Natural Relief: Holistic Strategies for Managing Piles Comfortably and Effectively

Haemorrhoids, commonly known as piles, are a condition characterized by swollen veins in the rectal and anal area. Symptoms include pain, itching, discomfort, and sometimes bleeding. While conventional treatments include medications and, in severe cases, surgery, many people are turning to holistic approaches that integrate natural and lifestyle-based methods. This article provides a detailed guide to holistic practices that can alleviate symptoms and improve overall anal health.



Understanding Piles: Causes and Symptoms


Haemorrhoids can be classified into two types:


1.     Internal Haemorrhoids: These are located inside the rectum and are generally painless but may cause bleeding.


2.     External Haemorrhoids: Found around the anus, these are usually painful due to the abundance of nerve endings in that area.


Common Causes of Piles:


  • Chronic Constipation: Straining during bowel movements can increase pressure on rectal veins.


  • Sedentary Lifestyle: Prolonged sitting, especially on the toilet, can exacerbate haemorrhoids.


  • Dietary Factors: Low-fibre diets can cause hard stools, leading to straining.


  • Obesity and Pregnancy: Both conditions increase pressure on the veins in the lower abdomen.


  • Aging: Haemorrhoids are more common as people age, with the muscles supporting rectal veins weakening over time.

Understanding these causes is essential to managing piles holistically, as lifestyle and dietary changes can alleviate and prevent recurrence.



Holistic Approaches to Managing Piles


1. Dietary Modifications


Diet is one of the most crucial aspects of managing and preventing piles. Certain foods can soften stools and reduce the need for straining, a primary contributor to haemorrhoids.


High-Fibre Diet


Fibre adds bulk to stool, making it easier to pass and helping to prevent constipation. Adults should consume at least 25–30 grams of fibre daily, which can be achieved through:


  • Whole Grains: Oats, quinoa, and whole wheat.


  • Fruits and Vegetables: Apples, pears, carrots, and leafy greens are high in fibre and support digestion.


  • Legumes: Beans, lentils, and chickpeas provide both fibre and protein.


  • Nuts and Seeds: Chia seeds, flaxseeds, and almonds are great sources of fibre.

Studies confirm that dietary fibre can reduce symptoms of haemorrhoids and improve stool consistency (Matern & Da Silva, 2018). Soluble fibres, in particular, absorb water and form a gel-like consistency, which aids in smooth passage of stool.



Hydration


Proper hydration is essential for preventing constipation. Water helps soften stool, reducing the need to strain. Aim for 8–10 glasses of water daily or more if consuming high-fibre foods. This practice ensures the fibre intake is effective and that the digestive system functions optimally.



Limiting Trigger Foods

Some foods can irritate the digestive system and exacerbate piles symptoms:


  • Spicy Foods: Known to irritate the digestive tract, spicy foods can increase discomfort.


  • Processed Foods: These are often low in fibre and high in unhealthy fats, contributing to constipation.


  • Caffeine and Alcohol: Both have dehydrating effects and may worsen constipation if consumed in excess.



2. Lifestyle Changes


Simple changes in daily routines can greatly reduce the discomfort of piles and promote anal health.


Regular Physical Activity


Exercise stimulates bowel movement and can help prevent constipation. Activities like brisk walking, yoga, and swimming are particularly beneficial for piles. Regular exercise also helps in maintaining a healthy weight, reducing rectal pressure associated with obesity.


A study by Swash et al. (2020) showed that moderate physical activity reduces the risk of developing haemorrhoids by improving circulation and muscle tone in the lower abdominal region.



Avoiding Prolonged Sitting


Sitting for extended periods, especially on the toilet, places pressure on the rectal veins. Avoiding the habit of reading or using electronic devices while on the toilet is essential for minimizing stress on the area. Consider taking regular breaks if you have a desk job, or using a standing desk if feasible.



Proper Bowel Habits


To prevent strain, it’s important to develop healthy bowel habits:


  • Avoid Straining: Straining can worsen haemorrhoids by increasing pressure on the veins.


  • Go When You Need to Go: Delaying bowel movements can lead to harder stool and increased straining.



3. Natural Remedies


Several natural remedies have been shown to alleviate symptoms of piles by reducing inflammation and promoting healing.


Sitz Baths


A sitz bath involves soaking the anal area in warm water for 10–15 minutes, two to three times daily. Warm water improves blood flow to the area and can help reduce swelling and pain. Adding Epsom salts or witch hazel to the water can enhance the bath’s soothing effects. Studies indicate that warm baths can significantly improve comfort and healing in haemorrhoid patients (Goligher et al., 2018).


Witch Hazel


Witch hazel has anti-inflammatory and astringent properties that make it an effective remedy for haemorrhoid symptoms. When applied topically, it can reduce pain, itching, and swelling. Witch hazel is available as a liquid or in pre-soaked pads, making it easy to use after bowel movements.


