If they become infected, they can cause pain and discomfort and may need to be removed surgically.
Treatment includes application of bands to the haemorrhoids or a haemorrhoidectomy, the surgical procedure for the removal of haemorrhoids. Your surgeon will recommend the most appropriate treatment for you.
Treatment is undertaken under general, spinal or epidural anaesthetic. Following the procedure a surgical dressing pack is usually inserted into the back passage and this is passed once the bowels have been opened or before.
If you are having a general anaesthetic, you will have a pre-screening appointment to assess your suitability for surgery, before you are given a date for your operation.
Depending on the size of the haemorrhoids the procedure may be carried out as day surgery, but in some cases an overnight stay is recommended.
You will be transferred to the ward where nurses will continue to monitor your condition. If you feel any discomfort, please inform the nurse looking after you, so that pain relief can be given.
The benefit of a haemorrhoidectomy is the relief of pain, bleeding, mucus discharge and itching.
The alternative to a haemorrhoidectomy surgical procedure is injection treatment which shrivels the blood vessels in the piles.
Creams and suppositories, which contain local anaesthetic and mild steroids. They soothe the anus but it is doubtful they actually cure the piles.
Rubber band treatment, for second degree piles. It may be given to patients with 3rd degree piles, who do not want or cannot have an operation.
Your surgeon will discuss and advise you on which treatment is best for you.