Rachel Warley, from North Tyneside, has been leading a months-long campaign to bring Yuki, an abandoned puppy, from Indonesia to Newcastle after he was found near a beach in Bali suffering from a severe calcium deficiency.

The condition left his legs bent and his body weakened, but with medical care and rehabilitation, Yuki has made a full recovery and is now cleared to travel.

Rachel Warley from North Tyneside is making a final appeal to bring rescued Bali puppy Yuki to Newcastle after months of fundraising and care following his abandonment in Indonesia (Image: Supplied)

Ms Warley, who has already raised and spent nearly £3,000 through fundraising, said: “I’ve exhausted my personal funds.

“I’ve even put my car up for sale as a last attempt to make sure this doesn’t fall through – but there’s been no interest so far.”

A total of £2,937 was raised after fees, covering adoption agency costs and Yuki’s flight from Jakarta to Amsterdam.

Ms Warley has also covered vaccinations, rabies testing, and ferry transport from Amsterdam to the UK out of her own pocket.

However, she now faces a shortfall of £658 to cover the outbound flight and visa of her friend Emma, who must fly to Bali to accompany Yuki home.

The journey is time-sensitive, with flights needing to be booked immediately.

Emma is due to fly to Bali on June 8, and after a brief recovery period, Yuki will begin a 20-hour transport to Jakarta on June 14.

He will stay at a dog-friendly hotel for two nights, funded by the Bali rescue organisation, before receiving final veterinary checks and flying to Amsterdam via Istanbul.

Ms Warley said: “I’ll be meeting Yuki for the very first time in Amsterdam.

“After everything he’s been through, that moment means everything.”

Ms Warley will travel via ferry from North Shields to Amsterdam to meet Emma and Yuki.

The trio will then return together by ferry, arriving in Newcastle on June 19.

Supporters are invited to welcome Yuki when he arrives in the city.

She said: “This is the last push.

“Everything else is in place.

“Without this final funding, the whole plan risks collapsing.”

Ms Warley has documented Yuki’s journey on Instagram under @getyukihome_uk, where his progress from a critically unwell puppy to a playful, healthy dog has inspired supporters.

She believes that rescuing Yuki will have a wider impact.

She said: “This isn’t just about one dog.

“Getting Yuki home means another space opens up in the rescue for a dog that desperately needs help.

“It creates a ripple effect.”

To donate and follow Yuki’s journey click here.

She said: “This little dog has fought so hard to survive.

“We just need one final push to bring him home.”

The final leg of the journey now depends on securing Emma’s travel, which will ensure Yuki arrives safely in Newcastle on June 19.

ISAs have long been promoted as straightforward and tax-efficient savings, but many are unaware of the inheritance tax implications upon death – and the consequences are proving costly

Millions of savers may be harbouring an expensive misconception about ISAs, an expert has cautioned. Many assume they are entirely tax-free when actually they could face a substantial bill from HMRC later on.

ISAs have historically been promoted as amongst the most straightforward and efficient savings vehicles, enabling savers to accumulate wealth without paying tax. But one expert cautions that this “tax-free” description is frequently misinterpreted – especially regarding what occurs upon death.

The concern is inheritance tax. Presently levied at 40 percent on estates exceeding £325,000, the threshold has remained frozen for years, steadily pulling increasing numbers of families into the tax net. Significantly, ISA savings are counted as part of the estate. That means a lifetime of prudent saving, frequently accumulated with discipline across decades, could still be vulnerable to a considerable tax bill.

Joe Farmer, an Independent Financial Adviser and co-founder at The Retirement Studio, said many have no idea they have to pay inheritance tax on their ISA savings.

He added: “I speak to clients every day who believe ISAs are completely tax-free, full stop. They’re genuinely shocked when I explain that on death, ISAs form part of the estate and can be subject to inheritance tax.”

He said the magnitude of the problem was frequently underestimated, even among those who regarded themselves as financially astute.

Mr Farmer continued: “I saw a client just last week with an ISA worth over £300,000. That alone nearly takes them to the inheritance tax threshold, before you even consider their home or any other assets.”

For many, the issue lies not in the act of saving itself – but in what hasn’t been considered further down the line.

He said: “This is the part most people haven’t thought about. They’ve done the right thing by saving into ISAs year after year, but they haven’t considered what happens to that money when they pass away.”

