Piles Care

Medicines trusted by 10 lakh+ patients for 15+ years at our 32 hospitals

Medicines trusted by 10 lakh+ patients for 15+ years at our 32 hospitals

AnoSpray + Anoac-H + Constac Advanced Combo I 15 Days I Severe Piles and Fissure Treatment – 2X PiloKit Strength

Regular price ₹1,165.00
Sale price ₹1,165.00 Regular price ₹1,189.00
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Transform your journey from discomfort to comfort with Healing Hands AnoSpray, Anoac-H and Constac Combo – solution for severe Piles, Anal Fissure and perianal wounds!

Quick Anorectal Pain Relief 

Bleeding Relief & Wound Healing

Fast Swelling Reduction

Constipation Relief

Advanced Anorectal Medicines Combo for You

  • AnoSpray: India's first patented advanced plant-based spray for external anorectal treatment. Quick touch-free application providing rapid relief. (2X PiloSpray)
  • Anoac-H Tablets: Patented and molecularly validated plant-based tablets for effective internal healing of the anorectal region. (2X PiloTab)
  • Constac Granules: Patented plant-based gentle laxative for effective constipation relief, ensuring smooth bowel movements.
  • Scientifically proven and molecularly validated; clinically researched extensively; medicines with 2X PiloKit strength.
  • Recommended by top doctors and the largest proctology hospital in India for anorectal conditions.
  • Lakhs of happy patients have benefited from the Combo in their recovery from Severe Piles and Fissure Discomfort to Comfort!

Maximum order quantity: 2

AnoSpray + Anoac-H + Constac Advanced Combo I 15 Days I Severe Piles and Fissure Treatment – 2X PiloKit Strength

AnoSpray + Anoac-H + Constac Advanced Combo I 15 Days I Severe Piles and Fissure Treatment – 2X PiloKit Strength

Why Choose
Healing Hands Medicines

India’s 1st Patented Advanced Anorectal Combo
AnoSpray + Anoac-H + Constac - 2X PiloKit Strength

Patented Combo

3 patented advanced anorectal
medicines combo

Swelling Control

Enhanced reduction of swelling

Strong & Advanced

2X PiloKit strength for severe

Wound Healing

Advanced action on
anorectal wounds

Pain Relief

Effective pain relief in piles,
fissures, and perianal wounds

Holistic Healing

Efficient in both internal and
external anorectal healing

Bleeding Reduction

Significantly reduces anorectal

Itch Relief

Prevents and relieves itching

Constipation Ease

Rapid relief from constipation

Prolapse Reduction

Improved reduction in
piles prolapse

Advanced Anorectal Healing Combo for You

2X Stronger

Advanced anorectal healing with clinically proven combo

10+ Years

of positive patient feedback for the medicine combination

3 Lakhs+

Happy patients experienced anorectal healing and counting…


Top Indian doctors have recommended the combo

Know more about the studies and indications


AnoSpray + Anoac-H + Constac Combo Benefits for You

Key features

Quality Medicines in the Combo for You

India’s 1st Patented
Anorectal Combo

World’s 1st
Anorectal Spray

Power of 3



Internal and External

Fast Action
Anorectal Spray

Relief Anytime




Trusted by




Lab Tested

Metal Free


Who should use

Indications for AnoSpray + Anoac-H + Constac Comb

External and Internal
Hemorrhoids (Piles)



Piles or Fissure
with Constipation 

Piles or Fissure pain,
pricking, burning, itching


Piles mass
and swelling*


*Recommended for treating severe conditions of external and internal grade I and II hemorrhoids (piles), acute anal fissure and perianal wounds; maintaining a healthy lifestyle with proper hydration and fiber intake helps in recovery.

How to Use

How should you use AnoSpray, Anoac-H and Constac Combo?


Direction of use

Shake the AnoSpray can properly

Spray continuously on the affected area in the anal region for 2 to 4 seconds from a distance of 5 to 8 cm

Use AnoSpray 2 to 3 times a day or as many times as required, depending on the severity of the symptoms

Preferably use before and after bowel motions and before going to bed at night

Positions for Application


  • Squat in a comfortable position
  • Spread the buttock with one hand
  • Spray externally on the affected area in the anal region


  • Stand comfortably on one leg with the other leg lifted up on a proper support
  • Spread the buttock with one hand
  • Spray externally on the affected area in the anal region

Lying down

  • Lie down on one side with one leg lifted up closer to the abdomen
  • Spread the buttock with one hand
  • Spray externally on the affected area in the anal region

Anoac-H Tablets


Take 1 tablet with water after meals, once in the morning and once at night.

Constac Granules


After dinner, take 1 to 2 spoons directly in your mouth and drink ½ to 1 glass of water. Or dissolve 1 to 2 spoons in ½ to 1 glass of water and drink it.


Diet recommendation for your severe anorectal conditions’ treatment:

For patients suffering piles (hemorrhoids), anal fissures and other anorectal conditions, a diet rich in fiber and fluids can help soften stools and prevent constipation, which is a major irritant. Here's a recommended food and diet plan for such patients
General Tips


Experience Fast Relief and Recovery in Anorectal Conditions

Patented, molecularly proven, trusted, effective, safe, plant-based and touch-free advanced spray treatment combo.

