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Haemorrhoids (Piles)

  • What are Haemorrhoids?

    Haemorrhoids, also called piles, are enlarged blood vessels around the anus. They are described as anal cushions. Haemorrhoids are present in everyone, but they are only considered abnormal when the haemorrhoidal cushions become enlarged.

    Haemorrhoids are classified as follows:

    • First degree piles – Internal piles that bleed
    • Second degree piles – Lump at the anus that sticks out after a bowel motion and then disappears straight away after
    • Third degree piles – Lump at the anus that sticks out after a bowel motion but needs to be pushed back by a finger into the anus after
    • Fourth degree piles – Lump that can’t be pushed back into the anus
  • There are different risk factors that lead to development of Haemorrhoids. The most common factors include:

    • Constipation or Diarrhoea
    • During pregnancy, due to the pressure exerted by the growing foetus and during labour on the blood vessels around the anus.
    • Excessive straining when passing stools
    • Sitting on the toilet for a long time

    There are also other risk factors that trigger the development of piles, and these include:

    • Being overweight
    • Having a family history of piles
    • Having an intra-abdominal or pelvic tumour (not a common cause)
    • Not having enough fibre in the diet
  • The most common symptoms of Piles include:

    • Changes in bowel habits (Constipation or Diarrhoea)
    • Changes in the motion of stools
    • Feeling that your bowel doesn’t empty completely
    • Finding blood in your stools
    • Finding your stools are narrower than usual
    • Itchiness at the anus
    • Obvious lump at the anus
    • Pain during and after bowel motion
    • Weight loss and appetite loss that can’t be explained

    It is important to note, though, that these symptoms resemble those of colorectal cancer and you need to consult your doctor for a full assessment before you attribute your symptoms to piles.

  • The treatment of Piles depends on the type and severity of your condition. You doctor may recommend simple preventative measures such as increasing your fibre intake and drinking plenty of water to allow regular bowel motions without straining. However if this doesn’t help, there are other treatments available:

    • A chemical solution injected into the Piles, causing them to shrink and fall off (works for first and second degree Piles)
    • A special device can be inserted into the anus to tie off the blood vessel that supplies blood to the Piles
    • Medication (tablets or suppositories) to treat small Piles
    • Rubber band treatment (ligation) to treat first or second degree piles. A rubber band is placed over the pile in order to cut off its blood supply.
    • Surgery (Haemorrhoidectomy) to cut out third- and fourth-degree piles, using various surgical techniques
  • Our Specialists

    There are 28 SpecialistsView All

    • Ang Cheng Nee Benny

      Specialty:
      Gastroenterology

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      Clinic:
      Gastroenterology Clinic
      Location:
      3 Mount Elizabeth #09-10
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      67330519
    • Chee Eng Nam Alexius

      Specialty:
      Gastroenterology

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      Clinic:
      Alexius Chee Gastroenterology & Medical Clinic
      Location:
      3 Mount Elizabeth #05-09
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6734 3343
    • Cheng Jun

      Specialty:
      Gastroenterology

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      Clinic:
      Cheng Jun Gastroenterology & Medical Clinic
      Location:
      3 Mount Elizabeth #15-06
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6732 2282
    • Cheong Wei Kuen

      Specialty:
      Gastroenterology

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      Clinic:
      Wk Cheong Gastrointestinal & Liver Specialists
      Location:
      3 Mount Elizabeth #14-03
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      67340716/673
    • Chia Chung King

      Specialty:
      Gastroenterology

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      Clinic:
      Gutcare Digestive.Liver.Endoscopy Associates
      Location:
      38 Irrawaddy Road #10-58
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      67343435
    • Chua Tju Siang

      Specialty:
      Gastroenterology

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      Clinic:
      Chua Tju Siang Gastrointestinal Endoscopy And Liver Clinic
      Location:
      3 Mount Elizabeth #10-07
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      6235 6136
      Clinic:
      Chua Tju Siang Gastrointestinal Endoscopy & Liver Centre
      Location:
      38 Irrawaddy Road #09-44
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6268 8360
    • Eric Wee Wei Loong

      Specialty:
      Gastroenterology

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      Clinic:
      Nobel Gastroenterology Centre
      Location:
      38 Irrawaddy Road #05-39
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      6694 0764
    • Fernandes Mark Lee

      Specialty:
      Gastroenterology

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      Clinic:
      Gutcare Digestive.Liver.Endoscopy Associates
      Location:
      38 Irrawaddy Road #10-58
      Mount Elizabeth Novena Specialist Centre
      Singapore 329563
      Contact No:
      67343435
    • Guan Richard

      Specialty:
      Gastroenterology

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      Clinic:
      Medical Clinic 1
      Location:
      3 Mount Elizabeth #17-02
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      67388868
    • Ho Kok Tong

      Specialty:
      Gastroenterology

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      Clinic:
      Ho Kok Tong Gastro & Medical Clinic
      Location:
      3 Mount Elizabeth #17-15
      Mount Elizabeth Medical Centre
      Singapore 228510
      Contact No:
      67322113

    There are 28 SpecialistsView All

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