Hemorrhoids, or piles, are swollen veins around the rectum or anus that develop internally or externally and can be painless or painful. They are classified into four degrees: first, second, third, and fourth. Conventional treatments include topical treatments, stool softeners, sitz baths, infrared coagulation, and surgery. Ayurveda texts describe two types of Arsha or hemorrhoids: Sushka (dry or with no discharge or bleeding) and Sravi (piles with discharge or bleeding).