Haemorrhoid (Piles)

If you experience significant symptoms such as persistent bleeding, discomfort, or lumps, it’s important to visit a haemorrhoid doctor for a proper diagnosis and treatment plan. A hemorrhoid specialist will evaluate your symptoms and conduct a rectal examination to confirm whether hemorrhoids are the cause. If bleeding is present, especially fresh blood in stool, it is crucial to consult a specialist to rule out more serious conditions. Gastroenterologists in Singapore are experts who specialise in the management of gastrointestinal symptoms, including those caused by hemorrhoids.

Do not ignore bleeding from the rectum. If the doctor suspects that the bleeding is not caused by simple piles, they may recommend a colonoscopy to investigate further. This procedure helps identify more serious conditions, such as polyps or even colorectal cancer, which can also cause bleeding. Early diagnosis and treatment can ensure better outcomes, so consulting a specialist at a reputable clinic is essential.

Under increased pressure, the veins around the anus are prone to stretch and swell up, causing haemorrhoids.

Several common causes include

• Chronic diarrhoea or constipation
• Straining during bowel movements
• Pregnancy
• Obesity
• Anal intercourse
• Prolonged time spent sitting on the toilet

Patients with risk factors of colon cancer should undergo colonoscopy when they have bleeding during bowel movements.

Patient with risk factors for colon cancer includes:

1. Age>45
2. Family history of colon cancer and colon polyp
3. Family or personal history of another form of cancer
4. Diabetes
5. Obesit
6. A diet high in processed or red meat.

Piles or hemorrhoids are diagnosed through direct visualisation using proctoscopy or colonoscopy.

Haemorrhoid above the dentate line (found in the anal canal) is classified as an internal haemorrhoid.

Haemorrhoid below the dentate line is defined as an external haemorrhoid.

An internal haemorrhoid can also be classified according to how severe they are:

Grade 1: enlarged haemorrhoid is always not visible from outside the anus

Grade 2: Larger haemorrhoid that sometimes comes out of the anus but can return into the anus on its own

Grade 3: Larger haemorrhoid that comes out of the anus that can be pushed back into the anus

Grade 4: haemorrhoid that cannot be pushed back in

Bleeding from piles is often self-limiting and may resolve on its own. It typically responds well to simple medications available through family doctors. A Sitz bath can also be useful in providing relief. In some cases, hemorrhoid ligation may be performed to treat the condition. For more severe cases, more intensive treatment methods by a specialist, such as surgery, may be required to effectively manage the haemorrhoids.

Bleeding from anal fissures would require medication to soothe the affected area. Stool softening often would help with reducing strain during a bowel movement.

Bleeding from the more serious causes would need proper treatment of the underlying cause. Polyps will be removed during colonoscopy using a snare. This procedure is called a polypectomy.

Cancer of the colon would require surgery and in some cases, chemotherapy and radiotherapy.

Finding the Right Specialist for Haemorrhoid Treatment in Singapore

If you’re experiencing symptoms of hemorrhoids, it’s essential to seek guidance from a qualified specialist in Singapore. A skilled haemorrhoid doctor can offer personalised treatment plans based on your condition’s severity. Consulting a clinic specialising in colorectal care can ensure you receive the most accurate diagnosis and effective treatment for haemorrhoids. Depending on the severity, your treatment options may range from non-invasive procedures to more advanced surgical interventions. Before starting any treatment, make sure to discuss the cost of treatment with your doctor, as different options may vary in price. Understanding the cost will help you make an informed decision and avoid unexpected expenses during your treatment journey.