Dr Ho Kok Sun is an experienced colorectal surgeon at Ho Kok Sun Colorectal Centre in Singapore. Here, he shares a document that delineates the process to get rid of the pains of the piles. Come to know more about piles at http://www.hkscolorectal.com.sg/piles.html

1. How to Get Rid of Painful Experience of
Piles- HKS Colorectal Pte Ltd
http://www.hkscolorectal.com.sg

2. Piles treatment has certainly evolved over the period of time.
Take a look over here on some of the most effective treatment
done for piles as per its extremity level.
http://www.hkscolorectal.com.sg

3. How Does Piles Cripple You
• HKS Colorectal Pte Ltd., a well-known clinic provides
diagnostic and treatment services for such as endoscopy for
screening of cancer and polyps along with full range of colon
and rectum surgery for people suffering from various
diseases related to rectal area.
• When external or internal blood vessel in the anus starts to
swell, a person is said to suffer from piles. As a result blood
starts to clot in that part of the body and the pain is
incorrigibly horrific for the individual suffering the pain.
• The wall of the blood vessels in the anus gets stretched and
is thinned out and tends to break easily.
http://www.hkscolorectal.com.sg

4. • Once this happens, bleeding occurs. Repetitive 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.
http://www.hkscolorectal.com.sg

5. Various Steps of Piles
Piles (hemorrhoids) cases are usually considered four stages as
per its severity.
1) First degree is within the anal canal and there is no visible
lump on the outside.
2) Second degree occurs when it’s become bigger and bulge
out during bowel movement. However, the bulge disappears
once straining stops.
3) Third degree hemorrhoids bulge out during bowel
movement, but it stays out for a longer time before gradually
going back into the anus or the patient may push it back in
after bowel movement.
http://www.hkscolorectal.com.sg

6. 4) Fourth degree, this is the most advanced stage. The piles are
out of the anus all the time and cannot be pushed back in.
http://www.hkscolorectal.com.sg

7. Symptoms at a Glance
• Piles are mainly believed to be caused by the upright posture
of humans which raises the pressure in the veins and can
predispose humans to hemorrhoids.
• Other postulated factors include chronic constipation, aging,
pregnancy and childbirth.
• The causes of piles can lead to the following symptoms:
o Bleeding during bowel movements
o Lump at the anus coming out during bowel movements
http://www.hkscolorectal.com.sg

8. o Persistent lumps at the anus
o Itching in the anal area
o Pain
http://www.hkscolorectal.com.sg

9. Methods to Get Cured
• However with evolution in medical field, there is proper
treatment of piles now as well.
• Generally piles without any symptoms don't require any
treatment.
• Depending on the severity of the case, piles treatment is
recommended.
• For instance, in the first or second degree cases, symptoms
can be relieved by reducing straining during bowel
movement.
http://www.hkscolorectal.com.sg

10. • This could mean taking more fluids or laxatives. Oral
medication or suppositories may be given by the doctor to
relieve the symptoms.
http://www.hkscolorectal.com.sg

11. • However if that doesn’t work, then further treatment is
done:
o Ligation- the rubber band treatment
o Sclerotherapy –an injection is given to the area around the
piles. This method is relatively painless and causes the piles
to shrink.
o Ultrasound guided hemorrhoid artery ligation– uses an
ultrasound probe to locate the arteries. A stitch is then used
to tie off the artery. By interrupting the blood supply, the
hemorrhoid shrivels up.
http://www.hkscolorectal.com.sg

12. • For extreme level of cases (3rd and 4th stage)
Hemorrhoidectomy is the best method for the permanent
removal. It is usually used for 3rd or 4th degree piles or 2nd
degree that has failed other treatments such as ligation.
http://www.hkscolorectal.com.sg

13. To End
Many professional surgeons are now able to treat piles at early
stages and cure the patient by reliving them of the pain. Piles
when treated at the early stage, can prevent it from quickly
accelerating into extreme levels.
To Know more about piles do follow
www.hkscolorectal.com.sg/piles.html
http://www.hkscolorectal.com.sg

14. About Doctor & Clinic
Dr Ho KoK Sun
Colorectal Surgeon, MBBS (singapore),
FRCS (Edinburgh), MMED (Surgery),
FAMS (Surgery)
Clinic Address: Ho Kok Sun Colorectal,
3 Mount Elizabeth, #12-09 Mount
Elizabeth Medical Centre, Singapore
228510
Email: info@hokoksuncolorectal.com.sg
Tel: +65 6737 2778
Fax: +65 6737 2389
Website: www.hkscolorectal.com.sg
http://www.hkscolorectal.com.sg