Hello Dr. Vikram, these days various patients are suffering from bawaseer (piles), although this problem has become the common in youngsters too. In actual what is this disease? Hello, bawaseer is called as piles. It has been seen that in almost every home there are patients of bawaseer. Main cause of this disease is our life style and changes in eating habits. In Today’s life people are too busy as they don’t take fruits and fibre rich diet instead they eat frozen or packaged foods, outside foods like from restaurants, more non veg diet, tea, biscuits or things made from white flour. So the consumption of such kind of things causes the acidity and constipation. Main underlying cause of piles is constipation. Piles don’t happen all of sudden but as per Ayurveda for piles to happen there will be agni mandya (low digestive fire), acidity, burning or constipation. Such minor problems lead to the dreadful disease piles. which states that one who troubles you like an enemy, this is such a fretful disease which creates trauma and anxiety in your mind like an enemy. Hence this disease makes your body suffer badly. In the anal route, veins get inflamed and turn into a mass that remains internally we call it internal piles and those spread outside called as external piles. Some people complain that when they pass the stool, blood also comes outside, that is called as bleeding piles. So is this also a type of piles? Yes it is, mainly two names are attributed on the basis – if blood comes then it is called bleeding piles and without blood it is dry piles. However in both cases veins get inflamed, if there is more inflammation and more swelling in veins then blood comes outsides or sometimes may not come. Mostly in the case of internal piles symptoms of bleeding are observed without pain. But mass which grows outside and gets inflamed is painful. Hence it has been described as two types – dry and bleeding piles. Dr. is there any treatment for this in Ayurveda? Indeed there is the treatment in Ayurveda but before discussing that I want say that try to follow the healthy eating habits, try to avoid white flour based products, frozen foods or packaged food, Maggie, noodles, pasta, pizza, burger or any other kind of fast foods in trend which people consume these days. So due to eating such foods people suffer from constipation. Moreover, people read the newspaper at toilet seat, it exerts the pressure on anal canal and reason behind the piles is extra pressure created on the anal canal. Hence more is pressure exerted and more are chances of piles occurring. In order to spend the less time on toilet seat, try to follow the healthy lifestyle, drink plenty of water, take fibre rich fruits like apple, grapes, muskmelon, watermelon and vegetables such as bottle gourd, carrot, radish, round gourd. Try to restrict the intake of biscuits and rusk. Really intake of such things like biscuits and rusk has become common these days. Bed tea is consumed by many people. Too much intake of tea like shopkeepers they used to have cup of tea with every customer who visits their shop. Hence excess tea intake should be avoided instead of that some natural drink or cool water can be taken. These small things should be taken care of. Dr. when this disease happens, many people face problems like too much pain or bleeding. In such situation is there any medicine which can be given to the patients. Generally people go for the surgery or try to apply some steroid ointments or anesthetic or painkiller cream. Rather than using all these things, it is better to use the herbs in Ayurveda. There is a plant Touch me not from which medicine is made. We have Pile off capsules which are prepared from pure extract of herb Touch me not. There is fibre rich product by the name of Vara churna which helps in clearing the stomach and resolves the problem of constipation. For alleviating the pain and swelling in anal route we have very good medicine Kanchnaar guggul, two tablets of this medicine twice or thrice in a day can be taken. Sanjivani vati we give to stop the fermentation process which is responsible to increase the pressure in stomach. Sometimes food we eat like too white flour intake leads to formation of toxins due to undigestive food so in order to digest that sanjivani vati is given. So there are three – four products which we give by the name of Piles Care Pack to the patients. Is there anything for local application in Ayurveda which you recommend? For local application there are Nirgundi oil and Kasisadi oil. Application of these oils aid in drying and removal of mass. There is no need of surgery after using this whole combination and problem gets resolved. What is the duration or for how longer this Piles care pack to be taken to resolve this problem? See this problem is due to our life style so approximately it may take 3-6 months’ time period. However patients notice improvement in 10-15 days. Thank you so much Doctor for such a wonderful information. Thank you.