WARNING: The Embarrassing Bodies website contains images of an explicit medical nature and nudity in a medical context.

Video

Dr Christian: Mr Webster, hi. I’m Dr Jessen. Please take a seat for me.

Mr Webster (Nick): Good afternoon doctor.

Dr Christian: Come and take a seat for me. What can I do for you?

Nick: I’ve come to see you today about haemorrhoids.

Dr Christian: Right, how long have you had those for?

Nick: For a number of years, since my early teens really.

Dr Christian: How old are you now?

Nick: 55.

Dr Christian: Why have you just come to see me now about this?

Nick: Well, I suppose it’s one of those illnesses you tend not to do anything about.

Dr Christian: Ok, Well, I think we should have a look at these piles. So if you turn onto your left side.

Dr Pixie V/O: Around a third of us will develop piles. They are caused by blood vessels in or around the anus being put under pressure and swelling to form lumps.

Dr Christian: Right. Well, you certainly do have haemorrhoids. You’ve got quite a lot. Are they sore if I’m touching you around here?

Nick: A little bit.

Dr Christian: A little bit sore?

Nick: Yes.

Dr Christian: Ok, what I’m going to do then is pop a finger up and have a feel around the inside.

Dr Pixie V/O: This is why constipation and pregnancy are a common factor in getting piles. Sitting on cold surfaces or standing for long periods, however, aren’t.

Dr Christian: So, I’m going to pop a finger up and have a feel on the inside. If it’s sore just tell me and we’ll stop, ok.

Nick: Ok.

Dr Christian: Here we go. Is that ok?

Nick: Yes, that’s fine.

Dr Christian: That feels fine; I think all the haemorrhoids that you’ve got at the moment are on the outside. Why don’t you pop your jeans back on and have a seat. They are quite bad, they’re quite big and they’re only going to get worse and the reason I wanted to do something about them really is because of this (shows photo). These are haemorrhoids that are not actually dissimilar to yours, they’re pretty large. And you can imagine when she is going to the loo they’re really going to get in the way. And what I don’t want to happen is for you to get to this stage (shows second photo). These are quite severe haemorrhoids, all right, and you can see there is a lot coming right out the bottom. They’re bleeding, they’re sore and that’s a bit of a mess.

Nick : Mine are nothing like that.

Dr Christian: Yours are nothing like that, but I suspect if we let them go on they may well end up like that. What I think we are going to do is refer you to a surgeon to have a look and to decide what the best procedures will be for those, all right?

Nick: Yes.

Dr Pixie V/O: Nick Webster was diagnosed with a bad case of piles. Today he’s having them removed. Nick’s having a new procedure that involves replacing a ring of rectal tissue with a circular staple. This will hopefully lead to a life of strain without pain.

Dr Richard (Surgeon): I describe it as a sort of face lift down below. It pulls the anal canal back inside and interrupts the blood supply to the haemorrhoids. The advantage of this procedure is that it is less uncomfortable afterwards and indeed some patients have very little discomfort. And also there are no wounds, so no mucky bottom after the procedure.

Dr Pixie V/O: A few weeks after his operation Nick Webster is back at the clinic for one final check up.

Dr Christian: Nick, hi.

Nick: Hi, good to see you again.

Dr Christian: Nice to see you again, have a seat for me. So tell me, how did it all go?

Nick: Very well indeed, very pleasantly surprised.

Dr Christian: Yeah.

Nick: Just a little bit of discomfort. But on the whole…

Dr Christian: And going to the loo and things?

Nick: The first one was a little bit nervous, shall we say, but since then it’s been fine.

Dr Christian: I think what we should do today is have a look just to check there’s no signs of infection and that everything is healing properly. And also I will be very interested to see what a nice job they’ve made. I don’t want to see any more haemorrhoids. Would that be all right with you?

Nick: Yes that’s fine.

Dr Christian: Let’s pop you up on the couch. If you stand up for me. Gosh, what a difference! That looks so much better.

Nick: Yep.
Dr Christian: Yep, there’s nothing coming out. How are you feeling about it all now?

