Piles (haemorrhoids) are lumps inside and around your bottom (anus). They often get better on their own after a few days. There are things you can do to treat …
Piles (haemorrhoids) are lumps inside and
around your bottom (anus).
They often get better on their own after a
few days.
There are things you can do to treat and prevent
piles.
Symptoms of piles include:
bright red blood after you poo;
an itchy anus;
feeling like you still need to poo after going
to the toilet;
slimy mucus in your underwear or on toilet
paper after wiping your bottom;
lumps around your anus;
and pain around your anus.
How you can treat or prevent piles:
Do drink lots of fluid and eat plenty of fibre
to keep your poo soft;
wipe your bottom with damp toilet paper;
take paracetamol if piles hurt;
take a warm bath to ease itching and pain;
use an ice pack wrapped in a towel to ease
discomfort;
gently push a pile back inside;
keep your bottom clean and dry;
exercise regularly;
cut down on alcohol and caffeine (like tea,
coffee and cola) to avoid constipation;
Do not wipe your bottom too hard after you
poo;
do not ignore the urge to poo;
do not push too hard when pooing;
do not take painkillers that contain codeine,
as they cause constipation;
do not take ibuprofen if your piles are bleeding;
and do not spend more time than you need to
on the toilet.
A pharmacist can suggest:
creams to ease the pain, itching and swelling;
treatment to help constipation and soften
poo
and cold packs to ease discomfort
Many pharmacies have private areas if you
do not want to be overheard.
Non-urgent advice: See a GP if there's no
improvement after 7 days of treatment at home
and if
you keep getting piles.
Your GP may prescribe stronger medicines for
haemorrhoids or constipation.
It's still important to get help from a GP
if you need it.
To contact your GP surgery:
you have piles and your temperature is very
high or you feel hot and shivery and generally
unwell;
you have pus leaking from your piles.
Hospital treatment for piles:
If there's no improvement to your piles after
home treatments, you may need hospital treatment.
Talk to your doctor about the best treatment
for you.
Treatment does not always prevent piles coming
back.
Common hospital treatments include:
rubber band ligation: a band is placed around
your piles to make them drop off;
sclerotherapy: a liquid is injected into your
piles to make them shrink;
electrotherapy: a gentle electric current
is applied to your piles to make them shrink;
infrared coagulation: an infrared light is
used to cut the blood supply to your piles
to make them shrink.
You'll be awake for this type of treatment,
but the area will be numbed.
You should be able to go home on the same
day.
If these treatments do not work, you may need
surgery to remove your piles.
Surgical treatments include:
haemorrhoidectomy: your piles are cut out;
stapled haemorrhoidopexy: your piles are stapled
back inside your anus;
haemorrhoidal artery ligation: stitches are
used to cut the blood supply to your piles
to make them shrink.
You'll usually need to be asleep for this
type of treatment and may need to stay in
hospital for more than 1 day.
Immediate action required: If you have piles
and you're bleeding non-stop;
there's a lot of blood – for example, the
toilet water turns red or you see large blood
clots;
you're in severe pain;
Piles are swollen blood vessels.
It's not clear what causes them.
Things that make piles more likely:
constipation;
pushing too hard when pooing;
pregnancy – read about piles during pregnancy;
and
heavy lifting
Source: nhs.uk
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