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Haemorrhoids

Haemorrhoides · Hemoroidy

What it is

Swollen anal cushions — half of people over 50 have them.

Symptoms & signs

  • Bright red blood on wiping
  • itching
  • lump at the anus
  • pain if thrombosed

🚩 Get help if…

  • call 112 / 911 now Heavy bleeding that will not stop or fainting
  • see a doctor soon Dark blood mixed in the stool or bowel change
  • see a doctor soon Severe pain with a hard purple lump at the anus
  • see a doctor soon Bleeding with weight loss, or new bleeding after 50

Where it strikes

Medical treatment

  • Fibre and fluids
  • topical anaesthetic
  • rubber band ligation
  • haemorrhoidal artery ligation
  • haemorrhoidectomy

Natural & lifestyle

  • Fibre 25–30 g
  • don't strain or read on the toilet
  • sitz baths
  • witch hazel
  • squat position (footstool)

Emerging & experimental

  • Doppler-guided artery ligation
  • embolisation (emborrhoid technique)

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Micronised flavonoids (diosmin) — trials show faster relief of bleeding and pain trials support
  • Horse chestnut extract — small trials early / small studies
  • Aloe vera and tea-tree ointments — traditional; small trials early / small studies

ICD codes