In Ayurveda, hemorrhoids are referred to as “Arsha.” They are considered a condition where the body's natural balance is disrupted, leading to the manifestation of painful swellings in the anal region. According to Ayurvedic texts, Arsha is primarily caused by an imbalance in the Vata and Pitta doshas, although Kapha can also play a role.

• Vata Dosha: Governs movement and is responsible for regulating bowel movements. An imbalance in Vata can lead to constipation and dry stools, which strain the veins and cause hemorrhoids.


• Pitta Dosha: Associated with heat and metabolism. An excess of Pitta can cause inflammation, bleeding, and a burning sensation in the anal region.


• Kapha Dosha: A sedentary lifestyle, with little to no physical activity, can slow down metabolism and contribute to weight gain, which puts pressure on the stomach and increases the risk of acid reflux. Additionally, wearing tight belts or clothing around the abdomen can further press on the stomach, worsening GERD symptoms.

Ayurveda identifies several factors that can contribute to the development of hemorrhoids:

• Dietary Factors: Excessive intake of spicy, oily, and hot foods can aggravate Pitta, leading to inflammation and even bleeding. A low-fiber diet can also contribute to constipation and hard stools, which raises the risk of developing hemorrhoids. Additionally, irregular eating habits, such as eating at inconsistent times, overeating, or consuming heavy, hard-to-digest foods, can disrupt the digestive system and lead to further complications.


• Lifestyle Factors: A sedentary lifestyle, with little physical activity, can lead to poor circulation, constipation, and increased pressure on the rectal veins. Chronic constipation or diarrhea further strains the anal region, heightening the risk of hemorrhoids. Additionally, prolonged sitting or standing in one position can cause pressure to accumulate in the anal area, contributing to the development of hemorrhoids.


• Other Factors: Pregnancy often leads to increased pressure in the pelvic region, which can result in the development of hemorrhoids. Similarly, obesity adds extra weight and pressure on the lower abdomen and rectum, making hemorrhoids more likely. Additionally, high stress levels can interfere with digestion and bowel movements, further contributing to the formation of hemorrhoids.

Ayurveda offers a holistic approach to managing hemorrhoids through dietary changes, lifestyle modifications, and natural remedies that help balance the doshas and promote healthy digestion.

1. Dietary Recommendations:
   • Increase Fiber Intake: Incorporate more fruits, vegetables, whole grains, and legumes into your diet to soften stools and prevent constipation.
   • Hydration: Drink plenty of water and warm fluids to keep stools soft and reduce the strain during bowel movements.
   • Pitta-Pacifying Foods: Include cooling and soothing foods such as cucumbers, melons, leafy greens, and dairy products to reduce inflammation and bleeding.
   • Avoid Pitta-Aggravating Foods: Limit the intake of spicy, sour, salty, and fried foods that can worsen hemorrhoid symptoms.


2. Lifestyle Modifications:
   • Regular Physical Activity: Engage in moderate exercise like walking, yoga, and stretching to improve digestion and circulation.
   • Avoid Straining: Do not strain during bowel movements. Practice healthy bathroom habits, and go as soon as you feel the urge.
   • Regular Bowel Movements: Establish a regular routine for bowel movements, and avoid holding it in, which can lead to constipation and increased pressure.
   • Sit in Warm Water (Sitz Bath): Soaking the anal area in warm water for 15-20 minutes can reduce pain, swelling, and discomfort.


3. Herbal Remedies:
   • Triphala: A traditional Ayurvedic formulation made from three fruits, Triphala helps regulate bowel movements, soften stools, and reduce the strain during defecation.
   • Haritaki: Known for its mild laxative properties, Haritaki can help relieve constipation and promote healthy digestion.
   • Aloe Vera: Aloe vera gel can be applied topically to reduce inflammation and soothe the anal region.
   • Turmeric and Ghee: A paste made from turmeric and ghee can be applied to external hemorrhoids to reduce inflammation and pain.


4. Detoxification and Panchakarma:
   • Panchakarma: Ayurvedic detoxification therapies such as Virechana (therapeutic purgation) can help remove toxins from the body and balance the doshas.
   • Kshara Sutra Therapy: An Ayurvedic surgical procedure that involves the application of a medicated thread to hemorrhoids, causing them to shrink and fall off.