal canal and rectum for abnormalities. During a digital rectal exam, your doctor inserts a gloved, lubricated finger into your rectum. He or she feels for anything unusual, such as growths. The exam can give your doctor an indication of what further testing might be appropriate.Visual inspection of your anal canal and rectum. Because internal hemorrhoids are often too soft to be felt during a rectal examination, your doctor may also examine the lower portion of your colon and rectum with an anoscope, proctoscope or sigmoidoscope. These are scopes that allow your doctor to see into your anus and rectum.

Your doctor may want to do a more extensive examination of your entire colon using colonoscopy. This might be recommended if:

Your signs and symptoms suggest you might have another digestive system diseaseYou have risk factors for colorectal cancerYou’re older than age 50 and haven’t had a recent colonoscopy


Most of the time, treatment for hemorrhoids involves steps that you can take on your own, such as lifestyle modifications. But sometimes medications or surgical procedures are necessary.

Surgical procedures

If other procedures haven’t been successful or you have large hemorrhoids, your doctor may recommend a surgical procedure. Surgery can be performed on an outpatient basis or you may need to stay in the hospital overnight.

Hemorrhoid removal. During a hemorrhoidectomy, your surgeon removes excessive tissue that causes bleeding. Various techniques may be used. The surgery may be done with a local anesthetic combined with sedation, a spinal anesthetic or a general anesthetic.

Hemorrhoidectomy is the most effective and complete way to treat severe or recurring hemorrhoids. Complications may include temporary difficulty emptying your bladder and urinary tract infections associated with this problem.

Most people experience some pain after the procedure. Medications can relieve your pain. Soaking in a warm bath also may help.

Hemorrhoid stapling. This procedure, called stapled hemorrhoidectomy or stapled hemorrhoidopexy, blocks blood flow to hemorrhoidal tissue. Stapling generally involves less pain than hemorrhoidectomy and allows an earlier return to regular activities.

Compared with hemorrhoidectomy, however, stapling has been associated with a greater risk of recurrence and rectal prolapse, in which part of the rectum protrudes from the anus. Talk with your doctor about what might be the best option for you.


The best way to prevent hemorrhoids is to keep your stools soft, so they pass easily. To prevent hemorrhoids and reduce symptoms of hemorrhoids, follow these tips:

Eat high-fiber foods. Eat more fruits, vegetables and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can cause hemorrhoids or worsen symptoms from existing hemorrhoids. Add fiber to your diet slowly to avoid problems with gas.Drink plenty of fluids. Drink six to eight glasses of water and other liquids (not alcohol) each day to help keep stools soft.Consider fiber supplements. Most people don’t get enough of the recommended amount of fiber — 25 grams a day for women and 38 grams a day for men — in their diet. Studies have shown that over-the-counter fiber supplements, such as Metamucil and Citrucel, improve overall symptoms and bleeding from hemorrhoids. These products help keep stools soft and regular.

If you use fiber supplements, be sure to drink at least eight glasses of water or other fluids every day. Otherwise, the supplements can cause constipation or make constipation worse.

Don’t strain. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.Go as soon as you feel the urge. If you wait to pass a bowel movement and the urge goes away, your stool could become dry and be harder to pass.Exercise. Stay active to help prevent constipation and to reduce pressure on veins, which can occur with long periods of standing or sitting. Exercise can also help you lose excess weight that may be contributing to your hemorrhoids.Avoid long periods of sitting.Sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.

Homoeopathic medicine:
HÆMORRHOIDS : Abrot., acet-ac., acon.,Aesc., aeth., Agar., agn., Aloe., alum., alumn., am-c., am-m., ambr., anac., anan., ang., ant-c., ant-t., apis., apoc., arg-n., arn.,ars-i., Ars., arum-t., aur-m., aur., bapt., bar-c., bell., berb., bor., bov., brom., bry., bufo.,cact., calc-p., calc-s., calc., cann-s., canth.,caps., carb-ac., Carb-an., carb-s., Carb-v.,card-m., carl., casc., Caust., cham., chel.,chim., chin-a., chin., chr-ac., cic., cimic.,cimx., clem., coca., cocc., coff., colch.,Coll., coloc., con., croc., crot-h., cycl., dios.,elaps., erig., eug., euphr., ferr-ar., ferr-m., ferr-p., ferr., fl-ac., gels., Graph., grat., Ham.,hell., hep., hydr., hyos., ign., iod., ip., Kali-ar.,kali-bi., Kali-c., kali-n., kali-p., Kali-s., kreos., Lach., lact., lept., lil-t., lob., Lyc.,mag-m., manc., med., Merc-i-r., merc.,mez., mill., mosch., Mur-ac., nat-m., nat-s.,Nit-ac., Nux-v., Paeon., petr., ph-ac., Phos., phys., phyt., plan., plat., plb., podo., psor.,Puls., rat., rhus-t., rhus-v., rumx., ruta.,sabin., sang., sec., Sep., sil., stann., staph.,stront., sul-ac., Sulph., sumb., syph., ter.,ther., thuj., tub., verat-v., verat., zinc., zing.

