Seow-Choen Colorectal Centre Pte Ltd has presented a presentation on piles and its various types, signs, symptoms and treatments in Singapore. Dr. Seow Choen is a renowned colorectal surgeon and the owner of Seow-Choen Colorectal Centre Pte Ltd, Singapore. He graduated from National University of Singapore in 1981. He obtained his higher surgical qualifications in 1987. He established the first colorectal surgery department in Asia and offered the latest surgical techniques for surgeries. He along with his expert team provides all the treatment facilities at this centre and serves the patients until they become fit. Find more information here http://www.colorectalcentre.com/eng/piles.html

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. 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
Dr. Seow-Choen
Singapore Colorectal (Colon) Surgeon
MBBS, FRCSEd, FAMS

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