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What are haemorrhoids?
Haemorrhoids (also known as piles) are swollen veins in or around the back passage. They are very common and can cause discomfort, itching, bleeding, or a lump around the anus.
They may flare up for short periods and then settle, or cause ongoing symptoms depending on their size and how irritated they become.
What causes haemorrhoids?
Common triggers
- constipation or straining when opening your bowels
- sitting on the toilet for long periods
- pregnancy
- low fibre diet
- chronic diarrhoea
- heavy lifting
- prolonged coughing or sneezing
Lifestyle and medical factors
- being overweight
- not drinking enough fluids
- a family history of haemorrhoids
- inflammatory bowel conditions
What are the common symptoms of haemorrhoids?
You may notice:
- bright red bleeding when wiping or in the toilet bowl
- itching or irritation around the anus
- pain or discomfort when opening your bowels
- a lump or swelling around the back passage
- mucus discharge
- feeling of incomplete emptying
When to seek urgent medical help
Call 999 or go to A and E if:
- you have heavy bleeding that does not stop
- you feel faint, dizzy, or unwell with bleeding
- the pain is severe and sudden
Seek same day medical care if:
- bleeding is persistent
- symptoms are worsening
- you have severe pain or a large, painful lump
- you are unsure whether it may be another condition such as an anal fissure or infection
How haemorrhoids are diagnosed?
A GP will diagnose haemorrhoids based on your symptoms and examination.
During an online GP consultation, we can:
- assess your symptoms
- review your bowel habits and lifestyle factors
- advise on treatments
- arrange prescriptions where appropriate
- recommend whether you need an in-person examination
You may require an in-person review if:
- symptoms are severe
- bleeding is persistent
- another diagnosis needs ruling out
What are treatment and management options for haemorrhoids?
Self-care and home management
- increase fibre in your diet such as fruit, vegetables, oats, and wholegrains
- drink plenty of water
- avoid straining when opening your bowels
- do not sit on the toilet for long periods
- use over-the-counter creams or suppositories for short-term relief
- take warm baths to ease discomfort
- keep the area clean and dry
Treatment from a GP
A GP may recommend:
- prescription-strength creams or suppositories
- treatment for constipation such as stool softeners
- advice on preventing recurrence
- referral to a specialist for procedures if symptoms persist
When referral is needed
Referral to a specialist may be needed if:
- symptoms are frequent or persistent
- there is ongoing bleeding
- conservative treatment has not helped
- haemorrhoids are large or prolapsing
How Dr.Online UK can help
We offer:
- same-day online GP appointments
- assessment of symptoms
- private prescriptions for creams or suppositories
- bowel health advice and prevention guidance
- referrals to colorectal specialists where needed
