Signs and symptoms



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Signs and symptoms

  • Itching or pain around the anus

  • Burning feeling at the anus

  • Heavy feeling in the rectum

  • Soft swelling from the anus

  • Lump protruding from the anus

  • Bleeding of small amounts of bright red blood from the anus during defaecation

  • Bleeding piles can lead to anaemia due to blood loss. Another complication of piles is strangulation where the blood supply to an internal haemorrhoid is cut off which can cause extreme pain and tissue death (gangrene)

What leads to piles forming?

  • Piles are varicose veins of the blood vessels surrounding the anus. There are several reasons they form:

  • Physical - chronic constipation, pregnancy, lifting heavy weights, obesity, enlarged prostate (in men)

  • Poor diet - low fibre diet, food allergies

  • Behaviour - lack of exercise, frequent use of chemical laxatives, sitting or standing still for long periods of time

  • Piles are associated with qualities of Dryness & Coldness as it is often results as a complication of constipation and bleeding piles are associated with Dryness & Heat

  • Piles will be aggravated with a lifestyle that increases qualities of Dryness and Coldness in the body


Treatment according to the Tibb Lifestyle Factors

  • Food and drink - Eat more Hot & Moist foods and the least amount of Cold & Dry foods. Eat more fresh fruit and vegetables, high-fibre foods (build up slowly!), and drink plenty of warm water

  • Exercise - regular light/moderate exercise (brisk walking 20-30 min daily). Avoid standing/sitting for long periods

  • Detox - a 15min sitz bath in hot water will bring relief

  • Hygiene - A plain warm water enema to keep anal area clean. Regular warm water washing of the anal area

  • Lubricate the anus with Vaseline or olive oil to help with constipation

  • Respect your body - do not attempt to lifting heavy weights or practice proper lifting techniques i.e. bend at the knees keeping the object as close to the body as possible when lifting


Here are some effective home remedies for piles

  • Herbal – dark coloured berries contain flavonoids, which strengthen the walls of veins around the anus

  • Avoid constipation by using a mild laxative regularly like aloe vera or prune juice. Avoid strong or harsh laxatives. Eat 2 – 3 dried figs that have been soaked in water daily

  • Take 1 or 2 tablespoons of flaxseed daily to help soften the stool. Flaxseed is also rich in omega 3 which has anti-inflammatory actions

  • Use a peeled clove of garlic as a suppository 3 times a week. Raw potato suppositories help heal haemorrhoids and relieve pain. Cut a peeled potato into small cone


This Tibb medicine will relieve the pain and discomfort from your piles

Piloherb tablets.- Has anti-inflammatory and

pain-killing activities, plus mild laxative action.

It also has anti-microbial properties and helps

control any bleeding from the anus






Some good advice

  • Heed the call of nature if constipation is the source of the piles

  • Do not spend too long sitting on the toilet. Blood pools around the anus, so making the piles worse

  • Be gentle on the anal area - light washing and drying; restrain from scratching; avoid suppositories; use creams instead

  • Protruding veins should be gently pushed back into the anal canal, to avoid painful clots forming

  • Make sitting down more comfortable by using an inflatable ring or soft pillow

  • Seek medical advice if bleeding from the rectum occurs


For more information please contact our customer care line toll free at 0800 383 784 or email info@tibb.co.za

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