Haemorrhoids

Question 1

Haemorrhoids - symptoms (7)

Answer 1

Itching/irritation around bottom area
Red blood after going to the toilet
Mucus
Faecal soiling
Lumps around bottom area
Pain around bottom area
Feeling of incomplete bowel emptying

Question 2

Haemorrhoids - causes (5)

Answer 2

Constipation (straining)
Age
Genetics
Pregnancy
Other straining (lifting heavy weights, coughing)

Question 3

Haemorrhoids - extra questions (8)

Answer 3

Consultation room
Is there discharge
Colour of blood if present
FH of colorectal cancer
Systemic symptoms
Pus
Severity of pain
Unexplained weight loss

Question 4

Haemorrhoids - explanation of diagnosis

Answer 4

Common condition where swellings develop around the bottom area due to inflammation and straining.

Question 5

Haemorrhoids - first-line treatment (product, how it works, how to use it)

Answer 5

Germoloids cream - lidocaine, works as an anaesthetic to numb the area, apply at least twice daily after each bowel movement, max 4 times per day, max 7 days

Question 6

Haemorrhoids - lifestyle (6)

Answer 6

Good hygiene - keep area dry and clean
Pat area rather than rub
Avoid holding in stools and straining
Reduce constipation by increasing fibre in diet (wholemeal and fresh fruit)
Drink plenty of water - 2L per day

Question 7

Haemorrhoids - when to refer (7)

Answer 7

No improvement 7 days after treatment
Severe pain when going to toilet
Signs of infection - fever and pus
Diarrhoea and constipation
Dark blood in stools
Systemic symptoms
FH of colorectal cancer

Question 8

Haemorrhoids - other treatment besides cream (3)

Answer 8

Oral analgesic (avoid NSAIDs)
Constipation treatment is appropriate
Hydrocortisone preparation for inflammation