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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Ughh piles

66 replies

sallysinna · 10/06/2025 22:34

Sorry for the gross topic. If bum chat isn’t your thing move along now.

I’ve had them for years. Since I was in my early twenties and I’m now 40. Mostly they don’t cause much discomfort or itching but they did bleed quite a lot at one point. Had a colonoscopy about 5 years ago and they were noted but no further action taken.

Over the weekend I caught a d&v bug from my dc and had really bad diarrhoea and the pain and prolapse from them has been insane. I think the strain on the area has literally pushed everything out and it’s like a literal bunch of grapes. Very sore and unsightly. When things like this have happened in the past they have eventually reduced and gone back in but this time it seems to be taking longer and the whole area feels swollen and sensitive. I’ve got some prescription cream and over the counter suppositories but I wondered if this sounds normal?

I have skin tags in the area from the times they’ve come out and gone back in again, apparently it stretches the skin and that can’t be undone.

I’ve considered seeing about getting them banded or removed but I don’t think I can face it and generally they don’t cause me too many issues but this fresh hell is something else! Tips or support please?

OP posts:
proximalhumerous · 12/06/2025 23:25

CandleARBRA · 10/06/2025 22:54

Solidarity - I started a thread the other day about post birth piles. It's such a depressing problem as there's no real cure, the surgery is very painful and not necessarily effective long term plus you risk incontinence etc. Treatments can help a bit but not that much tbh. If you have large prolapsed piles, lie on your front and pour sugar (normal granulated sugar) on them and leave for 15 mins, then rinse off. It's messy and awkward but it will shrink them.

Or get Def Leppard to do it.

BooneyBeautiful · 12/06/2025 23:13

Fibrous · 12/06/2025 13:26

I have no shame so I am happy to talk about it, and lots of people have said to me that they suffer too but have never told anyone. There are probably so many people suffering in silence. I think most pregnant women seem to suffer at some point.

My BMI is 24 but I'm trying to get it down to about 20 to see if that helps.

Both my hairdresser and my window cleaner/handyman are happy to talk to me about their piles. My hairdresser had botox treatment on hers at one point. It's good that everyone can talk about them now, rather than suffering in silence and being embarrassed.

BooneyBeautiful · 12/06/2025 23:08

KimberleyClark · 12/06/2025 14:11

Low carb/keto diets are notorious for causing constipation and consequently piles.

That's interesting. I had my surgery (haemorrhoidectomy and removal of an anal skin tag) in 1984. I was on a high protein/low carb diet in 1978, and loosely continued it afterwards, so kept my carbs relatively low. Maybe it was my diet that caused all my problems.

BingoBling · 12/06/2025 15:08

I suffer with them . They aren't painful as such, and don't bleed much, but can be uncomfortable and extremely itchy.
Mine aren't post birth or anything.
I don't find pile cream / suppositories help really.

IridescentRainbow · 12/06/2025 14:58

I had mine banded once, and it was ok, a sort of dull ache for a couple of days which was helped by paracetamol and ibuprofen. I’d recommend that treatment.

KimberleyClark · 12/06/2025 14:11

Low carb/keto diets are notorious for causing constipation and consequently piles.

Ilovechocolatelimesandsherbertlemons · 12/06/2025 14:11

The banding isn't the same as surgery, the consultant literally snapped a couple of elastic bands (I think) around them, and they shrivel and drop off. Honestly, I felt nothing then or after. All the problems stopped that day. I would really recommend you look into that, no more cream, bleeding, irritation - just normal!

Fibrous · 12/06/2025 13:26

I have no shame so I am happy to talk about it, and lots of people have said to me that they suffer too but have never told anyone. There are probably so many people suffering in silence. I think most pregnant women seem to suffer at some point.

My BMI is 24 but I'm trying to get it down to about 20 to see if that helps.

