Haemorrhoids (Piles)



Haemorrhoids are a common problem and typically cause fresh red bleeding from the back passage. If they drop down out of the back passage (prolapsed haemorrhoids) the patient may feel a lump. Sometimes they can be pushed back in but sometimes they remain out all of the time.

Typical Symptoms

  • Bleeding
  • Itching (pruritus ani)
  • Swelling
  • Discomfort

Internal haemorrhoids

Internal haemorrhoids typically cause painless bleeding.

The best treatments are to increase fibre intake, drink plenty of fluids and avoiding straining when opening your bowels.

If these simple self help measures are not successful more invasive treatments such as banding are possible.

Prolapsed haemorrhoids

Prolapsed haemorrhoids drop down out of the back passage and the lumps themselves can cause symptoms such as itching. Additionally they can bleed and sometimes patients complain of the passage of mucus.

Self-help measures may improve symptoms but they are less likely to do so than internal haemorrhoids. It may be possible to band them but surgial intervention under a general anaesthetic may be necessary either to remove them (haemorrhoidectomy) or to stitch them (haemorrhoidal ligation).


If you would like to see Mr Trivedi to discuss these symptoms and possible treatment please contact his secretary.