The repercussions stretch far beyond tax bills. Mr Farmer warned that ISA funds were frequently tied up in probate alongside the remainder of the estate, leaving families unable to get their hands on the money precisely when they needed it most.

He added: “I deal with bereavement cases and I regularly see ISA funds tied up in probate for months, sometimes years.”

For a product so heavily promoted as tax-free, he believes the messaging has created a deeply concerning gap in public understanding.

Mr Farmer added: “It’s tax-efficient while you’re alive, but that doesn’t mean it’s free from inheritance tax.”

He noted that the problem is frequently made worse by poor advice and a lack of forward planning.

He continued: “A lot of this comes down to structure being overlooked. Advisers focus on performance and returns, but not enough on what happens later. I always say to clients that structure is just as important as performance. There’s no point building a large ISA pot if a significant portion could be lost to tax or delayed in probate.”

With potential alterations to pensions from 2027, which could see them drawn into the inheritance tax net, the issue is only set to intensify.

Former manager Ruben Amorim, who left the club in January, felt Rashford wanted a different challenge away from Old Trafford when he was allowed to join Aston Villa on loan in 2025.

Carrick is in a different position given he is both a former team-mate, coach and – for three games following Ole Gunnar Solskjaer’s dismissal in 2021 – manager of one of the recent stars of United’s academy, who is currently the club’s 15th all-time highest goalscorer.

Minority owner Sir Jim Ratcliffe wants to lower the top-level amounts being paid at the club and, when Casemiro leaves in the summer, Rashford will be United’s highest earner.

“Whoever’s here, I want to work with, and help them improve,” Carrick said.

“At the moment, it’s this squad of players. There’s obviously players on loan, and whatever happens with that later on will happen.

“But certainly, as a coach, and leader of a squad, we want to get the best out of everyone.”

Carrick was placed in interim charge of the club in January and is a leading contender to take the job on a full-time basis this summer.

But the former midfielder’s immediate focus is his side’s Premier League trip to Chelsea, when victory would take United 10 points clear of Liam Rosenior’s side.

However, their chances have not been helped by suspensions that have ruled out central defensive duo Harry Maguire and Lisandro Martinez, while Leny Yoro was absent from the group that travelled from Stockport station for the journey south on Friday afternoon.

If Yoro is absent, Carrick could be forced to play either Luke Shaw or Noussair Mazraoui, or even veteran midfielder Casemiro, alongside 19-year-old Ayden Heaven at Stamford Bridge.

Officers worked with the Driver and Vehicle Standards Agency (DVSA) examiners on the operation on Tuesday (April 14).

They checked instructor credentials, vehicle insurance and compliance with licensing requirements.

North Yorkshire Police said a “small proportion” of vehicles were found to be operating without the required approved driving instructor (ADI) licence and/or appropriate insurance.

“Enforcement action was taken immediately, and those involved were prosecuted for the relevant offences,” a force spokesperson said.

They said the “majority” of vehicles stopped were linked to instructors correctly qualified, licensed and insured to the required standards.

Matt Harvey, from North Yorkshire Police’s road safety team, said the operation was “about protecting learner drivers and the wider public”.

“Becoming a qualified ADI is not optional – it requires formal training, testing, licensing and proper insurance,” he said.

“Anyone attempting to bypass that process is putting learners at risk and undermining the system. We will continue to work with the DVSA to identify illegal instructors, enforce the law, and take action where standards are not met.”

A pharmacist says there are several signs to watch for in the toenails that could be a sign that all is not well

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During winter, feet tend to stay tucked away beneath socks and slippers, meaning toes rarely get the attention they deserve. Yet these often-neglected body parts can actually serve as crucial indicators of our general well-being.

Now, as spring arrives and temperatures begin to rise, people are casting a fresh eye over their feet — and what they find might reveal tell-tale signs that went unnoticed throughout the colder months. These could point towards some potentially serious underlying health concerns.

Such conditions can range from nutritional deficiencies and diabetes to significant circulatory problems. Sheena Bagga, Pharmacist Prescriber at LloydsPharmacy Online Doctor, has previously drawn attention to the significance of toe and nail health, pinpointing eight warning signs that should set alarm bells ringing, reports the Mirror.

She stressed: “While often overlooked, your toenails and feet play a huge role in your overall health and it’s important to pay attention to their condition. While everyone’s toes look different, healthy nails should have a smooth surface with light pink or translucent colouration without much variation in shade or hue.”

