Pile is a common painful problem which has been compared to 'an enemy' in Ayurveda, hence the name Arsh. The disease manifests in two forms - dry or bleeding piles. Our research data shows that most patients do not take necessary action on their piles at the initial stage. Inadequate measures such as home remedies or taking laxatives do not address the core problem and over time this becomes a full-fledged problem. Ignoring Piles and for the lack of proper treatment, this can lead to a host of other health problems.