Haemorrhoids consultation

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Name *

First

Last

Date of birth *

Email *

Phone *

Address *

Address Line 1

City

State / Province / Region

Postal Code

Country

Do you believe you have the mental capacity to make decisions about your own healthcare? * *

We’re sorry, but there are no suitable treatments for you.

The safety and well-being of our patients is our number one priority, and based on your answers, we can’t recommend any of our treatment options. We know this is both frustrating and disappointing, but we want to make sure that we’re putting your health first and that you find the right care.

If you’d like to speak to our clinicians about this, please email info@medicalmojo.co.uk. We’ll do our best to find a solution or recommend some safe next steps.

Note: If you made a mistake in your consultation, you can change your answers

Are you currently experiencing symptoms of haemorrhoids or piles *

Please tell us why you need this treatment *

Please can you select the symptoms that you are currently suffering from. Select one or more answers *

Soreness
Itchy backside
Swelling and redness around the anus
Small amounts of bright red blood when wiping the bottom
A mucus discharge after passing a stool
A lump hanging down outside the anus (which may need to be pushed back in)
Other

Please tell about the symptoms you are experiencing *

Have you previously been diagnosed with haemorrhoids or piles by a doctor? *

Please tell us how do you know you have piles *

When was this first diagnosed? Select one answer *

Within the last 3 months
3-6 months ago
6-12 months ago
More than a year ago

Are your symptoms the same as when you were initially diagnosed by a doctor? *

Please tell us how your symptoms are different on this occasion *

Do you find it difficult or painful to pass a stool? *

Are you using laxatives to help with passing a stool? *

Which laxatives are you using? *

Do you have any of the following symptoms? Select one or more answers *

Unexpected weight loss
Dark (black) sticky (tar like) or offensive-smelling stools
Blood mixed in with the stool rather than splashing in the pan afterwards
Abdominal pain
Recent change in bowel habit – looser or more frequent stools
Large amounts of blood loss
New rectal bleeding in someone aged 50 or over (especially if first episode)
Bleeding with dizziness, fainting, shortness of breath, or paleness
Rectal bleeding plus a persistent change in bowel habit (new diarrhoea or constipation)
Severe pain (especially sudden onset) or pain that is getting worse
A hard, fixed, or rapidly enlarging lump around the anus
A prolapse that cannot be pushed back in, or becomes very swollen and painful
Significant anal pain with fever or feeling unwell
None of these

We’re sorry, but we can’t supply haemorrhoids treatment right now.

Your symptoms aren’t typical for piles, and the safety and well-being of our patients is our number one priority. Based on your answers, we can’t recommend any of our treatment options in good conscience.

We know this is frustrating and disappointing, but we want to make sure we’re putting your health first and that you get the right care.

What to do next

Please speak to your GP or a sexual health clinic as soon as possible for an assessment. They can work out what’s actually going on and recommend the right treatment.

If you develop any of the following, seek urgent medical help:

Severe or worsening pain
Spreading redness or swelling
Fever or feeling unwell
Heavy bleeding
Signs of infection

Get in touch

If you’d like to speak to our clinicians about this, please email info@courierpharmacy.co.uk. We’ll do our best to find a solution or recommend some safe next steps.

Note: If you made a mistake in your consultation, you can change your answers and try again.

Do any of the following apply to you? Select one answer

Sharp, severe pain during bowel movements
Local infection around the anus such as herpes or a skin infection
Fever, chills, or feeling generally unwell
Spreading redness, warmth, swelling, or pus/discharge around the anus
Painful blisters, sores, or ulcers (possible herpes or other infection)
Severe itching with a rash that looks infected or is spreading
None of these apply to me

We’re sorry, but we can’t supply haemorrhoids treatment right now.

We know this is frustrating and disappointing, but we want to make sure we’re putting your health first and that you get the right care.

What to do next

Please speak to your GP or a sexual health clinic as soon as possible for an assessment. They can work out what’s actually going on and recommend the right treatment.

If you develop any of the following, seek urgent medical help:

Severe or worsening pain
Spreading redness or swelling
Fever or feeling unwell
Heavy bleeding
Signs of infection

Get in touch

If you’d like to speak to our clinicians about this, please email info@courierpharmacy.co.uk. We’ll do our best to find a solution or recommend some safe next steps.

Note: If you made a mistake in your consultation, you can change your answers and try again.

What is your biological sex? *

Male
Female

Are your pregannt or breastfeeding or trying for a baby? *

We’re sorry, but there are no suitable treatments for you.

If you’d like to speak to our clinicians about this, please email info@medicalmojo.co.uk. We’ll do our best to find a solution or recommend some safe next steps.

Note: If you made a mistake in your consultation, you can change your answers

Do you have any other medical conditions not already mentioned? *

Please provide more details *

Are you taking any other medications that have not already mentioned? *

Please share details of any other medical conditions you have and any medications you are currently taking. Be sure to include the name of each medication, the dosage, and how long you’ve been using it

Other medication *

Do you have any other allergies that you have not previously mentioned? *

Please give us more details on these allergies *

Do you agree and consent to the following?

I am at least 18 years old and live in the UK.
I have the capacity to make decisions about your own healthcare
I shall be the sole user of any medication offered to me through this service.
I confirm all answers are provided by me and are truthful.
You understand the prescriber will take your answers in good faith and base their prescribing decisions accordingly, and that incorrect information can be hazardous to your health
If prescribed a treatment, I will read the Patient Information Leaflet (PIL) that will be provided.
If prescribed a treatment, I will inform my GP of my treatment and contact them if I have any side effects associated with the treatment.
You agree to our terms and conditions, privacy policy and acceptable use policy
You are aware you will be subject to a soft check to validate your identity using LexisNexis.

Checkboxes *

I agree to the statements and give my consent for any treatment provided.

Are you registered with a GP in the UK? *

What are your GP details *

(Optional) Do you consent to us accessing your NHS Summary Care Record (the medical details held by your GP) or requesting further information on your medical history from your GP?

Summary care records

I consent

(Optional) Do you give us consent to write to your GP to share information of this supply and any information we hold about you?

Send information to GP

I consent

Product Category

Important

We review all orders to ensure you receive the best treatment possible. If what you ordered is unsuitable, we will refund part or all of your order.

If we decide that what you ordered is unsafe for you, based on the other information you provided, we won’t provide any treatments. However, we may call you and suggest alternatives.

Haemorrhoids consultation

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Conditions

Treatments

Care and policies