There is no local treatment to cure piles. The treatment of the basic cause, namely, chronic constipation, is the only way to get rid of the trouble. To begin with, the whole digestive tract must be given a complete rest for a few days and the intestines throughly cleansed. For this purpose, the patient should adopt an all-fruit diet for at least five days. He should have three meals a day of fresh juicy fruits such as grapes, apple, pear, peach, orange, pineapple and melon. For drinks, unsweetened lemon water or plain water either hot or cold may be taken.
In long-standing and stubborn cases, it will be advisable to have a short fast for four or five days before adopting an all-fruit diet. When on short fast, the patient may have the juice of an orange in a glass of warm water. An enema with lukewarm water should be taken daily in the morning while fasting. This will cleanse the bowels and give much needed rest to the rectal tissues.
After the all-fruit diet, the patient may adopt a diet of natural foods aimed at securing soft stools. The diet should be low in fat and should not contain more than 50 grams of fat. Foods which contain less fat are skimmed milk, buttermilk, curd and cottage cheese made from skimmed milk; all vegetables except cabbage, onions, dried beans and peas; cooked and dried cereals, fruits and fruit juices.
The ideal diet for the patient with piles should consist of fruits like papaya, musk melon, apple and pear; green vegetables, particularly spinach and radish, wheat, porridge, whole meal cereals and milk. Lentils and daals should be avoided, as they constipate the bowels. The patient should also abstain from meat, fish, eggs, cheese, white sugar, sweets, rice, all fried foods, all white flour products, tea and coffee. Dry fruits, such as figs and raisins and coconuts should form part of the diet.
The most important food remedy for piles is dry figs. Three or four figs should be soaked overnight in water after cleaning them thoroughly in hot water. They should be taken first thing in the morning along with the water in which they were soaked. They should also be taken in the evening in similar manner. This treatment should be continued for three or four weeks. The tiny seeds of the fruit possess an excellent quality of stimulating peristaltic movements of intestines. This facilitates easy evacuation of faeces and keeps the alimentary canal clean. The pressure on the anus having thus been relieved, the hemorrhoids also get contracted.
The mango seeds are valuable in bleeding piles. The seeds should be collected during the mango season, dried in the shade and powdered and kept stored for use as medicine. This powder should be given in doses of about one and a half gram to two grams with or without honey twice daily.
The patient should drink at least eight to ten glasses of water a day. He should avoid straining to pass stool.