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Dr Baker
Dr Baker, Family Physician
Category: Medical
Satisfied Customers: 6193
Experience:  MD
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I need to treat Stage 4 Piles (Haemorrhoids). I have a had

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I need to treat Stage 4 Piles (Haemorrhoids).
JA: How long have you had hemorrhoids? Have you used any medication for it?
Customer: I have a had them for years but did not want surgery. Now is the time.
JA: The Doctor will be able to answer that. Have you seen a doctor about hemorrhoids?
Customer: Yes
JA: Thank you so much for your time. Finally, is there anything else in your medical history you think the Doctor should know?
Customer: No
Thank you for contacting Just Answer

I am very sorry to hear. Are you now looking for surgery?

Customer: replied 6 days ago.
Hello
Customer: replied 6 days ago.
My proctologist and my brother GP doctor advise me surgery.
Customer: replied 6 days ago.
Stage 4
Customer: replied 6 days ago.
For years
Customer: replied 6 days ago.
Now I heard eXroid.
Customer: replied 6 days ago.
Ever heard of it ?
Customer: replied 6 days ago.
Does it work ?
Customer: replied 6 days ago.
Does it last ?
Customer: replied 6 days ago.
Finally how much would it cost to surgically remove those ?

For sever me haemorrhoids I would agree surgery is really the only convulsive way to address them.

There are a few options including removal or ligation

Customer: replied 6 days ago.
Customer: replied 6 days ago.
Which is best ? How much does it cost ?

Exroid is a cautery approach. This means it could be faster to recover but the chance of recurrence will be higher

For surgery expect to pay around £5000

It is a new treatment so limited evidence compared to resection. I would suggest full resection would be preferable as more conclusive

Customer: replied 6 days ago.
Any NHS coverage ?
Customer: replied 6 days ago.
If I don't have £5000
Customer: replied 6 days ago.
Customer: replied 6 days ago.
Still here ?
Customer: replied 6 days ago.
Hello ???

For a resection yes, your Gp would need to refer you

Customer: replied 6 days ago.
if I get referred, do I get any coverage ? How much coverage ?
Customer: replied 6 days ago.
Customer: replied 6 days ago.
Are you gone ?
Customer: replied 6 days ago.

If the NHS refer you they would pay for it. That is how the NHS works. eXroid however is unlikely to be covered under the NHS so you would have to pay fully for that

Customer: replied 6 days ago.
Can walk an NHS hospital directly and ask for an appointment with Proctologist ? Can he refer me ?
You cannot, you need your registered GP to refer you for any NHS referral
Customer: replied 6 days ago.
Excellent. Thank you very much for all your expert advise.
Thank you, ***** ***** best with getting this resolved
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