Haemorrhoids

Haemorrhoids, also known as piles, are swollen blood vessels found in or around the anus and rectum. These swollen vessels can cause discomfort, itching, and sometimes bleeding. Haemorrhoids are very common and can affect anyone, but they are more likely to occur in individuals who experience prolonged periods of straining, such as during bowel movements, or due to factors like pregnancy, obesity, or chronic constipation.

There are two main types of haemorrhoids: internal and external. Internal haemorrhoids are located inside the rectum and usually do not cause pain, though they may bleed. External haemorrhoids develop under the skin around the anus and can be painful, especially if they form a blood clot (thrombosed haemorrhoid).

While haemorrhoids can be uncomfortable, they are generally not serious and can often be managed with lifestyle changes and over-the-counter treatments.

• Pain or discomfort especially during bowel movements or when sitting down
• Itching or irritation in the anal region
• Swelling around the anus
• Bleeding that can typically noticed on toilet paper or in the toilet bowl after a bowel movement
• A sensitive or painful lump near the anus, which may indicate a thrombosed haemorrhoid

Symptoms can range from mild to severe, and while they may resolve on their own, persistent or severe symptoms should be evaluated by a healthcare professional.

Your healthcare specialist or pharmacist may recommend treating your haemorrhoids with:

• Topical treatments like creams, ointments, or suppositories containing ingredients like hydrocortisone to reduce inflammation and relieve discomfort. My Local Surgery can supply Proctosedyl Cream and Proctosedyl Suppositories
• Stool softeners or fibre supplements that can help to reduce straining during bowel movements
• Over-the-counter pain relief like paracetamol or ibuprofen, to manage pain and inflammation

In some cases, if symptoms persist or are severe, a consultation with a healthcare professional may be necessary. Treatments may include:

• Minimally invasive procedures such as rubber band ligation, sclerotherapy, or infrared coagulation, to shrink or remove the haemorrhoid
• Surgical options for more severe cases

Treatment effectiveness varies, and it may take time to find the right approach. Persistent or severe Haemorrhoids should be addressed with a healthcare provider to determine the most appropriate treatment plan.