MB BCh · FRCS — Consultant General, Colorectal & Gastrointestinal Surgeon

Nuffield Health · The Vale & Cardiff Bay

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Haemorrhoids

Understanding haemorrhoids, the symptoms, causes and how they are treated.

OVERVIEW

What are haemorrhoids?

Haemorrhoids are swollen, cushion-like blood vessels located in and around the lining of the back passage that become enlarged when subjected to increased pressure over time. This pressure commonly builds through straining during bowel movements, chronic constipation or diarrhoea, pregnancy, or simply the natural weakening of supporting tissue that comes with age. Haemorrhoids are extremely common, affecting a large proportion of adults at some point in their lives, and can occur internally, externally, or as a combination of both. Symptoms range from mild itching and irritation to noticeable bleeding or a palpable lump, and while haemorrhoids themselves are rarely dangerous, any bleeding from the back passage should always be properly assessed, since similar symptoms can occasionally be caused by other bowel conditions that need to be ruled out. Fortunately, most cases respond well to straightforward lifestyle changes or minimally invasive treatment.

Symptoms to look out for

Causes & risk factors

TREATMENT OPTIONS

How haemorrhoids can be treated

01

Lifestyle & Dietary Changes

Increased fibre, fluids and reduced straining often ease mild haemorrhoid symptoms.

02

Non-Surgical Procedures

Banding or injection treatments can shrink haemorrhoids with minimal downtime.

03

Surgical Removal

Haemorrhoidectomy may be recommended for larger or persistent haemorrhoids.

When should you seek advice?

Bleeding from the back passage should always be checked to rule out other causes Mr Woodward offers assessment within 48 hours.

Common questions About haemorrhoids

Are haemorrhoids serious?

Haemorrhoids are rarely serious, but any bleeding from the back passage should be assessed to rule out other bowel conditions.

Mild haemorrhoids often settle with dietary changes, though larger or recurrent ones may need a non-surgical or surgical procedure.

Non-surgical treatments such as banding are usually well tolerated, while surgical removal involves a short recovery with manageable discomfort.