Choose Language: EN CN

Piles (Haemorrhoids)

What are piles and how can you prevent and treat them?

What are Piles?

Piles, or haemorrhoids, are enlarged and inflamed blood vessels in and around the anus that are easily traumatized and may bleed during bowel movements. While mild piles may eventually resolve on their own, moderate to severe piles (if left untreated) may worsen in size and position and may even become strangulated, causing significant pain.

Piles (Haemorrhoids)

Colorectal Practice is committed to practicing safe and reliable surgery to treat all types of piles.

To schedule a consultation with Singapore piles surgeon Dr Dennis Koh,
call 6262 1226.

How do I Know if I have Piles?

Some common indications of piles are:

  • Changes in bowel habits
  • Bleeding from the anus during defecation
  • Presence of lumps around or at the anus
  • Pain during and after bowel movement
  • Feeling of itchiness around the anus

Should you experience any of these symptoms, please see a trusted piles doctor for a detailed assessment.

What Causes Piles?

Piles, or haemorrhoids, can be caused by a plethora of different factors. Some common causes include:

  • Chronic constipation or diarrhoea
  • Strong pressure exerted during labour
  • Prolonged straining during bowel movements

Are there Different Types of Haemorrhoids?

Haemorrhoids can be divided into four types depending on severity:

1st Degree

These are internal piles that bleed during bowel movements, but are not visible with no protrusion on the outside.

2nd Degree

Haemorrhoids bulge out during bowel movements but can retract into the anal canal afterwards, when the straining has stopped.

3rd Degree

Bowel movements have significant bleeding, with large painful piles protruding after each bowel movement. Piles may be manually pushed back into the canal.

4th Degree

These piles cannot be pushed back into the anus and can cause significant pain. Piles in this stage may become strangulated and can only be treated with piles surgery.

How are Piles Treated?

Different degrees of haemorrhoids require different piles treatment methods. Lower degrees of haemorrhoids may only require lifestyle and dietary changes such as an increase in fibre and fluid intake in order to soften stools, reduce straining and relieve symptoms.

However, greater degrees of piles may require you to undergo either a surgical or non-surgical piles treatment procedure.

Non-Surgical Piles Treatments

Oral Medications and Suppositories

These may be prescribed to treat small and/or bleeding piles.

Rubber-Band Ligation

A rubber band is placed over the pile to cut off its blood supply, letting it fall off naturally.

Energy Ligation of Haemorrhoidal Arteries

This works on the same principle as rubber band ligature, but comes with minimal or no discomfort.

Surgical Piles Treatments (Piles Surgery)

Conventional Excisional Haemorrhoidectomy

The prolapsed haemorrhoid is cut off and the wound is left open to heal on its own, there is an uncomfortable recovery process and a long healing time.

Closed-wound Excisional Haemorrhoidectomy

This is similar to the conventional method but the wound is stitched shut. This procedure has the shortest recovery time and least amount of pain.

Stapled Haemorrhoidectomy

The prolapsed tissue is pulled back to its original position. Afterwards, the cut edges are stapled together for healing.

Ligasure Haemorrhoidectomy

Haemorrhoids are cut away using an instrument that removes tissue and stops bleeding simultaneously. This results in minimal blood loss and postoperative pain, with fewer complications compared to conventional haemorrhoidectomy.

Transanal Haemorrhoidal Dearterialization (THD)

An ultrasound probe is used to identify suitable blood vessels for removal. After which, blood supply to these vessels are cut off and the haemorrhoids heal on their own. This is not suitable for prolapsed haemorrhoids.

The recovery process depends on the type of procedure done. It is normal to experience some flatulence and bleeding during the first 5 to 10 days after the piles surgery. A soft diet will help with smoother passing of stools

To maximize your speed of recovery, Dr Koh will walk you through the recovery process along with any preventive measures you should take. Generally, home-recovery tips are centered around liquid-based and high-fibre diets, warm sitz baths and keeping the affected area clean. You should also remember to gently pat dry the area and not rub as this may irritate the wound.

Our Surgeon

Dr Dennis KohConsultant Colorectal Surgeon

MBBS (Nottingham), MMed (Surg)
BMedSci (Nottingham), FRCSEd, FAMS

Dr Dennis Koh is a MOH-accredited and experienced colorectal surgeon; and currently the Medical Director at Colorectal Practice.

Dr Koh strives to provide a customized treatment plan for each patient, which allows for better outcomes. He also honed his skills in proctology abroad in Geneva, bringing a more diverse touch to his practice.

Dr Dennis Koh
Dr Dennis Koh

Dr Dennis Koh is a MOH-accredited and experienced colorectal surgeon; and currently the Medical Director at Colorectal Practice.

Dr Koh strives to provide a customized treatment plan for each patient, which allows for better outcomes. He also honed his skills in proctology abroad in Geneva, bringing a more diverse touch to his practice.

Comprehensive Range of Colorectal Services for Your Peace of Mind

Dr Koh tailors his treatment based on your lifestyle requirements and healthcare needs. At our colorectal clinic, we believe in providing personalized care as it allows for better surgical outcomes and creates a supportive environment for our patients.

For a detailed consultation, contact us at 6262 1226 or fill up the contact form below.

Top