SlipShodSue · 12/06/2025 12:11

I had surgery as I was bleeding a lot and was anemic even with taking prescription iron. The first trip to the toilet wasn’t exactly fun but I can’t say it was that bad. I recovered quickly and I really didn’t find it painful. If I get them again I’d have surgery if possible. Life is too short to be dealing with being uncomfortable or in pain all the time.
Im in a friendship group where we would discuss something like this. It’s so common. I wouldn’t bring it up at a dinner party but I might of mentioned if we were chatting about something relevant.

sallysinna · 12/06/2025 11:35

Really appreciate the tips and solidarity. Thankfully the pain and swelling has reduced now. I can’t tell if they are internal or external. What I have found is that when I have a bad stomach it seems to push a hell of a lot more outside. That’s when the area becomes very swollen and painful. Also looks terrible.

However even when things are good there are still things visible on the outside. I can’t tell if these are piles too or just skin tags. But it definitely seems that the worst of it goes ‘back up’ when the bowel situation has calmed. And suppositories and cream seem to help with it too.

If I were bleeding heavily or in constant pain I would probably be more inclined to consider surgery but day to day they don’t cause me too much trouble, it’s just the look of the area that bothers me. But then again nobody really sees my bottom!

OP posts:
CortieTat · 12/06/2025 11:28

I had them during and after every pregnancy. Varicose veins run in my family (both sides) so there’s no way to avoid them. I had them banded once but they recurred in subsequent pregnancies.

What helps me is:

  • lean BMI - carrying extra weight puts more pressure on veins in the area, my piles only flared up when I was pregnant (= heavier than usual)
  • making sure that I eat at least 30g of fibre a day, usually more
  • going gluten-free
  • regular exercise, it won’t magically make varicose veins go away but it improves circulation
  • supplements with diosmin and calcium dobesilate (the latter is an over-the-counter medication)
TempestTost · 12/06/2025 10:49

There are some things you can do to help OP.

If the piles are protruding from inside, I would recommend coating them in whatever cream product you are using and gently pushing them back in. Once they are protruding it's very difficult to get them to reduce because the blood flow is restricted.

You can get prescription creams which are a little more effective. The suppositories are also good.

Don't sit on the toilet for more than about 5 minutes, and make sure your poo is really soft. Miralax is good for that if you have hard stools, and you can take it as often as you need to. If there is ever a hint of constipation I go straight for that along with diet change.

Ibuprofin helps, you can talk to your doctor about exceeding the dose on the bottle. Hot baths, heating pads, are also good.

Hope you find relief.

Pipnik · 12/06/2025 10:40

I've had mine banded 4 times on the NHS over the last 4 years. My biggest issue is they bleed badly and I've spent much of that period anaemic. The last time I had them done was a mix of banding and injections about 2 months ago. It was painless, and they have been brilliant since then until last week. I've had a dodgy stomach, multiple toilet visits, and they are back bleeding again today.
The consultants I've spoken to have, in general, been brilliant, although there was one I really wouldn't want to go back to who gaslit me over the amount of pain I was experiencing.
We've talked about surgery as an option, but I've been advised that it's one of the worst surgeries for pain and recovery, and so have tried to avoid it.

Fibrous · 12/06/2025 07:20

Yeah I find running helps with the pain, I also assumed it helps with the circulation. Yoga also helps. Nothing helps the pain like a long salt bath, though. Wish I lived near the sea! My water bill has been enormous this year as I’ve had hideous piles since December.

BizzyLizzyandLittleMo · 12/06/2025 00:32

I’ve had occasional bouts of piles, usually just a couple of small ones but very painful. They seem to be brought on by warmer weather. I’ve found that taking anti-inflammatories like Ibuprofen and using cream/suppositories with steroids helps as does increasing exercise such as going for a run - not sure why, the only thing I can think of is that maybe it helps with the circulation 🤷‍♀️

BooneyBeautiful · 11/06/2025 23:11

sallysinna · 11/06/2025 08:41

It seems a bit better down there today but it really does flare up horribly if ever I get a bad stomach. The horror stories about the operation really do put me off.

In my early twenties, I was in terrible pain from piles. Each time I opened my bowels it hurt and I had to sit on a chair afterwards and rock backwards and forwards until the pain subsided. When I was 24, I had a haemorrhoidectomy and removal of an anal skin tag. The surgeon told me that the aftereffects of the surgery would be nothing compared to the pain I must have been experiencing for at least the previous 18 months (he had had to remove much more than he had anticipated). He was right. The worst part I suppose was needing to open my bowels the following morning and having to gently remove yards and yards of gauze packing before I could do so. But absolutely no pain when I went! It was heaven!

