Haemorrhoids..Piles..

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Anyone has experience with severe piles? How to get a qualified medical person to treat it? My DH suffers from it periodically and it feels to me like it's becoming a chronic problem. The GP isn't helpful at all, he's tried all sorts of over the counter medication. I'm not from the UK, and don't think this is something someone has to put up with and it is very very odd that the GP is ignoring the request. Do we have to go down A&E route? I mean, this is a rather "funny" but very serious situation.

You need to ask your GP for Scheriproct Suppostories and ointment.

A+E would only be interested if there was non-stop bleeding from them or they were acutely thrombosed.

How severe is severe? Your GP can only refer to hospital for management of them in very specific circumstances and however much they are bothering your DH, if they aren't in those criteria they can't refer.

Basically once you have piles, you have them forever, and by the time you are 70+ practically everyone has them. All you can do is try to make sure they don't get bigger or flare up by avoiding straining and constipation.

Nothing you can do about piles. There is no treatment other than cream and suppositories, which reduce the pain but don’t make the pile go away. They won’t do surgery except in very rare circumstances where it’s huge or bleeding lots. Proctosedyl cream is good but has to be prescribed.

Thanks all for responding.

@AnnaMagnani apparently they were hanging out because he couldn’t push them back in. He was in pain and fidgety the whole day, I don’t know how he pushed them back in in the end or how/why anyone would do that! It all sounds very very odd and abnormal.

Having to push them back in is totally normal.

Maybe you need to go back to your GP and insist that he's examined.

He'd only get a referral if he always has to push them in.

And honestly a lot of the surgery sounds awful.

I’m assuming he’s tried all the usual stuff:

-haemorrhoid cream
-not being constipated
-putting his feet on a little stool while pooping and not straining
-use wet toilet wipes (the ones that are fine to flush) instead of aggravating them with dry toilet paper.

Does he have high blood pressure?

He has my sympathies though. Luckily I’ve only had them when I’m pregnant so there’s light at the end of the tunnel.

The nhs approach to severe piles is very poor and the treatment methods are also primitive.
I had a prolapsed, thrombosed haemorrhoid while in SE Asia. It was agonising and I couldn't walk, sit or stand. I had urgent surgery covered by travel insurance and haven't looked back. I did try every possible self treatment for a week, to no avail.
If you can possibly afford to pay, I would do it. But check what procedure and after care they will offer.
I was lucky mine happened when it did. It was frightening at the time but all sorted now. I am so sorry for your DH. It is such a painful, miserable condition.

There are different medications he can try. Both DH and I have had them in the past and were given different creams/suppositories to try. I saw a private GP as I wanted an actual appointment and was given same as BG2015 above cream and suppositories these helped me. DH didn’t have much success with it and was referred to hospital where he was given a 6 week course of cream, again didn’t help and was given botox injections to shrink them as by this time they were now anal fissures, under general anaesthetic which has worked.

Thanks all - he has tried everything over the counter, and I know he was prescribed some stronger stuff in the past. His blood pressure is on the higher side, we eat healthily (I think!) and exercise regularly... although he hasn't been as active because of his bottom problem.

We have basic private medical and I have nagged him to just get an appointment. It feels like he's resigned to it. I don't believe 100% it can't be treated surgically. I know someone who's had his surgically removed in another country; I would think if it's popping out so regulary, and (staying out!) it should be removed altogether - how is that not standard practice 😱

I hope I never never get it!

Dh has them and occasionally they’re bad, but he gets various things from the GP which seem to work. Def need to get prescription strength ointments or suppositories.

Has he mentioned to his GP that you have private cover?

If he doesn't mention it, GP won't know and so won't suggest a referral.