Finally, surgery simply to cut away the piles must be considered in those who have particularly bad haemorrhoids, or whose haven't been cured by injection therapy.
There are also nonoperative procedures such as placing a rubber band around the haemorrhoids, using sclerotherapy, diathermy, phlebotonics or photocoagulation, and operative removal or haemorrhoidectomy, by the surgeon.
Symptoms can include changes in bowel habits, i.e. from constipation to diarrhoea, pain or bleeding from the back passage or what might be thought to be piles or haemorrhoids.
Other associated features may be haemorrhoids, varicose veins, swelling or discolouration in the feet because of altered blood flow from compression by the large size of the uterus.
Haemorrhoids come in different grades according to their complexity, which depends on their location and the number and size of the blood vessels involved.
