A very common problem resulting in symptoms such as bleeding, itchiness and the feeling of lumps around the bottom – especially after going to the toilet. The best way to stop getting haemorrhoids is to avoid getting constipated and having to strain. Many patients can be treated with fibre supplementation, avoidance of straining and over the counter medications. For those that need more, rubber band ligation can be performed quickly and easily in clinic. Surgical options include haemorrhoidal ligation (HALO/THD) and haemorrhoidectomy. There are a number of newer treatments available (laser, infrared coagulation), which often claim excellent results. The best option is usually to have a consultation to discuss all the options so that the best treatment for you can be offered.