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What Are Common Conditions Treated by a Colorectal Surgeon?

What Are Common Conditions Treated by a Colorectal Surgeon?
Dr Dennis Koh
Dr Dennis Koh
Medical Director & Senior Consultant Colorectal Surgeon
MBBS (Nottingham), B Med Sci (Nottingham), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Sharon Koh
Dr Sharon Koh
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Pauleon Tan
Dr Pauleon Tan
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMed (Surgery), FRCS (Edinburgh), FAMS
Male patient experiencing symptoms of haemorrhoids, considering visiting a colorectal clinic

Many people experience digestive or bowel-related symptoms at some point in their lives, but it can be difficult to know when these issues require specialist attention. A colorectal surgeon specialises in diagnosing and treating conditions affecting the colon, rectum and anus, helping patients find relief from symptoms and improve their overall quality of life. At a colorectal clinic, patients can receive comprehensive evaluation and personalised treatment for a wide range of colorectal conditions, from common concerns to more complex diseases.

Some of the most frequently treated conditions include haemorrhoids, colorectal cancer and inflammatory bowel disease (IBD). While these conditions vary in severity, they often share symptoms that patients recognise, such as rectal bleeding, changes in bowel habits, abdominal discomfort and persistent digestive issues. Understanding when symptoms warrant specialist attention can help patients seek timely care, receive an accurate diagnosis and access appropriate treatment for better long-term colorectal health.

Key Takeaways

  • A colorectal surgeon diagnoses and treats conditions affecting the colon, rectum and anus, ranging from common concerns to complex diseases.

  • Haemorrhoids are a frequent colorectal condition that may cause rectal bleeding, itching, swelling and discomfort during bowel movements.

  • Colorectal cancer can present with symptoms such as changes in bowel habits, blood in the stool, unexplained weight loss and persistent abdominal pain.

  • Inflammatory bowel disease (IBD), including Crohn's disease and ulcerative colitis, often causes diarrhoea, abdominal cramps, fatigue and bowel urgency.

  • Many colorectal conditions share similar symptoms, making early evaluation at a colorectal clinic important for an accurate diagnosis.

What Symptoms of Haemorrhoids Should You Watch Out For?

Haemorrhoids, also known as piles, are swollen veins that develop in the lower rectum or around the anus. They are among the most common conditions treated at a colorectal clinic and are particularly common in adults, although they can occur at any age. While haemorrhoids are usually not serious, they can cause significant discomfort and interfere with daily activities. Recognising the symptoms early can help you seek appropriate treatment before the condition worsens.

SymptomWhat You May Notice
Rectal BleedingBright red blood on toilet paper, in the toilet bowl or on the surface of stools after a bowel movement
Itching Around the AnusPersistent irritation or itching in the anal area
Swelling or LumpsA swollen lump near the anus that may be sensitive or painful to touch
Pain or DiscomfortDiscomfort while sitting, walking or passing stools, especially if the haemorrhoid becomes inflamed
Mucus DischargeLeakage of mucus after bowel movements, which may cause further irritation

While mild haemorrhoids may improve with dietary and lifestyle changes, persistent symptoms such as recurrent bleeding, pain or swelling should be evaluated by a colorectal surgeon to prevent complications and identify the most suitable treatment approach.

What Are the Early Warning Signs of Colorectal Cancer?

Colorectal cancer develops in the colon or rectum and is one of the most commonly diagnosed cancers in Singapore and worldwide. In its early stages, the condition may not cause noticeable symptoms, which is why awareness and timely screening are so important. However, as the disease progresses, certain warning signs may appear. If you experience persistent symptoms, visiting a colorectal clinic can help ensure an accurate diagnosis and prompt treatment, leading to better outcomes.

