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8 Best Home Remedies For Piles

By Dr. Shiv Kishor +2 more

Introduction

Piles, also known as haemorrhoids, are swollen veins in the anal canal region. When in their normal state, they act as cushions to control the passage of stools. While the exact cause of piles is unknown, studies1 have shown that factors that increase pressure in the anal area during excretion are hugely responsible for piles.  

If you’re experiencing symptoms like a burning sensation in the anal region while sitting or passing stools, it’s important to consult a doctor for proper diagnosis. Follow the treatment advised by your doctor. Along with the prescribed medicines or surgery, you’ll be asked to follow a healthy lifestyle and diet. Initial measures consist of increasing fibre intake, resting and drinking enough fluids to maintain hydration throughout the body. Medicated creams may be applied to the area, but their effectiveness can falter depending on the severity of your situation.

Home Remedies For Piles

Possible Causes Behind Piles

The exact cause behind the occurrence of haemorrhoids is still unknown. While it is difficult to pinpoint what causes piles accurately, there are several factors that may contribute to piles:

  • Nutritional factors (low-fibre diets)2
  • Irregular bowel habits (constipation or diarrhoea)2
  • Lack of regular exercise
  • Increased intra-abdominal pressure (prolonged straining or pregnancy)2
  • Genetics
  • Faulty valves within the hemorrhoidal veins

Other factors that could equally contribute to the occurrence of piles could be:

  • Pelvic floor dysfunction
  • Prolonged sitting2
  • Obesity3
  • Squatting may also increase the chances of severe haemorrhoids

Did You Know?

Types of Piles

  • Internal Piles: This type of piles occurs inside the anal cavity, but can often hang out of your anus. This kind of piles can be further classified, depending on how much they come out:
    • First degree: In this case, the piles do not come out of the anus but might bleed3.
    • Second degree: It comes out during bowel movement but then goes inside later3.
    • Third-degree: It comes out occasionally but will go inside if you gently push it3.
    • Fourth degree: They are partially out of your anus and cannot be pushed inside3. They can swell and can result in immense pain if blood clotting occurs inside the lump.
  • External Piles: This type occurs close to the anus below the anal canal. They can be painful if blood clots are inside the lumps3.
  • Prolapsed Piles: Both internal and external haemorrhoids can prolapse, meaning they stretch and bulge outside of the anus. These haemorrhoids may bleed or cause pain3.

Symptoms of Piles

  • Itching in the anal area5
  • Pain in the anal region, especially when sitting for a long time5
  • One or more hard, tender lumps near your anus region5
  • Bleeding from your rectum. It is visible as bright red blood on the stool, on toilet paper or in the toilet bowl after a bowel movement5
  • Pain and/or discomfort while passing stools

I read about a study4 in Nigeria that highlighted how traditional plants might be beneficial in the treatment of piles. The study found that 25 different plants from 19 families were used, with the most common ones being from the Fabaceae family. Various parts of these plants, such as leaves, barks, roots, etc., may have anti-inflammatory properties to soothe piles naturally. Many of these plants are rare and wild. Hence, more research is needed to protect them, standardise their use and research their effectiveness.

Dr. Nayana Shetty, MBBS, MD

Home Remedies for Piles

1. Sitz Bath

Image Source: freepik.com

Warm baths can help soothe the irritation that haemorrhoids cause6. Try using a sitz bath. A Sitz bath is a method that uses a small plastic tub that fits over a toilet seat so you can just immerse the affected area. Betadine solution or other antiseptic solutions advised by a doctor can be added to this water. 

2. Cold Compress

cold compress
Image Source: freepik.com

Apply ice packs or cold compresses to the anal area to relieve swelling for a minimum of 15 minutes at a time. For large, painful haemorrhoids, cold compresses can be an extremely effective means of dealing with the pain7.

3. Coconut Oil

Image Source: freepik.com

According to research8, coconut oil has strong anti-inflammatory properties that may reduce inflammation and swelling. It has analgesic (pain-relieving) properties that can help to relieve discomfort caused by the haemorrhoids. It also has antibacterial properties that may help with the symptoms of hemorrhoids.

