HEALTH TALK – HAEMORRHOIDS (PILES)
Haemorrhoids are swollen blood vessels in or around the anus and lower rectum. They’re very common and usually not serious, though they can be uncomfortable.
Types
Internal haemorrhoids – inside the rectum; usually painless but may bleed.
External haemorrhoids – under the skin around the anus; can be painful or itchy.
Thrombosed haemorrhoids – external haemorrhoids with a blood clot; often very painful and swollen.
Common Symptoms
- Bright red blood on toilet paper or in the toilet
- Itching or irritation around the anus
- Pain or discomfort, especially when sitting
- Swelling or a lump near the anus
- Mucus discharge after passing stool
Causes & Risk Factors
- Straining during bowel movements
- Chronic constipation or diarrhea
- Sitting on the toilet for long periods
- Low-fibre diet
- Pregnancy and childbirth
- Obesity and ageing
Treatment & Self-Care
Most haemorrhoids improve with simple measures:
- Increase fibre (fruits, vegetables, whole grains) and drink plenty of water.
- Avoid straining and don’t delay going to the toilet.
- Warm sit baths (10–15 minutes) to ease pain.
- Topical creams or suppositories for short-term relief.
- Pain relief like paracetamol if needed
Medical Options
If symptoms persist:
- Rubber band ligation
- Injection therapy (sclerotherapy)
- Infrared coagulation
- Surgery (for severe or recurrent cases)
When to See a Doctor
- Bleeding that doesn’t stop or keeps recurring
- Severe pain or sudden swelling
- Symptoms lasting more than a week despite treatment
- Any rectal bleeding if you’re over 40 or have risk factors for bowel disease.
Bottom line: Haemorrhoids are common, treatable, and often preventable with good bowel habits and a high-fibre.
