July 19th, 2013

The Halocentre has opened a new facility on Harley Street in Central London, offering flexible weekly clinics to suit you.

Weekly Clinics

Mon, Tues, Wed       16:30 – 19:30

Saturday                  09:00 – 12:00

Call 020 3198 2424 or email info@halocentre.com to speak live to our patient coordinator.

The Centre is the latest addition to the many Halocentre’s around the country providing the most technologically advanced and virtually pain free option for the treatment of Haemorrhoids’s.

The HALO™ procedure combines haemorrhoid artery ligation with a mucopexy for the prolapsing mucosa in one procedure. The result is a safe and gentle treatment that’s effective for all grades of haemorrhoids, and is NHS NICE approved.

The Harley Street Halocentre is home to some of the most experienced and well known surgeons in the country performing the HALO™ procedure. Contact us today to arrange a consultation to suit you.


May 21st, 2013

Mr Ismail has been pivotal in the development of laparoscopic colorectal surgery and enhanced recovery pathways in the West Midlands, and is amongst the first to routinely perform the minimally invasive HALO procedure in the area.

HALO is a new operation designed to eradicate piles without the need for cutting or a general anaesthetic. At the Halocentre we offer an efficient and professional service to all patients whether self funding, privately insured or NHS.

To make an appointment with Mr Ismail for a consultation to include a diagnosis and treatment plan please call us on 020 3198 2424 or email info@halocentre.com.

Education and Training

Mr Tariq Ismail graduated from Cardiff University School of Medicine in 1982, obtained the FRCS in 1986 and then completed his surgical training in Birmingham, Hong Kong and at the National Cancer Institute, Tokyo.  He was awarded the prestigious Sheldon Research Fellowship which led to the award of MD with Distinction for his Doctorate Thesis.  After completion of training in gastrointestinal surgery he was appointed in 1995 as Consultant Surgeon to the Queen Elizabeth Hospital and as Honorary Senior Lecturer to the University of Birmingham.

Professional Memberships

Mr Tariq Ismail is a Fellow of the Royal College of Surgeons of England and a member of the Association of Coloproctology of Great Britain and Ireland (ACPGB&I). Previously he has been Chair of the Pan Birmingham Cancer Network Colorectal Group, Surgical Tutor, Clinical Service Lead for Endoscopy and Gastrointestinal Surgery and Examiner for the MRCS examination at the Royal College of Surgeons of Edinburgh.

He is a member of the Fundraising Committee of the Bowel Disease Research Foundation, a charity to promote research, education and public awareness in bowel diseases including bowel cancer.

Current Position

Since appointment as Consultant Colorectal Surgeon to the Queen Elizabeth Hospital in 1995, Mr Tariq Ismail has played a key role in developing colorectal referral pathways, advanced colorectal laparoscopic surgery and enhanced surgical recovery in Birmingham and the West Midlands.  He was one the first to perform SILS (Single Incision Laparoscopic Surgery) for bowel cancer in the UK.

He was pivotal in introducing CT colonography ( “Virtual Colonoscopy”)  and Video Capsule Endoscopy (“pill Cam”).  Mr Tariq Ismail has been featured in the popular TV series Embarrassing Bodies performing the HALO and Don’t Die Young performing laparoscopic surgery on a colon cancer patient.

Research and Publications

He has published widely on translational research in proteomics, gene therapy and biomarkers in colorectal cancer.  His research team have been awarded major research grants from Cancer Research UK, Medical Research Council, Welcome Foundation for pivotal studies on early detection of bowel cancer.

His research fellows been received a number of awards including The Arderne Gold Medal by the Royal Society of Medicine, Syme Professorship by the Royal College of Surgeons of Edinburgh and the Digestives Diseases Prize by the Association of Coloproctology.

To view Mr Tariq Ismail’s extensive list of research and publications please click here.


