I Have Haemorrhoids: What should i do?

Hemorrhoids is common in our population. Common piles symptoms includes pain when passing stools, itching in your anal area, swelling or soreness in your bottoms, or bleeding in your stools. This causes a lot of unpleasant experience when passing motion. Hemorrhoids is a condition when swollen veins in or around the anus and lower rectum prolapse into anal canal. Most cases of piles are mild and may shrink without any medical intervention. However, if the symptoms persist beyond 1-2 weeks, the prolapsed veins may be permanent causing symptoms such as bleeding and pain during pass motion.

Eventhough piles can be a common cause of blood in stools, it is important to note if you have family history of colon cancer, more than 50 years old, or with symptoms such as abdominal pain, change in bowel habit, weight loss and loss of appetite, you may need to see a gastroenterologist for further evaluation.

If you are known to have piles for a long time, this is what you can do to help yourself:

  • Soothing wipes

Toilet paper tends to be rough and may irritate the piles during wiping. Try using soothing wet wipes to clean up after bowel movement. The moisture of the wipes serves as lubrication, so they are gentler on the skin. Look for wipes with witch hazel or aloe vera, as these have soothing and anti-inflammatory properties. However, keep away from wipes containing alcohol or perfume, as these are irritants that may exacerbate your condition.

  • Take warm baths

Warm baths are a quick and easy way to soothe skin irritations. Harvard Health recommends a 20-minute warm bath after each bowel movement for effective results. A fuss-free way is to use a sitz bath, a small plastic tub that attaches over your toilet seat, by filling it with a few inches of water to soak your bum. After every bath, make sure to dry off thoroughly by gently patting with a soft towel or using a hair dryer. This prevents the accumulation of moisture that promotes the development of unwelcome bacterial or fungal infections.

  • Cold compress

Application of ice packs, use cold water flush or cold compresses are known to aid in pain relief and shrinking of sores. Hold the cold compress or ice pack against the affected area for up to 15 minutes at a time. To minimise the risk of ice burn, always wrap any frozen objects in a towel before applying to the skin.

  • Stool softeners

To make stool less painful to pass, stool softeners can help to make bowel movements smoother and quicker. Stool softeners, also called emollient laxatives, come in various forms like powders, capsules, or liquids, and are readily available as over-the-counter medications.

  • Increase fibre intake

Dietary fibre and fluids intake are crucial for promoting bowel movement, which reduces the need to over-strain when passing stool. Simple dietary changes or supplements can help to increase dietary fibre intake and relieve constipation. Some high-fibre foods to add to your diet include wholegrain-based foods, fruits and vegetables, peas, beans, and nuts. Take care to make these dietary adjustments gradually, as sudden overconsumption of fibre may cause excessive gas and bloating.

What to do if your symptoms persist

Piles are a common and usually mild affliction, but in rare cases where your symptoms persists, it could signal something more serious. Your doctor may recommend performing further checks such as a digital rectal examination and possibly a colonoscopy to give a more detailed diagnosis. If the condition requires, your gastroenterologist will advise you on appropriate medical procedures available to you, which may include rubber band ligation, or hemorrhoid stapling. It is recommended you make an appointment with a specialist in gastroenterology to access the needs of your condition.