An art to humanity performed since 3,000 BC.

In India, we are practicing Yoga since Ancient times. The evidence of Yoga & Yoga tradition is found in “Rigveda”. Now a day, it’s commonly accepted as a key of healthy lifestyle worldwide. “Yoga” word is derived from the Sanskrit word “Yuj”, which means to join or attach, and it is considered as any ‘ practices’ that help to facilitate a union between self and the Divine. “There are four variants of Yogas, such as Karma Yoga, Bhakti Yoga, Raja Yoga and Jnana Yoga.”In this 21st century, Yoga is provided as the best solution for the modern man due to dependent lifestyle on modern technology. Yoga plays an important role in improving postures, increases the intake of oxygen, and enhances the functioning of the different system of our body such as the respiratory, digestive, endocrine and reproductive and excretory system. Yoga helps in treating many diseases from root cause. As ano-rectal problem has become more common nowadays and it occurs due to unhealthy lifestyle, The constant straining due to baddhakostha (constipation) causes the disturbance in normal functioning of digestive system or pull the physical structure out of alignment.


Yoga system has seven main chakaras. These are the energy centre that helps to maintain balance in our body.

Sahasrara chakra is located just above the crown of the head.
Ajna chakra is located between the eyebrows.
Vishuddha chakra is located near the base of the throat.
Anahata chakra is located at the heart center.
Manipura chakra is located at the navel center.
Svadhisthana chakra is located at the pelvis, in patient with anorectal problem,
we mainly focus on this chakra.
Muladhara chakra is located at the base of the spine.


Piles are inflamed and swollen collection of tissues in the anal canal. Fissure is a small crack or ulcer in ano rectal region. And Fistula is a small tunnel that connects the infected gland inside the anus to an opening on the skin around the anus. Above all problems commonly occur with constipation, being caused by the straining associated with the difficult passage of faeces. Despite popular opinion, they don't necessarily require surgical treatment and are potentially curable by simple yogic exercises. The yogic techniques can be used with amazing efficiency in hemorrhoids or piles fissures and fistula.

Yoga helps greatly in the treatment of all ano rectal problems as it helps to remove toxins in the body. It can give a free and active feeling to the body and once the toxins are removed from the body, normal balance can be restore and person gets freedom from pain caused due to piles, fissure and fistula. Long hours constant sitting, prolong constipation, bad eating habits and poor lifestyle disturbs the entire digestive system and ultimately results in ano-rectal problem. In case of some people, piles may be internal or external.

INTERNAL PILES: It occurs inside anal canal & rectum.
EXTERNAL PILES: It occurs outside anal canal or at the mouth of anus.

People have been performing yoga since ancient times to keep themselves fit. As yoga plays an important role in getting relief from hemorrhoids or piles. Sadhana is divided into two main parts:

1. The alleviation of constipation.
2. Physical postures also known as yoga asana.

Yoga Asana for Piles/Fissure/Fistula

1)Aswinimudra/Ashvini Mudra/Ashuini Mudra

Ashwini mudra is also called energy lock asanas. Ashwini means horse in Sanskrit. The initial technique quite simple and is done by contracting and relaxing the body muscles, anal region, the anal anatomical sphincter and the entire pelvic region in a rhythmic fashion.


 Sit comfortably in meditation pose or in pranayama asana or Ardha Padmasana.
 Take normal breath through your nose and out through your mouth and make yourself comfortable.
 Close your eyes and control your thoughts to the anal area.
 Contract your anal sphincter muscles and just try to minify your buttock muscles for as long as possible without torture.
 Come back to normal pose and repeat this again.

Patients get instant relief in their problems and they can keep doing this asana to get rid of all discomforts. You can do this asana anywhere, at the office, while talking to someone, while watching television and even while standing or walking. Ashwini mudra is the very beneficial for piles and hemorrhoids and also for fissures patients besides this Ashwini mudra has a lot of health and healing benefits.

2)Tadasana or Mountain Pose

Tadasana or mountain pose is a standing pose that is very beneficial for joints, buttocks, and abdomen area the body becomes well-proportioned, agile and well-built. Along with increasing the capacity of lungs, it expands the ribcage. In tadasana, the muscles are stretched that improves posture and makes your joints stronger.


