Haemorrhoids are one of those things almost everyone experiences at some point, yet hardly anyone talks about. The good news? They’re extremely common, usually harmless, and very treatable. Here’s how to know when to simply manage them at home — and when it’s worth seeing a specialist.
What exactly are haemorrhoids?
Haemorrhoids (or piles) are swollen blood vessels around the back passage. They can be internal or external, and they’re often linked to straining, constipation, pregnancy or simply sitting for long periods. Most settle down on their own within a week or two.
When you probably don’t need to worry
If you have mild, occasional symptoms — a little itching or discomfort, or a small amount of bright red blood on the paper — you can often manage things yourself with a few simple changes: more fibre and fluids, not straining, and over-the-counter creams. Give it a couple of weeks.
The single most important thing is this: never assume rectal bleeding is “just piles”. It usually is — but it should always be checked to rule out anything more serious.
When to see a specialist
It’s worth booking an appointment if any of the following apply to you:
Bleeding that keeps coming back, or is heavy or dark
Symptoms that last more than a couple of weeks despite home care
A persistent lump, pain, or a change in your normal bowel habit
Any bleeding if you’re over 40, or have a family history of bowel cancer
What treatment involves
If you do need treatment, the good news is that most haemorrhoids are dealt with quickly and without major surgery — from simple banding in clinic to the minimally invasive Rafaelo® procedure. Your specialist will talk you through the options and recommend the gentlest one likely to work for you.
If you’re worried about symptoms, don’t put it off. A quick assessment gives you answers and peace of mind — and, in the vast majority of cases, a simple path to feeling better.
Colorectal Surgeon
Written and reviewed by Mr Kimble to give you information you can trust.