Haemorrhoids (Piles) Treatment in Spain: Online Consultation

Medically Reviewed by Dr. Pedro Yelamo Vera, MD
Licensed Physician No. 484814280 · Official Medical College of Bizkaia (Spain)
A private video consultation with a licensed, English-speaking GP in Spain.

Dr. Pedro Yelamo Vera
Licence No. 484814280 · Urgent, non-emergency care
Common Symptoms
Haemorrhoids are swollen blood vessels in or around the anus. They are very common and may cause:
- Bright red blood on the paper or in the bowl after a bowel movement
- Itching or irritation around the anus
- A soft lump that may come out when straining
- Discomfort or aching when sitting
- Sudden severe pain with a firm lump (a thrombosed haemorrhoid)
Many people put off asking for help out of embarrassment. Haemorrhoids usually improve with straightforward measures, but rectal bleeding should not simply be assumed to be haemorrhoids, which is why a proper history matters.
You don't have to figure this out alone
Dr. Pedro Yelamo Vera is an independent, bilingual GP licensed in Spain. Book a 20-minute video consultation in English or Spanish for €50, with a private electronic prescription issued under Spanish law when clinically appropriate.
How We Treat It
The doctor will ask about bleeding, pain, bowel habit, medicines and family history. Care may include:
- A plan to soften stools and avoid straining: fibre, fluids and toilet habits
- Advice on warm baths and suitable short-term creams or suppositories
- Pain relief suited to your other conditions
- Prescription treatment when clinically appropriate
- Referral for examination or further tests when bleeding needs investigating
Prescriptions are not automatic and depend on the clinical assessment. A very painful, hard lump may benefit from in-person treatment in the first days. This service is for urgent, non-emergency care.
Clinical Evaluation & Evidence-Based Protocol for Haemorrhoids (Piles) Treatment
During a telemedicine consultation with Dr. Pedro Yelamo Vera (licensed medical practitioner No. 484814280 at the Official Medical College of Bizkaia), clinical evaluation adheres strictly to evidence-based medical (EBM) standards. The doctor conducts a thorough history, evaluating symptom duration, aggravating factors, prior treatments, and drug allergies to establish an accurate differential diagnosis.
Private Electronic Prescriptions (Receta Médica) Issued Under Spanish Law
When clinically indicated, Dr. Yelamo issues a private electronic prescription (Receta Médica Electrónica Privada) under Spanish law. The digital prescription contains a secure QR verification code accepted at all 22,000+ registered community pharmacies across Spain for immediate medication dispensing.
Itemized Invoices for Travel & Private Health Insurance Reimbursement
After your consultation, you receive an official medical report and an itemized invoice. The invoice shows Dr. Yelamo's licence details and tax ID. You can send it to your travel or private health insurer (such as Bupa, Allianz, Cigna, AXA or a US travel policy) to claim the cost back.
Preparing for Your Online Medical Consultation
Before your appointment, note when your symptoms started and any medicines you have already tried. Have your allergies and your usual prescriptions to hand. For a skin, rash or eye problem, sit in a well-lit room so the doctor can see it clearly.
Clinical Follow-Up & When In-Person Urgencias Are Necessary
Video care works well for common infections, mild sudden symptoms, skin rashes and repeat prescriptions. Some warning signs need emergency care in person: severe shortness of breath, a high fever you cannot bring down, chest pain or a stiff neck. If you have any of them, call 112 in Spain straight away.
When to Seek Immediate In-Person Care
Seek in-person medical care promptly if you have:
- Heavy bleeding, clots, dizziness or faintness
- Black or tar-like stools
- Bleeding with a change in bowel habit, weight loss or abdominal pain
- New rectal bleeding if you are over 50 or have a family history of bowel cancer
- Severe pain, fever or a lump that cannot be pushed back in
Frequently asked questions
How long do haemorrhoids take to go away?
Mild flare-ups often settle within a few days to two weeks once stools are soft and straining stops. Symptoms that persist beyond that, or keep returning, should be reviewed.
Is rectal bleeding always haemorrhoids?
No. Haemorrhoids are the most common cause of bright red bleeding, but other conditions can cause it too. Bleeding that is new, persistent or accompanied by other symptoms needs a proper assessment.
Can I get treatment without an examination?
Advice and first-line treatment can often be started from a video consultation. If your symptoms or history suggest anything else, the doctor will recommend an in-person examination.
Online consultations are for urgent, non-emergency care. In a medical emergency call 112 immediately or go to your nearest emergency department.
Tue · Thu · Fri · SatOne named doctor, from first call to follow-up
Book a secure 20-minute video consultation with Dr. Pedro Yelamo Vera for €50. Same-day slots are often available. For urgent, non-emergency care; in an emergency, call 112.
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