Early Warning SignWhat You May Notice
Changes in Bowel HabitsOngoing diarrhoea, constipation or changes in stool consistency that last for several weeks
Blood in the StoolVisible blood in the stool, whether bright red, dark-coloured or detected through testing, may indicate bleeding in the digestive tract
Abdominal Pain or CrampingPersistent discomfort, bloating or unexplained abdominal pain
Unexplained Weight LossLosing weight without changes to diet or physical activity
Feeling that the Bowel Does Not Empty CompletelyA persistent sensation of incomplete bowel emptying, particularly in conditions affecting the rectum
Fatigue or WeaknessOngoing tiredness that may result from hidden blood loss and anaemia

While these symptoms can also be caused by less serious conditions, they should never be ignored, especially if they persist or worsen over time. If these warning signs persist, a colorectal surgeon can recommend appropriate investigations, which may include colonoscopy and other diagnostic tests depending on the clinical situation.

What Symptoms Can Inflammatory Bowel Disease Cause?

Inflammatory bowel disease (IBD) primarily includes Crohn's disease and ulcerative colitis, two long-term conditions that cause inflammation in the digestive tract. While symptoms may vary from person to person, IBD often leads to recurring digestive discomfort that can affect daily routines, energy levels and overall quality of life. Because IBD symptoms can overlap with other colorectal conditions, visiting a colorectal clinic can help patients receive proper assessment, diagnosis and personalised management.

SymptomWhat You May Notice
Persistent DiarrhoeaFrequent loose or watery stools, sometimes lasting for days or recurring in flare-ups
Abdominal CrampsCramping, pain or bloating that may worsen before or after bowel movements
FatigueOngoing tiredness or low energy, often linked to inflammation, poor nutrient absorption or anaemia
Urgency to Pass StoolsA sudden, strong need to use the toilet, which may interfere with work, travel or sleep
Blood or Mucus in StoolVisible blood or mucus, especially during active inflammation
Unintended Weight LossWeight loss caused by reduced appetite, inflammation or difficulty absorbing nutrients

If symptoms such as diarrhoea, abdominal cramps, fatigue or bowel urgency persist or keep returning, it is important to seek medical advice. As IBD is a chronic condition, regular follow-up at a colorectal clinic can help monitor disease activity, minimise complications and maintain a better quality of life.

Alt text: Consultant colorectal surgeon explaining common colorectal conditions to a patient

Receiving Comprehensive Colorectal Care at Colorectal Practice

As many colorectal conditions can present with similar symptoms, obtaining an accurate diagnosis is often the first step towards effective treatment and long-term symptom management. While these symptoms may be caused by common conditions such as haemorrhoids or IBD, they can also indicate more serious underlying issues, including colorectal cancer. Seeking medical attention early can lead to a more accurate diagnosis, timely treatment and better long-term health outcomes.

At a dedicated colorectal clinic, patients benefit from comprehensive care that spans diagnosis, treatment and long-term management of colorectal conditions. Whether symptoms are caused by haemorrhoids, colorectal cancer, inflammatory bowel disease or another colorectal disorder, a specialist evaluation can help clarify the diagnosis and determine the most suitable management plan.

At Colorectal Practice, we are committed to delivering personalised care through the expertise of our experienced surgeons. Our clinical team is led by our medical director and senior consultant colorectal surgeon, Dr Dennis Koh, alongside Dr Sharon Koh and Dr Pauleon Tan, our other senior consultant colorectal surgeons, who can provide guidance on how to manage the symptoms for common conditions. Schedule a consultation and take the next step towards timely diagnosis of colorectal conditions.

FAQs About Common Conditions Treated by a Colorectal Surgeon

  • Can haemorrhoids come back after treatment?

    Even after successful treatment, haemorrhoids can recur if underlying risk factors such as chronic constipation, prolonged straining, obesity or a low-fibre diet are not addressed. Maintaining healthy bowel habits, staying hydrated and following your colorectal surgeon's recommendations can help reduce the likelihood of recurrence.

  • Can inflammatory bowel disease increase the risk of colorectal cancer?

    Long-standing inflammatory bowel disease, particularly ulcerative colitis and extensive Crohn's disease affecting the colon, may increase the risk of developing colorectal cancer. Regular monitoring and surveillance colonoscopies can help detect precancerous changes early and support long-term disease management.