Nick: No itchiness, no soreness.

Dr Christian: And not bleeding?

Nick: No bleeding, no discharge. And you will see that I’m wearing white underwear.

Dr Christian: Which is the first time in a while?

Nick: Which is the first time in many years. I’m kicking myself for waiting so long. When I think of the years I have put up with the discomfort and the worry and everything.

Dr Christian: And you’re happier now?

Nick: I’m a lot happier, yeah.

Dr Christian: Fantastic.

Read the video transcript

Consultation: Haemorrhoids

Around one third of us will develop haemorrhoids (or piles as they are more commonly called). Dr Christian Jessen diagnoses one particularly bad case from series one of Embarrassing Illnesses, and refers his patient for surgery to remove the offending items.

Did you find this useful? YesYes NoNo

2431 of 2974 people said they found this useful

Comments and Questions

Comments & Questions are now archived, but if you see anything on the site that worries you, please report it and one of our moderators will look at it as soon as possible.
Please note: Unfortunately Channel 4 cannot respond to individual inquiries. If you have any concerns, you can check out NHS Choices, but ultimately it is always best to check with a health professional.

Hii I'm a 16 years old girl ..from 4 to 5 months I'm suffering from piles ..it has been bleeding after the days of periods ..don't know what to do ...soo scared ..and also ashamed of telling this to mother .... help ms out of this !!! Feeling really scared cause thjs problem is not common in my age. ....





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

Hii I'm a 16 years old girl ..from 4 to 5 months I'm suffering from piles ..it has been bleeding after the days of periods ..don't know what to do ...soo scared ..and also ashamed of telling this to mother .... help ms out of this !!! Feeling really scared cause thjs problem is not common in my age. ....





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

im surfering from pile and when im on my period im feeling more pain in ma anus what must I do cause I have pile cream different pile pills but still it's same





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

hi I have had a small lump just above my annus where the vein is. I can be in pain for up to 9 hours aday and I mean real pain.ive tried everything creams suppositorys nothing seems to work this has been going on now for 4 months not shore ho much more can take





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your answer.


Please don't swear or be rude in your answers, as they will not be added to the site. Please do not use your full name when posting answers. If in doubt, refer to the community guidelines

Questions submitted to the site will be answered by other site users, not by medical professionals, so if you have a medical concern, please book an appointment with your GP.

By posting on this website you are agreeing to abide by our community guidelines

Hi I had a baby 16 months ago I had a traumatic birth which ended with an episiotomy they cut through a vein and I had to be stitched up again extremely quick. When I came out of hospital I was fine for a week then I started getting severe pain in my back passage I'm a tough person but the pain was that intense at one point I was visiting in doctors 3 times a week. I stopped eating and and one point was making myself sick to try and prevent bowl movements. The pain would last all day after a bowl movement and with having a baby I was depressed and can seriously say suicidal. The pain is at first a stabbing pain internally then a spasm after. The doctor finally prescribed macrogol which helped but I would keep getting flare ups. I have tried every lotion, potion and tablet which haven't worked. Finally I thought it would be the end when I had an operation 2 months ago to band the internal and external piles. I still take macrogol twice daily but I'm still in extreme pain and have been for the last two weeks blood is increasing daily again to. I'm at a real low again the piles look very angry externally and I'm screaming when passing the first bit of stool again. My skin feels very tight and when we have intercourse I feel discomfort in the vaginal area to. Is it possible that the vein they stitched could be affecting anything. My body feels like it's under pressure as it can't rectify itself that my skin on my face is really bad and I'm starting to have depressing thoughts once again please help any advice is good nat 27





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

i'm 17 and two days ago i got my first pile. it's about the size of a normal strawberry and does not go back in, meaning it remains on the outside hence, i am in extreme discomfort. I do not lift weights, have a very healthy diet and eat plenty of fibre as cereal is what i snack on or have as a dessert. I did not strain when i passed faeces and am concerned why i have a pile. It's extremely uncomfortable and highly embarrassing. I was wondering what can i do and will it go away? Otherwise what options do i have? Thanks





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

Hi, I'm 37 and I have what appears to look like external haemorrhoids but I don't have the other symptom such as pain, bleeding and itching. I have tried creams/pills and suppositories but with no luck. This has really affected my self confidence and my personal life, generally I'm miserable. What can I do? I can't afford private treatment if needing surgery. Please advise as I'm at my wits end.





