What are haemorrhoids (piles)?
Piles are congested swollen cushions in the anal canal (back passage). The anal cushions are present in everyone as they are a normal part of the back passage, helping to stop leaking. Symptoms from them are very common, and one in three people experience problems from piles at some time in their life.
What are the symptoms?
There can be a number of symptoms including:
- Rectal bleeding, usually bright red. It may be variable in amount.
- Prolapse-the piles may protrude from the anus.
- Pain – sometimes piles that prolapse become painful.
- Itching around the anus.
What causes them?
- Constipation – don’t suppress the urge to go to the toilet, as this can cause constipation;
- Straining;
- Spending too long on the toilet, (particularly reading on the toilet);
- Pregnancy;
- Being over-weight.
Long term straining to open the bowels causes congestion and enlargement of blood vessels in the cushions. The skin over the piles is very thin and so bleeding often occurs.
How are they diagnosed?
During your examination today, you were asked to lie on your side and the doctor used a scope, (a thin instrument with a light on the end), to have a look at your bowel. Piles are visible during this examination.
Preventing piles
- Diet – keep to a diet that is healthy and high in fibre with at least five portions of fruit and vegetable a day to help prevent constipation. Gentle laxatives such as Fybogel may be prescribed by your GP.
- Fluid – increasing the amount of fluid you drink will help to prevent constipation. Fluids without caffeine or alcohol are best.
- Straining – go to the toilet to open your bowels only when you need to. A normal bowel habit can range from twice a week to three or four times a day. Try not to strain or sit for prolonged periods of time on the toilet as this allows the piles to descend and get gradually bigger and so is likely to cause more problems.
- Be gentle – when you wipe or wash after opening your bowels. The skin around your back passage is very thin and delicate. Try not to use highly scented soap or powder.
Finally, try not to worry!
Further information and advice
If you have any questions or concerns, please contact:
Bedford Hospital endoscopy unit: (Monday to Sunday 8am to 6pm)
For procedural and nursing enquiries; 01234 355122 ext. 2635 or 2636
For appointment queries; 01234 792269
Out of Hours Concerns: 07815178199