Written by Slawomir (“Swavak”) Gromadzki, MPH

Haemorrhoids (also known as piles) are enlarged blood vessels that are found inside or around the rectum and anus.



– The key causes of haemorrhoids is constipation as straining during bowel movement (caused by constipation) creates pressure in the abdomen making blood vessels to swell and become inflamed. Constipation is mainly caused by inactivity, dehydration, and diet low in fibre. Lack of fibre in the diet is caused by avoiding unrefined plant foods (whole grains, vegetables, fresh and dried fruits, palsies, seeds, and nuts) and consumption of deprived of fibre foods such as sugar, white flour products, all animal products, white rice, etc. Haemorrhoids are much more common in countries where the diet has been low in fibre and high in processed foods.

Poor venous (vein) tone and elasticity (due to bad diet which is deprived of rutin and bioflavonoids) often leads to haemorrhoids and varicose veins. If the walls of blood vessels are weak and stiff they tend to swell and are unable to return to their natural shape.

Poor blood circulation caused by inactivity, dehydration and bad high in cholesterol, bad fat, sugar and refined products diet.

– During pregnancy the baby may actually press on the main blood vessel that returns blood to the heart. Pregnancy can also increase pressure on pelvic blood vessels, causing them to enlarge.

Overweight and obesity.

– Jobs that involve heavy lifting.

– Persistent cough or repeated vomiting.

Standing and sitting down for long periods of time.


Constipating iron supplements and calcium carbonate (in hard water and low quality supplements) or bicarbonate.

– Drugs such as aluminium hydroxide antacids and antihypertensives, and narcotics such as morphine and codeine as they cause constipation.


– Itchy anus.

– A haemorrhoid (lump) can hang down (prolapse) outside the anus. Usually, it can be pushed back up after you have been to the toilet.

– Bleeding after passing a stool (the blood is usually bright red).



– Please read carefully and implement principles included in the Health Recovery Plan.

– Improve venous (vein) tone and elasticity by increasing consumption of unrefined plant foods high in rutin (buckwheat), bioflavonoids (citrus fruits). Often eat also blackberries, cherries, and blueberries (bilberries) as they are also rich in other flavonoid compounds including anthocyanosides, proanthocyanidins, or leukocyanidins.

– Go on plant-based unrefined (high in fibre) 50-85% raw diet. Hallelujah diet is the best example of a most healthy and effective diet. >

– Avoid: standing or sitting for a long time.

– Avoid overeating, lifting heavy objects, smoking, caffeine (coffee, cola, black and green teas, etc.), and decaffeinated coffee, chocolate (extremely acidic), alcohol, meat, dairy, sugar, glucose, fructose syrup, refined foods, white flour products, white rice, hot spices, antibiotics, refined salt.

– Avoid hot spices and instead use only mild spices such as marjoram, fennel, cumin, oregano, etc. to improve digestion.

– Drink 3 times a day about 3 glasses of water (distilled is the best) 1 hour before meals or 2 hours after meals. Never drink water or other liquids with meals (except ½ glass of carrot or grapefruit juice, if you are not on medication otherwise use different juice).

– Learn to control stress.

– Practice fast walking every day.

– Do not delay going to the toilet as it can make your stools drier and harder leading to constipation and straining.

– Avoiding medication that causes constipation including painkillers that contain codeine.

– Avoid certain iron supplements and calcium carbonate or bicarbonate as they cause constipation.

– If possible avoid drugs such as aluminium hydroxide antacids and antihypertensives, and narcotics such as morphine and codeine.

– Wash your bottom with 100% natural (unperfumed) soap after each bowel movement.

– Use only soft toilet papers.

– Instead of synthetic underwear wear only loose, cotton underwear to keep the area as dry as possible.

– Do not use talcum powder.

– Avoid straining during bowel movement. Find out how to cope with Constipation >


– Improve blood circulation and venous tone and elasticity by taking supplements containing Bioflavonoids, Ginkgo biloba or Grape Seed extract.

Rutin at least 2 times a day 500mg or more for better results (see link to a study on rutin below). I suggested rutin to many of my customers and some of them told me nothing helped them better than supplement. As far as food is concerned the highest source of rutin is buckwheat but you still need supplements as higher doses are required.

A high dose oral form of rutin significantly reduces pain and bleeding associated with hemorrhoid disease >

Venaforce (Horse chesnut) caps internally plus cream externally. This herb has contains aescin which has anti-inflammatory properties, improves blood circulation in the veins, and strengthens walls of blood vessels. Use it both externally and internally.

