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/piles
Piles
Piles respond well to combined treatment: remedy selection plus practical changes to diet, fluid intake and toilet habit. Surgical cases are referred honestly.
Symptoms
✔Bright red bleeding during or after passing stool
✔Pain, itching or swelling around the anus
✔A lump that appears and retracts
✔Feeling of incomplete evacuation
✔Discomfort worsened by constipation
Who gets it
Very common in adults with sedentary work, low-fibre diets or chronic constipation, and in women during and after pregnancy.
Common questions
Can I avoid surgery?
Many grade 1 and 2 cases improve without it. Advanced or thrombosed piles are referred to a surgeon.
Is bleeding always piles?
No. Persistent bleeding needs examination to rule out other causes — this is done at the first visit.
What changes help most?
Fibre, water and not straining. These are as important as the medicine.