Yellow nails

A key warning sign to be aware of is a yellow discolouration of the toenails, which can suggest an infection. This can affect any portion of the nail, leading to alterations in colour, texture and thickness.

It may also be an indicator of nail psoriasis, which is typically characterised by a pitted appearance or detachment from the nail bed. To ward off toenail infections, experts advise keeping nails trimmed, clean and properly cared for, changing socks daily, and making sure shoes fit properly.

Dark stripes on the nail

This condition, called Melanonychia, appears as a brown or black stripe running down the length of the nail. While typically harmless and merely a difference in nail colouring, it can occasionally signal Subungual Melanoma, a form of skin cancer.

To help prevent Melanonychia, good nail and foot care is essential. Preventing nail injuries is important – if you damage your nail, let it heal fully and avoid picking at it.

Swollen toes

Swelling in the toes can result from various conditions, such as lymphatic problems, inadequate blood flow, or gout. It’s therefore wise to see your GP if you’re noticing other worrying symptoms like pain, discomfort, or difficulty moving.

Gout is a type of inflammatory arthritis marked by sudden, severe joint pain, usually affecting the big toe, caused by an accumulation of uric acid crystals in the joints. It’s more common among people who are overweight, and following a healthy eating plan that promotes weight reduction can help manage the condition.

Swollen toes can also result from less severe issues, such as extended periods of sitting or standing, poorly-fitting shoes, being overweight, insufficient hydration, or consuming too much salt. Adopting a balanced, healthy diet combined with consistent physical activity may help alleviate these everyday problems.

White toenails

White marks or streaks on your nails, referred to as “leukonychia”, are often the result of minor injuries like banging your toe. Sometimes, they may suggest shortages of protein, zinc, or iron.

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Fungal infections can cause nails to turn white while also making them weak and flaky, especially if your feet are consistently kept warm and damp. This can be for reasons such as wearing trainers for long stretches as they become hot and sweaty.

Though rare, entirely white nails can indicate more severe health problems, potentially revealing systemic conditions such as liver cirrhosis, hyperthyroidism, or diabetes. If any additional symptoms are worrying, it’s crucial to consult your GP to determine the underlying cause.

Blue discolouration

A blue tint to your nails, accompanied by unusual coldness in your toes, might indicate poor circulation, often associated with Raynaud’s disease. This condition leads to the constriction of tiny arteries that supply blood to your fingers and toes.

Consistent exercise can boost circulation, which helps in controlling Raynaud’s symptoms and sustaining a healthy weight.

Itchy toes

Athlete’s Foot, a common fungal infection, appears as itchy white patches between the toes. It can also affect the soles or sides of the feet, sometimes causing fluid-filled blisters.

To help avoid Athlete’s Foot, ensure you dry your feet completely after washing them, particularly between the toes. Also, put on clean socks every day – cotton is ideal as it allows the skin to breathe more easily.

Ulcers on toes or feet

Different from a blister that forms under the skin, an ulcer is a break in the skin’s surface, appearing as an open sore. It’s crucial that these receive appropriate treatment to minimise any infection risk.

While the wound stays open, it can make you susceptible to developing an infection, which in severe instances can lead to amputation. A diabetic foot ulcer is characterised as an open sore or wound on the skin that takes an extended time to heal.

Spoon Nails

Checking your toenails regularly is important. If your toenails change in appearance and seem curved or ‘spoon’ shaped, it might indicate an iron deficiency or anaemia.

Iron is crucial for producing healthy red blood cells and maintaining good nail health, so it’s advisable to consult with a healthcare professional who may recommend taking a supplement.

Some of these methods won’t cost you a penny, and could be better than tablets

Hayfever, a common – and annoying – seasonal allergy, leaves many people battling constant sneezing, coughing, and itchy eyes. But a few simple tricks could help make high-pollen days more manageable.

The condition is triggered by pollen which is a fine powder that is released by plants. Symptoms typically flare up when it comes into contact with the mouth, nose, eyes, or throat.

According to the NHS, symptoms tend to worsen between late March and September, particularly during warm, humid, and windy weather, when pollen levels peak.

While hayfever can’t be prevented or cured, there are practical steps you can take to relieve symptoms when the pollen count rises.

In one of its tips, the health service urges people to “put petroleum jelly (such as Vaseline) around your nostrils to trap pollen”. You should also “wear wraparound sunglasses, a mask or a wide-brimmed hat to stop pollen getting into your nose and eyes.”

