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Haemorrhoids, commonly known as piles, can cause significant anal discomfort and bleeding. Our London clinic offers advanced non-surgical treatment options.
In most cases, we provide same-day care to manage your symptoms and treat the swelling using minimally invasive techniques.
| Services | Cost |
|---|---|
| Consultation with Colorectal Consultant | £295 |
| Proctoscopy | £175 |
| Consultation follow up | £250 |
| Haemorrhoid Treatments | |
| Rafaelo procedure | £2,295 |
| Injections | £625 |
| Banding/ligation | £750 |
| Anal skin tag from | POA |
| Anal fissures | From £750 |
Consultations are with our team of leading Consultant Colorectal Surgeons in our London clinics.
During the consultation you will have a detailed consultation about your concerns. The examination normally requires a proctoscopy examination which is a gentle quick procedure to identify if there are any haemorrhoids or any other issues. A treatment plan can then be discussed and you can then return at a later date to have them treated at a convenient time. Consultations are valid for 3 months, after which another consultation may be required to check for any change in symptoms prior to treatment.
Prices are a guide to the costs and the exact price can only be determined once the surgeon has examined you in person. Call 0207 386 0464 OR email [email protected] for advice and help.
The most common haemorrhoid / piles symptoms for men and women is either rectal bleeding on the paper or in the pan that can be accompanied with swelling or discomfort in the anal area. Occasionally persistent perianal itching especially at night can also be a symptom. They are caused by the natural vascular veins in the area swelling and leaking due to excessive straining when on the toilet due to constipation or can be something that people are simply prone to developing.
In some people these symptoms will be periodic and simple lifestyle measures (such as eating healthier) or over the counter creams (Anusol) will give some relief.
It is often difficult to know what causes certain swellings, discomfort or bleeding and thus we suggest seeing one of our colorectal surgeons to get a definitive diagnosis and treatment plan. Patients often don’t know whether the symptoms they experience are from anal skin tags that can occur from previous or coexisting haemorrhoids or haemorrhoids themselves. The only way to tell for certain is to have a proctoscopy (internal examination of the anal canal / rectum) which is routinely done at our clinics. If you speak to one of our advisors they will be able to help you determine who is the best doctor to see.
It is often difficult to tell the difference between haemorrhoids and anal skin tags. Haemorrhoids are often the cause of anal skin tags and can still coexist with anal skin tags. As a guide, if you answer yes to any one of these 3 questions, then you maybe suffering with haemorrhoids:
If you answer ‘Yes’ to any of these questions, that is a good indication that you may have haemorrhoids. It is always best to treat the haemorrhoids to help prevent recurrence. If you have both haemorrhoids and skin tags, then skin tags can be treated at later date if needed.
If you answer ‘No ‘ to ALL the above and have persistent lump/tags in the area, then anal skin tags maybe the cause of your symptoms; especially if you have concerns about cosmetic appearance/embarrassment/wiping hygiene/minor irritation.
You will be assessed by one of our consultant colorectal surgeons Mr Alex Von Roon, Miss Henna Rafique, Mr Gurjar or Mr Piero Nastro at our Harley Street or London City clinics, using a proctoscope to examine internally for any piles or haemorrhoids.
Depending on the findings, various treatment options are available at the same appointment should you want to proceed:
Our expert clinicians offer safe, minimally invasive procedures designed to provide effective relief, often in a single visit, improving comfort, hygiene, and quality of life.
Our medical advisors would be happy to make an appointment for you:
The consultation fee is payable on booking. We have a 48-hour cancellation policy.
Haemorrhoids (also known as ‘piles’) are swollen cushions of blood vessels around or just inside the anal canal (back passage). There are two kinds of a haemorrhoid: internal and external.
These haemorrhoidal cushions are normal anatomical structures but are made to swell and balloon by straining on the toilet, pregnancy, heavy lifting, family history, overweight that then cause bleeding, itching and soreness, discomfort, mucous discharge and protrusion through the anus.
