A few of the Haemorrhoid Treatments Available In Singapore

Haemorrhoids are commonly known as piles. They are

blood vessels in the anus that has become swollen. They
can be divided into internal or external, depending on
the location where they start. External piles develop at
the outer part of the anus. It usually manifests itself
when it forms a blood clot within, resulting in a painful
swelling. The external feels like a hard, sensitive lump.
Bleeding occurs only if the overlying skin ruptures.
Internal piles start from the upper part of the anal canal.
It is believe that repetitive straining at stools causes a
high pressure within and it becomes swollen. The wall of
the blood vessel gets stretched and is thinned out and
tends to break easily. nce this happens, bleeding
occurs. !epetitive straining also causes the supporting
ligaments in the blood vessel to become overstretched
and loses its elasticity. The blood vessel loses its elastic
support and descends further down the anal canal and protrudes outside of the anus. nce
it is outside, it becomes a prolapsed haemorrhoid, which differs from the external piles.
What are the symptoms?
Bleeding during bowel movements
"ump at the anus coming out during bowel movements
#ersistent lump$s% at the anus
Itching in the anal area
#ain
There are many people with haemorrhoids without any symptoms and are not even aware
that they have haemorrhoids. The symptoms also do not correspond well with the stage of
the haemorrhoids. &ome of the symptoms such as itching, bleeding or pain may be due to
other conditions and not necessarily due to haemorrhoids. 'or example, bleeding may be
due to colon cancer and pain maybe due to anal fissure $tear%.
How it can be treated?
#iles that do not cause any symptoms do not re(uire any treatment.
'or first or second degree, symptoms can be relieved by reducing straining during bowel
movement. This could mean taking more fluids or laxatives. ral medication or
suppositories maybe given by your doctor to relieve the symptoms.
If this does not help, further treatment may be re(uired. This includes
Ligation ) the rubber band treatment
Sclerotherapy *an in+ection is given to the area around the piles. This method is relatively
painless and causes the piles to shrink.
Ultrasound guided haemorrhoidal artery ligation * uses an ultrasound probe to
locate the arteries. , stitch is then used to tie off the artery. By interrupting the blood
supply, the hemorrhoid shrivels up.
or !rd and "th degree# treatment includes
Haemorrhoidectomy, which is the most effective method for the permanent removal of
piles. It is usually used for -rd or .th degree piles or when /nd degree that has failed other
treatments such as ligation.
$r Ho %o& Sun
'olorectal Surgeon
0BB& $&ingapore%, 0 0ed $1en &urg% $&ingapore%
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Ho %o& Sun 'olorectal (te Ltd
- 0ount Eli3abeth, 0ount Eli3abeth 0edical 2entre
45/)67, &ingapore //8956
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