As well as this, the NHS suggests that anyone with hayfever should:

1. Shower and change your clothes after you have been outside to wash pollen off
2. Keep windows and doors shut as much as possible
3. Vacuum regularly and dust with a damp cloth
4. Try to use a pollen filter in the air vents of your car, if you have one, and a HEPA filter in your vacuum cleaner

You should not:

1. Cut grass or walk on grass
2. Spend too much time outside
3. Keep fresh flowers in the house
4. Smoke or be around smoke – it makes your symptoms worse
5. Dry clothes outside – they can catch pollen
6. Let pets into the house if possible – they can carry pollen indoors

What are the symptoms of hayfever?

Symptoms of hay fever include:

1. sneezing and coughing
2. a runny or blocked nose
3. itchy, red or watery eyes
4. itchy throat, mouth, nose and ears
5. loss of smell
6. pain around the sides of your head and your forehead
7. headache
8. feeling tired

Should I see a GP?

You should see your GP if your symptoms are getting worse. You should also book an appointment if your symptoms do not improve after taking medicines from the pharmacy.

The NHS explains: “The GP might prescribe a steroid treatment if you have hay fever. If steroids and other hay fever treatments do not work, the GP may refer you for immunotherapy.

“This means you’ll be given small amounts of pollen as an injection or tablet to slowly build up your immunity to pollen. This kind of treatment usually starts a few months before the hay fever season begins.”

Rising prices are putting pressure on people to try and use less energy. But what are the most effective ways of cutting bills? We asked five experts for their practical advice.

1. Insulate your home

Upgrading loft insulation to current standards, typically 27–30cm thick for mineral wool, improves energy efficiency, comfort and long-term cost savings. It acts as a thermal barrier, as up to 25% of a home’s heat can escape through an uninsulated roof. Installing cavity wall insulation in older homes improves efficiency by reducing heat loss through walls by up to 35%.

Using draught excluders, keeping internal doors closed on cold days, and installing a smart energy controller also help retain warmth and optimise energy use. All these measures can help lower heating bills, maintain warmer indoor temperatures, reduce draughts, minimise condensation, and improve a home’s energy performance certificate rating.

The cheapest energy is the energy we do not use. That’s why the International Energy Agency describes energy efficiency as the “first fuel”. Buildings account for around 30% of global energy demand, so homes are a critical part of both affordability and energy security.

In the UK, 420,600 energy-efficiency measures were installed in 2024 through government support schemes. There is clearly strong demand for more measures like this.

Farooq Sher is a senior lecturer in sustainable energy engineering

2. Go fully electric

Almost everything in our house is now electric, including our heating, cooking and car. This makes environmental sense because electricity can easily be generated from low-emission sources, whereas gas, petrol and diesel can only really come from extracting and refining fossil fuels. In the UK, we generate electricity from a range of sources including solar, wind, tidal, and from burning gas.

Currently, close to 50% of the electricity on the national grid is from renewable sources. Providing heat from a heat pump has about 70% lower greenhouse gas emissions, compared with heat from a gas boiler.

As well as reducing emissions, electrification can reduce bills. Our heat pump replaced an old and relatively inefficient gas boiler, and our annual heating bill has fallen by about 10%. Though electricity is more expensive than gas, heat pumps can reduce bills because for every unit of electrical power they consume, they deliver between two and four times that in heat.

A well-designed and carefully installed system will improve performance. We upgraded our insulation at the same time, and in winter closed off the spare room completely. An added bonus of full electrification is that there’s no need to pay a gas standing charge, which can save about £128 per year.

Another thing to consider is using materials that reduce need for heating – for instance, double glazing. And try to minimise your demand for energy as much as possible, then install the smallest system which meets that demand. We’ve found that doing all of this leads to a warmer, nicer and cheaper home.

Stuart Walker is a research fellow in sustainabilty assessment

3. Increase your energy payments

The conflict in the Gulf is just the latest shock to the energy supply chain. And the tricky thing with supply chains is disruption takes time to be felt. Even if a peace deal sticks, consumers and businesses can still expect higher prices to ripple through the energy market for months.

As such, think about the behavioural economics of what’s known as “intertemporal choice” – your spending over time. People often excessively discount the future and focus on the present when choosing how to spend money. This is known as “present bias”.

