PATIENT GUIDE · LAHORE
Understand the bleeding. Choose the right treatment.
Bleeding, swelling or discomfort around the anus needs a proper diagnosis. Piles can often be managed without surgery; persistent or prolapsing piles may need a procedure chosen for their severity.
Consultations with Prof. Dr. Zahid Mahmood, MBBS, FCPS
General, Laparoscopic & Laser Surgeon
بواسیر اور مقعد سے خون: درست تشخیص کے بعد علاج منتخب کریں۔ ہر مریض کو آپریشن یا لیزر کی ضرورت نہیں ہوتی۔
اپائنٹمنٹ کے لیے فون یا WhatsApp پر رابطہ کریں؛ کلینک آپ کے وقت کی تصدیق کرے گا۔
Symptoms · Treatment options · Recovery & follow-up · Common questions · Clinic & appointments
When to seek urgent medical care
Heavy or continuous bleeding, faintness or severe pain needs emergency assessment. Fever, pus or feeling unwell needs prompt review. Do not assume that all rectal bleeding is piles.
If severely unwell, go to the nearest emergency department. Do not wait for a routine appointment or a WhatsApp reply.
Watch: Piles Treatment
View patient awareness posters (10)
Piles (haemorrhoids): patient awareness posters
Tap any poster to view it full size.
Symptoms & reasons to seek assessment
Haemorrhoids are enlarged blood-vessel cushions in and around the anal canal. Other conditions can also cause rectal bleeding.
- Fresh blood after passing stool.
- Itching, mucus, a swelling or tissue protruding from the anus.
- Pain, particularly if an external swelling becomes thrombosed.
What happens at your consultation?
A history and appropriate examination help identify the cause and grade. Persistent bleeding, anaemia or bowel changes may need further investigation.
Bring relevant reports and scans, previous treatment details, and a list of medicines and allergies. Examination and tests are selected for your situation; not every patient needs every test.
Understanding the treatment options
Bowel-habit care
Fibre, fluids and avoiding straining are often the starting point. Short-term medicines may ease symptoms.
Clinic procedures
Rubber-band ligation and other procedures may suit selected internal piles.
Surgical options
Excision or other operations may suit larger prolapsing piles. Discuss whether a laser approach is appropriate, its limitations and alternatives.
Recovery, risks & follow-up
Recovery varies by procedure. Discuss pain relief, stool softening and return to work. Bleeding, infection, recurrence and procedure-specific complications should be explained before treatment.
Your consulting surgeon
Prof. Dr. Zahid Mahmood
MBBS, FCPS (Surgery)
General, Laparoscopic & Laser Surgeon
Consultations at Hameed Latif Hospital and Ghurki Trust Teaching Hospital, Lahore. Discuss your findings, treatment choices and the need for any further specialist referral.
Common patient questions
Does everyone need surgery?
No. Treatment depends on symptoms, examination and response to simpler measures.
Can piles come back?
Yes. No procedure guarantees a permanent cure; bowel-habit care remains important.
How much will assessment or treatment cost?
Costs depend on the required tests, procedure, hospital and expected stay. Ask for an itemised estimate after assessment. A fixed price cannot be confirmed without reviewing your case.
Is my appointment confirmed when I send a message?
No. A call or message requests an appointment. The clinic will confirm the location, date and time.
Request a consultation
Call 0300 4130159 or send an appointment request on WhatsApp. State your name, preferred clinic and suitable day.
Ghurki Trust Teaching Hospital, Lahore
Tuesday & Thursday
9:00 AM–1:00 PM
Please confirm availability before travelling. An appointment is confirmed only after the clinic responds. These contact routes are for routine appointments, not emergency care.
Further information
Haemorrhoids: Treatment Options for Every Degree — further information
Medical information sources: NHS: piles.
Updated 9 November 2026. This information is for general education. Diagnosis and treatment require an individual clinical assessment.