 Stand straight on the ground, with no gap between your feet.
 Raise your arms over the head, and keep your arms upward by interlocking your fingers.
 Hold this position for 10 seconds, then come back to normal condition then repeat it again.

Tadasana stretches the entire muscles. This exercise helps to strengthen the lower area for piles, fissure and fistula patients.

3) Padahastasana or Hand under foot pose

It is very simple yoga asana and is perfect for beginners. However, Padahastasana demands flexibility and strength. Padahastasana is ideal for those suffering from abdominal pain and ano-rectal problems. It improves the lower abdominal organs.


 First stand straight and then bend yourself slowly in downward direction.
 Place legs in straight position and touch your finger tips to your toes.
 Try to touch your chin and knees without bending your knees inward.
 Hold this position for at least 5 seconds then get back to initial position then repeat it again.
 You have to do this asana empty stomach in the morning or after 4 to 5 hours of having a meal.

4) Matsyasana (Fish Pose)

Matsyasa Asana is all in one yoga posture with tons of health benefits. People who want to kick off their lannynets can start with Matsyasa Asana to get relief. Matsyasana helps in bleeding, hemorrhoids and constipation problem. Matsyasana is believed to be a counter yoga of Sarvangasana since both are equally beneficial. Matsyasana is highly recommended asana immediately after sarvangasana. Matsyasana treats back pain and skin problems as it helps in purification of blood by supplying oxygen and removing toxins from the body, and helps in the treatment of all ano-rectal problems.


 Sit on the ground with both legs folded on each other, we can say it padmasana or sukasana.
 Hold the big toes or thrust your hands against the ground and slowly lay down the backside.
 Placing the crown on the ground, fit your chest and body up and try to make an arc-like shape.
 Remain in the position for 1 to 2 minutes. Do this 5-10 times for quick results.

Matsyasa Asana should be performed in morning when your bowels and stomach are empty. People who are unable to do this asana and cannot lift up their body can keep a pillow inside their back.

5) Sarvangasana (Shoulder stand)

Sarvangasana maintain the functioning of all parts of your body and is one of the advanced approaches to yoga packed with many health benefits This asana is highly beneficial in maintaining the mental and physical health. Sarvangasana alone will get you benefits of all other yoga asanas.During this asana, the heart needs to pump blood in reverse direction, so extra energy is required in this posture so in one-way the entire inner organs and blood veins get revived and refreshed. More blood circulation means more blood supply to tissues and cells of our body that is a complete home remedy.So this kind of yoga asanas (in which the body is in an inverted position) is very beneficial.


 Lie down on the floor with both legs together.
 Start raising your legs together in the upward direction, until it makes a 90-degree posture.
 Support your waist with both hands and push your legs back over the head.
 Entire body weight on shoulders palms supporting the wrists and elbows on the floor. Hold the position for some time, keep normal breathing.
 Slowly get back to initial position. Take your hands off the waist and come back to sleeping position.


There are thousands of people suffering from ano-rectal problems. As piles are life style generated disease, so it should be treated by making some positive changes in daily lifestyle. There are some yoga asana suggested by Baba Ramdev to get relief in piles, fissure and fistula. He suggested some yoga asana which prevents constipation and increase digestive power. He says that physical activities and practicing yoga regularly solves this problem. This special video of Baba Ramdev contains various asana, pranayamas that promises to heal you soon.


From above information we conclude that yoga plays an important role in our life. The purpose of yoga is to make ourselves healthy and active. We can experience inner peace through meditation. Yoga works as a medicine for ano-rectal problems. There are various yoga asana which works as a wonder for piles, fissure and fistula treatment. So we should perform yoga on a daily basis for good and healthy life.

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Reviewed by Chandrakant, Neelam Rana, Swati Agrawal, Mitisha Valecha, Pratigya Singh & Ayushmaan Health Content Team, Feb-2018. Peer reviewed by Dr D.K Sharma (Physician) & Dr.Ashok Sharma (BAMS)

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