March 4th, 2013

A prospective observational study was conducted in 184 patients with grade III (58%) and Grade IV (42%) haemorrhoids in seven coloproctological centres. Primary endpoints were the recurrence of symptons and need of further treatment.

The HALO procedure combines haemorrhoid artery litigation with a mucopexy for the prolapsing mucosa in one procedure. The result is a safe and gentle treatment that’s effective for all grades of haemorrhoids and NHS NICE approved.

Key Results

  • No major complications
  • Low post-operative pain (VAS score)
  • 89.4% symptom free
  • 84.4 symptom and prolapse free
  • Patient satisfaction equal for Grade III & IV patients

To download the publication in full please click here!

February 8th, 2013

We are delighted to announce the details of forthcoming HALO Courses taking place in 2013.

Between March and July courses will be held in Reading, Barnet, Poole & Oxford. Please see the dates below;

READING – 17th April – 10th July

BARNET – 4 April

POOLE – 22nd March – 19th July

OXFORD – No Places Left

The HALO procedure combines haemorrhoid artery litigation with a mucopexy for the prolapsing mucosa in one procedure. The result is a safe and gentle treatment that’s effective for all grades of haemorrhoids and NHS NICE approved.

For more details about the courses near you or to register your interest, please click to following link to download the HALO Course Registration form;

HALO Course Registration form

We look forward to hearing from you.

September 12th, 2012

Here at Halo Centre we pride ourselves on great success stories. We now have HALO Centres across the length and breadth of Britain and help patients who suffer with Piles. Read the rest of this entry »

August 2nd, 2012

In the spirit the London 2012 Olympics, and the celebration of another Gold Medal for Team GB Cyclist Bradley Wiggins, we look at one concern of dedicated cyclists and offer up some information courtesy of Livestrong.


You are more prone to haemorrhoids if you spend a long time on the toilet and strain while trying to move your bowels and if you have frequent diarrhea or constipation. The problem also comes from not eating enough fiber, the National Digestive Diseases Information Clearinghouse advises. Pregnant women develop the problem because their rectal or anal veins get enlarged because of pressure in the abdomen. Older adults are more prone to hemorrhoids because the connective tissue in their anal areas and rectums weakens naturally as they age.

Exercise Effects

Regular exercise improves digestion but can worsen hemorrhoids if you do the wrong type. Cycling often irritates the problem and causes more pain and swelling because sitting on a bike seat puts pressure on the afflicted area. Weight lifting is also problematic because it strains the lower back, which can also worsen hemorrhoids. Stick to activities like running, walking, swimming or doing yoga, Pilates or aerobics if you have problems with hemorrhoids. Exercises that improve muscle tone are especially good for preventing or improving hemorrhoids.


Other activities that put pressure on your anal area irritate hemorrhoids in the same way as riding a bicycle. Sitting down for long periods of time can cause problems. Touching or scratching the hemorrhoids because of irritation from sitting inflames them and makes them even worse. Non-irritating exercise is beneficial because it may help you lose weight, and excess pounds can contribute to hemorrhoids.


Treat hemorrhoids by avoiding activities like biking that aggravate the condition, and soak the affected area in warm water to sooth it. Use baby wipes for personal cleansing, and wear cotton underpants. Apply corticosteroid creams to ease itching. Some creams contain lidocaine to numb the area if the pain is intolerable. Raise your fiber consumption to keep your bowel movements soft, moist and easy to pass so you do not worsen your problem by straining.

If you need further information please call us here at Halo Centre, we will be happy to help you with any questions with regards our Halo Treatment for Piles.
Read more:


July 9th, 2012

Here are a few symptoms of Piles.

You may have piles if you’ve got:

  • Itching and soreness around your bottom
  • A dragging sensation in your back passage
  • Blood on the toilet paper after you’ve been to the loo
  • Discomfort or pain while you’re going to the loo
  • Occasional sharp pains up your bottom
  • A bulging or lumpy feeling just inside your back passage
  • Hard lump(s) protruding from your bottom

If you’ve got any other symptoms (especially heavy bleeding from your bottom or a noticeable change in your stool), see your doctor straight away.

