Bawaseer-e- Aamiya (Non Bleeding Piles/ Non Bleeding Haemorrhoids)

Bawaseer-e- Aamiya (Non Bleeding Piles/ Non Bleeding Haemorrhoids)

Introduction

It is a mass developed in the vessels of anal canal. In non-bleeding type of piles there is swelling near anus, it does not bleed but pains a lot. In other words It is swollen and inflamed vein in the rectum or anus. It occur very commonly in most of the people at some stage during their live span.Non Bleeding Piles tend to occur more frequently at later stage in life due to stretching of the tissues supporting the veins in the rectum and age-related weakening.

As per Unani philosophy it is caused by thick melancholic sanguine (Dam-e- ghaleez saudavi). In Unani classical books, it is characterized by presence of yellowish green mass, pain and itching in the anus. The mass may be of different shape such as mulberry, grape and wart.

Causes

Bawaseer-e- aamiya (Non Bleeding Piles/ Non Bleeding Haemorrhoids) are caused by an increase of pressure in the lower rectum from any of the undermentioned reason:

Sitting for long periods of time, especially on the toilet seat
Straining during bowel movements or defaecation
Being overweight or obese
Chronic (long lasting) constipation or diarrhoea
Anal intercourse
Regular use of low-fibre diet
Pregnancy
Poor posture
Spinal cord injury

Signs and symptoms of Bawaseer-e- aamiya (Non Bleeding Piles)

Pain or discomfort, especially at sitting posture
Pain during bowel movements/ defaecation
Irritation or itching around the anal region
Swelling (Waram) around the anus
One or more lumps near the anus, which might be painful or tender.
Along with above mentioned signs and symptoms, non-appearance of blood mixed with stools

When to Consult a Doctor in this type of piles?

One should consult a doctor if his haemorrhoids:

do not respond to self-treatment
if their symptoms have been accompanied by an obvious change in bowel habits
if patient is passing black or maroon-coloured stools

Management

It can be treated by Unani medicine very effectively. Treatment and prevention will often involve local application of an ointment, other home treatments and lifestyle changes/ modifications.

Usool-e- Ilaaj (Principles of treatment)

Evacuation (Istifraagh)
Laxation (Talyin)
Removal of obstruction (Tafteeh-e- sudud)
Analgesia (Taskeen-e- alam)
Resolution of swelling (Tahleel-e- waram)
Ilaaj bil yad (Surgery)

Ilaaj bil dawa (Pharmacotherapy)

Joshanda-e- Halela
Joshanda-e- Aftimoon
Local application of bone marrow
Local application of undermentioned Unani formulation for analgesia

Pods of Trigonella uncata, Boiss. (Naakhoona), Althaea officinalis, Linn. (Khatami), dried latex of Papaver somniferum, Linn. (Afiyoon) and Crocus sativus Linn. (Zaafran)

Sitz bath (Aabzan)

Fruit rind of Punica granatum, Linn. (Post-e- Anaar), Quercus infectoria, Oliv. (Maazu), stamens of Rosa damascene, Mill. (Zar-e- ward) and flower of Punica granatum, Linn. (Gulnaar)

Use of 2 spoons of ghee along with lukewarm milk at night will help more.

Compound Unani Formulations

Itreefal Sagheer
Habb-e- Rasaut
Habb-e- Muqil
Itreefal Muqil mulayyin
Roghan-e- Zard
Murabba-e- Halela

Ilaaj bil Tadbeer (Regimenal therapy)

Bloodletting through saphenous vein (Fasd-e-Saafin) is very effective

Sitz bath (Aabzan): Take sitz bath of joshanda-e- triphala (Had, Bahed and Aamla) two times in a day

Rest (Aaram karna)

Dietary Recommendations

Aghziya-e- lateefa martooba is recommended
Always keep stools soft by using green leafy vegetables, other fibrous food e.g. psyllium husk or ispaghula husk, linseed/rapeseed/flaxseed 2 - 4 table spoonful with lots of fluids (yoghurt, fruit juice, water).
Use of butter milk is important in the diet of an individual suffering from it.

Dietary Restrictions

Avoid black bile producing diets (Muallid-e- sauda aghziya).
Patient must avoid baked, fried and spicy food, curd, pickle, non-vegetarian diet and green chili etc.

Prevention

Keeping stools soft by avoiding constipation is the best way to prevent noon bleeding haemorrhoids/ non bleeding piles. These undermentioned precautions can help to prevent haemorrhoids from occurring. Also they may reduce symptoms of existing haemorrhoids:

Always avoid being constipated. Also avoid medication that causes constipation.
Eat high-fibre foods and fibre supplements
Increase your fluids intake
Avoid straining when on the toilet
Avoid sitting for long periods.
Always go the toilet when feel the urge

Black bile procreative regimens (Muwallid-e- sauda tadaabeer) to be avoided
lose weight, if you're overweight
Exercise regularly, it can help in preventing constipation, reducing blood pressure. It will also help in losing weight.

Note

Along with medicine the patients have to follow strict regimen as per the concept of Unani system. The patients are therefore, strongly advised to avoid self-medication.
They are advised to visit the nearest authorized Unani treatment centre for advice and treatment.

References

http://ayush.gov.in/sites/default/files/1378112724-Essential%20Unani%20Medicines%20LR%20%204.pdf

https://www.articlez.com/articles/?What-Is-The-Best-Treatment-Of-Non-Bleeding-Piles%3F&article_id=8174

https://www.southerncross.co.nz/group/medical-library/haemorrhoids-causes-symptoms-treatment-prevention

https://healthissuesnaturaltreatments.wordpress.com/2016/10/03/best-natural-treatment-for-non-bleeding-piles-hemorrhoids/

https://food.ndtv.com/health/6-excellent-home-remedies-for-piles-1659736