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Dietary measures:

A high fiber diet ensures bulky stools which retains water and remain soft, making it easy to evacuate.
As opposed to this, a diet low in fiber generates a smaller quantity of faeces  which retains less water and becomes hard.
This can excoriate the anal skin at time of evacuation leading to fissure and bleeding.

How should a high fiber diet be constituted?
Indian meals are traditionally rich in fiber. All it takes is to identify the specific food items and  to consume them in adequate quantity.

Here is a list of high fibre foods :

Green leafy vegetables.
Salad items like carrot, radish, cabbage and beetroot.
Other vegetables like french beans, lady finger etc.
Fruits with the roughage parts intact.
Do not sieve the wheat flour (atta) used to make rotis.
Use ‘dal’ with skin wherever possible.

Should I avoid nonvegetarian and spicy food?
Such hardship is not at all necessary
As long as you eat a sufficient quantity of high fiber food in your meal, any additional nonveg food will not cause the existing fiber content to reduce.
Similarly, spicy foods do not contribute to piles.

Usually it is seen that a person eating a spicy, nonvegetarian meal hardly eats any associated high fiber food. This leads to constipation and hard stools.

Laxatives:

Traditionally form a part of the conservative treatment. They act by creating soft stools that are easily passed without straining.
Caution : Unsupervised use of laxatives can lead to habit formation.

Bulk Agents:
A popular technique used to ensure soft stools. Generally psyllium husk (isabgol) is the ingredient available as a powder which when mixed with  water forms a flavored drink. When taken at end of meals it acts like an artificial fiber supplement
(as opposed to natural) and help to form a bulky stool.

Lifestyle /habits tending to promote piles:

Spending a long time in the toilet.
Straining to defecate.
Predominantly nonvegeterian diet.
Prolonged sitting eg computer professional.
Runs in some families.

   
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