Piles (Haemorrhoids): UK Online Doctor Treatment
Educational information — not medical advice.
This article was prepared by the OnlineDoctor24 editorial team and reviewed for factual accuracy against UK clinical guidance (NHS and NICE). It is not written by a doctor and does not replace personal medical advice. For symptoms specific to you, book an online doctor consultation.
Key points
- Piles are very common and rarely serious.
- Avoiding constipation and straining is key.
- Topical creams (Anusol, Proctosedyl) help symptoms.
- Persistent or large piles may need procedures (banding, surgery).
- Always exclude other causes of rectal bleeding — see a GP.
Self-care
- Increase fibre and fluids.
- Don't strain or sit for long periods on the toilet.
- Wash gently with water; pat dry.
- Sitz baths (warm water sit) ease discomfort.
Medication
- Anusol cream/ointment (OTC).
- Anusol HC (with hydrocortisone) — short-term for inflammation.
- Proctosedyl — combination cream/suppositories.
- Laxatives if constipated.
Procedures
- Rubber band ligation — outpatient.
- Sclerotherapy.
- Surgical haemorrhoidectomy for severe cases.
Red flags — when to seek urgent help
Call 999 or go to A&E if you experience any of the following:
- Significant or persistent rectal bleeding (always investigate to exclude bowel cancer)
- Change in bowel habit
- Weight loss
Frequently asked questions
Common questions UK patients ask about haemorrhoids.
How an online doctor can help
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This article is for general information only and does not replace personal medical advice from a qualified doctor. Content is reviewed against UK NHS and NICE guidance by the OnlineDoctor24 editorial team and is not authored by a medical doctor. If your symptoms worsen or you are unsure, please book a consultation with a GMC-registered GP.
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