Haemorrhoids

Question 1

Haemorrhoids - symptoms (5)

Answer 1

Itching around bottom area
Red blood after going to the toilet
Mucus in underwear
Lumps around bottom area
Pain around bottom area

Question 2

Heamorrhoids - causes (3)

Answer 2

Straining/constipation
Age
Genetics

Question 3

Haemorrhoids - extra questions (4)

Answer 3

Consultation room
Is there discharge
Colour of blood if present
Feeling of needing to go to the toilet straight away

Question 4

Haemorrhoids - explanation of diagnosis

Answer 4

Common condition where small lumps develop around the bottom area due to inflammation and straining when going to the toilet

Question 5

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

Answer 5

If person is constipated, use constipation treatment
Paracetamol for pain (avoid NSAID and opioids) - 1-2 tablets every 4-6 hours, max 8 tablets in 24 hours
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 an clean
Pat area rather than rub
Avoid holding in stools and straining
Reduce constipation by increasing fibre in diet (wholemeal and fresh fruit)
Reduce alcohol and caffeine to reduce constipation
Drink plenty of water - 2L per day

Question 7

Haemorrhoids - when to refer (5)

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