When to worry...a bum one

Found your thread when researching the same problem. Did you get sorted?

What sort of volume of blood are you passing? Do you need a pad or anything after you've finished in the bathroom?

I'm not a medic, so don't know what is normal with piles bleeding, and of course everyone's perception is different. I have piles and ulcerative colitis, so have experienced many episodes and differing quantities of passing blood.

Obviously consult your gp/ medical practice if concerned, but really hoping you see significant improvement soon.

Do they have hydrocortisone? How many were you prescribed and for what duration?

Personally, I use the Anusol HC (hydrocortisone) for about a week. Then I use the germaloids ones for as long as necessary. I buy them, so haven't been prescribed.

BTW. Well done for using the suppositories!!! I hope it wasn't difficult to do.

I have IBS too, I know exactly what you mean. When mine bleed I have to use suppositories and cream after every BM to get the bleeding to stop, otherwise it will just carry on. Sometimes it takes a couple of weeks to clear up. Germoloids is my favourite brand, I'd recommend it over Anusol personally. I was afraid to use a suppository the very first time, but it's easy. A hundred times easier than inserting a tampon for example.

Give it a go. If the treatment stops the bleeding, then you have your answer.

Yep I've had piles for over 10 years. They bleed from time to time. Sometimes quite a lot. For me bleeding always coincides with a flare up - pain, itching, piles visible. And a flare up usually occurs after constipation. I will sometimes go months without a flare up - recently I went a whole year without any bleeding. So I'm confident it's just piles - cancer wouldn't go away! How often do yours bleed?

I usually double up on suppository and cream. The suppositories work way better than just the cream! Don't be afraid to use them, you literally just push it gently in, once it's all the way in it feels like it instantly dissolves and you can't feel it. I always feel instant relief from using one. They don't get rid of the pile, but they shrink it down.

I've also mentioned my issue to various GPs and always been told it's just piles. I've had an MRI of my pelvis though (for an unrelated reason) and nothing could be seen on there, so 🤷

@lazymorningscrolling It was a long dog and many fingers up my bum to get there!

OMG- Please tell me this was a typo!!! I nearly splat my vino all over the laptop reading that 😂

You can get the piles treated if they are affecting you. However, the wait list is long and they tend to be overrun with elderly patients with extremely severe piles. I had mine stapled and it was useless, so not take this option! I then needed something else done on my bum and the very kind surgeon removed the worst one while up there. I have two internal piles left that the next surgeon refused to touch (does how lucky I was the first time) but they don't affect me so I don't mind. It was a long dog and many fingers up my bum to get there! Would you consider going private?

The medicine shrinks it. Yes, it may return if it becomes engorged again, but the vein is supposed to be there.

You are likely straining when doing a BM or because you have a pile would benefit from a softer stool - that’s what the suppository is doing. Your vein is swollen, the cream will help reduce it and if it’s not continuously being strained it will go down. Obviously lots of water as well.

The suppository is solid, but creamy/ waxy and will melt once inside you. You don't have to push it in too far either. I find it sort of gets sucked in once it is most of the way in, so you shouldn't need to insert your finger at all.

Honestly, it's not difficult once you try. Probably the easiest way is whilst sat on the toilet, just try not to drop it in.

I've used hundreds as I have bowel disease and one of my meds comes as a suppository. I've also used anusol and germaloids suppositories, which really help internal piles.

It’s not all you need as you keep getting symptoms back so it’s not fully treating the cause. Not having a go, just be brave and follow the plan 👍

Make a plan - use the things as prescribed and if it doesn't get better then go to doc and tell them your worries. I watch the TV Doctor's Surgery programme and the number of people who come in and say they have stopped taking medicine is 🙄. The doctors must feel like punching them 😂

Suppositories really help with piles. Just push one gently up your bum. It doesnt hurt...but yiur next BM might be whitish so dont panic.

Witch hazel is also good for piles.

Your GP has clearly taken you seriously, as you've had a colonoscopy.

The suppositories will probably really help. Why haven't you used them?

But you can see how that’s a problem OP? if you are inconsistent in treating them, you will continue to get symptoms and then it’s very difficult to differentiate if the GP keeps saying ‘it’s just piles’.

Also they are causing you issues. They are bleeding or you can’t tell where from. I think you need to make a concerted effort for the next 2 weeks and see what happens. Good luck.

It sounds like you need treatment for the piles first as if it continues then you’d know to investigate further. What is your current treatment plan?