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General enquiries:
+44 (0)207 935 4444
Book a consultation:
+44 (0)207 616 7693
Self-pay enquiry:
+44 (0)203 219 3315

What are haemorrhoids?

Haemorrhoids (also known as piles) are a very common condition, affecting up to 1 in 3 people in the UK. The London Clinic provides a range of safe, effective, and pioneering options to treat external and internal haemorrhoids. Our multidisciplinary team of clinical specialists can help you decide the right choice of treatment for you. 

Treating haemorrhoids

This page focuses on injection and banding treatment procedures which are regularly used to treat haemorrhoids. Other treatment options available at The London Clinic include the innovative Rafaelo® procedure which uses radiofrequency ablation, and surgical options for more severe cases

Our priority is to provide patients with access to the very best clinical support and healthcare, in surroundings which encourage recovery in comfort and peace. If you have any questions about any of these procedures or you wish to make an appointment, please call The London Clinic 020 7616 7693 to speak to our friendly and professional team.

A doctor performing surgery to remove hemorrhoids

WHAT CAUSES HAEMORRHOIDS? 

Haemorrhoids are swollen lumps which can develop inside and around your anus (back passage). They can cause itching and discomfort, and sometimes also pain, particularly when going to the toilet. Each haemorrhoid is also filled with enlarged blood vessels, which can occasionally lead to symptoms of bleeding. 

Haemorrhoids are very common, and any condition which leads to increased pressure around the anus may also increase a person’s risk of developing them. 

A person who is pregnant, carrying excess weight, or who is constipated for a long time has a higher risk of developing haemorrhoids. Haemorrhoids are also relatively more common in older people (aged 45 to 65 years).

WHO MIGHT NEED HAEMORRHOID TREATMENT?

In many cases, haemorrhoids will resolve on their own after a few days. 

Symptom management using creams and suppositories while the haemorrhoids resolve, along with diet and lifestyle modifications can often be enough. 

More severe or chronic cases may need medical treatment, and your doctor will advise which treatment is likely to be the most beneficial for you. 

Two of the most common non-surgical treatments for haemorrhoids involve placing a rubber band around the haemorrhoid (rubber band ligation, or ‘banding’), or injecting the base of the haemorrhoid with liquid (sclerotherapy). 

HAEMORRHOID BANDING AND INJECTION TREATMENTS

Following a full consultation, your doctor may recommend that your haemorrhoids are treated by either banding or injection. The best treatment option for you will depend on a variety of different factors, including the quantity, size and type of haemorrhoids you have, and your history of the condition.  

Both haemorrhoid banding and haemorrhoid injection procedures are relatively quick, safe, and effective. 

WHAT HAPPENS DURING THE PROCEDURE?

Haemorrhoid banding and injection procedures do not usually require anaesthesia, and both treatments can be performed as an outpatient (so you will not be required to stay overnight). The London Clinic’s dedicated team of colorectal specialist clinicians and nurses will support you throughout your stay with us.

At the start of the procedure your doctor will first use a special tube with a light called a ‘proctoscope’ to access and examine the haemorrhoids which need treatment. 

Haemorrhoid Banding

If you are having the banding procedure, gentle suction is first applied to the haemorrhoid using a special device to help with placing the bands. Very small elastic bands are then placed around the haemorrhoid base. These bands cut-off blood supply to the haemorrhoid. Within 1 to 2 weeks the remains of the haemorrhoid and the bands will drop off and be passed in your stool when you go to the toilet. 

Haemorrhoid Injection

If your haemorrhoids are being treated using sclerotherapy, a special liquid will be injected into the base of each haemorrhoid. This liquid works to damage the blood vessels supplying the haemorrhoid tissue, causing it to reduce in size over time. 

AFTERCARE FOLLOWING YOUR TREATMENT

Patients can sometimes feel lightheaded immediately after the procedure, and for this reason your doctor will usually ask you to remain in the clinic for a short period of time following the treatment. You can then leave the clinic to recover at home. 

Minimal recovery time is usually needed following haemorrhoid injection or banding treatment, and most people can return to their normal activities the next day. 

Some mild to moderate pain and discomfort can be expected as a result of the procedure, particularly for the first few days. Standard over-the-counter painkillers can help to ease discomfort. Some patients may also experience light bleeding, usually after going to the toilet. 

As with any invasive medical procedure there is also a slight risk of developing an infection or other more serious complication, which may need to be treated with antibiotics. 

Your doctor and clinical nurse specialists will provide you with all the information you need, including any particular side effects to look out for. 
They can also provide suggestions for you to practice at home to help promote healing, such as the best way to wash and keep the area clean.

FURTHER CONSIDERATIONS 

To help with patient comfort, the banding procedure is usually only performed on one or two haemorrhoids at a time. This means that if you have a high number of haemorrhoids, more than one banding procedure may be needed to treat them all. Haemorrhoid injection treatments also sometimes need to be repeated.

Haemorrhoids can sometimes return, particularly if you have a tendency to develop them. There are some lifestyle modifications you can do which may help reduce the chance of this happening. 

These modifications can include drinking plenty of water and including fibre in your diet to help prevent constipation. It is also important to try not to strain too much when going to the toilet. 

Your doctor can give you any further information you might need, and answer any questions you have. 

Why choose The London Clinic?

The London Clinic is dedicated to providing the best, personalised healthcare with over 600 world-renowned consultants available to offer informed health advice and treatment.

Spanning Harley Street and Devonshire Place, The London Clinic is situated in the heart of London’s internationally-known medical district. This central location, together with state-of-the art technologies and facilities that are not widely available in other hospitals, makes The London Clinic the hospital of choice for around 120,000 patients every year.

The London Clinic is an HTA licensed and JACIE accredited cancer centre with an ‘Excellent’ MacMillan Quality Environment Mark and with access to a Level 3 intensive care unit.

Offering affordable and competitive self-pay packages and expert support from Clinical Nurse Specialists and our specialised multidisciplinary team, over 98% of our patients said they would recommend The London Clinic to their friends and families.

Treatment cost

The London Clinic offers affordable, competitive self-pay packages for certain treatments.

Patients have the option to spread the cost of treatment with Chrysalis Finance.

Please call +44 (0)20 3613 7502 to speak to our helpful team to find out more and to book an appointment.

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