Do I need to be examined?

No. This service is based on a private conversation about your symptoms and what may help, without any physical examination.

What sort of symptoms can we talk about?

You can talk about itching, discomfort, swelling, pain when passing stool, or small amounts of bleeding, and anything that seems to trigger symptoms.

What should I bring to the appointment?

If you can, bring a list of any medicines you take and note which treatments or self-care steps you have already tried.

Will you recommend a treatment on the day?

You will be guided through suitable options and how to use them safely, based on your symptoms and preferences.

What happens if my symptoms do not improve?

You will be given clear next steps, including when to seek further assessment if symptoms continue, worsen, or do not respond to self-care.

Yes. Your discussion is handled discreetly and with respect, and you can ask questions at any point.

Back to Services

NHS

CAS Haemorrhoids (Piles)

Confidential support to help you manage symptoms and choose suitable next steps.

Talk privately about symptoms and what is normal for you
Understand self-care options and what may help at home
Get help choosing suitable treatments available without a prescription
Know when to seek further assessment based on your symptoms

30 minute appointmentNHS serviceNHS

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Private and respectful conversation

Discuss symptoms in a discreet setting, with a calm, non-judgemental approach.

Personalised symptom review

A structured chat to understand your symptoms, triggers, and what you have already tried.

Clear plan for what to do next

Leave knowing which self-care steps to start, which options to try, and when follow-up may be needed.

The Process

What this service involves

You will be asked a few questions about your symptoms and how they are affecting you day to day. You will be given practical self-care advice and help choosing suitable treatment options. You will leave with a clear plan for what to do now and what to look out for.

Unhurried appointment

Time to talk through concerns and ask questions without feeling rushed.

Support for sensitive symptoms

A straightforward, respectful approach for symptoms that can feel embarrassing to discuss.

Included

What we provide

These are the practical outputs you can expect from the appointment.

Symptom and risk check

A focused review of your symptoms to guide safe, appropriate next steps.

Self-care guidance

Tips on diet, fluids, bowel habits, and comfort measures that may reduce irritation.

Treatment option support

Help selecting suitable non-prescription options and how to use them correctly.

Signposting if more help is needed

Clear guidance on when a different type of assessment may be more suitable based on your symptoms.

Available Now

Ready to book nhs cas haemorrhoids (piles)?

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Who it's for

Who this service is for

For adults with discomfort, itching, or bleeding who want a private review and practical support.

People with new or recurring symptoms

If symptoms have started recently or have come back and you want help managing them.

Anyone wanting confidential advice

If you feel unsure or embarrassed and prefer a private, respectful conversation.

People who have tried self-care already

If you have tried changes or treatments and want help deciding what to do next.

FAQs

Frequently asked questions

Book nhs cas haemorrhoids (piles) today

Our team is here to help. Book online or pop into the pharmacy.

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