Haemorrhoids

    At Mayo Clinic Healthcare in London, our Gastroenterology specialists work collaboratively to diagnose and treat piles. Using advanced diagnostic testing and a personalised approach to care, our team aims to identify the underlying cause of your symptoms and develop an individualised treatment plan tailored to your needs.

    Located in the heart of central London, Mayo Clinic Healthcare combines internationally recognised expertise with access to experienced multidisciplinary specialists, supporting patients from the UK and around the world.

     

    • Haemorrhoids are swollen blood vessels located in the lower rectum or around the anus. They are common and can cause symptoms including bleeding, itching, discomfort and swelling. While many haemorrhoids improve with lifestyle changes and non-surgical treatment, some cases may require specialist procedures or surgery. 

      There are several types of haemorrhoids. These are:

      Internal: Swollen veins inside the rectum. These are not painful but may bleed.

      External: Swollen veins appear on the outside of the anus. These are itchy and painful, especially when sitting down.

      Prolapsed: These hemorrhoids bulge out of the anus, and are visible. These bleed as well as cause pain.

      Thrombosed: A blood clot builds within the haemorrhoid, causing a large purple bump on the outside of the anus. These are usually painful.

      Your specialist will assess your symptoms carefully and recommend the most appropriate investigations and treatment based on your individual circumstances. 

    • Haemorrhoids are not always painful, but they can cause significant discomfort and affect day-to-day wellbeing.

      Symptoms may include:

      • Painless, bright red bleeding during bowel movements.
      • Itching, irritation, or burning in the anal region.
      • Swelling or a hard lump around the anus.
      • Pain or discomfort, particularly when sitting

      Rectal bleeding should always be assessed by a medical professional to rule out other gastrointestinal conditions. 

    • Haemorrhoids develop when increased pressure affects the veins in the lower rectum and anus.

      Common contributing factors include:

      • Straining during bowel movements
      • Chronic constipation or diarrhoea
      • Sitting on the toilet for prolonged periods
      • A low-fibre diet
      • Pregnancy
      • Obesity
      • Heavy lifting or weight training
      • Ageing, which can weaken supporting tissues
      • Family history of haemorrhoids
    • At Mayo Clinic Healthcare London, diagnosis begins with a detailed consultation and clinical assessment. One of our Gastroenterology consultants will review your symptoms, medical history and any relevant family history before recommending appropriate investigations.

      Depending on your symptoms, diagnostic tests may include:

      Tests may include: 

      • Colonoscopy if symptoms could indicate another bowel condition, if there is unexplained bleeding, cancer risk factors, or change in bowel habits. 
      • Visual examination of the anus for external haemorrhoids. 
      • Proctoscopy or flexible sigmoidoscopy to look further inside the rectum/lower bowel 
      • Digital rectal examination (DRE) where a gloved, lubricated finger is used to examine swelling, masses, fissures, or other abnormalities. 
      • Anoscopy where a short lighted tube is inserted to inspect the anal canal and lower rectum 

      In some cases, a clinical examination alone may be sufficient for diagnosis. Where appropriate, patients may also benefit from input across Gastroenterology and Diagnostic Imaging services to ensure comprehensive care. 

    • Your treatment for haemorrhoids depends on the type and complexity of the condition. 

      Many haemorrhoids improve with conservative management and lifestyle modifications. Your consultant may recommend:

      • Increasing fibre intake
      • Drinking more fluids
      • Improving bowel habits to reduce straining
      • Warm baths (sitz baths)
      • Over-the-counter creams or ointments
      • Pain relief medication where appropriate
      • Stool softeners or laxatives under medical guidance

      These measures can often help relieve symptoms and treat piles successfully.

      If symptoms persist or haemorrhoids are more advanced, minimally invasive treatments may be recommended, including: 

      • Rubber band ligation. Your consultant ties a small band around the base of a hemorrhoid to cut off blood supply to the vein.
      • Electrocoagulation. An electric current stops blood flow to a hemorrhoid.
      • Infrared coagulation. A small probe in your rectum releases heat to get rid of the hemorrhoid.

      Your Mayo Clinic specialist will create a personalised treatment plan tailored to optimise your symptoms, minimise your risk, and support your long-term health and well-being.

    • Patients choose Mayo Clinic Healthcare London for access to internationally recognised expertise and a highly personalised approach to care.

      Our patients benefit from:

      • Experienced Gastroenterology and Colorectal specialists
      • A multidisciplinary approach to diagnosis and treatment
      • Advanced diagnostic and endoscopy services
      • Personalised treatment planning
      • Access to world-renowned Mayo Clinic expertise
      • A central London location convenient for UK and international patients

    Private health insurance

    Mayo Clinic Healthcare works with all major private health insurance providers, including AXA PPP, Aviva, BUPA, Health Partners Group, Vitality Health and WPA. Self-pay arrangements are also available.

    Private assessment 

    If you believe you have haemorrhoids and would like specialised care, our clinic can diagnose your symptoms and build you a personalised treatment plan. You can contact us on +44 (0)20 4654 0585 or request an appointment form. One of our consultants will be in touch with you to arrange an appointment.

     

    Medically Reviewed by

    Dr Sarmed Sami, Consultant Gastroenterologist