  • Who should undergo colorectal cancer screening?

    In Singapore, colorectal cancer screening is generally recommended from age 50 for average-risk individuals, although screening may be advised earlier for those with additional risk factors. Individuals with a family history of colorectal cancer, IBD or other risk factors may require earlier or more frequent screening. A colorectal surgeon can advise on the most appropriate screening schedule based on your individual risk profile.

  • What lifestyle changes can support better colorectal health?

    Simple lifestyle habits can help maintain colorectal health, including eating a fibre-rich diet, drinking enough water, exercising regularly, avoiding smoking, limiting alcohol consumption and attending recommended colorectal screenings. These measures may also help reduce the risk of certain colorectal conditions.

  • Are all colorectal conditions treated with surgery?

    Many colorectal conditions can be managed without surgery, particularly when diagnosed early. Treatment may include dietary modifications, medications, lifestyle changes, minimally invasive procedures or regular monitoring. Surgery may be recommended when conservative measures are ineffective or when a condition requires operative treatment.

Meet Our Colorectal Surgeons in Singapore

Dr Dennis Koh
Dr Dennis Koh
Medical Director & Senior Consultant Colorectal Surgeon
MBBS (Nottingham), B Med Sci (Nottingham), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Dennis Koh is the Medical Director and Senior Consultant Colorectal Surgeon at Colorectal Practice. He graduated from the University of Nottingham, UK and completed advanced surgical training in Singapore, becoming a Fellow of the Royal College of Surgeons of Edinburgh and the Academy of Medicine, Singapore. Formerly a Consultant at Singapore General Hospital, he has extensive experience in open and minimally invasive colorectal surgery, as well as advanced endoscopy, with over 10,000 procedures performed. He also specialises in proctology and pelvic floor disorders and is actively involved in training and teaching future surgeons.
About Dr Dennis Koh
Dr Sharon Koh
Dr Sharon Koh
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMED (Surgery), FRCS (Edinburgh), FAMS
Dr Sharon Koh Zhiling is a Senior Consultant Colorectal Surgeon at Colorectal Practice, with subspecialty training in colorectal surgery, minimally invasive surgery and advanced endoscopy. She graduated from the Yong Loo Lin School of Medicine, NUS, and completed advanced surgical training at NUH and Singapore General Hospital, becoming a Fellow of the Royal College of Surgeons of Edinburgh and an accredited specialist in General Surgery. After receiving the Academic Medicine Development Award, she completed an 18-month fellowship in advanced colorectal surgery and inflammatory bowel disease at Cedars-Sinai Medical Center in Los Angeles. A former Director of Endoscopy at Alexandra Health, Dr Koh is also actively involved in research, international collaborations and medical education.
About Dr Sharon Koh
Dr Pauleon Tan Enjiu
Dr Pauleon Tan
Senior Consultant Colorectal Surgeon
MBBS (Singapore), MMed (Surgery), FRCS (Edinburgh), FAMS
Dr Pauleon Tan graduated from the Yong Loo Lin School of Medicine, NUS, and obtained his Master of Medicine (Surgery) before becoming a Fellow of the Royal College of Surgeons of Edinburgh. Awarded the Ministry of Health's Health Manpower Development Plan (HMDP) Award, he completed advanced colorectal training at Saitama International Medical Center in Japan, refining techniques such as D3 colorectal resections for cancer surgery. With over 15 years in public hospitals including SGH, TTSH and KTPH, he is experienced in both open and minimally invasive colorectal surgery, as well as advanced endoscopy procedures such as ESD. Dr Tan is also passionate about colorectal cancer prevention and screening and has held leadership and teaching roles in national screening programmes and surgical residency training.
About Dr Pauleon Tan
We Listen. We Treat. We Care.
Entrust your health and recovery to our dedicated team at Colorectal Practice today. From prompt consults to treatment and recovery, we are committed to seeing you through to a better quality of life.
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Mount Elizabeth Medical Centre, Singapore 228510