Patented Advanced Anorectal Combo

India's first-of-its-kind patented, plant-based combination featuring the pioneering advanced anorectal spray AnoSpray. Patents for AnoSpray (Patent No. 423811), Anoac-H (Patent No. 436571), and Constac (Patent No. 375497) underscore its scientific breakthrough and validation.

Complete Advanced Anorectal Treatment

The combination comprises AnoSpray for external application, Anoac-H tablets for internal treatment, and Constac granules for constipation. Together, they provide a holistic approach to healing anorectal disorders and easing constipation from both inside and out.

Dual Action Treatment

This combo effectively minimizes inflammation, pain, and infection. It helps in wound healing, controls bleeding, reduces itching, and hydrates the anal area. Additionally, it eases anal muscles and addresses constipation issues.

Touch-free Anorectal Treatment

The non-invasive application of AnoSpray ensures a pain-free treatment for anorectal conditions, reducing the risk of injuries and infections.

Accelerated Symptom Alleviation

The triple power of these patented, plant-based medicines offers thrice faster easing of symptoms such as pain, burning, itching, bleeding, swelling, and constipation in anorectal conditions.

Molecularly Validated

AnoSpray and Anoac-H are validated at the molecular level for their safety and effectiveness in treating piles (hemorrhoids), fissures and other anorectal conditions at NCCS, India's leading cellular science institute.#

Clinically Proven

Rigorous clinical testing with numerous patients validates the safety and effectiveness of this combination for anorectal disorders. @^

Plant-Based and Safe

As these are plant-based medicines, this combination is a safe and natural alternative to chemical treatments.

Recommended by Doctors

Recommended by doctors at India's largest proctology hospital chain, this combination is backed by five years of research and development and scientific endorsement, highlighting its reliability and trust in treating anorectal issues.

Several Happy Patients

This combination leads the way in India as a top plant-based treatment for anorectal conditions, with numerous patient success stories.


Patented medicines with scientifically proven herbs for you

Anoac-H Tablets
Constac Granules
Til Oil

Reduces bleeding, pain.


Alleviates inflammation, itching.


Mitigates pain, inflammation.


Relieves bleeding, inflammation.


Eases swelling, itching.


Soothes inflammation, infection.

Kokam Oil

Helps with healing, swelling.


Helps with Bleeding Piles


Helps with Bleeding Piles


Pain and Inflammation


Pain and Burning


Eases stool movement, improves digestion.


Mild laxative, enhances digestion.


Detoxifies liver, treats indigestion.


Boosts immunity, regulates bowels.


Helps digestion, antioxidant properties.


Softens stool, helps movement.


Improves digestion, reduces gas.


Enhances appetite, helps digestion.


Relieves flatulence, helps digestion.


Stimulates bowel movement.

Erand Tail

Softens stool, eases passage.

Narikel Lavan

Balances electrolytes, treats gastritis.

How It Helps

How does the Combo help with the treatment of anorectal conditions?

Anoac-H Tablets
Constac Granules

Clinical references

AnoSpray, Anoac-H and Constac Combo Clinical References

Safety and efficacy of AnoSpray at the molecular level.

AnoSpray suppresses proinflammatory cytokines COX‑2 and RANTES in the management of hemorrhoids, acute anal fissures and perineal wounds.

Read more

Safety and efficacy of AnoSpray in acute perineum wounds.

An open label, randomized, comparative, parallel group, single center study to evaluate safety and efficacy of AnoSpray in a comparison with betadine solution application in acute perineum wounds.

Read more

Safety and efficacy of Anoac-H at the molecular level.

#Polyherbal formulation Anoac‑H suppresses the expression of RANTES and VEGF for the management of bleeding hemorrhoids (piles) and fistula.

Read more

Safety and efficacy of Anoac-H

Safety and efficacy of Anoac-H Tablet in the treatment of bleeding hemorrhoids grades 1-3 and other anorectal conditions.

Read more

Efficacy of Constac in the Management of Chronic Constipation

@ An open-label, prospective clinical study to evaluate the efficacy of Constac in the management of chronic constipation.

Read more

Constac Granules Long-Term Efficacy and Safety in Constipation Management

# Retrospective, prospective, open-label, observational study to evaluate the efficacy and adverse drug reactions in patients taking Constac Granules (churn) for long term in constipation.

Read more

Stability study of Ayurvedic formulation – Constac Granules for Mild Constipation

^ A stability study of ayurvedic laxative formulation - Constac Granulation.

Read more

Til Oil
(Sesamum indicum)

Nutritional, Medicinal and Industrial Uses of Sesame (Sesamum indicum L.) Seeds - An Overview

Read more

(Berberis aristata)

Phyto-pharmacology of Berberis aristata DC: a review

Read more

(Symplocos racemosa)

A comprehensive analysis on Symplocos racemosa Roxb.: Traditional uses, botany, phytochemistry and pharmacological activities.

