A patient’s story
Michael, a 46-year-old professional working in London, came to see me after months of discomfort when opening his bowels. He described bleeding, irritation, and a feeling of pressure that made sitting through meetings difficult. Like many patients, he delayed seeking help out of embarrassment, hoping the symptoms would settle on their own.
They did not.
By the time he attended clinic, his symptoms were affecting daily life. What surprised him most was learning that effective, minimally invasive haemorrhoid treatment was available without surgery.
What are haemorrhoids?
Haemorrhoids are swollen blood vessels located inside or around the anal canal. They are very common and, in most cases, highly treatable.
Common symptoms include:
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Bleeding during bowel movements
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Itching or irritation
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Discomfort or pressure
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A sensation of incomplete emptying
While mild haemorrhoids may settle with conservative care, persistent or symptomatic haemorrhoids should always be properly assessed.
What is haemorrhoidal banding?
Haemorrhoidal banding, also known as rubber band ligation, is a widely used treatment for symptomatic internal haemorrhoids.
It is a minimally invasive procedure performed in an outpatient setting.
During the procedure:
A small rubber band is placed at the base of the haemorrhoid
This cuts off the blood supply
The haemorrhoid shrinks and falls away naturally
The procedure is usually performed under local anaesthetic, is well tolerated, and allows most patients to return to normal activities quickly.
From a clinical perspective, haemorrhoidal banding is:
Safe
Effective
Associated with a low risk of complications
Suitable for many patients with ongoing symptoms
Why proper assessment matters
Not all anal symptoms are caused by haemorrhoids. Bleeding, pain, or discomfort can also be linked to other conditions, including anal fissures.
This is why a medical assessment is essential before recommending treatment. Treating the wrong condition can delay recovery and prolong symptoms.
Botox injections for anal fissures
Some patients experience symptoms caused by chronic anal fissures, rather than haemorrhoids.
In these cases, Botox injections may be an appropriate non-surgical treatment option.
Botox works by:
Temporarily relaxing the internal anal sphincter muscle
Reducing muscle spasm
Improving blood flow
Supporting natural healing of the fissure
The injection is carried out under local anaesthetic and is generally well tolerated.
Clinically, Botox injections can:
Reduce pain
Promote healing
Help patients avoid surgery in selected cases
The effects are temporary and typically last a few months. Botox is not suitable for every patient, which is why assessment is key.
Choosing the right haemorrhoid treatment
There is no single treatment that suits everyone. The correct approach depends on:
Your symptoms
Clinical findings
Duration of symptoms
Impact on quality of life
In my practice, decisions are based on clinical evidence, experience, and individual patient needs, not assumptions.
Haemorrhoid treatment at LSDC
At LSDC in central London, we provide structured assessment and treatment for haemorrhoids and related anal conditions.
Our approach includes:
Careful diagnosis
Clear explanation of findings
Discussion of appropriate treatment options
Referral or intervention when indicated
Our aim is to resolve symptoms safely, effectively, and with professional discretion.
Speak to us at LSDC
If you are experiencing ongoing bleeding, anal discomfort, or pain, you do not need to manage this alone.
LSDC provides high-quality private GP services in central London, offering thorough medical assessment, treatment, and referral when needed. Whether you require evaluation, procedural care, or specialist coordination, our experienced clinicians are here to support you with clarity and professionalism.
You can book an appointment through our online form.
Book Your Appointment Now
LSDC provides high-quality private services in central London, offering thorough medical assessment, treatment, and referral when needed. Whether you require clinical evaluation, ongoing care, or specialist coordination, our experienced clinicians are here to support you with clarity and professionalism.