Judiezones · 11/06/2025 22:47

I had mine banded, it didn't work for long. I then had a fairly new procedure (sorry can't remember the name) where they cauterise the veins with an electronic instrument- that's how it was explained to me!
It wasn't all that painful, I was given strong painkillers and didn't need them after a couple of days. That was 7 years ago and they haven't come back.

The consultant said I had some very impressive piles and they bled so much I was anaemic.
I would recommend getting them treated if you can.

Fibrous · 11/06/2025 22:36

teraculum29 · 11/06/2025 19:54

I found taking "diosmin and hespardin" supplement very helpful with piles flare up. as all the creams, ointments even suppositories didnt work on me

  • Diosmin and Hesperidin:
  • These flavonoids, commonly found in citrus fruits and often combined in supplements, are known to improve circulation, strengthen veins, and reduce inflammation, all of which can be helpful in managing both varicose veins and piles.

I’ve been looking for these but can’t find them anywhere. I take horse chestnut pills. I also made an ointment from witch hazel, beeswax, lesser celandine and calendula flowers. I found the steroid cream made my skin really inflamed and itchy, and the vaginal area (my piles are that end) and having to itch all the time was making everything so much worse.
I’m sticking to herbal remedies until I have the surgery.

SnickoryDickoryDock · 11/06/2025 22:19

I had piles for years and suffered very badly from chronic constipation. They flared up very badly at times, the pain would be immense and it hurt to walk or sit. Even just lying down was uncomfortable due to the throbbing pain. I eventually had surgery, and looking at some of these stories, I don't think I was aware of the possibility of the surgery going wrong! Luckily mine didn't. It was painful in the aftermath for quite some time, to the point that I wondered if it was worth it! Thankfully that eventually subsided. Looking back, if I was in the position I was in originally, I would get the surgery again. Living a lifetime with the pain of piles and the resulting chronic constipation was not something I would wish on anyone.

jeaux90 · 11/06/2025 21:41

I used to get them but the the odd occasion I still do I use an old school,
home made witch hazel based soak,
sooo soothing. But this is when they aren’t too bad just protruding a bit and a little itchy. Massively helps

Chubbymummyof2 · 11/06/2025 21:24

sallysinna · 11/06/2025 20:51

It’s heartening to know other people are in the same boat. Pp is right, it’s not spoken about because it’s bloody embarrassing! I end up feeling like a freak with the sight and sensation of it when I have a big flare up. Since we are oversharing and amongst friends I will also add that there are certain sexual positions I absolutely won’t do with dh as (although he knows about them) I feel like if he saw them he’d be scarred for life!
I also go through phases of frightening myself thinking it could be something worse like anal cancer which also presents with lumps and bleeding. Gah!

thank you for starting this thread, everything said has made me feel so much less alone which obviously doesn’t ease the pain or discomfort but certainly helps knowing it’s not just me

sallysinna · 11/06/2025 20:51

It’s heartening to know other people are in the same boat. Pp is right, it’s not spoken about because it’s bloody embarrassing! I end up feeling like a freak with the sight and sensation of it when I have a big flare up. Since we are oversharing and amongst friends I will also add that there are certain sexual positions I absolutely won’t do with dh as (although he knows about them) I feel like if he saw them he’d be scarred for life!
I also go through phases of frightening myself thinking it could be something worse like anal cancer which also presents with lumps and bleeding. Gah!

OP posts:
teraculum29 · 11/06/2025 19:54

I found taking "diosmin and hespardin" supplement very helpful with piles flare up. as all the creams, ointments even suppositories didnt work on me

  • Diosmin and Hesperidin:
  • These flavonoids, commonly found in citrus fruits and often combined in supplements, are known to improve circulation, strengthen veins, and reduce inflammation, all of which can be helpful in managing both varicose veins and piles.
Daphniamagna · 11/06/2025 19:51

I’ve suffered with this for a long time too and have found lying down on my side for a few minutes after going to the toilet really helps with them retracting. It’s less help during a really bad flare up though unfortunately.