Today, there are widespread expectations of higher energy prices, but (for now) they remain around pre-war prices. In the future – when the war is over – there will be widespread expectations of lower prices, but the current disruptions will still be rippling through the system. This mismatch between expectations and reality could leave people with a nasty surprise when their bill comes through.

So, pay it forward. Don’t fall into the trap of present bias. If you can, increase your energy bill payments today. Economists call this “smoothing out” your consumption. When higher bills bite, you’ll be (psychologically) better off for it.

Stuart Mills is a lecturer in economics

4. Sort out any draughts

In our home, we have removed the fireplace, blocked it completely and insulated inside it to cut out draughts. As it is now not so draughty, the heating isn’t required as much and we’re not losing heat through the chimney stack.

This has improved indoor air quality, partly because we no longer have to dispose of ashes and don’t have to do extra cleaning after fires. This is an indirect saving that some may not realise.

Another benefit is that we’re not exposing ourselves to particulate air pollution that results from open or stove-based fires. Home heating contributes significantly to urban air quality, and my motivation has been to improve both indoor and outdoor air quality.

I’m also not storing or buying and transporting fuel – another cost saving. I have bought a cargo ebike to commute to work, carrying my children and their belongings. It also has a bread basket on the front, which is fantastic for shopping and carrying bags. This has cut my short car trips.

We are fortunate to live in an area with good cycling infrastructure. I am aware these choices are not an option for everyone, especially those in rented or temporary accommodation.

Yvonne Ryan is an associate professor in environmental science

5. Crack on with home improvements

A good way to protect yourself against rising bills next winter is to crack on now with projects to make your home more energy efficient. One option is to stop the heat you have paid for escaping through your windows and doors.

The Energy Saving Trust estimates that upgrading your windows could save up to £140 a year. But research has shown that, while households frequently research the options and get quotes, they often stall at the final decision on a project and fail to go ahead.

One reason for this is over-reacting to “sludge” – the barriers that increase uncertainty and effort, such as difficulty finding information and contractors. This can overwhelm our understanding of the benefits of going ahead, leaving us stuck with the status quo.

But the good news is, it is perfectly possible to override these behavioural biases. Rising and volatile fuel bills may be the nudge we need to do that.

Jonquil Lowe is a visiting academic in economics

It’s worth checking to see if you could get it for free

Everyone in Scotland is entitled to free NHS dental check-ups. This includes routine review examinations.

However, some patients also qualify for completely free dental treatment. According to NHS Inform, your dentist will explain which treatments are available under the NHS and which are private.

This is so you can make an informed choice about your care and understand any costs. Treatments that you can receive on the NHS include:

• bridges
• crowns
• fillings
• root canal treatment
• preventive advice and treatment for gum disease
• orthodontic braces (according to strict criteria)
• extractions (tooth removal)
• dentures or false teeth

It notes: “Cosmetic procedures will usually need to be paid for privately.”

Who is entitled to free treatment on the NHS?

In Scotland, NHS treatment is free for:

• Everyone aged under 26
• People who are pregnant or have given birth in the last 12 months
• People with certificated exemption from patient charge because of income or receipt of certain benefits

It adds: “If you are exempt from patient charges during a course of treatment, tell the dentist and ensure that you bring the evidence with you. Around 40% of all patients are exempt from paying a contribution towards the cost of their NHS dental care.”

What is the NHS Low Income Scheme?

Some people may be able to get treatment at a reduced cost through the NHS Low Income Scheme (LIS). NHS Inform explains: “The LIS helps towards some or all of the cost of NHS patient charges for those who are not automatically entitled to free treatment, who may have difficulty in paying.

“Help under the scheme is income-related and based on an assessment of each person’s ability to pay.”

What is prior approval?

Your dentist may tell you that prior approval is needed before your treatment can begin. For certain treatments or higher-cost treatment plans, dentists must get approval from NHS National Services Scotland (NSS) Practitioner Services. This process can take some time and may slightly delay the start of your treatment.

Are all treatments available on the NHS?

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Not all dental treatments are available on the NHS. Cosmetic treatments, like white fillings, tooth whitening, and dental implants, are usually only available privately. Your dentist can explain what is covered by the NHS and what is private.

You can also mix NHS and private treatment on the same tooth, for example, having an NHS root canal and a private white filling. Your dentist can give you an estimate of the costs.

Am I an NHS patient?

Around 95% of people in Scotland are registered for NHS dental care. If you’re not sure about your status, check with the dentist you last visited for routine treatment.

