Tham, thanks for the suggestions. You are really the hemorrhoid local expert here.

So anyway, after doing my own research. Eventually, I went to sunway medical, um and ramsay parkcity.

For UM, seeing the specialist only would require an appointment of 2 months. So skipped here.

For ramsay parkcity, the doctor did advice me to do stapler because he said one of my roid is too big for laser. Cause after laser, the roid will swell and cause massive pain for few days. This hospital is EXPENSIVE! Consultations alone without medication cost me almost RM300.

For Sunway medical, the doctor is DR Chong who used to be in UM. He is now in sunway. He gave me choice of using Laser or Stapler. I double checked with him if my roids are too big to use laser but he said it is okay.

From the few consultations and reading online, here are my conclusions:
Stapler - best method with balance between effectiveness and least pain. Cause the stapler will fix the whole circumference of the inner anus. Recovery is still bad for some people and there is a very very little chance for some people of "feeling something there" for the rest of your life cause it leaves the titanium staplers in your anus..

Laser - most modern method, effective and least pain but only for small roids.

Band Ligation - fast and simple for small roids. But a bit of suffering post surgery. Cheap too as basically only need local anesthetic.

Hemorroidectomy (cutting it off) - most effective for removing large roids but the recovery is super pain in the ass (literally). Some people suffer for 2 months and still not recover. Basically this is the last line of defence when all else fail. Never go for this method unless all other methods does not work.

Anyway, I already had my laser surgery for 4 days now. I must say the pain is mild and much less than band ligation I had previously. The wound is still bleeding a little and I try not to move too much. Already had 3 BM and all is good so far. I do still feel like something is still there but I really hope it will go away after some time.

So to those who are still in early stage...please go for the laser. It will save yourself a lot of pain an agony of other methods.

This post has been edited by abubin: May 15 2017, 11:30 PM

how is your condition now after laser surgery?
Laser u mean LHP? Laser hemoroid plasty?
How about side effect?
How about your roid now?
Thanks

Yup..LHP helped to reduce the hemorrhoids. Recover is like only 1 week. Super easy and no that painful during recovery.

Right now, I have another Prolapsed Hemorrhoid. I have to push it back every time after passing motion. It is still manageable now so I am holding out to getting it fixed.

where did u do ur laser? how much and were u required to stay overnight at the hospital?

the cyst can only be cut off?
i suspect i have it too.

Hi abudin,

Yes, don't rush for the fix.

I noticed not many ppl posting on hemmorrhoidectomy done by local colorectal surgeon. Not much info on this and sometimes when surgeon suggested surgery we are not sure whether to go for it.

I recently did a hemmoriodectomy surgery and fully regret on it. The healing process is long, and the complication of the surgery is much more compared to deal with the piles symptom.

I am past one month now and not able to have normal bowel like before. Stool are narrow, plus still pain on the wound site, also the anus area doesn't look the same anymore. It has many scar and looks ugly (i didnt know it will look so bad). I have the fecal incontinence i suspect my anus was injured during the surgery but i will check surgeon. When I was sitting, either solid stool, or watery or stool material will stain my pant without aware. I completely feel miserable and depressed.


I hope everyone will alert on this and do proper research and if surgeon gives you little information or you not comfortable with it. Don't go for the surgery. as during follow up visit, the way surgeon check on patient is observe first and see how. Why didn't they advise the same during consultation? observe the piles symptom first then only consider the surgery?

Do not feel bad if you cancelled any scheduled surgery, know your right. follow your heart.

Me too.. Last year,went to hospital, they say worst haemoroid, need operation... Then, my parent try to find another alternatif... thanks god, i got eating pill, and well in a week,,ahhaha

Hi zacka

Which hospital is that? What pill u took? Mind to share? I m still suffering from the operation.

I have concluded is that the ONLY way to alleviate the discomfort and get rid of them is a combination of the following two criteria:

1)Keep the area very very clean. As in get into the tub or use a hand held shower head to spray 'em down SEVERAL times a day. Warm water, a bit of gentle soap, and pat it dry and leave it in the open air until completely dry. The relief should come within a couple of baths, sometimes almost immediately.

2) Ramp up fiber intake. Once you get it healing from the outside in with the insane attention to cleanliness, you need to prevent a re-occurrence, and the affected tissues remain VERY prone to relapse for some time. Increasing consumption of water, fruit, vegetables, and a good source of fiber like a bran cereal or something is crucial in kicking them long term.

At the initial stage to relieve itching and pain can help hemorrhoid cream with lidocaine over the counter.

This post has been edited by nicolas99: Oct 1 2018, 05:57 PM

could u share where u got the eating pill?
how is your condition now?

Does external hemorrhoid happens immediately right after u r having constipation and have to strain during bowel movement?

Maybe u should go to see a gastroenterologist. I know some one good in kajang /cheras area. , Dr Lim in Bandar sungai long, he will treat u as much as possible and if possible no need to go for surgery. My problem resolved without needing as surgery , unlike the surgeon who always ask me to go for surgery .

This post has been edited by homosapien8888: May 14 2020, 08:36 PM

Hey bro,

You do need to continue using the proctosedyl. The steroid in it helps to relieve the itch and reduce the swelling - it is the first line treatment for haemorrhoids. The lignocaine or lidocaine in it is an anesthetic - helps to numb the area.

If cream is not good enough, try the suppositories instead.

Also, one thing with haemorrhoid is both constipation or diarrhea can worsen it - so make sure you are not overdoing your fibre. Another thing to remember is with fibre, you need to remember to drink a lot of water. Or else it could make you constipated.

Normally haemorrhoids will go away after some time.

But if it really doesnt go away, and it bothers you too much, then maybe get it surgically removed. Avoid using toilets where you need to be squatting use the ones with a seat.
Hope this helps

Hi, may I know how's your Hemorrhoid condition now? Do you still have stenosis from time to time?

Luckily the stenosis largely improved, about 70 percent,
after a few months.

Whenever you cut any part of the body, the scar which
forms back is usually harder than natural skin, so there
will be bound to be some stenosis or narrowing

Your anus is obviously not as elastic or can
stretch as when it was new.

The external hemorrhoid is still there, and at times
does bother me, especially when I have diarrhea
or constipate (I have IBS since my young days).

One of these days, I think I will have to get it removed.

If you are planning to have surgery, ask the surgeon
to use the harmonic scalpel, Ligasure or one of the
new generation thermal scissors. Do not choose the
staple.

My ex-schoolmate's (Dr Yap Boon Hung in Tung Shin)
late father had hemorrhoidectomy three times.

I did the stapled surgery 7 weeks ago for my stage3 hemorrhoid. Surprising no pain even on the first bowel movement. I had constipation during the 3rd to 4th week after that no more issue. I have external piles too but so far it didn't bothering me although it will itch from time to time. I hope it will improves and won't get any worst. Pray Pray!!!

Looks like the surgeon did a good job.

Who is the doctor and which hospital ?

Dr Khoo, Penang Lam Wah Ee Hospital.

Hi Tham, is this an alternative to Daflon?

Roughly how much would the procedure cost now? Just want to know more in case if anything... touchwood