External Piles (Hemorrhoids)

What is External Piles (Hemorrhoids)

External piles are swollen, dilated veins located outside the anus, covered by skin. Unlike internal piles, they are often painful because of the rich nerve supply in that area. In homeopathy, external piles are seen as a result of venous stasis, lifestyle imbalances, and constitutional weakness. Treatment focuses on correcting the root cause along with symptomatic relief.

Causes

Chronic constipation and straining during stool
Prolonged sitting or standing
Heavy weight lifting or increased abdominal pressure
Pregnancy and childbirth
Obesity and sedentary lifestyle
Hereditary venous weakness
Liver congestion or portal hypertension

Symptoms

Painful swelling or lumps around the anus
Severe pain during and after passing stool
Bleeding (less common than internal piles, but possible if ruptured)
Itching and irritation around anus
Feeling of a hard lump outside anus
In case of clot (thrombosed piles) – sudden, severe pain and bluish discoloration of lump

Homeopathic Perspective & Remedies

Homeopathy aims at reducing pain, swelling, and recurrence of external piles by improving circulation, digestion, and overall constitution. Remedies are selected according to the patient’s unique symptoms.

Common remedies include:

Graphites – painful external piles with cracks and itching
Ratanhia – intense burning pain in anus after stool, lasting long
Aesculus Hippocastanum – painful piles with fullness and backache
Hamamelis – external piles with bleeding and soreness
Belladonna – sudden, inflamed, very painful piles

Summary

External piles are painful swellings outside the anus, often associated with discomfort, bleeding, or thrombosis. Homeopathy provides gentle, long-lasting relief by treating not only the external lumps but also the root causes like constipation and venous weakness.