– “Pine Bark Extract (Pycnogenol) Treats Psoriasis, Hemorrhoids, Hypertension” >

According to GreenMedinfo, “Researchers tested 49 women patients with chronic (3rd and 4th degree) hemorrhoids following pregnancy. Half the group was given 150 milligrams of the pine bark extract Pycnogenol per day and the other half was treated with conventional medicine’s ‘best management’ for haemorrhoids. By the end of the six months, 75 percent of the Pycnogenol patients had no symptoms of haemorrhoids, while 56 percent of the control group was symptom free. The more severe and chronic patients had the best success with the pine bark extract. Seventy percent of those with 4th degree haemorrhoids taking the pine bark were symptom free at six months, while only 36 percent of the control group was symptom free.” (source >)

Bee propolis cream – externally. It gives excellent results by reducing swelling and inflammation and immediately brings relief to itching an pain.

Butcher’s broom (Ruscus aculeatus) has anti-inflammatory properties, and reduces bleeding and diameter of piles. In Germany Butcher’s broom has been even approved as an official remedy for treating haemorrhoids. Read more >

– Wholistic Gotu kola (Pukka). Ingredients: Gotu kola 80mg, turmeric 80mg, manjishta 80mg, horse chestnut 80mg, arjuna 60mg, ginger 20mg. Benefits: Circulation, varicose veins, spider veins, haemorrhoids, tendency to bruise easily. This formula is traditionally used to assist the flow of blood in the veins and to treat varicose veins, spider veins or the tendency to bruise easily. This remedy may also help bring blood to wounds and ulcers which can hasten healing. Its ability to strengthen veins can also help to treat haemorrhoids. Use long term to repair venous circulation for 3 to 12 months.

Chlorella (requires drinking more water in between meals). It is very effective in lowering acidity, detoxifying the body, feeding probiotic bacteria in the gut, boosting energy and regenerating damaged tissue. Read more >

– Good probiotic formula to increase number of beneficial bacteria in your intestines.
– Formulas with variety of digestive enzymes will improve digestion. Fresh raw sprouts are 30 times higher in digestive enzymes than other healthy foods!
– Take Magnesium citrate 2 times a day about 400mg between meals with water. Magnesium improves peristalsis and relaxes nervous system, intestines and colon (colon is a muscle). Many people have problems with bowel movements because they are deficient in magnesium. Instead of magnesium you can use Epsom salt. It is also an effective home remedy for constipation. It absorbs water from, softening up stool and making it easier to pass. In addition, the magnesium that is present in the Epsom salt promotes contractions and relaxation of the bowel muscles, which also helps to passing the stool easier. Take about two teaspoons of Epsom salt with at least one cup of water or vegetable juice about 30 minutes before meal one or two times a day.
Slippery Elm is another very effective remedy. It protects the mucus membranes of the oesophagus against inflammation caused by acid. In addition slippery elm also reduces acidity by stimulating mucus production.

Psyllium husk is an excellent fibre to fight constipation. It and travels through the digestive tract without being digested but it absorbs water making stool bulkier and softer. In this way, like other fibres, it is very effective in coping with constipation. You can achieve similar results by using ground flax seed.

– Drink 1-2 glasses of fresh and raw vegetable juices (carrot, beetroot, kale, etc.) 2-3 times a day before meals.

MaYingLong Musk Hemorrhoids Chinese Ointment Cream. I used to recommend it to many of my clients back in Poland and most of them believed it was one of the best herbal remedies they used to treat piles. Ma Ying Long Haemorrhoids Ointment is the most commonly used piles medicine in China as a topical treatment to reduce burning and itching caused by haemorrhoids and anal fissures. The cream helps to remove toxic materials from inflamed veins and promote their regeneration. The ointment is also used. In addition, users of this ointment also reported it was helpful in getting rid of dark circles and bags under the eyes.

Ingredients: Pearl – In powdered form, pearl could promote healing to different skin conditions; Calamine – This helps to relieve irritation, itching, pain and discomfort brought by hemorrhoids. It can also shrink blood vessels hence abolishing the root cause; Synthetic Bezoar – This is a kind of stone that is usually found in the digestive system of mammals known for its anti-inflammatory properties; Vaseline – It moisturizes rough, dry, itchy and scaly skin; Borneol – It is used as a skin tonic, local anesthetic, antispasmodic and sedative; Lanolin – It is a greasy substance known for its moisturizing effects; Synthetic Musk; Amber.

Ma Ying Long Hemorrhoids Ointment is manufactured by Ma Ying Long Pharmaceutical Group Co., Ltd, China in its GMP certified facility.

Read customer reviews >


If you are suffering from painful external hemorrhoids that are large and inflamed, simply take a small, short needle, and pierce the hemorrhoids until it drains the blood and pus that are causing it to inflame. Make sure the area is clean and that you use a sterile needle.

