The Student Room Group

My piles are killing me!

Anon for obvious reasons!

I want to get some opinions on my situation. I currently have piles, not sure what grade but I guess it would seem quite bad. Every time I poop the piles would flare up. I've been to the gp a few times and my gp just prescribes some ointment, which work quickly in shrinking the piles. However, inevitably, I will poop again and the piles will return, which makes me think the ointments are pointless.

Is there really no way of keeping the piles at bay? Once you have piles you will suffer everytime you poop? I feel like its pointless going to the gp because they would just prescribe more of these ointments, which I already have.
Reply 1
That's not nice!

Are you drinking enough water and eating enough fibre?

I would keep persevering with the ointment.

If it doesn't improve you could speak to the GP for a referral.
(edited 2 years ago)
Original post by Anonymous
Anon for obvious reasons!

I want to get some opinions on my situation. I currently have piles, not sure what grade but I guess it would seem quite bad. Every time I poop the piles would flare up. I've been to the gp a few times and my gp just prescribes some ointment, which work quickly in shrinking the piles. However, inevitably, I will poop again and the piles will return, which makes me think the ointments are pointless.

Is there really no way of keeping the piles at bay? Once you have piles you will suffer everytime you poop? I feel like its pointless going to the gp because they would just prescribe more of these ointments, which I already have.



How do I stop piles from throbbing or hurting and flaring up......

Apply an over-the-counter hemorrhoid cream or ointment, such as Preparation H. You can also try a witch hazel wipe, such as Tucks. Take over-the-counter pain relievers like acetaminophen (Tylenol) and ibuprofen (Advil, Motrin IB) Sit in a warm bath for 10 to 15 minutes at a time, two to three times a day.



Drinking plenty fluids to keep poo soft as won't hurt as much is it is.

You could talk to your local chemist pharmacist about other treatments you could try and if not talk to your GP about it,
Reply 3
Original post by Tracey_W
How do I stop piles from throbbing or hurting and flaring up......

Apply an over-the-counter hemorrhoid cream or ointment, such as Preparation H. You can also try a witch hazel wipe, such as Tucks. Take over-the-counter pain relievers like acetaminophen (Tylenol) and ibuprofen (Advil, Motrin IB) Sit in a warm bath for 10 to 15 minutes at a time, two to three times a day.



Drinking plenty fluids to keep poo soft as won't hurt as much is it is.

You could talk to your local chemist pharmacist about other treatments you could try and if not talk to your GP about it,

Tracy_W is experienced in these matters for obvious reasons.:smile:
Reply 4
Original post by Cote1
That's not nice!

Are you drinking enough water and eating enough fibre?

I would keep persevering with the ointment.

If it doesn't improve you could speak to the GP about a referral.

Hi,

I drink plenty of water. Its about the only thing I drink nowadays. Don't really drink fizzy drinks etc., I also eat a banana a day, which probably isn't enough but I do eat high fibre foods too.

I wouldn't mind a referral but the gp insists on the ointment as a treatment, even after telling them all of this. It seems to be going nowhere. There's only so much I can do (and so much I can show the gp my piles!) before I have to give up, as it can get quite embarrassing.
Reply 5
Original post by Tracey_W
How do I stop piles from throbbing or hurting and flaring up......

Apply an over-the-counter hemorrhoid cream or ointment, such as Preparation H. You can also try a witch hazel wipe, such as Tucks. Take over-the-counter pain relievers like acetaminophen (Tylenol) and ibuprofen (Advil, Motrin IB) Sit in a warm bath for 10 to 15 minutes at a time, two to three times a day.



Drinking plenty fluids to keep poo soft as won't hurt as much is it is.

You could talk to your local chemist pharmacist about other treatments you could try and if not talk to your GP about it,

I have tried an over the counter treatment (germoloids) and they work quite well to shrink it but it does say to not use it longer than 7 days or so, so I never exceed that. When I poop though, it just returns back to how it was. Its very frustrating that it does this. I feel like getting it surgically removed is the only option, but the gp has never recommended it. I just get given the same ointment (scheriproct).

I will try some of the other treatments that you have suggested though. Thanks.
Original post by Anonymous
I have tried an over the counter treatment (germoloids) and they work quite well to shrink it but it does say to not use it longer than 7 days or so, so I never exceed that. When I poop though, it just returns back to how it was. Its very frustrating that it does this. I feel like getting it surgically removed is the only option, but the gp has never recommended it. I just get given the same ointment (scheriproct).

