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Ease the discomfort of haemorrhoids

The causes of piles

Internal haemorrhoids are essentially inflamed vascular structures that are rich in blood vessels. Inflammation occurs because of pressure that causes irritation and results in an immune response. Sometimes the inflammation can be so severe that these structures prolapse and push their way through the anal opening. When this happens internal haemorrhoids should not be confused with external haemorrhoids. External haemorrhoids are far less common and are blood clots that form around the edge of the anal opening.

There are several risk factors that can increase the likelihood of a person developing this condition such as old age; a diet that is low in fibre and that often leads to constipation; lifting heavy objects or being obese. Some people can also be more prone to them because it runs in the family.

The symptoms

Piles can sometimes be asymptomatic, but when symptoms do occur they can cause discomfort. They may include: bright red blood after passing stools, piles hanging through the anal opening that need to be pushed back after passing stools, mucous or discharge after passing stools, itching, a sore or sensitive anus or a desire to pass stools even when bowels are empty.

Prevention

There is no direct way to prevent haemorrhoids but you can reduce your chances of developing it by eliminating some of the risk factors. You can try to add more fibre in your diet, drink more water and do more exercise to keep your bowel movements regular. You may also want to avoid excessive alcohol use. Losing weight if you are currently overweight can also reduce your risk of developing piles.

Treatment Options

How haemorrhoids are treated is largely dependent on their severity. Mild cases can often go away on their own if patients take steps to improve their diet. Taking in more fibre and fluid can make stools softer and far less likely to cause further irritation. You may also choose to use a laxative to deal with constipation.

If your symptoms aren't going away with the help of diet and exercise then over-the-counter or prescription treatments are an option. Prescription haemorrhoid treatments such as: Anugesic HC, Proctofoam, Proctosedyl, Scheriproct, Ultraproct, Uniroid, Xyloproct or Betnovate, can offer immediate topical relief from symptoms while also reducing swelling. Haemorrhoid treatments are commonly available in the form of gels, ointments, creams, foams or suppositories that can be used externally and/or internally.

In extreme cases where haemorrhoidal swellings are quite large and won't go away with the help of a more fibrous diet or prescription treatment, medical procedures such as injections, surgery or infra-red coagulation can be considered. These procedures all involve the actual removal or shrinking of piles.

Ordering piles treatment online

Prescription treatments are available online. Simply place an order and ensure that you complete the online consultation.Our doctors will review your consultation and provide a prescription if the treatment of your choice is safe for you to use. All prescriptions are processed by a registered pharmacist and shipped via overnight delivery so you can start your treatment as soon as possible.

Medical review byDr. Caroline FontanaLast review 24 October 2025
Dr. Caroline Fontana

FAQs

What is included in the online consultation?
Will a doctor review my consultation?
What happens after I submit my order?
What services are included with my order?
Is the price all-inclusive?
What are my delivery options?
Is it safe to buy prescription medication online?
Is this service discreet?
What is included in the online consultation?

Our online consultations are in the format of short medical questionnaires. You will be asked general questions about your health and medical history, as well as specific medical questions relevant to the treatment you have chosen. We will also ask you for your payment and delivery details to complete the order.

Online consultations take no longer than 5 minutes to complete. All questions are necessary when issuing prescription medicines. It means that our doctors can make sure the treatment is safe and right for you.

Will a doctor review my consultation?

Yes, it is a legal requirement that all online consultations are reviewed by a registered doctor. This is to make sure the chosen treatment is safe and right for you to take. All personal information is stored securely and confidentially.

Please note, all orders are subject to doctor approval, and we cannot guarantee that your order will be approved.

What happens after I submit my order?

Your online consultation will be sent directly to our medical team, where it will be reviewed by on of our in-house doctors.

If a doctor approves you for treatment, they will issue a prescription. Your prescription will then be forwarded to our pharmacist, where you medication will be dispensed and dispatched for delivery.

What services are included with my order?

Every order includes:

  • Free consultation - your consultation will be personally reviewed by one of our registered doctors.
  • Free prescription - a doctor will issue you a prescription if approved for treatment.
  • Free delivery - we provide free express delivery across Europe, you should receive your order in 1-2 working days.
Is the price all-inclusive?

Yes, our service is all-inclusive and there are no hidden fees. All 121doc orders include a free online consultation, a free prescription and free express delivery.

What are my delivery options?

We offer several delivery options at no extra charge:

  • Next-day delivery
  • UPS Access Point - convenient parcel drop-off and collection near your home or work address
  • Nominated-day delivery - choose the most convenient day for delivery

All these options can be tracked and require a signature on delivery. If you are not in, a friend or relative can sign in your place.

Is it safe to buy prescription medication online?

It is safe to buy prescription medications online from genuine and reputable healthcare providers, like 121doc.

Our medical staff and facilities are registered with the relevant medical governing bodies. We also ensure your data is protected by adhering to European data privacy laws.

You can learn more about our certifications here.

Is this service discreet?

Our patients’ privacy is of utmost importance. All your medical information is securely stored and only viewed by our doctors. We do not share your details with third-parties. We are also closely adhere to data privacy laws.

All orders will only show on invoices, bank statements, etc. as ‘HHC Ltd’.