Your pain will instantaneously resolve itself. Many people spend inordinate amounts of money in order to have someone more “professional” do this. In fact, you can do a better job with more care and attention to detail by yourself.

I have seen this minor surgery performed “professionally” in videos online, and they always remove more tissue than necessary, which may lengthen the time to recover. It is the equivalent of taking a large, painful blister, and removing the entire surround skin with a scalpel, versus simply piercing it to drain. Whether it is a hemorrhoid or skin surrounding a blister, it is still tissue that is part of your body, and the less you damage it the better off you will be. All that is needed is to drain the hemorrhoid with a small puncture and your body will naturally let any excess tissue dry up and fall away without any pain.

Now, the reason I am going into this is because of my experience with anal fissure and misdiagnosing myself. I had known that I had an anal fissure and that I had internal hemorrhoids that were compounding the problem, but I had also convinced myself that I had external thrombosed hemorrhoids as well since it did feel inflamed and “full” below the dentate line, instead of realizing that they were the internal hemorrhoids that had extended themselves below the anal sphincter. After using a mirror and some mild acrobatic maneuvers, I was able to look below and saw what I believed to be external hemorrhoids. In fact, it was just a very large skin tag that had grown over time. I spent a lot of time trying to pierce this “hemorrhoid” only to realize later that it was a fruitless endeavor. This is all the more reason to make sure you get a proper diagnosis and have all your questions addressed if and when seeing a doctor.

SOURCE: https://realhemorrhoidcures.com/blog/2016/0905/how-to-treat-thrombosed-external-hemorrhoids/


Silica supplements.

Manuka honey. One of our customers bought from us a good quality Manuka honey and after using it externally said it reduced size of his swollen veins.

Witch hazel helped many to get rid of haemorrhoids. It reduces, pain, itching and bleeding. Apply a little amount of witch hazel regularly in the inflamed area.

– A cold compress will help the haemorrhoids to shrink and become small in size. It will reduce pain and provide instant relief from itching. Wrap some ice in a clean cloth and apply it directly over the haemorrhoids. Doing this several times, a day will help to constrict the blood vessels and reduce haemorrhoids effectively.

– Organic Apple cider vinegar with mother is highly beneficial in treating piles. For external haemorrhoids, take a cotton ball and soak it with organic apple cider vinegar (shake vinegar before using). Apply it directly on the haemorrhoids for an instant relief. Initially it may cause a stinging sensation. For internal haemorrhoids, consuming a teaspoon of vinegar 2 times a day with plenty of water.

Sitting for about 15-30 minutes in a tub of warm water (not hot) will provide instant relief from pain and itching.

Avoid using a dry tissue to wipe the affected area as it may irritate piles and worsen the swollen vessels. Instead use a non-perfumed wet tissue to wipe off without drying out your skin. You may also place vitamin E capsules in the opening of the anus.

– In acute cases icicle suppositories provide quick pain relief.

15 Abstracts with Hemorrhoids Research >

– According to Dr Michael Greger, “The bigger our bowel movements, the healthier we may be. The risk of low stool weight includes bowel cancer, diverticular disease, appendicitis, various anal diseases—even, perhaps, the healthfulness of breast tissue. From a study of 23 populations across a dozen countries, a graph of average daily stool weight versus colon cancer incidence. As you can see, once you get down around half a pound (200 grams or so), colon cancer rates really seem to skyrocket. And once people start dropping quarter-pounders, colon cancer incidence quadruples. The link between stool size and colon cancer may be related to transit time; the number of hours it takes for food to go from mouth to anus. The larger our stool, the quicker the transit time, the easier it is for our intestines to move things along. People don’t realize you can have daily bowel movements, and still be effectively constipated. You can be regular, but five days late. What you’re flushing today you may have eaten last week. If you want to test it for yourself, all you need to do is eat a big bowl of beets and see when things turns pretty in pink. And ideally, it should be down in the 24- to 36-hour range to reach that half-pound target… The fiber in flax seeds and other whole plant foods is about more than just reducing our risk for the #1 and #2 killers of Americans—heart disease and cancer. Constipation is the most common gastrointestinal complaint in the United States, leading to millions of doctor visits every year. More than just the discomfort, constipation can increase risk for hiatal hernia, varicose veins, hemorrhoids, and painful conditions with names like anal fissure. The biggest study on bowel movement frequency in history was recently published, comparing the bowel habits of 15,000 meat eaters to 5,000 vegetarians and 1,000 vegans. The researchers conclude that being vegetarian, especially vegan, is strongly associated with a higher frequency of bowel movements. Vegans, for example, were about 3 times more likely to have daily BMs. Like I always said, vegans are just regular people.”