I will try some of the other treatments that you have suggested though. Thanks.

Hi

Your GP will only recommend surgery if they feel necessary but it's getting your GP to refer you to specialist at hospital is the thing for you ( maybe a different doctor at your GP practice may think this ). Especially at present with backlog of all treatments.

That's all you can do you is try different over the counter treatments to see if they work but if they not then you'll need to just tell your GP this.

Its a matter of trial & error to find the best treatment to help you with this ok. It's annoying I know for you but till you can get the best treatment then you'll have to suffer things.

I would use the ( germoloids cream from chemist ) for the 7 days then use something else equivalent to it ( speak to your local chemist pharmacist on this OK) for a week say then use the ( germoloids again for 7 days ) it's better than nothing for you especially you said it works.

Yeah Cote1 is correct about me being bit experience in this as I'm a NHS registered midwife so use to dealing with it for woman when expecting.
Original post by Cote1
Tracy_W is experienced in these matters for obvious reasons.:smile:

Yeah thanks.

I can only suggest so much as its best getting advise either from there GP or local chemist pharmacist about it but obviously they found a over the counter treatment that helps for 7 days of usage but if they get another similar product then can use the one they already know helps again for another 7 days.
Till they can get things seen to by GP & hopefully a specialist at hospital.
Reply 8
Original post by Tracey_W
Hi

Your GP will only recommend surgery if they feel necessary but it's getting your GP to refer you to specialist at hospital is the thing for you ( maybe a different doctor at your GP practice may think this ). Especially at present with backlog of all treatments.

That's all you can do you is try different over the counter treatments to see if they work but if they not then you'll need to just tell your GP this.

Its a matter of trial & error to find the best treatment to help you with this ok. It's annoying I know for you but till you can get the best treatment then you'll have to suffer things.

I would use the ( germoloids cream from chemist ) for the 7 days then use something else equivalent to it ( speak to your local chemist pharmacist on this OK) for a week say then use the ( germoloids again for 7 days ) it's better than nothing for you especially you said it works.

Yeah Cote1 is correct about me being bit experience in this as I'm a NHS registered midwife so use to dealing with it for woman when expecting.

Thanks. I will try your suggestions and hopefully my symptoms will improve.

It just seems like its impossible to not get the piles to flare up as (i think) its an external one, so everytime I'm passing stools it will irritate the piles. In your experience, is it possible to make it go away using creams instead of invasive procedures (surgery)? Currently, I can't see how an external one will ever go away because during bowel movements the stools would always be in contact and irritate it.
Original post by Anonymous
Thanks. I will try your suggestions and hopefully my symptoms will improve.

It just seems like its impossible to not get the piles to flare up as (i think) its an external one, so everytime I'm passing stools it will irritate the piles. In your experience, is it possible to make it go away using creams instead of invasive procedures (surgery)? Currently, I can't see how an external one will ever go away because during bowel movements the stools would always be in contact and irritate it.


Honestly if they don't go away after your home treatment then usually surgery is only answer to resolving it.
Try things first then if necessary goto your GP and discuss masters with them ok.

============================================================
This is the NHS general guidelines on piles.

Piles usually get better on their own. You can ease discomfort by avoiding constipation. You may need hospital treatment if your piles are severe.
Self-care
Do:
drink lots of fluid and eat plenty of fibre to keep your poo soft
wipe your bottom with damp toilet paper
take paracetamol if piles hurt
take a warm bath to ease itching and pain
use an ice pack wrapped in a towel to ease discomfort
gently push a pile back inside
keep your bottom clean and dry
exercise regularly
cut down on alcohol and caffeine (like tea, coffee and cola) to avoid constipation
Don't:
do not wipe your bottom too hard after you poo
do not ignore the urge to poo
do not push too hard when pooing
do not take painkillers that contain codeine, as they cause constipation
do not take ibuprofen if your piles are bleeding
do not spend more time than you need to on the toilet




