The hemorrhoid itself
What you notice
In the office
Surgical options
What it costs
Getting started
Read first
Where we see people
Get in touch
Reading
Everything we offer
The whole catalogue on one page: what we assess, how we treat it, what it costs and how to start. If you already know what you are looking for, this is the fastest route to it.
How it fits together
The site is split into two catalogues because people arrive from two directions. Some know the symptom and not the cause; some have already been told the grade and want to compare procedures. The lists below serve those two in order.
Both routes meet at the same place. The grade comes from an anoscope examination, and everything after it follows: which of the treatments apply, how many sessions a course runs to, and what the whole thing costs.
What is deliberately not here is a single price or a single success rate. Both vary enough across the published sources that quoting one of them would be marketing rather than information, which is why the cost section explains the mechanism instead, and why the red flags page sits in this catalogue covering what we will not treat at all.
Symptoms we assess
Nine presentations with their own page, each covering what it usually turns out to be and what tends to settle it.
Inside the rectum, graded one to four; often painless, and they bleed.
Learn moreUnder the skin around the anus, where they can be felt and often hurt.
Learn moreA clot in an external one: a firm bluish lump that arrives suddenly.
Learn moreAn internal one that has come down, and whether it still reduces.
Learn moreThe commonest symptom, assessed rather than assumed to be benign.
Learn morePersistent itching, which has several causes besides hemorrhoids.
Learn moreA tear in the lining, sharply painful and treated quite differently.
Learn moreLoose skin left after one settles, and often mistaken for one.
Learn moreCommon late in pregnancy, and managed differently while pregnant.
Learn moreTreatments we use
Nine options, chosen from the examination rather than picked off a menu, including the ones that are not procedures.
A band at the base, so the tissue withers and drops off.
Learn moreApplied through an anoscope, with no band left in place.
Learn moreAn injection suiting small internal hemorrhoids specifically.
Learn moreSurgical removal for large external disease and fixed prolapse.
Learn moreA stapling alternative, with a different recovery profile.
Learn moreTransanal hemorrhoidal dearterialisation for internal disease.
Learn moreA fissure is not a hemorrhoid, and needs a different approach.
Learn moreFibre, fluid and toilet habits: tried first, and often enough.
Learn moreWhere the line falls between a clinic procedure and an operation.
Learn moreCost and access
What moves the number, how coverage is decided, how many sessions to expect, and what self-pay involves.
What moves the number, and why a single web figure is a guess.
Learn moreHow coverage is set per plan, and what a deductible changes.
Learn moreWhy a course is usually more than one visit, and how it is estimated.
Learn moreWhat self-pay involves, quoted for the course rather than per visit.
Learn moreBefore you book
The practical pages: the appointment, the examination, either side of a procedure, and what we will not treat.
What the appointment covers and what you leave knowing.
Learn moreWhat an anoscopy involves, step by step rather than glossed over.
Learn moreThe days before, and what is screened for beforehand.
Learn moreWhat is normal afterwards, and what is a reason to call.
Learn moreWhen one is needed, when it is not, and how we check.
Learn moreThe findings that need a doctor rather than a procedure.
Learn moreCommon questions
What people ask when they are looking at the whole list and cannot tell which page is theirs.
Examination, banding and a follow-up, all from one doctor who explained what each was for. The examination decided the rest.
From the first consultation to the discharge letter, one clinician and one plan.
They offer surgery but told me I did not need it. Honest about their own services.
Whatever the service, it starts with an anoscope and ends with a review. Consistent across two visits years apart.
From the blog
Bleeding
Bleeding from hemorrhoids is common but frightening. Learn what causes it, which patterns are routine, and which warrant urgent evaluation or referral for colonoscopy.
Read article
When to Worry
Most hemorrhoid symptoms resolve with conservative care, but some signs demand immediate attention. Learn what distinguishes routine discomfort from complications requiring urgent evaluation in Hamilton.
Read article
Diet & Fibre
What you put in your cart at a Hamilton grocery store has a direct effect on how often hemorrhoids flare. Here is what the evidence supports, aisle by aisle.
Read articleGet started
Whichever list you came in through, the next step is the same: an examination that establishes the grade, and a plan with a number attached to it.
If nothing on this list is the right answer for you, that is what the first visit is for.