This page summarises publicly available NHS information for educational purposes only. It is not medical advice or a diagnosis. Always consult a qualified healthcare professional.
What is piles?
Piles, also called haemorrhoids, are swollen blood vessels in and around the anus. They are very common and often get better on their own. Symptoms include bright red blood after passing stool, an itchy anus, feeling like you still need to go after using the toilet, mucus in your underwear, lumps around the anus, and pain. Piles can be internal (inside the rectum) or external (under the skin around the anus).
When NHS resources suggest seeing a GP
- Your symptoms are getting worse or not improving with home treatments
- You keep getting piles
- You notice a change around your anus that is not normal for you
- You have painless bleeding from your bottom
- You have pus leaking from your piles
- You have piles with a very high temperature, or feel hot, cold, or shivery
Self-care information from NHS
- Drink lots of fluids and eat plenty of fibre to keep stools soft
- Gently push a prolapsed pile back inside if you can
- Take paracetamol if piles hurt (avoid codeine — it can cause constipation)
- Use an ice pack wrapped in a towel to ease discomfort
- Take a warm bath to soothe itching and pain
- Do not strain or sit on the toilet for long periods
Common questions
How long do piles take to go away?
Small piles often improve within a few days with self-care. Larger piles may take longer. If symptoms last more than a week, keep returning, or get worse, see a GP.
Is bleeding from piles normal?
Bright red blood on toilet paper or in the toilet is a common symptom of piles. However, never assume bleeding is from piles without checking. Dark blood, painless bleeding, or a change in bowel habit should always be checked by a GP.
What causes piles?
The exact cause isn't clear, but things that make piles more likely include constipation, straining on the toilet, pregnancy, being overweight, persistent coughing, and lifting heavy objects.
How can I prevent piles?
Eating plenty of fibre, drinking enough water, exercising regularly, not straining on the toilet, and going to the toilet as soon as you feel the need all help prevent piles.
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This page is for informational and educational purposes only. It does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare professional about your individual situation. NorMed organises publicly available NHS information and is not affiliated with the NHS.