Mixed Piles (Combination Hemorrhoids)
What is Mixed Piles (Combination Hemorrhoids)
Mixed piles are a condition where a patient suffers from both internal and external hemorrhoids at the same time. This means there may be bleeding (internal component) along with painful swelling and discomfort around the anus (external component).
From a homeopathic perspective, mixed piles indicate chronic venous weakness, sluggish bowel function, and lifestyle imbalance. Homeopathy not only helps in controlling bleeding and pain but also addresses the root cause like constipation, portal congestion, or liver weakness.
Causes
- Long-standing untreated internal or external piles that worsen with time
- Chronic constipation and straining during stool
- Prolonged sitting or sedentary lifestyle
- Pregnancy and childbirth pressure
- Liver disorders, portal hypertension
- Obesity and lack of exercise
- Unhealthy food habits – low fiber, high spicy/junk food
- Repeated episodes of diarrhea or irregular bowel habits
Symptoms
- Bleeding during stool (internal part)
- Painful swelling around anus (external part)
- Burning, itching, and soreness around rectum
- Sensation of heaviness or fullness in anus
- Protrusion of piles after stool, sometimes difficult to push back
- Mucus discharge and soiling of undergarments
- Pain while sitting for long hours
- In severe cases, both bleeding and clot formation (thrombosis) may be present
Homeopathic Perspective & Remedies
Homeopathy plays a vital role in mixed piles by relieving bleeding, pain, itching, and venous congestion simultaneously. It helps in preventing recurrence and avoiding surgery.
Some commonly indicated remedies are:
- Hamamelis Virginica – bleeding piles with soreness and weakness, bleeding even with little stool
- Aesculus Hippocastanum – fullness, dryness, severe backache with piles, non-bleeding painful part
- Aloe Socotrina – piles protrude like a bunch of grapes, bleeding with mucus discharge
- Nux Vomica – constipation, straining, piles worse in sedentary lifestyle
- Sulphur – burning, itching, soreness, piles with frequent urge for stool
Summary
Mixed piles combine features of internal and external hemorrhoids, causing bleeding, pain, swelling, and discomfort together. With proper care and homeopathic medicines, piles can be cured naturally without surgery, focusing on the root causes like constipation, weak digestion, and venous congestion.
Precautions & Lifestyle
- Eat a fiber-rich diet (fruits, green vegetables, salads, whole grains)
- Drink plenty of water to keep stool soft
- Avoid constipation and straining at stool
- Do not sit for very long at one place; take short breaks and walk
- Regular exercise, yoga, or light physical activity helps
- Avoid junk food, spicy/oily meals, and alcohol
- Use sitz bath (warm water sitting bath) for comfort
- Maintain proper hygiene to prevent infection
