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Video

Dr Christian:
Sit on that cold floor and you’ll get piles, that’s what our Grans used to say. Well actually, you won’t. Piles, or as they’re medically known, haemorrhoids, actually occur when the pressure on the back passage increases so the blood vessels swell and form lumps. The most common cause is constipation. The more you strain to pass stools the more pressure you put on the blood vessels. Pregnancy can also cause piles due to the added pressure on the veins in the back passage from the baby.

About half the UK will develop piles at some point in their lives and they can occur inside or outside the anus. Symptoms can include bright red blood from your anus, pain or discomfort after going to the toilet, and a slimy mucus discharge. But piles aren’t serious, many people have them and don’t even realise it, and a lot of the time they disappear of their own accord.

If you’re feeling discomfort from piles you can get over-the-counter creams to relieve them. The creams containing anaesthetic shouldn’t be used for longer than seven days. Where there’s a lot of inflammation in the area the doctor can prescribe a steroid cream but again, this should not be used for longer than a week. If you have prolapsed piles, painkillers and an ice pack on the area will help soothe and relive any tenderness.

When piles don’t clear up you may need to have them surgically removed and there are loads of methods. Banding can be for internal or external piles where a surgeon places a rubber band around the base of the haemorrhoid to cut off its blood supply so after a few days it dies and falls off. Other treatments include injecting the haemorrhoids, freezing them, using a laser to destroy them and surgically lifting up the anal cushions to prevent them from prolapsing.

Whatever type of haemorrhoids you have, the important thing to remember is they can be easily treated but to stop piles becoming your problem eat a high fibre diet and include plenty of fruit and veg, cut down on sugary, fatty and processed food and drink plenty of water and drink alcohol in moderation. This should keep your stool soft, healthy and you free from constipation and hopefully, free from piles.

Read the video transcript

Quick Health Advice: Piles

Around half the UK population will develop piles at some point in their life. In this exclusive guide, Dr Jessen explains the causes of haemorrhoids and dispels some myths along the way. He also discusses treatment options – from over-the-counter creams to surgery – and advises on the best way to prevent piles occurring in the first place.

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Please note: Unfortunately Channel 4 cannot respond to individual inquiries. If you have any concerns, you can check out NHS Choices, but ultimately it is always best to check with a health professional.

I Have Tried all kinds of treatments and still I cant get away from the discomfort of piles and it is a embarrassing subject, could you give me some help or advice ?





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I'm 40 years lady and im suffering for about six months with piles and is very pain.I go up and down with the doctors and i get some advise from different people but it cant helped What can I do now

So what do you do if you can't afford to go to the doctor to get the hemorrhoids removed? My husband has some internal and one external. We don't know what to do, and i'm scared because one started bleeding inside yesterday. We absolutely cannot afford to go to the doc to get them removed. Help!





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Sell the telly or something. If he gets gangrene you will end up forking out plenty of money. Your health is your wealth.

Hi I've had piles for a very long time never go away and they stared bleeding now am very sore down below feels like cuts really need help its so pain full .





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I have had external piles for 2 weeks now. I was prescribed Anusol but the piles now seem to be larger and more uncomfortable. I have plenty of fruit and fibre and never have problems with going to the loo. When should I go back to the doctor as I am really struggling especially when I have been at work all day as they seem to bleed more.





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i gave birth 4 years ago and since have had piles, i've seen my dr who gave me cream and have brought cream over the counter but nothing is working





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SIR, I HAD PILES SINCE TWO WEEKS IT WAS PAINFUL CAN U GIVE ME ANY SUGGESTION OR OINTEMENT FOR CURE





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Try Ultroid. Actually cures them instead of just making them go away for a while.

There many home remedies that can make it better for a while but if it's bad don't wait too long! See a doctor and consider surgery. I had my hemorrhoids removed with the THD procedure last year. It was done ambulant, didn't hurt too much afterwards and I just really regret I didn't go for this option earlier!





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I am 42 yrs. i had anal fissure first then I had a surgery and it's cured! Now my anus was inflamed and see the doctor. Doctor found two small haemorrhoids,He gave me proctors idyl suppotories to use for a week. After a week i still feel my anus inflamed and got temperature also pain in anus. Please advise me how it shall be cured? Please I am suffering





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Dear Sir/MADAM - I am from INDIA. I am having piles problem from last around 15 months. While passing stool hemorrhoids get pushed out, but soon returns. I am using Thank OD (Euphorbia Prostrata)cream from last around one year. By using it, piles are reduced by around 50%, bleeding is almost stopped from last around 1 month & etching is also controlled. Regarding same, I want your expert opinion that whether shall i continue using above mentioned medicine i.e. Thank OD (Euphorbia Prostrata) or shall i go for surgery rather. Also suggest precautions and any other treatment which i can take for treatment of piles. Thanks & Regards, TILAK





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I find a drug called Rutin helps. It's an age old drug that was taken to help with varicose veins by strengthen then up. As piles is the same thing it works a treat on healing it. But you will find it upsets your stomach and can cause tiredness but it does drop pile swelling and let's the body heal itself down there much quicker.





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