Haemorrhoids & Haemorrhoidal Artery Embolization

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• Haemorrhoids (also called piles) are swollen blood vessels inside the rectum or around      the anus.
• They are common, especially in adults.
• Symptoms include:
  • Bleeding during bowel movements
  • Pain or discomfort
  • Itching or swelling near the anus
  • Feeling of incomplete emptying

• Straining during bowel movements
• Chronic constipation or diarrhoea
• Sitting for long periods
• Pregnancy
• Obesity or low-fibre diet

• Lifestyle measures: High-fibre diet, more fluids, exercise
• Medications: Ointments, suppositories, pain relievers
• Minimally invasive procedures: Rubber band ligation, sclerotherapy, laser treatment
• Surgery: Haemorrhoidectomy (for large or severe cases)

• A modern, minimally invasive treatment for bleeding haemorrhoids.
• Performed by an Interventional Radiologist.
• Uses a tiny catheter inserted through the wrist or groin artery to block the blood supply feeding the haemorrhoids.
• This reduces swelling, bleeding, and discomfort.

• Minimally invasive (no surgical cuts)
• Performed under local anaesthesia
• Less pain compared to surgery
• Quick recovery – often same-day discharge
• Preserves normal anal anatomy (no risk of anal stenosis or incontinence)

1. A small tube (catheter) is placed into an artery in the wrist or groin.
2. Using X-ray guidance, the doctor identifies the arteries supplying the haemorrhoids.
3. Coils are injected to block these arteries.
4. Blood supply reduces → haemorrhoids shrink → symptoms improve.

 ⏱️Duration: 30–60 minutes
🏥Hospital Stay: Usually same day or overnight

• Most patients return to normal activities in 1–2 days.
• Mild pelvic discomfort may occur but is temporary.
• Follow-up visits ensure good healing and symptom relief.

• Patients with symptomatic bleeding haemorrhoids (especially grade II–III).
• Patients unfit for surgery due to age or medical conditions.
• Those who want a less painful, faster recovery option. 

 Haemorrhoids are common and treatable.
Haemorrhoidal Artery Embolization (HAE) is a safe, effective, and minimally invasive option for

 patients suffering from persistent bleeding haemorrhoids.