Haemorrhoids are dilated blood vessels around or within the last part of the bowel can swell or breakdown leading to bright red rectal bleeding, anal pain or itch. Simple measures such as increasing fibre and water intake, and ointments can be helpful. Usually a colonoscopy is necessary to identify other possible causes of these symptoms. If there are persistent haemorrhoidal symptoms, Vanessa can arrange further treatment with rubber band ligation done at the time of the colonoscopy. This is effective in approximately 80% of patients.