Medical treatments
If there's no improvement to your piles after home treatments, you may need hospital treatment.
Talk to your doctor about the best treatment for you. Treatment does not always prevent piles coming back.
Treatment without surgery:
Common hospital treatments include:
rubber band ligation: a band is placed around your piles to make them drop off
sclerotherapy: a liquid is injected into your piles to make them shrink
electrotherapy: a gentle electric current is applied to your piles to make them shrink
infrared coagulation: an infrared light is used to cut the blood supply to your piles to make them shrink
You'll be awake for this type of treatment, but the area will be numbed.
You should be able to go home on the same day.
If these treatments do not work, you may need surgery to remove your piles.
Surgery:
Surgical treatments include:
haemorrhoidectomy: your piles are cut out
stapled haemorrhoidopexy: your piles are stapled back inside your anus
haemorrhoidal ...
Reply 10
So that advice is positive as it shows you can hopefully do something to resolve it.
(edited 2 years ago)
Original post by Tracey_W
Honestly if they don't go away after your home treatment then usually surgery is only answer to resolving it.
Try things first then if necessary goto your GP and discuss masters with them ok.

============================================================
This is the NHS general guidelines on piles.

Piles usually get better on their own. You can ease discomfort by avoiding constipation. You may need hospital treatment if your piles are severe.
Self-care
Do:
drink lots of fluid and eat plenty of fibre to keep your poo soft
wipe your bottom with damp toilet paper
take paracetamol if piles hurt
take a warm bath to ease itching and pain
use an ice pack wrapped in a towel to ease discomfort
gently push a pile back inside
keep your bottom clean and dry
exercise regularly
cut down on alcohol and caffeine (like tea, coffee and cola) to avoid constipation
Don't:
do not wipe your bottom too hard after you poo
do not ignore the urge to poo
do not push too hard when pooing
do not take painkillers that contain codeine, as they cause constipation
do not take ibuprofen if your piles are bleeding
do not spend more time than you need to on the toilet




Medical treatments
If there's no improvement to your piles after home treatments, you may need hospital treatment.
Talk to your doctor about the best treatment for you. Treatment does not always prevent piles coming back.
Treatment without surgery:
Common hospital treatments include:
rubber band ligation: a band is placed around your piles to make them drop off
sclerotherapy: a liquid is injected into your piles to make them shrink
electrotherapy: a gentle electric current is applied to your piles to make them shrink
infrared coagulation: an infrared light is used to cut the blood supply to your piles to make them shrink
You'll be awake for this type of treatment, but the area will be numbed.
You should be able to go home on the same day.
If these treatments do not work, you may need surgery to remove your piles.
Surgery:
Surgical treatments include:
haemorrhoidectomy: your piles are cut out
stapled haemorrhoidopexy: your piles are stapled back inside your anus
haemorrhoidal ...

Now that sounds horrible (the part in bold). I'm just imagining a surgeon with a stapler and stapling my piles back inside.

The hospital treatments without surgery sounds like a good option. The trouble is convincing the gp about this. The trouble is that I keep going and they prescribe the ointment so I give up going since it seems pointless. Then I only really go back of it gets really bad and they just provide more creams. Seems I am stuck in a loop here.
Reply 12
Just keep persisting with the GP and then ask for a referral.
Original post by Anonymous
Now that sounds horrible (the part in bold). I'm just imagining a surgeon with a stapler and stapling my piles back inside.

The hospital treatments without surgery sounds like a good option. The trouble is convincing the gp about this. The trouble is that I keep going and they prescribe the ointment so I give up going since it seems pointless. Then I only really go back of it gets really bad and they just provide more creams. Seems I am stuck in a loop here.

Not all surgeons will use staples ok as majority would use stitches

Reason why I said try all available over the counter treatments first then you can say to your GP that you tries x x x x x & x x creams etc and you feel nothing helping things is there anyway surgery would help it.
Original post by Tracey_W
Not all surgeons will use staples ok as majority would use stitches

Reason why I said try all available over the counter treatments first then you can say to your GP that you tries x x x x x & x x creams etc and you feel nothing helping things is there anyway surgery would help it.

I will do. Thanks for your advice, much appreciated.
Original post by Anonymous
I will do. Thanks for your advice, much appreciated.

You welcome ok.

It makes it easier to say to your GP that you have tried all sort of treatments but nothing helping.

Keep me posted on how things goes with both treatment and your GP okay x
I swear we are not doctors jeeeez

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