Haemorrhoids are swollen blood vessels in and around the back passage, and one of the most common reasons people see a colorectal surgeon. The great majority are managed comfortably without an operation, and the right approach depends on how advanced they are.
What are haemorrhoids?
Haemorrhoids (piles) develop when the blood vessels in and around the anus become swollen, often from straining, constipation, or increased pressure over time. They’re graded I to IV by severity, which guides the treatment options available.
Signs you may have haemorrhoids
Bright red bleeding when you go to the toilet
Itching or irritation
A lump or swelling around the anus
Discomfort or aching
Mucus discharge
A feeling of not fully emptying
How haemorrhoids are treated
Most haemorrhoids are managed with simple lifestyle changes including dietary fibre, fluids and toileting habits, often combined with topical treatment. Where that isn’t enough, rubber band ligation and the Rafaelo® radiofrequency procedure are quick, minimally invasive options performed in clinic or as a day case. Surgery (THD® or haemorrhoidectomy) is reserved for more advanced or persistent cases, and always fully explained before it’s recommended.
Recovery
Most treatments are day-case, so you’ll go home the same day. Mr Kimble and his team give you clear, written aftercare advice and a direct point of contact, with structured follow-up to make sure you’re healing well.
Any new or persistent rectal bleeding should be checked by a specialist, even if you're fairly sure it's haemorrhoids, bleeding can occasionally be a sign of something that needs a closer look.