Haemorrhoids, also known as piles, are a very common condition in the UK. They occur when blood vessels inside or around the back passage (rectum and anus) become swollen. While mild cases may improve with lifestyle changes and simple creams, some people need prescription medicines to ease pain, reduce swelling, and improve healing.

In this article, we will explain what haemorrhoids are, their symptoms and causes, and explore the best prescription treatments available. We will also compare popular medicines such as Proctosedyl and Scheriproct, as well as alternatives like Anusol, to help you understand which option may be right for you.

What are Haemorrhoids?

Haemorrhoids are swellings that contain enlarged blood vessels. They can develop inside the rectum (internal haemorrhoids) or under the skin around the anus (external haemorrhoids).

  • Internal haemorrhoids are usually painless but can cause bleeding when you pass a stool. In some cases, they can prolapse, meaning they push through the anal opening, which may cause discomfort.
  • External haemorrhoids are more noticeable and may cause itching, pain, or swelling around the anus.
  • Thrombosed haemorrhoids happen when a clot forms in an external haemorrhoid, leading to severe pain and swelling.

Common Symptoms of Haemorrhoids

Not everyone with haemorrhoids experiences symptoms, but when they do occur, they may include:

  • Bleeding after passing a stool (bright red blood).
  • Discomfort or pain around the anus.
  • Itching or irritation in the anal area.
  • Swelling or lumps around the anus.
  • Prolapsed haemorrhoids that bulge from the anus.

Causes and Risk Factors of Haemorrhoids

The exact cause of haemorrhoids is not always clear, but several factors can increase the risk:

  • Straining during bowel movements.
  • Sitting for long periods on the toilet.
  • Chronic constipation or diarrhoea.
  • Obesity.
  • Pregnancy, due to added pressure on blood vessels.
  • Eating a low-fibre diet.
  • Regular heavy lifting.
  • Anal intercourse.

As we age, the tissues that support the veins in the rectum and anus may also weaken, which is why haemorrhoids are more common in people over 50.

Possible Complications of Haemorrhoids

Haemorrhoids are not usually dangerous but can sometimes cause complications such as:

  • Anaemia: Ongoing bleeding can rarely lead to low red blood cell levels.
  • Thrombosis: A blood clot may form in a haemorrhoid, causing severe pain.
  • Strangulation: In rare cases, a prolapsed haemorrhoid may lose its blood supply.
  • Skin tags or infection after a haemorrhoid heals.

When to Seek Advice from a Pharmacist

Bleeding after passing a stool is not always caused by haemorrhoids. Conditions such as bowel cancer can also lead to rectal bleeding. If your symptoms persist or you notice large amounts of blood, it is important to seek advice from our pharmacists. Persistent pain, swelling, or changes in bowel habits should always be checked before starting treatment.

How Are Haemorrhoids Treated?

Treatment depends on the severity of your symptoms. Mild cases can often be managed at home by:

  • Eating a high-fibre diet (fruits, vegetables, and whole grains).
  • Drinking 6–8 glasses of water daily.
  • Using fibre supplements if necessary.
  • Avoiding straining when passing stools.
  • Taking warm baths to ease discomfort.
  • Staying active to prevent constipation.

For more severe or persistent cases, prescription medicines may be needed.

Prescription Medicines for Haemorrhoids

Several prescription treatments are available to reduce inflammation, relieve pain, and promote healing. Many people wonder, “What is the best prescription medicine for haemorrhoids?” Two of the most commonly prescribed in the UK are Proctosedyl and Scheriproct.

Proctosedyl Ointment

Proctosedyl ointment contains two active ingredients that work together to reduce pain, swelling, and muscle spasm around the rectum. It is often prescribed when haemorrhoids cause significant discomfort.

Scheriproct Ointment

Scheriproct ointment combines a steroid to reduce inflammation with a local anaesthetic to relieve pain and itching. It is particularly useful for external haemorrhoids that cause irritation and swelling.

Scheriproct Suppositories

For internal haemorrhoids, Scheriproct suppositories may be prescribed. These are placed inside the back passage, where they target the affected area directly.

Comparing Prescription Options

Many patients wonder which prescription option may be most effective for their symptoms. While the right choice depends on individual needs, here is how they compare:

  • Proctosedyl vs Anusol: Proctosedyl is usually stronger than Anusol, which is widely available as an over-the-counter option. Anusol may be suitable for mild cases, but prescription Proctosedyl is often used when symptoms are more severe.
  • Scheriproct vs Anusol: Scheriproct contains both a steroid and anaesthetic, making it more effective for inflammation and pain than Anusol in many cases.
  • Scheriproct ointment vs Anusol: Ointments provide soothing relief for external haemorrhoids, with Scheriproct generally being more potent than Anusol.
  • Scheriproct suppositories vs Anusol: Suppositories target internal haemorrhoids more directly, whereas Anusol suppositories are often better for milder cases.
  • Proctosedyl vs Scheriproct: Both are prescription-only, but Scheriproct has the added benefit of combining a steroid with a local anaesthetic.
  • Scheriproct ointment alternative: Anusol or Proctosedyl may be considered, depending on symptom severity, as a Scheriproct alternative.

Prevention Tips for Haemorrhoids

Even if you require prescription treatment, prevention is key to long-term relief. Our experts recommend:

  • Eating more fibre and adding it gradually to your diet.
  • Drinking plenty of fluids throughout the day.
  • Exercising regularly to maintain bowel function.
  • Avoiding long periods of sitting, especially on the toilet.
  • Maintaining a healthy weight.

Accessing Prescription Treatments for Haemorrhoids in the UK

If you are struggling with haemorrhoids, prescription medicines such as Proctosedyl and Scheriproct may provide effective relief. You can shop prescription treatments for haemorrhoids online at Pharmacy Planet, with consultations handled by our UK-registered pharmacists to ensure your safety and suitability.

Frequently Asked Questions (FAQs)

What is the best prescription medicine for haemorrhoids?

Proctosedyl and Scheriproct are the most common prescription options, chosen based on your symptoms.

Which is better, Proctosedyl or Scheriproct?

This depends on your symptoms. Proctosedyl is often preferred for reducing spasm and discomfort, while Scheriproct may be chosen when itching and inflammation are the main issues.

How does Scheriproct compare to Anusol?

Scheriproct is stronger and prescription-only, while Anusol is milder and available over the counter.

Can I use Scheriproct ointment as an alternative to Anusol?

Yes, Scheriproct ointment can be used as an alternative when symptoms are more severe.

Are Scheriproct suppositories better than Anusol?

Scheriproct suppositories are stronger for internal haemorrhoids, while Anusol is suited to milder cases.

What are the alternatives to Scheriproct ointment?

Alternatives include Proctosedyl or, for milder symptoms, Anusol.