Constipation is a very common problem especially among those who do not drink enough water, eat refined foods deprived of fibre (processed foods and high animal product intake) and live a sedentary lifestyle. It is estimated that in North America, over 60 million people suffer from constipation.

Constipation should be regarded as a very dangerous problem because it contributes to many health conditions including colon cancer, haemorrhoids, hiatus hernia, leaky gut syndrome, ulcerative colitis, Crohn’s disease, diverticulitis, chronic back pains, varicose veins, etc.

You should have at least 1, but even better 2 or 3 bowel movements per day. Also keep in mind that frequency isn’t the only factor to measure. It is equally important to have large stools. The larger the stool the better as it means your diet is high in fibre which plays crucial role in preventing cancer, type 2 diabetes, cardio-vascular diseases, and many other problems. In a healthy normal individual, bowel movements should be easy quick, odourless, and comfortable. If you have to read magazines or books in the toilet you need to start thinking about it.


– Refined diet (diet Low in fibre)

– Dehydration (low intake of water)

– Lack of physical activity

– Delay in going to the bathroom when you have the urge

– Stress, anxiety, depression

– Allergy

– Medication

Serotonin deficiency (caused by antibiotics, lack of fibre and probiotic bacteria in the colon, deficiency of tryptophan, magnesium, vitamin B6 and folate)

– Magnesium deficiency

– Insufficient amount of probiotic bacteria in the gut

– Dairy

– Poor quality supplements such as iron sulfate (also called ferrous sulfate) or calcium carbonate (present also in hard water). Use only none-constipating iron supplements and calcium citrate instead of carbonate


– An unrefined (high in fibre) plant-based diet is the most effective way to avoid constipation and achieve regular, frequent and ease of bowel movements. This diet is most effective way to cope with constipation because it is very high in all fibre and water and has very beneficial effect on boosting the growth of probiotic bacteria in the gut. As a result the gut is clean and healthy and will reward you by making more serotonin and PABA (Para Amino Butyric Acid) that improve the movement of the colon and make you happier.

– If possible switch to a totally plant-based (vegan) unrefined diet eliminating the intake of all animal-based foods (dairy, meat products, and fish) as they contain too much protein, are packed with high-risk factors (cholesterol, triglycerides, dioxins, heavy metals, antibiotics, bacteria, virus, cancer cells, prions, etc.) and because they don’t contain fibre. According to Professor Colin Campbell the author of the famous China Study, “The more you substitute plant foods for animal foods, the healthier you are likely to be.” The same scientist considers “veganism to be the ideal diet.”

– Chew your food thoroughly. For best results, fibre from vegetables, fruits, and legumes needs to be broken down by thorough chewing (or blending) before it reaches the stomach and intestines. One way to think of it is to remember to chew each bite of food until it is liquid in your mouth.

– Consider using a probiotic formula.

– Stay active as moving the body helps get the smooth muscle in the colon moving as well. In this way exercise helps to improve the peristalsis of the colon and prevent dehydration of the stool. As a result the “job” is done much easier as the stool contains more water. The more regular your exercise is, the better it works.

– Drink 3 times a day about 3 glasses of filtered or even better distilled water between meals.

– Avoid any constipating foods such as all refined products, sugar, white flour products, white rice, disserts, and eliminate or at least reduce meat, fish, poultry, eggs and dairy, as they contain no fibre.

– Learn to control stress.

– Include uncooked carrots, green leafy vegetables, tomatoes, cauliflowers and other vegetables in your diet as they are low in calories, but high in fibre and essential nutrients. In this way your body will stop craving for more food in between meals as it will have enough nutrients. Raw cabbage reduces the conversion of sugar and other carbohydrates into fat.

– Never fry your foods but cook or bake them without oil.


– Vitamin B5 (pantothenic acid), Linoforce (Vogel), Prunes, Prune juice, Castor oil, Senna leaf or Senna pods, Aloe vera, Dandelion tea.

– If constipation is resistant to above treatment you must do the enema at least once a week to prevent colon cancer and other conditions such as leaky gut syndrome, diverticulitis, ulcerative colitis, Crohn’s disease, haemorrhoids, hiatus hernia, etc.



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M van Straten, The Complete Natural Health Consultant, London: Ebury Press, 1987, p89.

G Leibold, Practical Hydrotherapy, Wellingborough: Thorsons Publishers Ltd, 1980, p80.

R Trattler, Better Health through Natural Healing, Wellingborough: Thorsons Publishing Group, 1985, p342.

Wiener Medizinische Wochenschrift, 1986, 139(17): 385-9.

J Amer Acad Dermatol, 1988, 18:714-9.



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