Today we are talking haemorrhoids so get the giggling over before we start!

Hemorrhoids, spelled as haemorrhoids in the UK, are also commonly referred to as piles. The mere mention of this condition can result in hoots of laughter, but not for the person who has piles.

This condition can cause embarrassment, pain and more but it does not have to be like that. These days haemorrhoids can be successfully treated quickly by over the counter remedies; in the long term though further treatment may be necessary.

During the current coronavirus #StayHome inactivity and changes in diet you could end up with problems with piles.

Haemorrhoids can occur in a woman during pregnancy, a young person or more commonly an older person. Many people develop haemorrhoids so really there is nothing to feel embarrassed about. As with most medical conditions diagnosis is key. The signs and symptoms of haemorrhoids could be indicators of more serious health problems and so confirmation by a health-care professional is advisable, if not essential.

What are haemorrhoids?
Haemorrhoid is the name used for the swelling or inflammation of the veins around the anus. This can also happen in the rectum.

The veins may become very large, itchy, painful and bleed from time to time. In some cases passing stools will be very painful and further bleeding may occur. Haemorrhoids are sometimes described as varicose veins.

Haemorrhoids may be present internally, externally or both.

What causes haemorrhoids?
The possible cause of haemorrhoids could be:

• A diet high in processed foods which includes little, if any, fresh fruit and vegetables.
• Severe constipation or diarrhoea.
• Certain medication. Ask your pharmacist if in doubt.
• Pregnancy.
• Being very overweight.
• Delaying opening your bowels when you need to.
• A family tendency for such health problems.
• Anal intercourse.
• Your increasing age.
• A sedentary lifestyle.
• Sitting on the toilet for too long, especially if you frequently strain in an attempt to open your bowels.
  

How to know if you have haemorrhoids

In general the signs and symptoms of haemorrhoids may include:

• Bleeding from the rectum or anus. You may only see signs of this when you wipe yourself after using the toilet.
• Some pain which may increase after bowel motions, when you need to use the toilet or if you have to sit for long periods of time. Sitting on hard seating will increase the pain.
• An itchy bottom. Scratching may offer temporary relief but may also make matters worse.
• A swelling or lump near the anus or lying under the skin in this area of your body.
• Haemorrhoids may actually be seen as a lump or lumps protruding from your rectum.

Initially you may notice only one or two of the signs and symptoms of haemorrhoids as detailed above. Seeking a medical diagnosis is important as some of these symptoms could indicate a more serious illness, such as cancer, or be an indicator of other bowel problems. In particular passing blood when you open your bowels could be worrying.

However once you have the correct diagnosis there are many treatments available which should improve, or maybe cure, your haemorrhoids. Certainly a good diet is a must.

For your medical professional to confirm that you have haemorrhoids he or she will need to carry out a physical examination. This should be relatively painless but of course it will depend how bad the haemorrhoids are. It will be better if you seek an early diagnosis before the problem worsens.

You will need

• A list of your signs and symptoms for your health-care professional.
• Confirmation of haemorrhoids after examination by a health-care professional.

Tips & Warnings  

• Try not to be embarrassed.
• Your doctor will have seen haemorrhoids many times before.
• Never ignore health issues because you feel embarrassed to discuss them with your doctor or undergo a physical examination.

OK so we are going to talk haemorrhoids, piles, farmer giles, call them what you will.

For some reason haemorrhoids often raise a giggle when mentioned but to any person who has experienced them it is no laughing matter.

#StayingHome during the current crisis could result in a range of health issues not least this uncomfortable health problem. Over the counter treatments may not be easily available just now meaning looking after yourself is vital.

Haemorrhoids can be a painful and embarrassing condition. Before starting any course of treatment though, be it natural or not, a correct diagnosis is essential. Consult your health-care professional for confirmation of this condition if possible.

If you have haemorrhoids there are quite a few treatments available. Although surgery is an option this is usually the last resort. Haemorrhoids can be successfully managed and may never need such drastic measures.

Bathing
Regular bathing is important if you have haemorrhoids. Cleanliness is essential, however you may find that perfumed soaps make your condition worse. Bathe the affected area in warm water a few times a day, or at least until your hemorrhoids are under control. Make sure that you dry the area around your rectum thoroughly but gently.

