Understanding the various types, signs, symptoms and treatme

1. Understanding the various types, signs, symptoms and treatment for piles Dr. Seow-Choen Singapore Colorectal (Colon) Surgeon Tel : (65) 6738 6887 Email : info@colorectalcentre.com Website : www.colorectalcentre.com

2. What are Haemorrhoids? Haemorrhoids or piles are swollen blood vessels in or around the anus and rectum. Sometimes these vessels swell and cause the walls of the veins to stretch and become thin causing irritation during bowel movements. Haemorrhoids are more common among men as compared to women. In most of the cases, women suffer from haemorrhoids during pregnancy.

3. Types of Haemorrhoids Internal haemorrhoids: Internal haemorrhoids lie far inside the rectum and because of the presence of a few pain sensing nerves inside the rectum, internal haemorrhoids do not hurt much. Sometimes these haemorrhoids protrude out of the anal sphincter, hurting and creating irritation when rubbed by cloth while walking or sitting. Either they recede into the rectum on their own or are gently pushed back into the rectum with the help of a surgical procedure. External haemorrhoids: External haemorrhoids lie within the anus and are often uncomfortable. They can be felt or seen if they prolapse out causing extremely painful condition if the blood clots from within the prolapsed external haemorrhoids. This painful condition is called thrombosis. These thrombosed haemorrhoids are painful and may cause bleeding.

4. Signs and Symptoms Bleeding during bowel movement, dripping into the toilet bowl or staining on toilet paper. Protrusion during bowel movement. Pain or itching in the anal area. Anal lumps.

5. Treatment If one witnesses these signs and symptoms, he or she should undergo a treatment to cure haemorrhoids. The mild symptoms can be relieved frequently by improving and regularizing bowel habits. Simple treatments such as injection or tying with a special rubber band cures piles sometimes. If these methods don’t work then surgical methods are the last options to cure haemorrhoids.

6. Surgical Treatments 1) Open Haemorrhoidectomy : This method is best for third or fourth degree piles. The method removes the piles by cutting them out. It uses anesthesia and may require hospitalization for a short duration. The healing of wounds takes 6-8 weeks. Pain and bleeding in postoperative period are the main side effects. 2) Laser Haemorrhoidectomy : This surgery uses laser to treat haemorrhoid but it has no advantage over standard operative techniques rather making it an expensive procedure.

7. 3) Stapler Haemorrhoidectomy: This surgery aims to minimize the pain and improve the healing properties. This surgery removes a cuff of a tissue from the area just above the piles, pulling the piles back into its normal positions within the anal canal. The stapler also interrupts the blood supply to the piles causing them to shrink in size and stop bleeding. The wound usually heals within 1-2 weeks with little pain.

8. 4) Transanal Haemorrhoidal Dearterialization (THD): THD employs a specially designed proctoscope coupled with a Doppler transducer to allow identification and suture ligation of the haemorrhoidal arteries. This is suitable for patients who have bleeding with no prolapsed haemorrhoids. Post surgery pain in case of this surgery is less than that of the stapler haemorrhoidectomy procedure. 5) Rubber band ligation: In this method, a rubber band is tied around the haemorrhoid to cut off the circulation resulting in the shriveling and dropping of the haemorrhoid.

9. CONCLUSION All these surgical procedures are available in Singapore at Seow Choen Colorectal Centre. This centre is renowned for offering effective treatments for haemorrhoid and offers services for colon and colorectal cancer, fibre and rectal cancer. That is why this centre is preferred for the treatment of haemorrhoids and related diseases. All the surgical procedures are done with specialized instruments and under the supervision of expert surgeons. Haemorrhoids if not cured on time cause severe problems and may lead to unbearable condition. Thus, it is better to get the treatment at the right time and at right place. That's why one must prefer a renowned and specialized clinic such as Seow Choen Colorectal Centre in Singapore which is famous for haemorrhoid treatments among others.

10. Dr. Seow-Choen Singapore Colorectal (Colon) Surgeon MBBS, FRCSEd, FAMS Seow-Choen Colorectal Centre Pte Ltd 290 Orchard Road, #06-06 Paragon Shopping Centre Singapore 238859 Tel : (65) 6738 6887 Fax : (65) 6738 3448 Email : info@colorectalcentre.com Website : www.colorectalcentre.com Operation hours: Mon to Fri : 9am - 5pm Sat : 9am -1pm Closed on Sundays and Public Holidays

11. The End Thank you for reading this..... Hope I may help you !!! - Dr. Seow-Choen