Haemorrhoids

Understanding Haemorrhoids

Dr Hamish Urquhart specialises in the treatment of haemorrhoids, which are vascular cushions within the anal canal. Often flaring up following periods of acute or chronic constipation or diarrhoea, during pregnancy or due to spending long periods on the toilet, haemorrhoids are very common and there are several treatment options available.

An Insight into Haemorrhoids

With symptomatic haemorrhoids, patients may experience itchiness, pain, bleeding or prolapse.

Haemorrhoid treatments often starts with increasing fibre in the diet to avoid constipation, drinking more water though the day to avoid dehydration or hard stools, avoiding straining excessively on the toilet and limiting toilet time. Dr Urquhart can also discuss different topical ointments to help with non surgical treatment of haemorrhoids. Sometimes surgery is required, but it is worth noting that surgery can offer great results. Modern techniques in haemorrhoid surgery aim at treating the underlying condition in a more comfortable way than they have been historically.

Injection of haemorrhoids: This is utilised for earlier/less severe haemorrhoids and involves either injecting oily phenol or almond oil into the haemorrhoids.

Banding of haemorrhoids: This is utilised from slightly larger haemorrhoids and involves placing small bands internally above the haemorrhoids to help shrink the haemorrhoids and limit blood flow to the haemorrhoids to help prevent bleeding.

Haemorrhoid Artery Ligation: For larger haemorrhoids, under general anaesthetic, Dr Urquhart utilises an ultrasound or other device to find the haemorrhoid vessel causing the issue and he subsequently places a dissolving stitch internally to prevent bleeding. During this procedure Dr Urquhart can also repair some of the prolapse associated with some larger haemorrhoids.

Haemorrhoidectomy:  Occasionally haemorrhoids can be so sizable they require an operation where the require surgically excision under General Anaesthetic.