Which doshic type of hemorrhoids are inflamed and have blood?

• A. vata
• B. pitta
• C. kapha
• D. rakta

Answer: (B)

Pitta-driven inflammation is the signal here. When Pitta is aggravated in the anorectal region, the tissue tends to get hot, red, and inflamed, and that fiery inflammation often accompanies bleeding from the mucosa. So hemorrhoids dominated by Pitta manifest with inflammatory symptoms and blood, fitting Pittaja hemorrhoids best.

If we look at the other patterns briefly: Vata-type would show more dryness, sharp or acute pain, and possibly constipation with less emphasis on heat and bleeding. Kapha-type would be swollen, heavy, moist, and sluggish, with less acute inflammation and bleeding. The Rakta (blood) pattern centers on bleeding itself, but without the hallmark heat-inflammation that defines Pittaja.