Haemorrhoid treatments

There are several effective ways of treating haemorrhoids, both surgical and non-surgical. If somebody is struggling with recurrent internal haemorrhoids that cause pain, bleeding or a blood clot, a common non-surgical and minimally invasive treatment method is banding, also known as rubber band ligation. Not only does this technique treat existing haemorrhoids, it also prevents them from re-occurring.

The procedure involves tight rubber bands being placed around any haemorrhoids located inside the rectum. This works by stopping the blood flow which shrinks the haemorrhoid, before it eventually falls off, usually within a week. While you may not notice that it has gone, sometimes there can be mucus discharge following going to the toilet, which usually means the haemorrhoids have fallen off. The procedure generally takes just a few minutes.

Normally, anaesthetic isn’t required and a patient undergoing this procedure will be home the same day. Although minor pain and discomfort isn’t uncommon, there are rarely any more serious side effects reported. Blood on toilet paper is nothing to be worried about, but if you are concerned regarding the amount of blood loss, you must seek medical advice.


HALO (Haemorrhoidal Artery Ligation Operation) is a surgical operation that aims to shrink haemorrhoids without the need to make any cuts or incisions. Throughout the procedure, a miniature doppler ultrasound device shows all the arteries that supply the haemorrhoids. The ultrasound device contains a small window that allows a stitch to be placed around the artery, therefore stopping the blood flow to the haemorrhoid.

The blood vessels are then tied off, causing the haemorrhoid to shrink over the subsequent days and weeks. There is no need for an overnight stay following HALO, minimising disruption to a patient’s life.

An advantage of this surgical technique is the fact that it is generally less painful, as it targets haemorrhoids specifically located in the lower rectum where there are almost no sensory nerves. HALO treats even severe haemorrhoids, and most patients experience a reduction in the size of their haemorrhoids or at least a significant decrease in the amount of discomfort or pain that they were suffering.


A haemorrhoidectomy is a surgical method of removing haemorrhoids, both internal and external. This method of removal is for more severe haemorrhoids that have not been treated successfully with non-surgical methods. Around one in ten people experiencing the condition will require surgery. If you suffer with haemorrhoids that swell and grow, bleed, itch and generally have a negative impact on your daily life, your specialist may recommend that you undergo this type of surgery. Prolapsed internal haemorrhoids, which can lead to faecal incontinence, can be treated successfully with a haemorrhoidectomy.

If you have both internal and external haemorrhoids, particularly external piles that are swollen due to a blood clot, your specialist might recommend this surgery. The operation involves removing the haemorrhoids under general anaesthetic.

Following the procedure, it is normal to expect some minor bleeding from the back passage. You will not be able to drive or lift heavy machinery for at least 24 hours.

To find out more or make an appointment with Mr Hornung, please call 0161 495 6148