morning agg. : Aloe., Dios., mur-ac., sabin., sulph., sumb., thuj.

amel. : Alum., coll.

bed, in, agg. : Graph., rumx.

waking him : Aloe., kali-bi., petr., sulph.

night agg. : Aesc., aloe., alum., am-c., ant-c., ars., carb-an., carb-v., coll., euphr., ferr., graph., merc., phys., puls., rhus-t., Sulph.

alternating with palpitation : Coll.

with lumbago : Aloe.

beer agg. : Aloe., bry., ferr., nux-v., rhus-t.,Sulph.

as soon as the rheumatism is better :Abrot.

blind : Aesc., ant-c., ars., brom., calc-p.,caps., cham., coll., ferr., grat., ign., nit-ac.,nux-v., podo., puls., rhus-t., sulph., verat.
RECTUM p. 620


bluish : Aesc., aeth., ars., Carb-v., dios., ham.,Lach., lyc., manc., Mur-ac., phys., sulph.,verat-v.

children, in : Mur-ac.

chronic : Aesc., aloe., am-c., calc., carb-s.,carb-v., caust., Coll., dios., graph., lach., lyc.,Merc-i-r., nit-ac., Nux-v., petr., phos., phyt.,podo., Sulph., tub.

cold amel. : Aloe., brom.

congested : Acon., agar., aloe., alum., apoc., arg-n., ars., bell., carb-v., caust., cham., hep.,Kali-c., kali-n., merc., mur-ac., Nux-v., Paeon., podo., puls., rhus-t., sil., sulph., verat-v., zing.

drunkards, in : Ars., carb-v., Nux-v., sul-ac.

excitement : Arg-n., gels., hyos., nat-c., nux-v., sumb.

external : Abrot., Aesc., all-c., Aloe., alum.,am-c., anac., ang., ant-c., apis., apoc., arn., ars-i., ars., aur., bar-c., bar-m., berb., brom.,bry., cact., calc-p., calc-s., calc., caps., carb-ac., carb-an., carb-s., carb-v., caust., coll.,coloc., dios., ferr-ar., ferr-i., ferr-p., ferr., fl-ac.,gran., graph., grat., Ham., hep., iod., kali-ar., kali-c., kali-n., kali-p., kali-s., Lach., lyc., med.,merc., Mur-ac., nat-m., nit-ac., nux-v., paeon.,ph-ac., phos., phys., plat., podo., puls., Rat.,rhus-t., rumx., sep., sil., sul-ac., Sulph., ter.,thuj., tub., verat., zinc.

flatus, protrude when passing : Bar-c., phos.

hard : Ail., alum., ambr., Caust., lach., lyc.,phys., sep.

inflamed (See Congested)

internal : Aesc., alum., ant-c., arn., Ars., bor.,Brom., calc., caps., caust., Cham., cimic.,Coloc., hep., Ign., kali-ar., kali-c., kali-p., kali-s., lach., lyc., Nux-v., petr., ph-ac., phos., plan.,Podo., Puls., rhus-t., sep., stront., Sulph., ter.,verat.

itching (See Itching)

large : Aesc., agar., Aloe., alum., ang., arn., ars., bry., cact., calc., caps., Carb-an., carb-s.,carb-v., Caust., clem., coloc., cycl., dios.,euphr., ferr-ar., ferr., gall-ac., graph., Ham., kali-ar., Kali-c., kali-n., kali-s., lach., lyc., manc., merc., mur-ac., nat-m., Nit-ac., Nux-v.,podo., puls., sep., sul-ac., Sulph., thuj., tub.

menses, before : Cocc., phos., puls.

during, agg. : Aloe., am-c., calc., carb-s., carb-v., cocc., coll., graph., ign., lach., lyss., phos.,puls., sulph.

after, agg. : Cocc.

suppressed, during : Phos., sulph.

mental exertion : Caust., nat-c.

mercury, after abuse of : Hep., sul-ac.

milk agg. : Sep.

motion agg. : Apis., carb-an., euphr., merc.,mur-ac., nat-m., puls.

offensive (fetid) : Carb-v., manc., med.

parturition agg. : Ign., Kali-c., lil-t., mur-ac.,podo., puls., sep., sulph.

pendulous : Nit-ac.

pregnancy, during : Aesc., am-m., ant-c.,caps., coll., lach., lyc., nat-m., nux-v., sep.,sulph.

purgations, after : Aloe., nux-v.

rheumatism abates, after : Abrot.

riding amel. : Kali-c.

standing agg. : Aesc., am-c., caust., sulph.

stool, preventing : Aesc., caust., lach., paeon.,sul-ac., thuj.

protrude during : Alumn., am-c., bar-c., Calc-p., calc., fl-ac., kali-bi., kali-c., lach., mur-ac.,nit-ac., ph-ac., phos., plat., Rat., rhus-t., sil.