Contact us at Halo Centre for appointments for our HALO treatment; a fast & effective, non surgical option for removal of persistent Haemorrhoids click here

June 27th, 2012

Although piles are common in pregnancy, they’re not inevitable. Your best tactic is to make sure that you don’t become constipated, so that when you do a poo it is quick and easy.

The following tips will help you:

Eat a high-fibre diet, including wholemeal bread, pasta and brown rice, and plenty of fruit and vegetables.

Drink between six and eight glasses of water day, so you don’t become dehydrated.

Try to exercise regularly, even if you only have the time and energy for a short, brisk walk.

Go to the loo straight away when you get the urge. Waiting can make your poo harder and drier.

Try putting your feet up on a stool when doing a poo. It may make opening your bowels easier.

If you still have constipation after trying these tips, you could ask your GP or midwife to prescribe a laxative that is safe to take during pregnancy.

Doing pelvic floor exercises daily may help prevent piles from developing. These exercises increase circulation around your bottom and strengthen the muscles in your vagina and perineum. (Doing the exercises will also help you when you give birth and speed up your recovery afterwards.)

June 12th, 2012

Ignoring piles can just pile on problems: As doctors say too many of us are embarrassed to seek help, one mother’s very cautionary story

Like many people, Linda Gunner did not enjoy visiting the doctor — but was particularly reluctant to seek help for piles.

The mother-of-two had been suffering from piles, also known as haemorrhoids, for almost a year, and although her doctor had told her to go back to her if the symptoms didn’t improve, she was too embarrassed.

‘It started off as a niggling problem — I’d had piles in the past during my two pregnancies, but in the previous 12 months they’d become more serious.’

Doctors are concerned that too often people dismiss rectal bleeding or blood in the stools as just a symptom of their piles, and don’t get it investigated

The condition, which causes swollen blood vessels around the back passage, triggering pain and bleeding, affects up to one in four of us at some point in our life.

But doctors are concerned that too often people dismiss rectal bleeding or blood in the stools as just a symptom of their piles, and don’t get it investigated.

The worry is that the bleeding could actually be a sign of bowel cancer.

Indeed, Linda, a 58-year-old legal secretary who lives with husband Steven, 58, a stonemason and their two daughters Emma, 25 and Sophie, 22, in Southminster, Essex, assumed her symptoms were simply her piles flaring up.

She used more cream to shrink the swollen blood vessels, and ate fibre such as Weetabix and wholemeal bread, as this is known to ease the symptoms by reducing the need to strain.

Her symptoms eased slightly and although they never disappeared completely Linda had no reason to suspect it was anything sinister.

But in October last year, nearly a year after her GP diagnosed piles, Linda was rushed to hospital.

‘I had noticed bleeding earlier in the evening but thought it would stop,’ she says.

‘But at 4am I woke up and realised I’d lost a lot of blood. Steve took me straight to A&E.’

Although initially Linda was told it was possibly due to one of the piles bursting, one doctor said he could feel a growth in her rectum, and advised further tests.

Embarrassment is a significant barrier to people seeking help for any rectal bleeding

She was booked in for a flexible sigmoidoscopy a few weeks later where a camera attached to a flexible tube is inserted through the rectum into the left side of the bowel — where statistically most cancers are found.

‘They asked if I wanted to watch the procedure on a TV screen, but I couldn’t bear to look. I thought it was disgusting,’ says Linda.

Tests revealed a cancerous growth in her bowel.

‘I burst into tears — I couldn’t believe it as I’d had no pain or unusual bowel symptoms and certainly hadn’t lost any weight or felt tired. I kept thinking they must have got it wrong as I felt so normal.’

Bowel cancer, also called colorectal cancer, causes around 16,250 deaths a year.