A natural blend consisting of honey, olive oil and beeswax may offer relief for piles. Research9 suggests that this mixture might significantly reduce symptoms like bleeding, itching, and pain, providing a safe and effective treatment option.

Dr. Nayana Shetty, MBBS, MD

4. Wet Wipes

Image Source: freepik.com

Using toilet paper after a bowel movement can irritate existing haemorrhoids. Moistened wipes help keep you clean without causing further irritation. You can also use wipes with soothing anti-haemorrhoid ingredients, such as witch hazel or aloe vera10.

5. Exercise

Image Source: freepik.com

Exercising at home can be a great way to manage the symptoms of haemorrhoids11. Doing regular pelvic floor exercises may offer long term benefits for piles. Strengthening your pelvic floor muscles can help empty your bowel without putting much strain.

6. Stress Management and Good Sleep

Image Source: freepik.com

Making a conscious effort to relax and manage stress effectively has an indirect but important effect in regulating good bowel habits. Getting enough sleep at night also helps with the same while maintaining good digestive health. This, in turn, promotes smooth bowel passage12.

7. Hydration

Image Source: freepik.com

This goes without saying, but drinking enough water and other healthy liquids like fruit juices aids in making your bowel less dry13. When your body is well-hydrated, your digestive health starts becoming better, thus helping you put less strain on your bowel movements.

8. Fibre-Rich Diet

fibre rich diet
Image Source: freepik.com

Consuming a balanced diet with ample insoluble as well as soluble fibre will help you with regular bowel movements. Insoluble fibre adds bulk to your stool, making it less likely for you to strain while passing stool14. Fibre is also known to promote a healthy gut. 

Drumstick tree or moringa might also be a helpful remedy for piles. Moringa may help reduce inflammation and manage symptoms of piles15. However, since it’s a traditional remedy, more research is needed to fully understand its effectiveness and benefits.

Dr. Nayana Shetty, MBBS, MD

When to See a Doctor?

You should consult a doctor without delay if you notice any of the symptoms mentioned earlier. Some signs of piles can also resemble those of more serious conditions like colorectal cancer. Therefore, an early diagnosis from a doctor is important. Report to your doctor if:

  • Symptoms persist after 2–4 days of home remedies
  • You experience bleeding from your rectum
  • You have severe or persistent pain

Frequently Asked Questions (FAQs)

What relieves piles fast?

Drinking a lot of fluids and a fibre-rich diet, taking a warm bath to soothe itching and pain, applying topical ointments prescribed by a doctor, exercising and keeping the bottom area dry will all act as a catalyst to help you relieve piles faster. It is important to consult a doctor and follow the treatment advised.

What food should be avoided if you have piles?

Dairy items like milk and cheese, white flour, processed meat, fried food, spicy food items and red meat should be avoided at home and outside if you have started showing symptoms of piles16. Basically, food that increases the chances of bloating and constipation should be avoided.

Which tablets are best for piles?

Your doctor will advise you on the best medicines based on your condition. It may include some medicines to narrow swollen veins, some painkillers and medicines to manage digestive issues like constipation if present. 

Do Piles itch?

Yes, haemorrhoids can be both painful and itchy. Piles are swollen and distended veins in the anus and lowest part of the rectum. Haemorrhoids are traditionally associated with prolonged sitting on the toilet combined with straining during bowel movements. It is also common during pregnancy and usually resolves after childbirth.

