• Home
  • About Mr Gupta
  • Services & Treatments
  • How to prepare bowel
  • Patient Testimonials
  • Useful links
  • Bowel (Colon) Cancer
  • Diverticular Disease
  • Haemorrhoids
  • Anal Conditions
  • IBD
  • Trans Anal Surgery
  • Pilonidal Sinus Disease
  • Laparoscopic Surgery
  • Colonoscopy
  • General Surgery
  • Irritable Bowel Syndrome
  • Rectal Prolapse
  • Stomas
  • More
    • Home
    • About Mr Gupta
    • Services & Treatments
    • How to prepare bowel
    • Patient Testimonials
    • Useful links
    • Bowel (Colon) Cancer
    • Diverticular Disease
    • Haemorrhoids
    • Anal Conditions
    • IBD
    • Trans Anal Surgery
    • Pilonidal Sinus Disease
    • Laparoscopic Surgery
    • Colonoscopy
    • General Surgery
    • Irritable Bowel Syndrome
    • Rectal Prolapse
    • Stomas

  • Home
  • About Mr Gupta
  • Services & Treatments
  • How to prepare bowel
  • Patient Testimonials
  • Useful links
  • Bowel (Colon) Cancer
  • Diverticular Disease
  • Haemorrhoids
  • Anal Conditions
  • IBD
  • Trans Anal Surgery
  • Pilonidal Sinus Disease
  • Laparoscopic Surgery
  • Colonoscopy
  • General Surgery
  • Irritable Bowel Syndrome
  • Rectal Prolapse
  • Stomas

Haemorrhoids (Piles)

What are Haemorrhoids

What are Haemorrhoids

What are Haemorrhoids

Haemorrhoids also commonly known as piles are anal prominent vascular cushions which often bleed when irritated by constipation or diarrhoea. Sometimes they can get painful too, particularly when thrombosed or prolapsed.  

Symptoms

What are Haemorrhoids

What are Haemorrhoids

Haemorrhoids are the commonest cause of rectal bleeding, however it is important to rule out something sinister like bowel cancer when bleeding symptoms persist. They differ from grade 1 to grade 4 haemorrhoids.

Treatment

What are Haemorrhoids

Investigations

Treatment of haemorrhoids depend on the grading made on careful examination, which sometimes may even require an examination under anaesthetic to decide the best type of treatment suited to an individual. Mr Gupta offers following invasive treatments for haemorrhoids when required 

  • Injection sclerotherapy
  • Rubber band ligation
  • RAFAELO procedure
  • HALO
  • Haemorrhoidectomy


Investigations

Investigations

Investigations

Often a flexible sigmoidoscopy or colonoscopy is required prior to haemorrhoids treatment to ensure there is no other synchronous colonic pathology. Injection sclerotherapy or rubber band ligation are ususally suitable for grade 1 to grade 2 haemorrhoids, and can be performed without the need for general anaesthetic. The results are variable and sometimes the process has to be repeated to get better results. 

RAFAELO

Investigations

RAFAELO

RAFAELO (RAdio Frequency treatment of hAEmorrhoids under LOcal anaesthetic) procedure is a relatively newer technique to treat small grade 1-2 haemorrhoids by injecting radiofrequency current in the hamorrhoids. It can be performed under sedation, however a general anaesthesia is sometimes preferable. Ususally a quicker return to normal activities without any significant pain is expected after this treatment. This treatment is not yet available in the NHS.

HALO

Investigations

RAFAELO

HALO (Haemorrhoidal Artery Ligation Operation) for grade 2-4 haemorrhoids requires a general anaesthetic and is particularly preferred for patients with circumferential internal piles (see image before and after HALO). Recto-Anal Repair (RAR) is often combined with HALO. Essentially stitches are taken inside under sound doppler guidance to cut off blood supply to haemorrhoids allowing significant shrinkage. Post operative pain is expected for few days. Conventional haemorrhoidectomy still remains a very well tried and tested method to treat large external haemorrhoids. Post-operative pain is expected, and it needs a general anaesthetic.

Video

HALO technique for haemorrhoid treatment with Doppler Guided Suture Ligation

Video

RAFAELO technique to treat haemorrhoids with Radio Frequency Ablation

Services & Treatments

Anal Fissure

Anal Fistula

Anal polyps
Anal warts

Bowel/ Colon Cancer

Colonoscopy

Crohn's disease

Diverticular disease

General Surgery

Haemorrhoids (Piles) 

HALO for Haemorrhoids

RAFAELO for haemorrhoids

Inguinal Hernia/ paraumbilical hernia

Irritable bowel syndrome

Laparoscopic surgery for bowel cancer

Pilonidal sinus disease 

Polyp Removal 

Rectal Bleeding 

Rectal pain 

Rectal Prolapse 

Skin lumps and cysts

Stomas 

Transanal Surgery​ (TAMIS)

Ulcerative Colitis

Contact Us

Drop us a line!

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Private secretary: Ms Jackie Huggett

Phone: 07496457522

Fax 02080432326 

email: mr.ash.gupta@gmail.com

Hospitals & Clinics

Epsom Hospital

St Helier Hospital

Spire St Anthony's Hospital

Ashtead Hospital

Copyright © 2022 Mr Ashish Gupta - All Rights Reserved.