Welcome to the OutUK series looking at gay men and their health brought to you in association with the NHS website.
Each week we'll tackle a different topic in our A to Z of Gay Health. We'll have features and advice on everything from relationships, sexual health, mental and physical conditions and how to stay fit. You can follow any of links provided below for more information direct from the NHS website, or view any of our Previous A to Z Features.
You should also know that OutUK has produced a special report about: Coronavirus Covid-19.

[Previous Feature]

This Week - P : Piles (Haemorrhoids)

Symptoms of piles

Symptoms of piles include:

  • bright red blood after you poo
  • an itchy anus
  • feeling like you still need to poo after going to the toilet
  • mucus in your underwear or on toilet paper after wiping your bottom
  • lumps around your anus
  • pain around your anus

How you can treat or prevent piles

Do

  • gently push a pile back inside if you can

  • take paracetamol if piles hurt

  • use an ice pack wrapped in a towel to ease discomfort

  • drink lots of fluid and eat plenty of fibre to keep your poo soft

  • take a warm bath to ease itching and pain

  • keep your bottom clean and dry - pat (rather than rub) it dry

  • cut down on alcohol and caffeine (like tea, coffee and cola) to avoid constipation

Don't

  • do not ignore the urge to poo

  • do not push too hard when pooing

  • do not take painkillers that contain codeine, as they can cause constipation

  • do not take ibuprofen if your piles are bleeding

  • do not spend more time than you need to on the toilet

Ask a pharmacist about treatment for piles

A pharmacist can suggest:

  • creams to ease the pain, itching and swelling
  • treatment - such as laxatives - to help constipation and soften poo
  • cold packs to ease discomfort

Many pharmacies have private areas if you do not want to be overheard.

Find a pharmacy

See a GP if:

  • you have symptoms of piles and they're getting worse or there's no improvement after trying treatments at home
  • you keep getting piles
  • you notice a change around your anus that is not normal for you

The GP may prescribe stronger medicines for piles or constipation. They may also check your symptoms are not being caused by something else.

Ask for an urgent GP appointment or get help from NHS 111 if:

You have piles and:

  • your temperature is very high, or you feel hot, cold or shivery and generally unwell
  • painless bleeding from the bottom
  • pus is leaking from your piles

You can call 111 or get help from 111 online.

Hospital treatment for piles

If there is no improvement to your piles after home treatments, you may need hospital treatment.

Talk to your doctor about the best treatment for you. Treatment does not always prevent piles coming back.

Treatment without surgery

Common hospital treatments include:

  • rubber band ligation: a band is placed around your piles to make them drop off
  • sclerotherapy: a liquid is injected into your piles to make them shrink
  • electrotherapy: a gentle electric current is applied to your piles to make them shrink
  • infrared coagulation: an infrared light is used to cut the blood supply to your piles to make them shrink

You'll be awake for this type of treatment, but the area may be numbed.

You should be able to go home on the same day.

If these treatments do not work, or your piles are large, you may need surgery to remove them.

Surgery

Surgical treatments include:

  • haemorrhoidectomy: your piles are cut out
  • stapled haemorrhoidopexy: your piles are stapled back inside your anus
  • haemorrhoidal artery ligation: stitches are used to cut the blood supply to your piles to make them shrink

You will usually need to be asleep for this type of treatment. You may be able to go home on the same day as your treatment or on the following day.

Go to A&E or call 999 if you have piles and:

  • you are bleeding non-stop
  • there is a lot of blood or you see large blood clots
  • you are in severe pain

Do not drive to A&E. Ask someone to drive you or call 999 and ask for an ambulance.

Bring any medicines you take with you.

Causes of piles

Piles are swollen blood vessels. It's not clear what causes them.

Things that make piles more likely:

We'll have more information and advice next week on another topic in our A to Z of Gay Health. We have covered many subjects in this series and you can catch up with all of our Previous A to Z Features.

If you want to find out more about this week's subject you can visit the Original article on the NHS website. If you are worried by any aspect of your health make sure you go and see your doctor or book an appointment at your local clinic.
Photos: LightFieldStudios and one of VladOrlov, Stockcube, darak77, ajr_images or rawpixel.com.

 

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