# Halo RAR surgery **URL:** \ **Category:** Digestive health\ **Tags:** Haemorrhoids\ **Created:** [24 June 2023 08:57 UTC](https://community.patient.info/t/halo-rar-surgery/801484 "2023-06-24T08:57:47Z")\ **Posts on this page:** 4\ **Page:** 1
**Author:** ![nh\_user\_1467065](https://community.patient.info/letter_avatar_proxy/v4/letter/n/b5ac83/32.png) [@nh\_user\_1467065](https://community.patient.info/u/nh_user_1467065)\ **Post date:** [24 June 2023 08:57 UTC](https://community.patient.info/t/halo-rar-surgery/801484/1 "2023-06-24T08:57:47Z")
Looking for some reassurance and advice. I’m just under 4 weeks post surgery, having had the halo rar surgery, not sure on the grade but suffered from extremely painful external thrombosed piles after I stood still for any period of time. I have had the banding x 3 previously which worked for approx 9 months each time. The first week post surgery was horrific, had to stay in hospital over night on a morphine drip, was meant to be day surgery. I was in bed for a week, the pain was unbearable, felt nauseous from the metronidazole and the first few bowel movements felt like I was in labour. Anyway things started to improve after approx 1 week and things had been slowly getting better each day. 3 days ago I ended up having to stand for approx 1.5 hours watching my kids sports day since then I have the feeling of a very painful thrombosed pile, there is not much to feel externally, the pain is coming from inside. Im so worried the operation. has failed. has anyone experienced this and further down the line have things improved? I don’t get any post surgery follow up, and was given no information or any numbers of people to contact post surgery if I had any complications. Thanks ---
**Author:** ![nh\_user\_1461281](https://community.patient.info/letter_avatar_proxy/v4/letter/n/e274bd/32.png) [@nh\_user\_1461281](https://community.patient.info/u/nh_user_1461281)\ **Post date:** [25 June 2023 10:53 UTC](https://community.patient.info/t/halo-rar-surgery/801484/2 "2023-06-25T10:53:32Z")
Jem I am so sorry you are suffering. I had the Halo-Rar 11 weeks ago. I know how tough it is. Felt exactly like labour. The procedure worked well for me on reflection because it saved me from having what would have been a totally brutal operation to fix a fully circumferential grade 4 prolapse, caused by childbirth. However, I too noticed i had a single roid coming down at week 4 that then began to prolapse at week 5. I was devastated, so I know your worry. In my case, I had to return to have a second surgery to have it removed at week 7. I am now roids free but I am still very much recovering at 4 weeks post second op (11 weeks in all). I will say, remember that Halo-Rar can take 3 months for the roids to shrink. So you may not be in my position at all. It may be that you just need time. It was obvious in my case that would not happen and so it was dealt with swiftly by my surgeon who has been simply incredible. I would not ignore this development though. Make sure you see a colorectal surgeon to put your mind at rest. Whoever performed your op has a duty of care towards you…no one should leave you on your own. There should ALWAYS be a follow up - usually 6-8 weeks post op. Standing for 1.5hours would not have caused the op to fail. It simply is the case that Halo-Rar has a 70 percent success rate. I hope your surgeon explained that to you before you had the procedure as mine did. It is still a great procedure because it is less barbaric when it works and has definitely saved my bottom from a worst fate than it would have faced without it’s invention. It dealt well with 80 percent of my prolapse, but not the last 20 percent. That is odds worth taking! You are not me of course and so I really hope in your case it is simply you need more time. Rest as much as you can and get your feet up. Not easy being a mum I know!! Good Luck!! Do not lose hope. You needed that op, it is just the path back to health from these procedures can be a bumpy ride. It is very stressful and I wish you the very best x ---
**Author:** ![nh\_user\_1467065](https://community.patient.info/letter_avatar_proxy/v4/letter/n/b5ac83/32.png) [@nh\_user\_1467065](https://community.patient.info/u/nh_user_1467065)\ **Post date:** [25 June 2023 21:51 UTC](https://community.patient.info/t/halo-rar-surgery/801484/3 "2023-06-25T21:51:20Z")
Thanks so much for replying. Sounds like you have had quite a journey and thank goodness for you sounds like you’ve had a brilliant surgeon. Things have slightly improved over the weekend but but still getting pain and bleeding which had settled down previously. I’m going to try and speak to my surgeon tomorrow and hopefully can get in to see him. I think my local NHS trust have cut a lot of services and don’t seem to offer follow up for more routine surgeries. I didn’t get a lot of info before the surgery and virtually no info on discharge. I did speak to a lovely colorectal surgeon on day 6 when I couldn’t bear it any longer and went back to hospital to be checked out, she explained it would be at least a few months of recovery. I was initially told I’d only need 2 weeks odd work, utterly ridiculous, there’s no way I could have gone back at week 2. I’ll be taking your advice and contacting my surgeon asap to hopefully put my mind at ease. Wishing you the best in you recovery too. x ---
**Author:** ![nh\_user\_1477313](https://community.patient.info/letter_avatar_proxy/v4/letter/n/b5ac83/32.png) [@nh\_user\_1477313](https://community.patient.info/u/nh_user_1477313)\ **Post date:** [17 October 2026 09:06 UTC](https://community.patient.info/t/halo-rar-surgery/801484/4 "2026-10-17T09:06:42Z")
Hello, I’m two weeks post Halo RAR surgery in the UK and I am hoping my progression will continue as well as it is doing. I should have had treatment years ago as I got haemorrhoids as a result of a combination of lifelong constipation and giving birth to a large baby. I’m 74 and I’m excited to have a neat behind at last! I did prepare by taking Movicol every night and I purchased a Sitz bath on line. If you’ve never come across one, it’s so good. Use after your bowl movements for at least 10 - 15 minutes at least twice a day. I only took painkillers for 3 days as it made me nauseas and I couldn’t eat so once I stopped it was uncomfortable but bearable and I took two paracetamol occasionally if needed. I was on Metronidazole for five days which also gave me palpitations and made me feel sick but as I couldn’t get hold of the doctor on the ward which you are supposed to be able to do, I just hoped nothing would go wrong on the tablets and it didn’t. Anyway on day 13, I did too much and it was uncomfortable for the day so I’m still taking it easy for a third week as that’s when the stitches start to go. Keep lying on your side like a Roman and I have done 24 minute walks to the shops and back but not carried anything heavier than 2kg approximately. I am not comfortable sitting in a car yet so I won’t be driving for a while. Fortunately I don’t have to go to work but I’m a hiker so I can’t wait for the scars to heal. This treatment is more successful than banding and if you are a grade 3 - 4 as I was, with protruding piles then banding is not going to work. As I got no leaflet when I left hospital, I’ve found AI absolutely brilliant and maybe that’s why I’m doing so well. You will worry about the piles returning when you pass stools but use 99% water based baby wet wipes which are cool and only press gently don’t wipe. Don’t drink alcohol or coffee for at least two weeks after treatment, AI will suggest what to eat and drink.