1 in 2 people will suffer from piles. Anusol can help.
1 in 2 people will suffer from piles*.

That’s because by the age of 50, about half the adults have had the deal with itching, bleeding and pain that often signal the presence of haemorrhoids*.

Common misconceptions

There are lots of misconceptions when it comes to piles - about who gets them, how you get them and how long you get them for. But rest assured, those old wives haven't got the foggiest idea what they're talking about!

They say...'Only old people get piles'

We say...Not true! Admittedly, the older you are, the more likely you are to suffer from external piles. But you can develop piles at any stage during your adult life.

They say...'You get piles from sitting on cold floors or hot radiators'
We say...Rubbish! Sitting down for long periods of time can make them worse but it has nothing to do with the temperature of what you're perched on.

They say...'Only men get piles'
We say...Don't believe a word of it! Piles can affect anyone. They're caused by increased pressure on your abdomen and there is no discrimination between the sexes!

They say...'Fit, healthy people can't get piles'

We say...That's not true! Ok, so overweight people have a fairly high chance of getting them due to the extra pressure their weight creates inside their abdomen. But this pressure can also be the result of constipation, straining on the loo, pregnancy and lifting heavy weights.

There are two types of piles, internal and external, both the result of enlarged blood vessels in your anal passage.

Internal piles - these small swellings are the most common form and are tucked away in your anus.

External piles - these protrude from your anus and often look dark red or dusky purple, sometimes resembling a bunch of grapes.


  1. Constipation - if you're not getting enough fibre in your diet, it's time to take a fresh look at fruit! The straining associated with constipation is a big contributing factor when it comes to piles, as well as not going to the toilet when you need to or sitting on the toilet for too long!
  2. Pregnancy and childbirth - the extra weight in that beautiful tummy and the constipation that often affects pregnant women can put a lot of pressure on the lower abdominal organs. Approximately a third of expectant moms develop them at some time during the nine months, usually in the later stages, and even if you escape piles during pregnancy, they may well be brought on during labour.
  3. Lifting heavy loads - whether it's doing weights at the gym, lifting heavy boxes at work or hauling yourself up the side of a mountain, they can all put a strain on your delicate tissues.
  4. Being overweight - puts excess strain on the abdomen, which can often lead to piles.
  5. Family history - the occurrence of piles is linked to genetics, which may mean that you are more susceptible to piles if other family members have suffered from it.
  6. Ageing- The tissues in the lining of the anus may become less supportive as we get older.


Both internal and external piles are caused by increased pressure on your abdomen. The symptoms vary from person to person and you might experience one, some or all of them.
  • Itching and soreness around the anal area
  • A dragging sensation in your anal passage
  • Blood on the toilet paper after going to the toilet
  • Discomfort or pain during defecation
  • Occasional sharp pains in the anal area
  • A bulging or lumpy feeling in the anal passage
  • Hard lump(s) protruding from the anus
If you experience any other symptoms such as heavy bleeding from your anus or a noticeable change in bowel habits, you should go to your doctor.


Conservative approach includes a method of prevention and maintenance.

Some simple steps to follow include
  • Increase Fibre intake
  • Increase Fluid intake
  • Light regular exercise
  • Easy Bowel movement with little straining
  • Don’t spend long periods of time on the toilet
Why Anusol?

The Anusol range delivers effective, soothing relief directly to the affected area.

Every treatment in the Anusol range contains an astringent to soothe and protect raw areas and help shrink swollen tissue as well as antiseptics to reduce the risk of infection and encourage healing.

Whichever treatment you prefer, Anusol provides effective, soothing relief from piles.
  • Rapidly absorbed
  • Soothes and calms irritated areas
  • Relieves pain and discomfort
  • Reduces swelling

Anusol ointment

Anusol ointment exerts a soothing, emollient action, which helps to relieve inflammation and alleviates the pain of haemorrhoids (piles) and other related conditions around the anus.

Anusol suppositories

Anusol suppositories lubricates and soothes the pain and irritation of haemorrhoids (piles) while helping to reduce the oedema and pain of irritated anorectal membranes.

Anugesic ointment

Anugesic ointment contains 10,0 mg Pramoxine Hydrochloride which has a surface anaesthetic to relieve anal pain and pruritus (itching).

ANUSOL OINTMENT: Reg. No. E/11.8/0513. Each 1g of ointment contains: Bismuth Subgallate 22.5 mg. Busmuth Oxide 8.75 mg. Zinc Oxide 107.5 mg. ANUSOL SUPPOSITORIES: Reg. No. E/11.8/0515. Each suppository contains: Bismuth Subgallate 59.0mg. Bismuth Oxide 24.0mg. Zinc Oxide 296.0mg. ANUGESIC: Reg. No. T/11.8/65. Each 1g of ointment contains Pramoxine Hydrochloride 10.0mg.
For full prescribing information, please refer to the package insert approved by the Medicines Control Council ®Trademark © Johnson & Johnson (Pty) Ltd 2009

*data on file

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