Q. How to get relief from old hemorrhoids with pain, bleeding and with a wart on the outer side of anus??

Answered by
Dr. Ishwar Chandra Rai
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on May 02, 2022

Hello doctor,

I have had hemorrhoids for four to five years. It gives blood, pain and there is a wart on the outer side of the anus. Can you please help me doctor?



Welcome to

I read your query and can understand your concern.

Hemorrhoids are also known as piles. In hemorrhoids, some tissues protrude out along with the stools during defecation, and it may go back by itself (first grade) or manually (second grade). It may or may not bleed. Sometimes it has pain and burning sensation due to passing hard stool. The first and second grades of hemorrhoids can be managed naturally through ayurvedic medicines, lifestyle changes, and altering food habits.

Practice everything I have suggested to you regularly for 15 days and provide your valuable feedback.

Thank you.

The Probable causes:

Excessive intake of oily and spicy food, smoking, alcohol consumption, sedentary lifestyle, chronic medical conditions, or lack of physical activities.

Investigations to be done:


Differential diagnosis:

Other conditions that mimic piles are- anal fissures, colitis, or IBS (irritable bowel syndrome).

Treatment plan:

1. Take Abhayarishtam tonic three teaspoons with an equal amount of water after meals twice a day.

2. Take one Himalaya Pilex tablet twice a day with lukewarm water after meals.

Preventive measures:

Avoid spicy, fried, and junk food, quit smoking and alcohol drinking (if you have these habits), drink plenty of lukewarm water, do regular pranayam kapalbhati, mandukasana and ardhamatyendrasana. You must prefer to eat seasonal leafy vegetables and fruits, and drink buttermilk with cumin powder.

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