Diet
One of the best ways to prevent haemorrhoids or help treat them is to eat a good diet. You will need a diet that is rich in fresh fruit and vegetables, high in fibre, low in processed foods and generally well balanced. Include plenty of fluids, such as water, in your diet as this will make your stools easier to pass.

Treat external haemorrhoids with ice to reduce any swelling
Make yourself an ice-pack. Apply this to the hemorrhoids to help reduce any swelling. Ensure that there is sufficient material between you and the ice to prevent ice burns but a thin enough material for the ice to work.

Over the counter haemorrhoid preparations
Chemists and pharmacists sell over the counter hemorrhoid preparations. For external hemorrhoids there are creams and for internal hemorrhoids there are suppositories. Many of the creams can be used in both situations. For some people the hemorrhoids can be both external and internal.

There is no need to be embarrassed about asking for such items as hemorrhoids are a common condition, especially in the western world. If you feel embarrassed check out the pharmacy aisle of your local supermarket. Many of these hemorrhoid preparations can be found there. This means that you can simply pop the item into your shopping trolley without asking an assistant.

Clothing
Loose, cotton clothing around the affected area will be the best option. Select underwear that is loose and not restrictive. At least until the hemorrhoids subside, stay clear of thongs, control panties and very tight jeans. Aim to wear clothing that allows some air flow and is made of a cool, breathable material.

Natural treatments and remedies
Consult your local health store for details about natural treatments for haemorrhoids.
Research:

• Bioflavanids
• Butcher's broom
  
• Witch hazel.

These products may be in pill or cream form, although some may be available to make into a tea infusion.

There are various homeopathic treatments available if you prefer to try such treatments.

Exercise
As haemorrhoids are inflamed veins, getting plenty of exercise should help. A good level of exercise can certainly help prevent haemorrhoids. As part of treating existing haemorrhoids an increased level of exercise completes the treatment plan.

You will need

• The correct diagnosis
• To ask your medical practitioner or pharmacist for advice
• A good diet
• Loose clothing
• Plenty of warm baths
• To avoid straining when passing a bowel motion
• To avoid hot baths or showers

Tips & Warnings

• Try not to feel embarrassed
• Do not use haemorrhoid treatments unless you are sure that you have this condition
• During the current coronavirus crisis look after yourself

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With the Covid-19 lock down fixing your hair may seem both trivial and yet important.

Keeping ourselves mentally well and in good shape is vital. Colouring your hair at home may be the norm for you but then again it may not.

So just how often is it safe to colour your hair?

Originally written before the current crisis here are some tips.

You should colour your hair as often as you need to; need being the important word. Certainly sometimes you, and others, may want to be a brunette one day, a blonde the next and back again by the end of the week, but this is not realistic.

Colouring your hair too often can be a disaster even with 21st Century gentler products available. You must always exercise caution when colouring your hair.

Over the years skin tones change and you may suddenly want to colour your hair, though you may never have done so before. Graying hair can be flattering but it can also be cold steel gray almost resembling fuse wire in texture, while others are luckier and have soft snow white fluffy hair.

If you simply want to cover a few stray gray hairs use a semi-permanent hair dye. These are much less harmful to your hair and gradually wash out.

If you are naturally gray and want to stop dyeing your hair ask a professional about removing the dye. It can be done, but does take time and will not happen overnight.

It is easier, and should be safer, to have your hair coloured at the hairdressers. A reputable hair salon will always do skin patch pests to check for potential allergic reactions to the dye. If you want to make sure different coloured roots are not showing you may need a colour touch up in as short a time as five weeks.

Blonde or a similar light shade is advised when you are getting older but ultimately the colour will be your choice. You may choose to ignore even sensible advice. It is up to you.

Once your hair is permanently dyed the hair salon will simply cover the roots and do a comb through rather than applying a full head of hair colour. This should help minimise damage to your hair and give the colour a better overall look. You will still need a full head hair colour from time to time.

The obvious answer to the question ‘how often should you colour your hair’ really should be never. However, if you must colour your hair, aim for the gentler dyes, have it done professionally if you can afford to, and only have it done when you really must.

As we have already said though once you are on the hair colouring road it will be hard to get off.  Your natural colour will show on your roots in between five and six weeks, depending on how fast your hair grows and its style. If you have a hair parting the true colour will show through more quickly. to edit.

If you are older and going grey the current #StayHome advice, unless you really need to go out, could be a perfect time to embrace the grey. By the time we are all the flip side you will be transformed.