Piles cause discomfort and bleeding. Its very important to make sure that the cause of bleeding is merely piles and no other bowel disorder. Quite often doctors recommend a telescopic examination (colonoscopy) of the large bowel to exclude a more serious cause of bleeding.
Traditional haemorrhoid operations are painful and postoperative recovery is longer. Mr Anwar introduced an operation called a “stapled haemorrhoidectomy” in the Calderdale and Huddersfield NHS Trust. This operation caused minimal pain and is very effective in dealing with piles. He also performs a procedure for piles called “Transanal Haemorrhoidal dearterialization” (THD) which is another operation that causes less pain and early recovery.
Mr Anwar has been the principal investigator for large trial (ETHOS) investigating the difference between various types of piles operations.