5 Best Effective & Safe Oral Medicine for Piles or Haemorrhoids

Before knowing the most effective medicines for Piles or Haemorrhoids, you should know few things about the disease. You should be aware about the symptoms of the  disease so that you can rush to a doctor. Where as the evaluation of causative factors from the causes that ate similar with your life style is very much important. 


Haemorrhoids cushions are a part of normal human anatomy. We all have these cushions.  Haemorrhoids cushions are some vascular contents or structures which are helpful is stool movement and evacuation.
But due to some causes they started to increase in size and grows just like grapes in the anal canal and only in such cases they starts some pathology and then only termed as Piles.
They are nothing but varicose rectal veins or obstructed blood flow. When stool starts moving downwards in the presence of Piles then anal pressure forces them to move downwards, and such pressure creates fissure or cut in the folds of their attachment base with anal canal and starts bleeding. They are of two types,
  1. Internal Piles (Which remains in the internal part of the anal canal)
  2. External Piles (Which remains in the external part of the anal canal and they can be easily visible or touched) 


  1. Sharp pain in the anal region during a bowel movement or evacuation.
  2. Indigestion remains a major problem in such patients.
  3. Loss of apatite a common issue that can be seen in all piles patients.
  4. Fresh blood may come out while passing stool. Sometimes blood flows like a without any control.
  5. Weakness is a major issue in patients with bleeding piles. Due to regular blood loss they became anaemic and that leads to weakness.
  6. Seven to mild pain last for longer period after defecation or after sitting or standing position.
  7. Acidic sensation in the stomach is quite common in such patients.
  8. Difficulty in sitting.
  9. Burning sensation on the anal canal.
  10. Excessive urination.
  11. Feeling or irritation inside the anal canal.
  12. Abdominal distension and sensation of fullness with air.
  13. Lethargy, Sleepy feeling is quite common.
  14. Itching in the anal orifice is a very common issue.
  15. Some foul smelling with yellowish discharge may come out in cases of long lasting untreated cases.
  16. Patients mainly in young children suffers from fear while going to toilet.
  17. Fear for toilet further triggers constipation.


  1. Suppression of natural Urges
  2. Sedentary life style
  3. Repeated diarrhoea for a long periods.
  4. Sever constipation
  5. Habitual constipation
  6. Less water intake leading to constipation
  7. Less fibber diet intake leading to constipation
  8. Anal intercourse or Anal injury
  9. Lack of exercise
  10. Obesity
  11. Enlarged Prostate
  12. Cardiac disorders
  13. Rectal tumour
  14. Low fibre diet
  15. During pregnancy few women suffers from anal fissure due to constipation as there is always a tendency due to iron and calcium supplements intake. More over in Pregnancy (Due to pressure of foetus).
  16. Hepatomegaly Or Splenomegaly
  17. Fissure in ano.
  18. Any foreign body trauma (any ingested foreign body during passing out or any foreign body anal insertion ).
  19. Intake of dry and spicy foods.
  20. Helminthiasis or Worm Infestation.

5 Most effective Medicine for Piles:

Before knowing about the medicines you should remember that for Piles you needed combination of drugs. You have to take more than one medicine depending upon for your condition and disease process. 

Triphala Guggulu:

Triphala Guggul Ingredients:
  1. Haritaki – Terminalia chebula.
  2. Vibhitaki – Terminalia bellirica .
  3. Amalaki – Emblica officinalis
  4. Krishna – Long pepper
  5. Guggulu – Purified Commiphora mukul.
  1. It relives the inflammation of the anal region.
  2. It relives constipation and smoothens the bowel movement.
  3. It is also reduces the bad cholesterol. It is widely used for the management of obesity. 
  • 2-3 tab twice daily with luke warm water.

Arsha Kuthar Rasa:

Arsha Kuthar Rasa Ingredients:
  1. Snuhi Ksheera ( Latex of  Euphorbia neriifolia L.)
  2. Gomutra (Cow urine)
  3. Saindhava Lavana (Rock salt)
  4. Yava Kshara (Kshara of Barley)
  5. Tankana Bhasma (Borax)
  6. Danti (Baliospermum montanum)
  7. Maricha (Black pepper/Piper nigrum)
  8. Shuddha Vatsanabha (Purified Aconitum ferox)
  9. Lead Wort (Plumbago zeylanica)
  10. Bilva ( Bael/Aegle marmelos)
  11. Abhraka Bhasma (Purified and processed Mica)
  12. Loha Bhasma (Ashes prepared from Iron)
  13. Shuddha Gandhaka (Herbal purified Sulphur)
  14. Herbal purified Mercury
  1. It works by improving liver functions
  2. It increases anal vein strength.
  3. It helps in easing constipation.
  4. It helps in shrinking of the pile mass.
  5. It helps in reducing local swelling and inflammation.
  • 125 – 250 mg once or twice a day, before or after food or as directed by your physician. It is used along with honey or hot water.
  1. Should not used by patients with renal diseases.
  2. During Pregnancy
  3. During Lactation
  4. By Patients having Hypertension 

Avipattikar Churna:

Ingredients of Avipattikar Churna
  1. Trikatu

  2. Triphala
  3. Musta
  4. Vidalavana
  5. Ela
  6. Tejapatra
  7. Lavanga
  8. Nishoth
  9. Sugar
  • Though it is not directly linked with the piles mass but it relives the associated issues. it is prescribed along with other medicines for the purpose.
  1. It is indicated for the treatment of Indigestion.
  2. It is good for the treatment of Constipation.
  3. It is indicated for the treatment of acidity.
  • 500 mg to 1 grams twice daily with honey or milk.
  • Diabetic Patients.

Tablet. Pilex (Himalaya):

Ingredients of Tablet Pilex:
  1. Guggulu (Commiphora wightii Syn. Balsamodendron mukul)
  2. Shilajeet (Purified)
  3. Nimba seeds (Melia azadirachta Syn. Azadirachta indica)
  4. Daruharidra (Berberis aristata)
  5. Amalaki (Emblica officinalis)
  6. Haritaki (Terminalia chebula)
  7. Vibhitaki (Terminalia bellirica Syn. T.belerica)
  8. Aragvadha (Cassia fistula)
  9. Kanchanara (Bauhinia variegata)
  10. Nagkesara (Mesua ferrea)
  1. Pilex shrinks pile mass,
  2. It controls bleeding and heals inflamed skin and the mucus membrane.
  3. The drug offers symptomatic relief from rectal bleeding, pain, itchiness.
  4. It also corrects chronic constipation associated with haemorrhoids
  • 2 tablets twice daily after food with like warm water or as directed by your physician. 

Arshoghni Vati:

Ingredients of Arshoghni Vati:
  1. Nimba (Neem /Azadirachta indica)
  2. Mahanimba (Melia azadirach)
  3. Khunakharaba Exudate
  4. Trinakanta Pishti (Kaharuba)
  5. Shuddha Rasauta ( Rasanjana /Aqueous extract of Berberis aristata )
  1. It is helps to decrease the size of pile mass.
  2. It helps in stopping the bleeding, in case of bleeding haemorrhoids.
  • 125 mg 250 mg twice daily after food.


There are plenty of such medicines which are useful for the treatment of piles. Always remember a single medicine is not enough for the management of piles. Here I have discussed only the most effective drugs. But for a complete you need to visit your physician. 

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