External haemorrhoids originate below the dentate line. They are bulging around the anal verge, very painful when inflamed, sometimes itchy.
Internal hemorrhoids originate above the dentate line. They often cause painless bleeding and sometimes come out of anal orifice during defecation.
No.
First and second degree hemorrhoids are mostly treated with Ayurvedic medicines. Ksharakarma (local application of alkaline herbal paste) is often advised to shrink the internal pile masses.
The third and fourth degree haemorrhoids are treated with surgery.
Ksharasutra ligation is a minimal invasive Ayurvedic surgical procedure.
Strangulation of hemorrhoidal mass causes ischemic necrosis. The kshara in the thread causes sclerosis of local tissue.
No such guarantee, but the incidence of recurrence is less as it cuts the swollen mass as well as scleroses the local tissue.
