Haemmorhoids

Question 1

Haemorrhoids symptoms

Answer 1

Bright red blood after going to the toilet
Itchy anus
Feeling like you still need to poo after going
Lumps and pain around anus

Question 2

Haemorrhoids lifestyle advice

Answer 2

Increase fibre and fluids
Use damp toilet paper
Warm bath - ease pain and itch
Gently push them back inside
Avoid alcohol and caffeine
Don’t ignore urge to go
Don’t strain
Don’t use constipating medication.
Avoid NSAIDs if bleeding.
Don’t sit on toilet for ages.

Question 3

Haemorrhoids OTC treatment

Answer 3

Cream/ointment - apply in morning, night, and after each bowel movement. Contains zinc oxide (shrinks) and lidocaine (anaesthetic)

Suppositories - morning and night. contains lidocaine to relieve pain.

Laxatives if constipated

Question 4

Haemorrhoids referral

Answer 4

Worsening symptoms
>7 days of treatment
Recurrent
Systemic symptoms
Pus from piles