Pain while sitting on the commode is commonly caused by haemorrhoids or a small tear called an anal fissure. For immediate relief, you can apply an over-the-counter ointment containing lidocaine (to numb the pain) or hydrocortisone (to reduce swelling). To prevent straining, using a gentle stool softener like docusate sodium can help. Additionally, soaking in a warm sitz bath for 15 minutes a day can significantly ease discomfort. Please increase your fibre and water intake. These issues are very common and highly treatable. However, if you notice bleeding or if the pain persists, please consult a healthcare professional for a proper evaluation.

To help stop bleeding from piles, you can use over-the-counter stool softeners (like docusate sodium) and fiber supplements to prevent straining. Topical creams containing phenylephrine or hydrocortisone can reduce local inflammation and bleeding. Doctors also frequently prescribe oral flavonoids to strengthen blood vessels and reduce bleeding. However, because blood in the stool can sometimes signal other serious gastrointestinal issues, it is crucial to consult a healthcare professional for a proper diagnosis before self-treating. Seek immediate medical attention if you experience heavy bleeding, dizziness, or feel faint.

For mild piles, over-the-counter topical creams or suppositories containing hydrocortisone or witch hazel are highly effective at relieving pain, swelling, and itching. Stool softeners like docusate sodium or bulk-forming laxatives (psyllium husk) are crucial to prevent straining. For oral treatment, venotonic medications like Daflon (micronised purified flavonoid fraction) are frequently prescribed to improve vein tone and reduce swelling. Pain relievers like ibuprofen can help manage discomfort. Please consult a doctor for a proper diagnosis and a personalised prescription, especially if you experience rectal bleeding.