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

Please help me after the birth of my first daughter 5 years ago I developed piles, they didn't really bother me then but since having my son a year ago it's like the have returned with a vengeance. Another thing I might add I open my bowels maybe every 7-10 days I have always been like this since school I live a healthy life style and I have tried adding more greens but it doesn't change my bowel movement in the slightest. I have been to my doctor and he has given me some cream and tablets but they are stinging and I'm struggling to sleep. I don't really want to go back to see my doctor as I wad very uncomfortable speaking about the issue and he was laughing at me I felt. Please help me





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

I still have piles, but the pain has gone since I've been taking tissue salts (no.1) and I'm no longer afraid to poo!





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your comment.


Please don’t swear or be rude in your comments, as they will not be added to the site. Please do not use your full name when posting comments. If in doubt, refer to the community guidelines

By posting on this website you are agreeing to abide by our community guidelines

Hi, my boyfriend felt something really uncomfortable next to his anus and it turned out to be a massive lump.he doesn't know what to do? Could it be something serious? I need advice😕





This will be published. Surnames, nicknames or usernames are not allowed


Your email address will be kept confidential and will NOT be published – it is only being collected here in case Channel 4 need to contact you in relation to your answer.


Please don't swear or be rude in your answers, as they will not be added to the site. Please do not use your full name when posting answers. If in doubt, refer to the community guidelines

Questions submitted to the site will be answered by other site users, not by medical professionals, so if you have a medical concern, please book an appointment with your GP.

By posting on this website you are agreeing to abide by our community guidelines


More Information

  1. Quick Health Advice: Piles

    In Videos - Dr Jessen passes on some advice about the causes of piles and the p…

  2. Doctor Responses: Haemorrhoids

    In Videos - Dr Christian tackles the most popular viewer questions about proble…

  3. Haemorrhoids

    In Conditions - Also known as 'piles', this is a condition where the blood vessels…

  4. Dr Christian Jessen

    Doctor Info - Find out more about Dr Christian

  5. Episode 1

    In Episodes - The first set of cases through the EI doors included cases of Piles…

  6. James Russell

    Doctor Info - Find out more about James Russell.

  7. Dr Priya Manickavasagar

    Doctor Info - Find out more about Dr Priya.

  8. Dr Christian Jessen

    In Videos - Find out more about Dr Christian Jessen

  9. Quick Health Advice: Penis Spots

    In Videos - Dr Christian discusses how to check for penile spots and what warni…

  10. Body Check: Urine

    In Videos - Dr Christian talks about potential health problems that can be spot…

  11. Body Check: Moles

    In Videos - Dr Christian talks about how to check your moles for potentially da…

  12. Body Check: Stools

    In Videos - Dr Christian describes what different shapes and colours of poo can…

  13. Body Check: Semen

    In Videos - Dr Christian discusses the importance of semen and what it can tell…

  14. Body Check: Sweat

    In Videos - Dr Christian explains the importance of knowing your sweat levels a…

  15. Body Check: Feet

    In Videos - Dr Christian talks about common foot conditions and the importance…


Am I Normal?

Share, explore, vote, watch… Am I Normal? is a bold new Channel 4 project that will redefine what you think of as ‘normal’.

Visit Am I Normal? >

Important Notice

The information provided on this website (including any NHS Choices medical information) is for use as information or for educational purposes only and is not a substitute for professional medical care by a qualified doctor or other qualified healthcare professional. We do not warrant that any information included within this site will meet your health or medical requirements. This Embarrassing Bodies site does not provide any medical or diagnostic services so you should always check with a health professional if you have any concerns about your health.


If you want to embed our videos in your site, read our embedding T&Cs here