Haemorrhoids/Piles Treatment

Haemorrhoids, also called piles, are swollen veins found in or around the bottom (anus and rectum). They can cause itching, pain, discomfort, and sometimes bleeding, especially during or after going to the toilet. Haemorrhoids can be internal (inside the rectum) or external (under the skin around the anus). They are often caused by straining when going to the toilet, ongoing constipation or diarrhoea, pregnancy, being overweight, or sitting for long periods. While not usually dangerous, they can be uncomfortable and may need treatment to manage the symptoms.

Haemorrhoids can often be managed effectively, and symptoms can be eased with the right care. While they may not always be permanently cured, especially if underlying causes remain, treatment can reduce swelling, relieve discomfort, and prevent them from coming back. Changes to your daily habits, diet, and medical treatments like creams or minor procedures can all help with long-term control.

Yes, natural approaches can help reduce the discomfort of piles and support healing. Eating more fibre-rich foods (like fruits, vegetables, and whole grains), drinking plenty of water, and avoiding straining when on the toilet can make a big difference. You can also try warm baths (sitz baths), applying witch hazel or aloe vera to soothe the area, and using unscented, gentle wipes instead of toilet paper. Avoiding long periods of sitting and staying active also helps with better digestion and reduces pressure on the rectum. Always speak to your doctor before starting natural remedies to make sure they’re safe for your situation.

Treatment for piles depends on how bad they are. Mild cases can often be managed at home with creams, ointments, or suppositories that reduce swelling and soothe discomfort. These may contain ingredients like hydrocortisone or lidocaine. For more persistent or painful haemorrhoids, a doctor might recommend minor procedures such as rubber band ligation or injections to shrink the piles. In severe cases, surgery might be needed. PharmXtra offers access to effective treatments that can help relieve your symptoms.

Treatments for piles are available in many different forms including creams, ointments, gels, suppositories, medicated wipes, and tablets. Most over-the-counter products are applied directly to the area to ease symptoms like pain and itching. Suppositories are placed inside the bottom and can help treat internal haemorrhoids. If your symptoms are more serious or do not improve, stronger prescription treatments or procedures may be needed, based on advice from your healthcare provider.

Many haemorrhoid treatments are available over the counter without a prescription and can be bought at pharmacies or supermarkets. However, stronger medicines or treatments for ongoing or severe piles may need a prescription from a doctor. At PharmXtra, all prescription medication requests are reviewed through an online clinical consultation, and a registered independent prescriber will decide if treatment is suitable for you.