Read more

(Bombax ceiba)

Pharmacognostic and pharmacological studies of Bombax ceiba thorn extract

Read more

Kapur (Cinnamomum camphora)

Camphor ( Cinnamomum camphora ), a traditional remedy with the history of treating several diseases

Read more

(Mentha piperita)

Mentha piperita: Essential oil and extracts, their biological activities, and perspectives on the development of new medicinal products

Read more

Kokam Oil
(Garcinia indica)

The chemistry and medicinal uses of the underutilized Indian fruit tree Garcinia indica Choisy (kokum): A review

Read more

(Mimosa pudica)

Mimosa pudica L. (Laajvanti): An overview

Read more

Dugdhika Ext
(Euphorbia hirta)

Antihaemorrhoid Activity of Isolated and Semi – Synthesized Rutin Derivative from Euphorbia hirta Linn

Read more

(Berberis aristata)

Scientific validation of the antimicrobial and antiproliferative potential of Berberis aristata DC root bark, its phytoconstituents and their biosafety

Read more

Nagkesar Ext (Mesua ferrea)

Ethnobotanical and Phytopharmacological attributes of Mesua ferrea: A mini review

Read more

Behada (Terminalia bellirica) for constipation

A pharmacognostic, phytochemical and pharmacological review of Terminalia bellerica

Read more

Amla (Emblica officinalis) for constipation

Amla (Emblica officinalis): Role in health management via controlling various biological activities

Read more

Isabgol (Plantago ovata) for constipation

Characterization of Psyllium (Plantago ovata) Polysaccharide and Its Uses

Read more

Mulethi (Glycyrrhiza glabra) for constipation

Glycyrrhiza glabra - A plant for the future

Read more

Ajwain (Trachyspermum ammi) for constipation

Trachyspermum ammi medicinal properties

Read more

Badishep (Foeniculum vulgare) for constipation

Foeniculum vulgare Mill: A Review of Its Botany, Phytochemistry, Pharmacology, Contemporary Application, and Toxicology

Read more

Elaichi (Elettaria cardamomum) for constipation

Systematics Evaluations of Morphological Traits, Chemical Composition, and Antimicrobial Properties of Selected Varieties of Elettaria cardamomum (L.) Maton

Read more

Eranda Tail (Ricinus Communis) for constipation

Therapeutic aspects of Eranda Tail (Oil of Ricinus Communis)

Read more


Do you have any questions?

We will explain everything!

What is Healing Hands AnoSpray, Anoac-H and Constac Combo?

Why choose patented medicines for anorectal conditions?

What is the difference between AnoSpray, Anoac-H and Constac Combo and PiloKit or FissureKit?

Who should use AnoSpray, Anoac-H and Constac Combo?

Is the AnoSpray, Anoac-H and Constac Combo doctor recommended?

Can AnoSpray, Anoac-H and Constac Combo be used for both external and internal anorectal conditions?

How do AnoSpray, Anoac-H and Constac Combo help with the treatment?

How does AnoSpray, Anoac-H and Constac Combo provide fast relief?

What are the benefits of using AnoSpray, Anoac-H and Constac Combo?

What are the key features of AnoSpray, Anoac-H and Constac Combo?

Is AnoSpray, Anoac-H and Constac Combo safe and effective?

What are the ingredients of AnoSpray, Anoac-H and Constac Combo?

Is AnoSpray, Anoac-H and Constac Combo an Ayurvedic medicine for fissure and piles treatment?

How to use AnoSpray, Anoac-H and Constac Combo?

What is the duration of the AnoSpray, Anoac-H and Constac Combo treatment course?

Is using AnoSpray, Anoac-H and Constac Combo safe for long-term treatment?

How soon can I expect results from AnoSpray, Anoac-H and Constac Combo?

Can AnoSpray, Anoac-H and Constac Combo cure piles or fissure completely?

What are the recommended food and lifestyle changes along with the combo treatment?

Is AnoSpray, Anoac-H and Constac Combo safe to use after an anorectal operation?

Is it safe for pregnant or breastfeeding women to use AnoSpray, Anoac-H, and Constac Combo??

Customer Reviews

Based on 24 reviews
Prutha Joshi
Exceptional Healing

The combo of anospray, anoac h and constac worked wonders for my fissures and hemorrhoids, providing fast relief and healing. I am genuinely impressed by its effectiveness. Thank god someone understood what we need for these kind of issues.

Ditya Rawal
The Ultimate Anorectal Care Solution

This combo is a must-have for anyone suffering from anorectal issues. The ease of use and immediate relief is unparalleled.

Arjun sarang
A unique combo for Piles Relief!

Finally found relief from severe piles pain and discomfort with this combo. Remarkable improvement and easy to use. Truly a blessing!

Revthi S
Touch-Free Quick Fissure Relief

The touch-free application for hygiene and comfort along with the combination of medicines was a perfect solution for me. Plus, the plant-based formula gives me peace of mind. Best treatment suggested by healing hands doctors for my severe anal fissure pain.

Raghu Inamdar
Fast Relief When You Need It Most

AnoSpray provides quick relief from painful symptoms, making it my go-to solution. The medicines combo pack offers comprehensive care. It helped to go back to my normal life.

Our Best Anorectal Care Combo