strangulated : Aesc., Aloe., ars., bell., ign.,Lach., nux-v., Paeon., sil., sulph.

suppressed : Ars., calc., caps., carb-v., euphr.,Nux-v., phos., puls., Sulph.

suppurating : Anan., carb-v., hep., ign., merc.,Sil.

thinking of them agg. : Caust.

touch agg. : Abrot., Bell., berb., calc., carb-an., carb-s., Caust., graph., hep., kali-c., lil-t., lyc., merc., Mur-ac., nit-ac., nux-v., phos.,Rat., sep., sil., sul-ac., Sulph., syph., Thuj.
ulcerating : Cham., hep., ign., kali-c., lach., nit-ac., paeon., phos., Sil., staph., syph.

urination, protrude during : Aloe., Bar-c., bar-m., canth., kali-c., merc., mur-ac., nit-ac.

after agg. : Merc.

walking agg. : Aesc., agn., alum., ars., Brom., calc., Carb-an., Caust., cycl., kali-ar., kali-c.,Mur-ac., nit-ac., phos., phys., rumx., sep., sil.,Sulph., sumb., ther., thuj.

amel. : Ign.

warmth, external, amel. : Ars., mur-ac.

warm weather agg. : Nit-ac.

amel. : Aesc.

wiping after stool agg. : Aesc., Graph., Mur-ac., Paeon., puls., sulph.

homoeopathy, Organon of medicine, Philosophy


Aphorism no 9 in Organ on of medicine-
“In the healthy condition of man, the spiritual vital force (autocracy), the dynamis that animates the material body (organism), rules with unbounded sway, and retains all the parts of the organism in admirable, harmonious, vital operation, as regards both sensations and functions, so that our indwelling, reason-gifted mind can freely employ this living, healthy instrument for the higher purpose of our existence.”

10 Fifth Edition
The material organism, without the vital force, is capable of no sensation, no function, no self-preservation1, it derives all sensation and performs all the functions of life solely by means of the immaterial being (the vital force) which animates the material organism in health and in disease.
1 It is dead, and only subject to the power of the external physical world; it decays, and is again resolved into its chemical constituents.

$10 Sixth Edition

The material organism, without the vital force, is capable of no sensation, no function, no self-preservation1, it derives all sensation and performs all the functions of life solely by means of the immaterial being (the vital principle) which animates the material organism in health and in disease.
$10 Fifth Edition
The material organism, without the vital force, is capable of no sensation, no function, no self-preservation1, it derives all sensation and performs all the functions of life solely by means of the immaterial being (the vital force) which animates the material organism in health and in disease.
1 It is dead, and only subject to the power of the external physical world; it decays, and is again resolved into its chemical constituents.

$10 Sixth Edition

The material organism, without the vital force, is capable of no sensation, no function, no self-preservation1, it derives all sensation and performs all the functions of life solely by means of the immaterial being (the vital principle) which animates the material organism in health and in disease.

It is dead, and only subject to the power of the external physical world; it decays, and is again resolved into its chemical constituents.

HEALTH, homoeopathy, MEDICINE

microbs and health

WHAT IS MICROBES: They are the member of Ecosystem. A unites of living being of the universe. They make suitable environment for us. In the ancient period of the universe, they are the only pioneer; when the life make start it’s journey. They have micro in nature of constitution, invisible with normal eyes. Only by microscopical finding we can understand them. After development of modern science, we can understand them easily. We give them name, such as- bacteria, virus, fungus etc.
Generally they are not an agent of disease. In Concept of ecosystem, they only our friend.

WHEN MICROBES CAN MAKE DISEASE: They can’t make disease. Some time we have some pathological condition, which may occur: due to some microbial agents. In this time some change of normal physiology may occur by this microbes. When any microbes can change their normal flora & they make there colony.
Every living organism must make some waste products, by their metabolic procedure. In normal flora of microbes, the metabolic waste product of microbes give friendly physiological reaction with the host physiology. In this condition we say them non pathogenic. On the other hand when the microbes change their flora and make metabolic waste products. This condition the metabolic wastes products give some negative reaction with the normal physiological procedure of the host. In this situation we say them pathogen. They can change the chemical environments in the living cells, so we have some evidence; which represents some disease. Disease is nothing but an event and condition, when the vital function of life become deranged molecularly or dynamically in any level of life.

Bacterial- antimonium crudam, arsenicum album,bapticia tinctora, carbo animal is, echinasia angustifolia, helper sulpher calcaria, mercury group, nitricum Acidum, phosphoricum Acidum, phosphorus, pulsatilla pratensis, pyrogenum, silica terata, sulphur, thuja occidentalis.

Viral- actionitum napilus, arsenicum album, baptisia tinctora, bryonia album, carcinocinum, gelsemium sempervibum, ferrum phosphoricum, merc group, natrum muriaticum, phosphoricum Acidum, thus toxicodendron.

Fungus- apis melifica, bacillinum, calcaria iod, calcarium phosphoricum, phosphorus, thuja occidentalis.