There are around 40,000 new cases annually and although the five-year survival rate is now 95 per cent if cancers are detected in the bowel at the earliest stage, this drops to six per cent for advanced cancers, and too many early cancers are being missed.

Symptoms include blood in stools, bleeding from the bottom, unexplained weight loss, extreme tiredness for no obvious reason, a change in bowel habit for more than three weeks (especially loose stools) and a pain or lump in the tummy.

But it’s also possible to have bowel cancer with no symptoms at all.

And because there is some overlap with the symptoms of haemorrhoids — including bleeding when passing stools and pain —  the two conditions can be confused.

Furthermore, because low-fibre diets and being overweight increase the risk of both conditions, experts say it is not uncommon for bowel cancer patients to have haemorrhoids as well.

‘All too often I’ll see patients with bowel cancer who say they’ve been experiencing  bleeding for two or three years but thought it was down to haemorrhoids,’ says bowel cancer specialist Dr Sean Preston, consultant gastroenterologist and general physician at Bart’s and the London NHS Trust and the private Princess Grace Hospital.

‘The truth is both haemorrhoids and bowel cancer can cause rectal bleeding and any such bleeding should be investigated to rule out  pre-cancerous polyps or bowel cancer, especially in the over-50s as most cases occur in this age group or where there is a family history of bowel cancer.’

Dr Preston says that the colour of the blood lost from the bowel can sometimes indicate whether it comes from a bowel growth, called a polyp, or haemorrhoids, but this is by no means a guarantee.

‘Although blood from piles tends to be bright red because it has a higher oxygen content (because it is closer to the outside of the body), than blood from further up the gut — both cancers and polyps can also cause bright red blood loss.

‘Darker blood tends to come from further up the colon and is not due to haemorrhoids.’

Embarrassment is a significant barrier to people seeking help for any rectal bleeding, adds Dr Preston.

‘We have to persuade patients to get over their embarrassment talking about bottoms and bowel movements — it’s a very British trait to want to avoid the subject.

‘When I see patients for the first time some can hardly look at me.

‘GP colleagues say patients will talk all around the subject before they admit that they have rectal bleeding — in fact some just go home without mentioning it at all.’

And Deborah Alsina, chief executive of Bowel Cancer UK, adds that a recent survey by the charity revealed that more than a quarter of people would put off going to the doctor with a potentially serious symptom because they would be too worried about the diagnosis.

‘Bleeding from your bottom does not necessarily mean you have bowel cancer.

‘However, even if you’ve had haemorrhoids, and you feel something is not right, you should visit your doctor as soon as possible,’ she advises.

Linda blames her embarrassment about discussing intimate problems for not getting her symptoms investigated sooner.

‘For any other part of my body I wouldn’t have hesitated to have tests but I couldn’t bear the thought of having my bottom prodded around,’ she says.

But this delay may have had serious repercussions.

In January this year, shortly after surgery to remove the cancerous growths from her bowel, Linda was given a Positron Emission Tomography (PET) scan, which uses radioactive drugs to detect cancerous cells.

It revealed a spot on her liver which was cancerous — and there were seven more of them.

‘The doctor reassured me these could be treated with chemotherapy which I’m having at the moment. I wish I’d seen a specialist about my piles earlier — further investigations may have found my cancer.

‘If you’ve got blood in your stools, get it investigated — it’s probably just piles, but sometimes it’s something more serious.’


May 1st, 2012

Here is an honest testimonial from a patient who was treated by Mr Simon Middleton.

Dear Mr Middleton

Before undergoing the HALO operation, it was very difficult to partake in all activities, including the simple things in life, such as hill walking. Read the rest of this entry »

Charles House, Three Mile Stone, Truro, Cornwall TR4 9FB UK
T: +44 (0) 20 3198 2424 | F: +44 (0) 20 3198 2421 E: info@halocentre.com

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