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Haemorrhoids / piles

अर्श · Arśa · Medical — see a Vaidya

The classical term for pile-mass around the anal canal. Educational only — rectal bleeding always needs assessment.

Condition🕑 1 min read
🚑 Seek urgent care if:
  • Heavy or persistent rectal bleeding, severe pain, a prolapsed lump that will not go back, dizziness or tiredness (possible anaemia from bleeding), or any change in bowel habit — bleeding must never be assumed to be 'just piles'.
    → Seek medical evaluation; rectal bleeding needs a diagnosis.
Classical understanding
  • Described as fleshy sprouts (arśas) at the anal region linked to aggravated doṣas and, commonly, chronic constipation and straining.
General self-care (safe for most)
  • Keep stools soft with a high-fibre diet and adequate water, avoid straining and prolonged sitting on the toilet, and keep the area clean; warm sitz measures may soothe. General measures only.
Rectal bleeding must be assessed by a physician to exclude other causes; procedures belong with a qualified Vaidya/surgeon.
View sources — 3 classical & official references
  • Classical text Charaka Saṁhitā
  • Classical text Mādhava Nidāna
  • Classical text Suśruta Saṁhitā