In the infinity of life where I am, all is perfect, whole, and complete. – Louise L. Hay

What is piles or Haemmoroids?

Haemorrhoids, also called piles, are clumps of veins in and around your anus and lower rectum that can stretch and bleed with pressure. They are similar to varicose veins and cause discomfort when they swell or bulge. Haemorrhoids can develop inside the rectum or under the skin around the anus.

Possible Causes:

Haemorrhoids or Piles are swollen veins in the anus or lower rectum. If they develop inside the rectum, they are called internal haemorrhoids, and if they develop under the skin around the anus, they are called external haemorrhoids.

Haemorrhoids could be caused due to an increase in the pressure in the lower rectum. Some factors that contribute are:

  • Straining during bowel movements.
  • Sitting for long periods of time on the toilet.
  • Chronic diarrhoea or constipation.
  • Obesity.
  • Pregnancy.
  • A low-fibre diet.
  • Regularly lifting heavy loads.

Risk Factors:

You may be at a higher risk of suffering from haemorrhoids if the following factors are present:

  • A family history of haemorrhoids could increase your risk of getting them.
  • Pregnancy increases the risk of haemorrhoids, as does obesity.
  • The presence of causes, such as constipation, or regularly lifting heavy loads or constipation, increases your risk.
  • Standing for long periods increases the risk of haemorrhoids.

Signs & Symptoms: 

The symptoms of haemorrhoids are itching, swelling and pain around the anus. You may have blood or pain during bowel movements. Faecal leakage is also a symptom.


The specialist at Medcare will diagnose haemorrhoids or piles with a visual exam and an internal exam. The doctor may advise an additional diagnostic test called a sigmoidoscopy for an internal view.

Treatment Options: 

Visit Medcare to start on the right haemorrhoids treatment and set your mind at rest. Although haemorrhoids are rarely dangerous, they can be a recurring and painful problem, so treatment is necessary.

The first thing that you should do is make certain lifestyle changes, removing possible contributing factors. Eat a diet that facilitates soft bowel movement and get moderate exercise.

Your doctor may advise you to soak your buttocks and hips using warm water in a ‘sitz bath’ and you may be prescribed some creams to be applied for pain relief. If these remedies do not help, or haemorrhoids are bleeding a lot, your doctor may advise a procedure to treat them.

At Medcare, we utilize several laser-based methods to treat all different stages/types of haemorrhoids, these laser-based methods are time tested, safe, extremely effective and bypass most conventional surgery complications and pain. In fact 85% of the haemorrhoids cases we treat are completed within less than 10 minutes. 

The treatment involves no cutting or removal of any tissue, but simply surface laser application or EndoLaser ablation of the haemorrhoids or ultrasound guided ligation of haemorrhoids or a combination of all these methods.

In some cases, it may be necessary to perform a surgery to remove the haemorrhoids. An alternative to traditional surgery is stapled haemorrhoidopexy or a minimally invasive procedure is rubber band ligation. Your doctor will know which treatment is most suitable for your condition.

FAQs:الأسئلة الشائعة:
  • I know that many people suffer from piles. Do I really need treatment, or do haemorrhoids go away on their own?

    A: The pain and bleeding from haemorrhoids can be a recurrent discomfort, so you will want relief. In some cases, haemorrhoids may lead to complications, such as strangulated or thrombosed haemorrhoids. So it’s best to seek medical advice and follow the line of treatment.

  • How will exercising help my haemorrhoids?

    A: Exercising can reduce the pressure on veins, which builds up due to long periods of sitting or standing. If you are overweight, exercise can help you to lose weight. Being active and fit also helps to prevent constipation, so it’s helpful for haemorrhoids.

  • If I experience bleeding during bowel movements, can I know for sure that I have piles?

    A: No, actually there are many medical conditions that may cause this, and some of them are serious. So don’t assume that you have piles, meet your doctor and get a proper diagnosis.

  • I have had haemorrhoids in the past. Should I take fibre supplements?

    A: Fibre is good for your health; it prevents constipation and normalises bowel movements. It’s best if you can get fibre from food, such as fruits, vegetables and beans. However, if you feel you are not getting enough from food, you can opt for fibre supplements.

  • Can I avoid the surgery? Can it be dangerous?

    A: If untreated, haemorrhoids may cause complications such as anaemia which may cause generalized weakness from the chronic blood loss during defecation. There is a risk of developing strangulated haemorrhoids where the blood supply of a prolapsed pile gets occluded by the constriction of the anal sphincter

  • Can we really get rid of haemorrhoids without the painful surgery?

    A: Laser haemorrhoids treatment represents the single best advanced procedure that occurred in haemorrhoids treatment during the last decade. It is easy, painless, fast and very effective with permanent results. All patients can return to work and their normal daily activities on the same day of their treatment.

  • What do I feel during the procedure?

    A: It's like taking a small nap! All you will feel is a small needle prick during your preparation for the procedure. The entire surgery takes about 30 minutes.

  • What do I expect after my haemorrhoids treatment?

    A: After your treatment, the nurse will go over few instructions and you will be given a prescription for few medications and an appointment for a post-operative check-up by the doctor few days later. 

    The majority of patients do not feel the need to take any pain medications, some they need a mild analgesic. We advise most patients to do warm sitz bath twice a day for the few days following the treatment and we prescribe a stool softener for two weeks.

  • When can I go home after laser haemorrhoids treatment?

    A: If your operation is planned as a day care procedure, you can go home as soon as the effect of the anaesthetic has worn off, you have passed urine and you are comfortable, eating and drinking. Since a general anaesthetic is used, it is advisable that a responsible adult takes you home and stays with you for 24 hours. 

    Before you are discharged, you will be advised about post-operative care, painkillers and laxatives.

  • What are my visits to the toilet going to be like?

    A: You will normally open your bowels within 2-3 days of your operation. This may be uncomfortable at first and there could be a sense of 'urgency'(need to rush to the toilet). You may notice mild blood loss after each bowel movement, but this will gradually reduce over the next few days. Maintain hygiene and wash and keep the wound clean. 

    It is important to maintain a regular bowel movement that should be well formed but soft. You may need to take prescribed laxatives for 2-4 weeks. Eating a high fibre diet and increasing water / fluid intake will help.

  • When will I get back to my routine activities?

    A: You can return to normal physical when you feel comfortable. You can return to work usually by the 5th day after the surgery, although this also depends on the type of work you do.