If you are experiencing bleeding piles, it is best to seek medical attention as soon as possible. Our team at Cosmedics Skin Clinics can provide a thorough assessment to determine the underlying cause of the bleeding and recommend appropriate treatment options. Remember, early intervention can significantly improve outcomes and enhance your overall comfort.
Consultation/Proctoscopy:
Take 2 tablets (1000 mg) of paracetamol every 4 to 6 hours. If this is not sufficient, add in 2 tablets (400 mg) of ibuprofen every 4 to 6 hours. You can take both painkillers together safely. Some people have contraindications to ibuprofen – check with Mr von Roon on the day or with your doctor or pharmacist. If the pain is uncontrolled with above please contact Mr von Roon.
Lifestyle changes to diet, to increase oral fluid and fibre intake thereby softening the stool will help reduce straining avoiding straining and avoiding strenuous lifting.
Treatment options are radiofrequency (Rafaelo), ligation (rubber banding) and injections. These are carried out as outpatient day cases under local anaesthetic. For more extensive haemorrhoids surgical removal under general anaesthetic is required.
The consultation and treatment take place at 41 Harley Street, London W1G 8QH. The clinic is registered with the CQC (Care Quality Commission) with an inspection report in August 2019 passing it as good.
You will be able to open your bowels normally. This should not be more painful than normal. As mentioned above, you may experience the urgency of defaecation.
Most people are able to work the following day. However, if you get urgency this can be a little unpredictable, so if you have the option of working from home, it is advisable to do this on the first day.
Anal skin tags are caused by the swelling of the pile or haemorrhoid externally causing the skin to stretch. Once the haemorrhoid shrinks people can often be left with anal skin tags. These anal skin tags can be treated by us separately, but you need a surgeon assessment to ideally diagnose what is the true cause of anal skin swelling.
Key symptoms on opening bowels
Haemorrhoid vs Skin Tag Checker for Protruding Anal skin
| Haemorrhoid | Skin Tag | Haemorrhoid + Skin tag | Fissure (tear in the skin) | |
|---|---|---|---|---|
| Bleeding on opening bowels | Yes on paper, stool and in toilet | Not common | Yes on paper mainly or stool | Yes |
| Pain on opening bowels | Not common | Not common | Discomfort only not pain | Yes sharp lasts for few hours |
| Swelling of skin or lump on opening bowels | Yes | Not common | Yes | No |
You can eat as normal before and after. There is NO need for an enema (clearing out of bowels with laxative).
We advise that you increase the amount of fibre in your diet and your fluid intake in the first two weeks after the procedure to avoid constipation.
For exercise such as running, swimming and cycling and strenuous activities resume as normal after 2 weeks.
If this is the case the best option is to treat the haemorrhoids first as these are the cause of the anal skin tags.
By undergoing the Rafaelo treatment, this will not only help prevent this from happening again but may also improve the anal skin tags by causing the tissue internally to contract and pull up some of the excess skin.
If after 2 months there is still residual skin then you can opt to have this removed under local anaesthetic by our cosmetic doctors and plastic surgeons.
For detailed information:
The Rafaelo Procedure is the latest advanced treatment for haemorrhoids.
This procedure uses radiofrequency technology to reduce, and in most cases, eliminate, the common symptoms of internal (Grade 1-3) haemorrhoids by heating them up and causing them to shrink and seal off.
This pioneering technology has revolutionised how we are able to treat piles. Rafaelo is a minimally-invasive walk in walk out treatment which typically takes no longer than 15-20 minutes to perform.
The success rate is around 90% which means it’s a single one-off treatment in most cases.
Cosmedics Skin Clinics was established in 2003 by Dr Ross Perry and has built up an enviable reputation over the last 20+ years for setting high standards of care and patient satisfaction within the professional skincare market.
Please call us or fill in the form below and we will be delighted to help with your enquiry.
