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Bleeding is the first symptom of haemorrhoid in the form of drops or stream.?Bleeding may occur apart from defecation when pile mass has attained sufficiently larger size and remains prolapsed at anal outlet. The under cloth may be stained with blood discharge at any time. The blood is fresh and brightly red in colour.

Piles or hemorroids is a swollen vein or group of veins in the anus region Piles is the result of vericose vein in the anal egion. In Ayurveda, this is known as Arsha. There are various reasons for developing piles like constipation, excessive

straining during passing stool, off and on loose motion, (I.B.S) irritable bowel syndrome, constantly sitting for a long time on the hard surface.

Gastric disturbances, like indigestion, constipation, loss of appetite, hyperacidity and abdominal distension.

There are two different types of piles depending upon their location- Internal and External. Internal Piles are usually painless and can also lead to bleeding. External Piles, however, can be painful and swollen, and are located on the skin around the anus, and can be felt easily. There are grade system for internal haemorroids. 1st and 2nd grade internal piles lead without pain with perfuse severe bleeding. In the 3rd grade piles, patient felt like something coming out side during passing stool and goes inside freely itself, sometime bleeding seen.

In 4th grade, piles come out freely during passing stool, during sitting or working. Sometime many piles got strangulation with severe pain and bleeding and can be create an emergency situation.

» Perfuse bleeding from the Anus

» Itching and Irritation

» Occasionally Pain and Discomfort

» Tender Lump

» Skid Marks on the Underwear

» Somthing soft  mass coming out from anus and get inside itself.

Since Ayurvedic medicine involves a lot of changes in the diet and lifestyle, some remedies to prevent and treat piles or Arsha are fairly simple and lifestyle-related.