Ano-rectal problems can affect persons of all ages, ranging from newborns to the elderly. The most frequent anorectal problems are piles, fissures, and fistulas. During defecation, piles is characterized by bleeding and prolapsing of the rectum. Fissures are tears in the anal tract that occur when hard stool is passed. A fistula is a pus-filled cavity in the anal system. Digestion is a primary problem in all anorectal illnesses, as is sluggish digestion. Excessive sexual activity, physical strain, eating non-vegetarian foods, and drinking alcohol are common causes. With individualized medicines, nutrition, and lifestyle recommendations, Ayurveda treatment for piles in Kerala issue produces positive effects.