References

  1. Lohsiriwat V. Hemorrhoids: From basic pathophysiology to clinical management. World Journal of Gastroenterology. 2012 [cited 2025 Apr 14]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC3342598/ 
  2. National Institute of Diabetes and Digestive and Kidney Diseases. Symptoms & Causes of Hemorrhoids. National Institute of Diabetes and Digestive and Kidney Diseases. 2025 [cited 2025 Apr 14]. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/hemorrhoids/symptoms-causes 
  3. Healthdirect Australia. Haemorrhoids. Treatments, Symptoms and Complications | Healthdirect. [cited 2025 Apr 14]. Available from: https://www.healthdirect.gov.au/haemorrhoids-piles 
  4. Ariyo OC, Usman MB, Emeghara UU, Olorukooba MM, Fadele OK, Danbaki CA, et al. Indigenous Curative Plants Used in the Treatment of Piles from Akinyele Local Government Area, Ibadan, Oyo State, Nigeria. Annual Research & Review in Biology. 2020 [cited 2025 Apr 14]. Available from: https://www.researchgate.net/publication/342898064_Indigenous_Curative_Plants_Used_in_the_Treatment_of_Piles_from_Akinyele_Local_Government_Area_Ibadan_Oyo_State_Nigeria#pf6 
  5. Website N. Piles (haemorrhoids). nhs.uk. 2024 [cited 2025 Apr 14]. Available from: https://www.nhs.uk/conditions/piles-haemorrhoids/ 
  6. National Library of Medicine. Hemorrhoids [Internet]. Piles | MedlinePlus. Available from: https://medlineplus.gov/hemorrhoids.html 
  7. Acheson AG, Scholefield JH. Management of haemorrhoids. BMJ. 2008 [cited 2025 Apr 14]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC2244760/ 
  8. Intahphuak S, Khonsung P, Panthong A. Anti-inflammatory, analgesic, and antipyretic activities of virgin coconut oil. Pharmaceutical Biology. 2009 [cited 2025 Apr 14]. Available from: https://pubmed.ncbi.nlm.nih.gov/20645831/ 
  9. Al-Waili NS, Saloom KS, Al-Waili TN, Al-Waili AN. The safety and efficacy of a mixture of honey, olive oil, and beeswax for the management of hemorrhoids and anal fissure: a pilot study. The Scientific World JOURNAL. 2006 [cited 2025 Apr 14]. Available from: https://www.researchgate.net/publication/6437535_The_Safety_and_Efficacy_of_a_Mixture_of_Honey_Olive_Oil_and_Beeswax_for_the_Management_of_Hemorrhoids_and_Anal_Fissure_A_Pilot_Study 
  10. Institute for Quality and Efficiency in Health Care (IQWiG). Enlarged hemorrhoids: Learn More – How can you relieve the symptoms yourself? InformedHealth.org – NCBI Bookshelf. 2025 [cited 2025 Apr 14]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK279466/ 
  11. De Marco S, Tiso D. Lifestyle and risk factors in hemorrhoidal disease. Frontiers in Surgery. 2021 [cited 2025 Apr 14]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC8416428/
  12. Khanijow V, Prakash P, Emsellem HA, Borum ML, Doman DB. Sleep dysfunction and gastrointestinal diseases [Internet]. 2015. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC4849511/#sec6 
  13. Bowel health. HealthyWA. [cited 2025 Apr 14]. Available from: https://www.healthywa.wa.gov.au/Articles/A_E/Bowel-health 
  14. Department of Health & Human Services. Dietary fibre. Better Health Channel. [cited 2025 Apr 14]. Available from: https://www.betterhealth.vic.gov.au/health/healthyliving/fibre-in-food 
  15. Padayachee B, Baijnath H. An updated comprehensive review of the medicinal, phytochemical and pharmacological properties of Moringa oleifera. South African Journal of Botany. 2019 [cited 2025 Apr 14]. Available from: https://www.sciencedirect.com/science/article/pii/S0254629919305277 
  16. Eating, Diet, & Nutrition for Hemorrhoids [Internet]. National Institute of Diabetes and Digestive and Kidney Diseases. 2025. Available from: https://www.niddk.nih.gov/health-information/digestive-diseases/hemorrhoids/eating-diet-nutrition 

Disclaimer: The information provided here is for educational/awareness purposes only and is not intended to be a substitute for medical treatment by a healthcare professional and should not be relied upon to diagnose or treat any medical condition. The reader should consult a registered medical practitioner to determine the appropriateness of the information and before consuming any medication. PharmEasy does not provide any guarantee or warranty (express or implied) regarding the accuracy, adequacy, completeness, legality, reliability or usefulness of the information; and disclaims any liability arising thereof.

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