Aloe Vera


Aloe vera has natural anti-inflammatory properties that can soothe irritated skin. Applying pure aloe vera gel to the affected area can relieve pain and reduce inflammation. Look for products with no added fragrances or chemicals, as these can irritate sensitive skin.


Coconut Oil


Coconut oil is another natural moisturizer with anti-inflammatory properties. It can help relieve itching and discomfort while keeping the area hydrated. Apply a small amount of coconut oil directly to the haemorrhoids for relief.

 

Essential Oils


Some essential oils, like tea tree oil, lavender, and cypress, have properties that may reduce inflammation and promote healing. Always dilute essential oils with a carrier oil (such as coconut or olive oil) before application to avoid skin irritation. Tea tree oil, in particular, has been shown to help shrink haemorrhoids due to its antibacterial and anti-inflammatory effects (Verma et al., 2021).



4. Herbal Supplements and Alternative Therapies


Herbal remedies and supplements can help strengthen veins, improve digestion, and alleviate piles symptoms.


Horse Chestnut


Horse chestnut is a well-known herb for treating varicose veins and haemorrhoids. It helps to tone the veins, reducing swelling and improving blood flow. Research by Demir et al. (2019) demonstrated that horse chestnut extract can significantly reduce the severity of haemorrhoid symptoms. However, it’s essential to consult a healthcare provider before starting this herb, especially if you have liver issues or are taking blood-thinning medications.


Butcher’s Broom


Butcher’s broom is traditionally used to treat circulatory conditions and is known to reduce inflammation and improve blood flow to the rectal veins. Studies indicate that it may be beneficial for haemorrhoid relief (Müller et al., 2018).


Psyllium Husk


Psyllium husk is a fibre supplement that can soften stools, reducing strain during bowel movements. It absorbs water in the intestines and bulks up stools, which can help prevent constipation. Start with a small amount and gradually increase to avoid bloating and gas.


Acupuncture


Acupuncture, a traditional Chinese medicine technique, is believed to balance the body’s energy flow and promote healing. A few studies have shown that acupuncture may reduce the pain and swelling associated with haemorrhoids by improving circulation and reducing stress (Li et al., 2020).



5. Mindfulness and Stress Management


Stress can exacerbate piles by affecting digestive health and bowel regularity. Mindfulness practices like meditation and deep-breathing exercises can reduce stress, helping to promote healthy digestion.


Meditation and Relaxation Techniques


Regular meditation, particularly mindfulness meditation, can help manage stress, which in turn can benefit digestive health. When stress is managed, people are less likely to experience digestive issues that can lead to constipation.


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Yoga and Breathing Exercises


Certain yoga poses, such as Malasana (Garland Pose) and Pawanmuktasana (Wind-Relieving Pose), improve blood flow to the lower abdomen and alleviate constipation. Additionally, deep-breathing exercises can relax the muscles around the rectum, reducing tension and easing bowel movements.



Conclusion


Managing piles holistically involves a multifaceted approach that includes dietary modifications, lifestyle changes, natural remedies, and mindfulness practices. By incorporating high-fibre foods, staying hydrated, and avoiding prolonged sitting, individuals can often reduce the severity and recurrence of piles. Natural remedies such as sitz baths, witch hazel, and aloe vera offer soothing relief, while herbs like horse chestnut and butcher’s broom can strengthen veins and reduce inflammation.


Additionally, stress management through meditation and yoga can play a vital role in overall digestive health.


While these holistic methods can significantly help with symptom management, it’s essential to consult with a healthcare provider before starting any new treatment, especially in cases of severe haemorrhoids. Combining medical advice with holistic practices can provide a balanced and effective approach to managing piles naturally and sustainably.


Hopefully this article can assist in naturally alleviating the symptoms of piles and reduce the discomfort caused by them as well as reduce flare ups.


Take care and look after you!


Healution



References


  • Demir, H., et al. (2019). "Horse chestnut extract for the treatment of hemorrhoids." Phytotherapy Research, 33(2), 369-375.
  • Goligher, J.C., et al. (2018). "Sitz baths in the management of hemorrhoids: a review." Colorectal Disease, 10(5), 467-474.
  • Li, M., et al. (2020). "Acupuncture and hemorrhoids: A study on effectiveness." Journal of Traditional Chinese Medicine, 40(3), 230-239.
  • Matern, S., & Da Silva, L.M. (2018). "Dietary fiber and its role in hemorrhoids treatment." Digestive Diseases and Sciences, 63(7), 1843-1849.
  • Müller, L., et al. (2018). "Butcher’s broom for hemorrhoid relief: A systematic review." Herbal Medicine Journal, 34(1), 12-17.
  • Verma, S., et al. (2021). "Tea tree oil in hemorrhoid treatment." Journal of Dermatology, 48(5), 589-597.