Hemorrhoids  also called piles, are swollen and inflamed veins in your anus and lower rectum. Hemorrhoids may result from straining during bowel movements or from the increased pressure on these veins during pregnancy, among other causes. Hemorrhoids may be located inside the rectum (internal hemorrhoids), or they may develop under the skin around the anus (external hemorrhoids).
Hemorrhoids are common ailments. By age 50, about half of adults have had to deal with the itching, discomfort and bleeding that can signal the presence of hemorrhoids.
Fortunately, many effective options are available to treat hemorrhoids. Most people can get relief from symptoms by using home treatments and making lifestyle changes.
CAUSES-The veins around your anus tend to stretch under pressure and may bulge or swell. Swollen veins (hemorrhoids) can develop from an increase in pressure in the lower rectum. Factors that might cause increased pressure include:
·         Straining during bowel movements
·         Sitting for long periods of time on the toilet
·         Chronic diarrhea or constipation
·         Obesity
·         Pregnancy
·         Anal intercourse
·         Low-fiber diet
Hemorrhoids are more likely as you get older because the tissues that support the veins in your rectum and anus can weaken and stretch with aging.
Symptoms --Signs and symptoms of hemorrhoids may include:
·         Painless bleeding during bowel movements — you might notice small amounts of bright red blood on your toilet tissue or in the toilet bowl
·         Itching or irritation in your anal region
·         Pain or discomfort
·         Swelling around your anus
·         A lump near your anus, which may be sensitive or painful
·         Leakage of feces
Hemorrhoid symptoms usually depend on the location. Internal hemorrhoids lie inside the rectum. You usually can't see or feel these hemorrhoids, and they usually don't cause discomfort.
But straining or irritation when passing stool can damage a hemorrhoid's delicate surface and cause it to bleed. Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation.
External hemorrhoids are under the skin around your anus. When irritated, external hemorrhoids can itch or bleed. Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus), resulting in severe pain, swelling and inflammation.
ALOE SOCOTRINA 30-Homeopathic medicine Aloe Socotrina is one of the top   medicine for treating protruding piles. Piles appear blue like bunch of grapes at anal verge. They are very tender, sore and painful. Burning at anus also accompanies. Intense itching may also appear . Relief from cold applications in piles symptoms is also a guiding feature to use Aloe. A history of long standing diarrhea may be present .

NUX VOMICA 30- Nux Vomica is also  a top grade remedy for piles with constipation. A person needing Nux Vomica has piles with frequent- ineffectual urging for stool but passes little stool at a time. The urge for stool is renewed shortly after one has defecated. The stool is always unsatisfactory. Nux Vomica is highly beneficial for blind piles. Blind piles with pressive/sticking/burning/shooting pains calls for use of Nux Vomica. Subjects with sedentary habits developing piles with constipation fit the complete picture for Nux Vomica to be used

HAMAMELIS 30--Hamamelis is an effective  homeopathic medicine for Bleeding piles. In homeopathy, Hamamelis is a top grade remedy for venous congestions and bleeding tendencies.It is very effective in controlling hemorrhages. It can be used confidently with great results in bleeding piles. Piles that bleed profusely require Hamamelis without a second thought. Burning and soreness in rectum may appear with bleeding. Few  may also complain of backache with bleeding piles. Soreness or rawness at anus is also marked. Extreme weakness also accompanies bleeding piles.

RATANHIA 30- Ratanhia is prescribed for  piles when  marked burning and pain for many hours after stool is present. The character of Pain is ‘as if broken glass pieces are placed in rectum’ .  knife like stabbing pain also indicate the use of Ratanhia.

MURIATIC ACID 30- Muriatic acid is the best effective remedy for piles during pregnancy.Piles protruding like bunch of grapes. Violent stitching pain and soreness , better by heat.

PAEONIA OFF. 30—Paeonia should be tried if Mucuna fails. Piles large and ulcerated. Ulceration of anus and perineum, purple covered with crusts. Itching burning and fissures in anus.

AESCULUS HIPP. 30--Aesculus is  used in piles when it is accompanied with backache. Severe, sharp, shooting lower backache in lumbo sacral region  with haemorrhoids is sure shot sign for Aesculus to be used.  Aesculus is mainly a remedy for blind piles. Piles appear purple, painful, burning with rawness, soreness and itching. Stool is also constipated and is hard, dry and difficult to expel. Rectum feels full of small sticks.

CAUSTICUM 30-Causticum is prescribed when the piles is extremely painful when touched,when walking, standing or sitting, better after a stool. Piles impeding stool. Itching, stitching, moist and burning piles.Worse when thinking of them, by touch, when exerting voice

CALCAREA FLOUR 12X- Calcrea flour is used both blind and bleeding piles.There is backache , which is more on the sacrum. In bleeding piles , the blood is bright red with swollen and painful piles. There is chronic constipation with piles . There is itching and prolapse of rectum. It cures tumours with piles.

MUCUNA Q- A specific remedy for bleeding piles.

COLLINSONIA 30-Collinsonia is prescribed when piles with backache and obstinate constipation is present. Piles bleeding or blind and protruding. Bleeding only with great pressure. There is alternate constipation and diarrhea

NITRIC ACID 30-Piles bleed easily. Bowels constipated with fissures in rectum. Violent cutting pain after stool.

SULPHUR 200- Sulphur may be prescribed both bleeding and blind piles. There is a sinking feeling at the stomach , especially in the afternoon . Itching and burning in the anus. Irritable skin, worse at night, on getting warm in bed, and from washing