Top Homeopathic Medicines for Piles The top-most important medicines for treating piles are Aesculus Hippocastanum, Nux Vomica, Aloe Socotrina, Hamamelis, Collinsonia Canadensis, Muriatic Acid, Ratanhia and Nitric Acid. 1. Aesculus Hippocastanum – For Painful, External, Non-bleeding PilesIt is the best and most frequently used medicine for painful piles. It is taken when pain is felt during or after passing stool. The pain continues for long hours after the passing of stool. Pain is very sharp that may extend from the anus to the lower back. A person may have a distinct feeling of small sticks filling up the rectum. It is a specific medicine for external piles and blind piles (non-bleeding piles). This medicine does wonders on engorged haemorrhoidal veins, brings great relief in pain and also helps in shrinking piles naturally. 2. Nux Vomica – For Piles With Constipation And Ineffective Urge To Pass StoolNux Vomica is the best medicine to treat piles with constipation and ineffective urge to pass the stool.Those who need this medicine have to go pass stool several times in a day to completely clear the bowels. They pass stool bit by bit throughout the day and yet have the urge to pass the stool. They also have marked pain and itching at the anus. Nux Vomica is recommended for piles that is non-bleeding.For piles or constipation triggered by alcohol intake, Nux Vomica is the right medicine. It is also the best choice of medicine for people with piles who lead a sedentary lifestyle. 3. Aloe Socotrina – For Protruding PilesAloe Socotrina is ranked the number one medicine when it comes to treating protruding piles (internal piles take an outward bulge from anus and can be seen as soft lumps of tissue). The protruding piles are very sore and tender and look like a bunch of grapes bluish in colour. Persons who require it may find cold applications on affected areas soothing and help during pain, soreness and tenderness. They may also have severe itching. 4. Hamamelis – For Bleeding, Internal PilesThis natural medicine sourced from plant ‘witch – hazel’ is the best prescription for piles that bleeds. It controls bleeding piles in an outstanding manner. Hamamelis is useful in cases where piles is internal, painless and it bleeds. ‘Painless, non bleeding piles’ these four words are an indication to describe the use of this medicine in its entirety, and it requires no further description. 5. Collinsonia Canadensis – For Piles With Constipation (Dry, Hard Stool)It is an effective medicine to treat piles with constipation when stool is dry and hard. It can be used when hemorrhoids are external or protruding and there is also marked pain. Additionally, a particular sensation of sand or sticks in rectum may be felt. This medicine is also used to treat piles which is painful, along with bleeding.