The NHS states: “NHS patients do not pay a regular fee or retainer to their dentist. There is also no charge for an examination.

“If you’re registered with a dentist providing NHS dental care, your practice will be happy to discuss your treatment plan and costs with you before any work is carried out.”

How to register with an NHS dentist

Not all dentists accept new NHS patients, so it’s important to ask whether they can register you as an NHS patient when you first contact them. You can find an NHS dentist in your area here or enquire with your local health board. It’s your responsibility to then register with the dentist.

Once you find a dentist who can register you as an NHS patient, you will need to give them some personal details. You will be asked for your:

• Name
• Address
• Date of birth
• Contact details

Once you have provided this, you will then be given an appointment for an enhanced clinical examination. The practice may place you on a waiting list for registration until you have had this examination, even if you are given an emergency appointment.

It cautions: “You’ll be asked to complete a full medical history form before your appointment, so please ensure that you bring an up-to-date list of all medicines. This medical history will need to be completed annually.

“If you want to register your child, you should do this at the same time you register yourself. You don’t have to wait until your child’s teeth grow in; you can register them as soon as they’re born.

“You don’t need to pay a deposit for an appointment to register.”

You can see the full list of dental treatments and their cost via the NHS Inform website.

During the November raid, Mr Kulwant SIngh Bhatia, the husband of Ms Akritta Bhatia, the Licence Holder, called the shop and was “very irate and shouting at the officer” according to a report to Ealing Council’s Licensing Sub-Committee. Mr Bhatia was supposed to be banned from being involved with the business from 2023 after it was found that he was selling illegal tobacco, the documents state.

Using your phone on the toilet could be more damaging than you might think

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A gut specialist has delivered a stark warning urging people to “stop” scrolling on their phone while on the toilet. Spending extended periods sitting and browsing on the loo could present a significant health risk.

As smartphones have grown more widespread and sophisticated, people have increasingly grown accustomed to carrying them wherever they go. And this extends to the bathroom, with one YouGov survey revealing that 57 per cent of Britons frequently use their phone while sitting on the toilet.

While this might appear harmless, it could in fact be harmful to our bodies. In a clip posted to social media platform TikTok, Doctor Saurabh Sethi, a Harvard-trained gastroenterologist, said: “Stop scrolling through the phone while using the toilet.

“Hi, I’m a board-certified gastroenterologist, so hit that follow button for more such gut health tips.” First, he warned that this widespread habit could lead to haemorrhoids.

He said: “While it may seem harmless to scroll through your social media feed or answer some emails while on the toilet, it can actually have some serious consequences.

“First, you using your phone while doing number two can lead to prolonged sitting on the toilet, which can cause strain and pressure on your rectum and anus. This can lead to issues such as haemorrhoids, anal fissures, and even rectal prolapse.”

He added: “Another issue is that it can be a breeding ground for bacteria. Studies have found that an average smartphone is dirtier than a public toilet seat.

“Try avoiding scrolling while using the toilet, but if you can’t help it, at least have a disinfectant wipe around to clean the phone after you’re done with the business.”

According to the Mayo Clinic in the US, sitting and scrolling on the toilet is a common cause of haemorrhoids.

“The veins around the anus tend to stretch under pressure and may bulge or swell,” the clinic says. “Haemorrhoids can develop from increased pressure in the lower rectum due to sitting for long periods of time, especially on the toilet.”

Other causes of haemorrhoids include:

• Straining during bowel movements
• Having chronic diarrhoea or constipation
• Being obese
• Being pregnant
• Having anal intercourse
• Eating a low-fibre diet
• Regularly lifting heavy items

Symptoms of haemorrhoids will depend where they are but can include:

• Painless bleeding during bowel movements
• A haemorrhoid pushing through the anal opening, called a prolapsed or protruding haemorrhoid
• Itching or irritation in the anal region
• Pain or discomfort
• Swelling around the anus
• Bleeding
• A hard, discoloured lump near the anus

The Mayo Clinic adds: “If you have bleeding during bowel movements or you have haemorrhoids that don’t improve after a week of home care, talk to your health care provider.

“Don’t assume rectal bleeding is due to haemorrhoids, especially if you have changes in bowel habits or if your stools change in colour or consistency. Rectal bleeding can happen with other diseases, including colorectal cancer and anal cancer.

“Seek emergency care if you have large amounts of rectal bleeding, lightheadedness, dizziness or faintness.”