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External treatment

External haemorrhoid removal is a minor surgical procedure under local anaesthetic. Skin tags are small flesh-coloured or brown growths that hang off the skin and look a bit like warts. They are very common and harmless. However, you may want to consider getting them removed if they are unsightly and affect your self-esteem, or cause hygenic problem. This procedure is not offered under the NHS, but our clinic is happy to provide it under local anaesthesia. Thrombosed external pile is an exquisitely painful lump in the perianal area. It can be beneficial to remove it completely in the first 96 hours, after that a non-operative approach is advisable. ​

We use cryospray - local anaesthetic combination, then we carry out the procedure with single use instrument. Self-absorbable stitches are applied, and you will loose them when absorbed (7-10 days time). Finally, a film-creating spray is applied to prevent bacterial infection.​ One free follow-up appointment is included in our package.

external treatment
external treatment


  • No hospitalisation

  • Local anaesthesia

  • Self-absorbable stitches


  • Some bloody discharge

  • Must wait 3 weeks with the formal bath

  • Stitches may break apart, do not become alarmed. Healing will still proceed normally.

what to EXPECT after the treatment

The goal is to relieve acute pain to a tolerable level. During healing, some pain is normal. Do not take pain medicines on an empty stomach.

  • Begin taking oral pain medication when you get home after surgery, use the schedule below: 1) Paracetamol 1000 mg (usually 2 tablets) 4 times per day 2) Should that not enough, please take Ibuprofen 200 mg 3 times per day. These are over-the-counter medications.

  • Fiber Supplements such as Fybogel should be taken once or two times a day while the wound(s) are healing.

  • If you have not had a bowel movement within 48 hours after discharge, take 2 Ducolax tabs.

  • If you have not moved your bowels by the morning of the 4th day following surgery call the office.​


A good bowel habit is the key to preventing haemorrhoids from forming. The main recommendations are:

  • Prevent the motions from being too hard. You can help to keep the motions soft by eating a diet high in fibre, drinking plenty of fluid with meals and - if necessary - taking mild laxatives such as Fybogel from the chemist.

  • Try not to strain when passing motions. Go to the toilet when you feel the urge. Different people have different numbers of bowel movements in a day. Don’t try and strain to have a bowel movement unless you feel the urge to and don’t try too hard to ‘push out every little bit’!

  • Don’t spend too long on the toilet. When sitting down, the weight of the body pushes down into the pelvis and will cause the lining of the back passage to swell. Aim to spend around 2-3 minutes sitting down when having a bowel movement.