Piles (haemorrhoids)

Also called Haemorrhoids or Hemorrhoids

Piles (haemorrhoids) are lumps inside and around your bottom (anus). They are swollen blood vessels and are very common. They are often linked to constipation, straining on the toilet, pregnancy, heavy lifting and getting older.

Last updated Nov 9, 2026

What it is

They often get better by themselves after a few days. Eating more fibre, drinking plenty of fluids and not straining help.

Creams can ease symptoms. If piles do not get better, treatments such as banding or surgery can be offered.

Common signs

  • Bright red blood after pooing
  • An itchy bottom
  • A lump hanging down outside the bottom
  • Mucus in underwear or on toilet paper
  • Feeling that you still need to poo
  • Pain around the bottom

How it is usually diagnosed

  • Questions about symptoms
  • Examination of the bottom, sometimes with a finger or a small scope

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • GP notes
  • Colorectal clinic letters
  • Procedure notes

Questions to ask your doctor

  • Could this bleeding be anything else?
  • What can I do to stop them coming back?
  • Would banding or surgery help me?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • Heavy bleeding from the bottom, or black or dark red poo: get urgent help, call 112

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources