Haemorrhoids Treatment Singapore | Piles Removal Surgery Cost

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Understanding Haemorrhoids (Piles) Treatment

Haemorrhoids, commonly referred to as piles, are a prevalent condition among Singaporeans. While some cases of piles may resolve on their own after a few days, others can persist, causing significant discomfort and requiring medical intervention.

The ideal solution to (haemorrhoids) or piles treatment in Singapore is surgery, but there are other ways to treat this problem, such as using topical medication and other conservative treatments. These methods can be used for mild cases or to treat small bleeding piles, while surgery will be needed for more severe cases.

What Are Haemorrhoids (Piles)?

One in three people in Singapore suffers from piles, also known as haemorrhoids. They refer to veins that are swollen around the lower rectum or anus.

Haemorrhoids are broadly classified into two types:

Internal haemorrhoids: These form inside the rectum and are usually not visible. They may cause bleeding, but often do not cause pain unless they prolapse.
External haemorrhoids: These develop under the skin around the anus and are more likely to cause pain, swelling, or irritation, especially if a blood clot forms.

Common Symptoms Of Hemorrhoids Or Piles

Symptoms of haemorrhoids or piles can vary depending on the type and severity of the condition.

Common signs include:

Rectal bleeding, often noticed as bright red blood after passing stool
Pain or discomfort, especially during bowel movements
Itching or irritation around the anus
Swelling or a lump near the anus
Protrusion (prolapse) of tissue during straining

Not all haemorrhoids are painful. Some people only notice bleeding or a lump. These symptoms can also overlap with other conditions such as anal fissures or colorectal polyps, which is why proper medical assessment is important.

Stages Of Haemorrhoids (Piles) (Grade 1 To Grade 4)

Haemorrhoids or piles cases in Singapore are classified based on their size, severity, and whether they prolapse.

Grade 1 Haemorrhoids

These are small swellings that develop on the inside lining of the anus and are not visible externally. They do not prolapse. Symptoms may include mild bleeding without pain. Management is usually conservative, including dietary changes, increased fibre intake, and improved bowel habits.

Grade 2 Haemorrhoids

These are larger swellings that may come out during bowel movements but return on their own (prolapsing but spontaneously reducing). You may notice bleeding and mild discomfort. These are often suitable for non-surgical treatment, such as rubber band ligation, if symptoms persist.

Grade 3 Haemorrhoids

These present as one or more soft lumps that prolapse and need to be pushed back manually (prolapsing and reducible). Symptoms may include discomfort, swelling, and recurrent bleeding. Treatment may involve non-surgical procedures or surgery, depending on the condition.

Grade 4 Haemorrhoids

These are larger prolapsed lumps that remain outside and cannot be pushed back (irreducible). They may cause persistent discomfort, hygiene issues, or complications such as thrombosis. Surgery is usually required at this stage.

Causes Of Haemorrhoids (Haemorrhoids)

Haemorrhoids or piles typically develop when there is increased pressure on the veins in the rectum or anus. Over time, this pressure causes the veins to swell and become enlarged.

Other Factors That Increase Risk Of Developing Haemorrhoids or Piles in Singapore

Chronic constipation or diarrhoea
Straining during bowel movements
Prolonged sitting, especially on the toilet
Pregnancy
Low-fibre diet
Age-related weakening of tissues

What Causes Haemorrhoids (Piles) To Worsen Over Time

These can cause symptoms to become more frequent, more severe, or harder to manage over time:

Ongoing constipation and repeated straining: These increase pressure on the veins.
Delaying haemorrhoids treatment: These can allow symptoms to progress from mild bleeding to prolapse or persistent discomfort.
Poor diet and low fibre intake: These contribute to harder stools and more straining.
Prolonged sitting (including long periods on the toilet): This adds pressure to the area.
Lifestyle factors such as low physical activity or irregular bowel habits: These can worsen symptoms.

When Should You See A Piles Specialist In Singapore?

If symptoms are mild and occasional, simple measures like increasing your fibre intake and improving your bowel habits may help.

However, you should consider seeing a specialist in Singapore for haemorrhoids if:

Bleeding occurs more than once or persists
Pain or swelling affects your daily activities
A lump does not go away or becomes more noticeable
Symptoms do not improve with self-care
There is uncertainty about the cause of bleeding

How A Piles Doctor Diagnoses Haemorrhoids in Singapore

A doctor in Singapore can diagnose piles or haemorrhoids by reviewing your symptoms and performing an examination to confirm the condition and rule out other possible causes of bleeding or discomfort.

Medical History And Symptom Review

Physical Examination

External haemorrhoids may be visible on examination. Internal haemorrhoids may require a gentle examination to assess for prolapse or swelling.

Anoscopy Or Further Evaluation If Needed

A small instrument may be used to examine the inside of the anal canal. If symptoms suggest another cause of bleeding, further tests such as a colonoscopy may be recommended.

Learn more about the haemorrhoids diagnosis process.

Haemorrhoid (Piles) Treatment In Singapore

Treatment or surgical removal for piles (haemorrhoids) in Singapore depends on the severity of your symptoms and how much they affect your daily life. Most cases start with simple measures, while more persistent or severe cases may require procedures.

Conservative Treatment For Mild Piles

For mild haemorrhoids, simple lifestyle changes can often help improve symptoms. These include:

Increasing fibre intake
Drinking more fluids
Avoiding straining during bowel movements
Taking sitz baths or using cold compresses to reduce swelling
Establishing regular bowel habits

These measures help ease discomfort and support smoother bowel movements.

Medications For Symptom Relief

If symptoms persist, your doctor in Singapore may recommend medications. This can include topical treatments to reduce irritation and swelling, as well as stool softeners to make bowel movements easier and reduce straining. These help manage symptoms but do not remove haemorrhoids.

Non-Surgical Piles Treatment in Singapore

For persistent or recurrent haemorrhoids, minimally invasive procedures may be recommended.

One of the most common options is rubber band ligation. A small band is placed around the haemorrhoid to cut off its blood supply, causing it to shrink and fall off over time

This is typically suitable for Grade 1 and Grade 2 haemorrhoids, and selected Grade 3 cases, depending on your condition.

Surgical Treatment For Severe Piles in Singapore

In more severe cases of piles (haemorrhoids) in Singapore, surgery may be recommended, especially when symptoms have worsened or do not improve with other treatments. See more below.

Haemorrhoids Surgery In Singapore

Surgery for haemorrhoids (piles) in Singapore is usually considered when symptoms are more significant or when other treatments are no longer effective in managing your condition.

Who May Need Haemorrhoids Surgery?

Surgery may be recommended if you have:

Grade 3 or Grade 4 haemorrhoids
Persistent prolapse that keeps recurring
Recurrent or ongoing bleeding
Thrombosed haemorrhoids causing significant pain
Symptoms that do not improve with non-surgical treatment

Types Of Piles Surgery in Singapore

There are a few surgical options depending on your condition:

Haemorrhoidectomy: A surgical procedure that removes the haemorrhoidal tissue completely, usually recommended for more severe or persistent cases.
Stapled haemorrhoidopexy: A procedure that repositions the prolapsed haemorrhoids back into place and reduces blood flow to the affected tissue, helping them shrink over time.

What To Expect Before Surgery

Before surgery, you’ll go through a consultation and examination so your condition can be assessed properly. Your doctor will also explain how to prepare, which may include adjusting medications or fasting before the procedure.

Recovery After Piles Surgery

It’s normal to have some discomfort during the early recovery period, especially during bowel movements. Most patients return to normal activities gradually, with support on diet, bowel care, and follow-up to aid recovery.

Risks And Possible Complications

As with any procedure, there are some risks to be aware of, including pain, bleeding, infection, and in rare cases, changes in bowel control. Your doctor will go through these with you based on your specific situation and treatment plan.

Cost Of Haemorrhoids (Piles) Treatment From A Specialist Clinic in Singapore

The cost of haemorrhoids or piles treatment in Singapore varies depending on the severity of your condition and the type of treatment needed. A proper assessment is usually required before a more accurate estimate can be given.

What Affects The Cost Of Piles Treatment?

Costs depend on several key factors, including:

Severity of haemorrhoids
Type of treatment (clinic-based procedure vs surgery)
Surgeon’s fees
Facility fees (clinic, day surgery, or hospital setting)
Anaesthesia and consumables
Follow-up care

Cost Of Non-Surgical Piles Treatment

Non-surgical, office-based procedures are generally more affordable compared to surgery. However, depending on your condition, more than one session may be needed for optimal results.

Haemorrhoids Surgery Cost In Singapore

Surgical treatment typically includes surgeon fees, anaesthesia, facility charges, and post-operative care. In Singapore, the general cost range for haemorrhoid surgery is approximately SGD 3,000 to SGD 10,000+, depending on the complexity of the case, type of procedure, and hospital setting.

Can Medisave Or Insurance Be Used?

How To Choose A Piles Specialist Or Piles Clinic In Singapore

Choosing the right specialist in Singapore for haemorrhoids helps ensure you get an accurate diagnosis and the most appropriate treatment for your condition.

When selecting a doctor or clinic, consider:

Experience in treating colorectal and anorectal conditions
Ability to properly assess rectal bleeding and rule out other causes
Availability of both non-surgical and surgical treatment options
Clear explanation of treatment plans, costs, and recovery expectations
Access to proper facilities if surgery is required

How We Can Help With Haemorrhoids (Piles) Surgery

Dr QM Leong is an experienced haemorrhoids (piles) doctor with relevant medical specialities in fields such as colorectal cancer and piles treatment in Singapore. He will accurately diagnose your condition for any signs of haemorrhoids before determining the right treatment for you.

Advanced Colorectal & General Surgery is committed to providing a pleasant experience, treatment and patient care, so do not hesitate to call to find out about piles surgery in Singapore. Schedule an appointment with us to learn more about haemorrhoids and the cost of surgery.

Frequently Ask Questions

How long does it typically take to recover from a haemorrhoids (piles) treatment?

Recovery time will depend on the type of haemorrhoids treatment. Non-surgical treatments often have quicker recovery times, with patients going back to normal activities within a few days. Surgical procedures like haemorrhoidectomy may require up to two weeks for recovery.

What are the risks of haemorrhoids (piles) surgery?

Bleeding, infection, and damage to surrounding tissues are some risks associated with haemorrhoid surgery. The risks depend on the type of surgical treatment done and your overall health.

How do I prepare for haemorrhoids (piles) surgery?

Follow preoperative instructions such as dietary changes, medication adjustments, and bowel preparation as recommended by your surgeon. Avoid smoking and alcohol for at least a week before haemorrhoids surgery and stay well-hydrated. Prepare your home with necessary supplies like ice packs, prescribed medications, and over-the-counter pain relievers, and set up a comfortable resting area for recovery.

What should I expect during my first visit to a haemorrhoids (piles) specialist?

During your initial visit, the haemorrhoids (piles) specialist will take a detailed medical history, perform a physical examination, and recommend additional tests for an accurate diagnosis and treatment plan.

How does a haemorrhoids (piles) specialist diagnose haemorrhoids in Singapore?

The haemorrhoids (piles) specialist will do a physical examination of the anus and rectum. In some cases, further diagnostic tests such as anoscopy or sigmoidoscopy may be performed to evaluate the extent of the haemorrhoids.

Can any doctor treat piles, or should I see a haemorrhoids (piles) specialist?

While general practitioners can provide initial assessment and management, seeing a haemorrhoids (piles) doctor ensures expertise in diagnosing and treating haemorrhoids, especially in complex cases.

What questions should I ask a haemorrhoids (piles) doctor during a consultation?

Ask the haemorrhoids (piles) doctor about treatment options, risks and benefits, expected outcomes, recovery time, and any concerns about the procedure.

What is the success rate of haemorrhoids (piles) removal procedures?

Success rates vary depending on the haemorrhoids (piles) removal method. In Singapore, surgical treatments like haemorrhoidectomy have high success rates for eliminating haemorrhoids, mainly when performed by experienced surgeons.

How can I choose the right clinic for haemorrhoids (piles) treatment?

Look for clinics with experienced haemorrhoids (piles) specialists, positive patient reviews, accreditation, and complete facilities for diagnosis and treatment in Singapore.

What privacy measures do haemorrhoids (piles) clinics have in place?

Haemorrhoids (Piles) clinics prioritise patient confidentiality with private consultation rooms and procedures to ensure discretion and comfort during examinations and treatments.

About Dr QM Leong

Colorectal & Hernia Surgeon in Singapore

Dr Leong is a general and colorectal surgeon in Singapore who graduated from the University of London in 2000. He obtained his membership to the Royal College of Surgeons of Edinburgh in 2003 and started working in Tan Tock Seng Hospital in 2003. He started his Advanced Specialist Training in 2005 and passed his fellowship exams in 2008. Dr Leong was awarded the prestigious MOH HMDP scholarship to train under Prof Kim Seon Hahn in Korea University for Laparoscopic and Robotic colorectal surgery in 2010.

Dr Leong is amongst a handful of hernia and colorectal surgeons in Singapore who practice Single Incision Laparoscopic surgery. This is a technical and complex procedure that is minimally invasive, speeds up recovery, and confers excellent cosmetic results. Dr Leong also routinely trains basic and advanced specialist trainees in laparoscopic surgery, and regularly proctors consultant surgeons in complex colorectal cases.

Beyond laparoscopic surgery, Dr Leong also performs a repertoire of minimally invasive General Surgery procedures. He is also an experienced endoscopist with more than 10000 procedures, performing diagnostic and therapeutic scopes for elective and emergency surgical conditions. He performs direct access colonoscopies and oesophago-gastro-duodenoscopy for patients and will strive to perform the procedures on the same day if possible for patients’ convenience.

Insurance

Our surgery is on the panel of most of the major insurance companies and if you are covered by corporate insurance, you may be entitled to a cashless visit to our clinic.