Hemorrhoids Treatment in Malaysia

Second- and third-trimester pregnancy haemorrhoids are common. The reasons are constipation, increased blood supply, hormonal changes that relax blood vessels, and elevated pressure from the enlarged uterus. These causes can lead to the swelling of the rectal veins and haemorrhoids. Though they often improve after delivery, it is essential to treat them with a diet high in fibre, drink plenty of water, and not strain. For information about safe treatment options during pregnancy, always speak with your healthcare professional.

Yes, haemorrhoids can often be treated without surgery through dietary changes, such as consuming more fibre-rich foods and drinking plenty of water. Stool softeners, cold compresses, warm sitz baths, and topical drugs can all help with symptoms. Surgery is generally a last resort, though procedures such as rubber band ligation may be required in more serious cases.

While some pain after haemorrhoid surgery is possible, it is usually bearable using the proper care and medication. Patients can experience pain, swelling, and discomfort upon bowel movements for a few days to one week after the procedure. Prescribed pain medication, stool softeners, and warm sitz baths can all treat pain.

After the operation, most patients receive noticeable relief of symptoms, yet recovery is complete within a few weeks. Always follow your physician's post-operative guidelines to minimise discomfort and promote healing.

Yes, haemorrhoids can cause complications such as blood clots (thrombosis), chronic bleeding leading to anaemia, infection, or strangulation (where an internal haemorrhoid gets trapped and loses its blood supply). Early treatment can prevent these complications and enhance comfort.

The severity and duration of treatment may influence the time it takes for haemorrhoids to heal. Mild haemorrhoids treated at home with sitz baths, local medications, and a diet high in fibre resolve symptoms in a few days to a week. Healing may take two to three weeks for more serious cases, especially if surgery or other treatments are required. Frequent care and following your doctor's advice can enhance the recovery process.

The main difference between internal and external haemorrhoids is where they are located:

Internal haemorrhoids exist within the rectum and, unless they prolapse (bulge) outside the anus, are generally not painful or visible. Unless thrombosed or prolapsed, they often don't hurt, although they can cause rectal bleeding on defecation.

External Hemorrhoids: These are palpable and located under the skin around the anus. They can lead to swelling, itching, or bleeding and are uncomfortable, especially when thrombosed (with blood clots) or inflamed.

You can still work out if you have haemorrhoids, but it's important to select exercises that will not exacerbate the disease. Low-impact forms of exercise, such as yoga, swimming, and walking, are generally safe and can reduce pressure on the rectum, promote circulation, and decrease constipation.

One standard non-surgical treatment for internal haemorrhoids is rubber band ligation. One or two tiny rubber bands are applied around the bottom to cut the blood supply to the haemorrhoid. The haemorrhoid then dries up and comes out in a few days to a week. The procedure is suitable for mild to severe haemorrhoids and is often carried out under local anaesthesia in a physician's clinic. It has a brief recovery time, is the least invasive, and has a low risk of complications.

If the cause, like habitual constipation, straining to have a bowel movement or diet, is not corrected, haemorrhoids can come back after treatment. Lifestyle habits and rectal vein pressure may lead to recurrence even after successful therapies such as surgery or rubber band ligation. Maintaining a high-fibre diet, having adequate fluid intake, avoiding straining, and exercising regularly enhance regular bowel movements to reduce the likelihood of haemorrhoids returning.

In fact, with numerous options depending on the severity and nature of treatment, haemorrhoids can be treated at a lower cost in Malaysia compared to Western countries.

Haemorrhoids may be prevented by consuming a high-fibre diet, drinking plenty of water, avoiding prolonged sitting, and exercising to help relieve constipation and reduce pressure on the rectal veins.