Treatment of Hemorrhoids:

Depends on Grade and severity of hemorrhoids

If only bleed only

  • They are early i.e.: Grade 1 and 2
  • Conservative medical, lifestyle modification
  • Rubber band ligation

If prolapse and bleed

  • They are advanced i.e., Grade 2,3 and 4
  • Surgical treatment


Lifestyle advice

Eat high-fibre foods

  • Avoid food and medication causing diarrheal or constipation
  • Eat more fruits, vegetables, and whole grains. Doing so softens the stool and increases its bulk, which will help you avoid the straining that can cause haemorrhoids. Add fibre to your diet slowly to avoid problems with gas.

Drink plenty of fluids

Drink plenty of fluids.

Fibre supplements

  • Fiber intake should be increased to 25 to 30 grams per day psyllium or hydrophilic colloid are often required
  • Most people don't get enough of the recommended amount of fibre — 20 to 30 grams a day — in their diet. Studies have shown that over-the-counter fibre supplements, such as psyllium (Metamucil) or methylcellulose (Citrucel), improve overall symptoms and bleeding from haemorrhoids.
    If you use fibre supplements, be sure to drink at least eight glasses of water or other fluids every day. Otherwise, the supplements can cause or worsen constipation.

No straining at defecation

  • Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum.
  • Squatting position is better with hip flexed at 30 degrees. This can be achieved by slightly lower toilets or placing a stool under feet while sitting on toilet.

Avoid delaying urge to open bowels

  • If you wait to pass a bowel movement and the urge goes away, your stool could dry out and be harder to pass.

Regular exercise

  • Stay active to help prevent constipation and to reduce pressure on veins, which can occur with long periods of standing or sitting.
  • Exercise can also help you lose excess weight that might be contributing to your haemorrhoids.
  • Walking daily up till 30 minutes /day is a good start. This helps with bowels to move and stay active

Avoid long periods of sitting

  • Sitting too long, particularly on the toilet, can increase the pressure on the veins in the anus.

Rubber Band Ligation of Haemorrhoids

  • More effective grade 2 and early grade 3 internal haemorrhoids
  • May be followed by pain for up to48 h but Infection and life-threatening haemorrhage uncommon risk
  • It is more successful than sclerotherapy for the treatment of haemorrhoids and is well-tolerated procedure
  • The complication rate of rubber band ligation is less
  • Minor bleeding and vasovagal reaction can occur immediately after the procedure
  • If patient experiences pain – band has been applied too low and may need to be removed
  • Pain developing in 1 – 2 days may be due to ischemia
  • Relief with analgesia and metronidazole

Surgical Treatment

1. Standard Haemorrhoidectomy
2. Staple Haemorrhoidectomy
3. Ligasure Haemorrhoidectomy

Surgical treatment for grade III and IV hemorrhoids and is superior to any proposed conservative procedure
But pain is an issue esp.

  • Post-operative pain
  • Pain on defecation
  • Prolonged sphincter spasm

Ligasure Haemorrhoidectomy

Ligasure is a new energy device that uses precisely calculated and focused energy delivery to achieve the desired tissue effect.

It uses minimal amount of energy to cut tissue, resulting in less collateral damage to surrounding tissues and it cuts and coagulates and seal tissue at the same time.

General Surgery


First Consultation


Additional Consultations


Curette and Cautery of a Skin Cancer


Removal of a skin lesion by shave excision or diathermy


Intralesional Corticosteroid Injection



$500 Known gap


$500 Known gap

Anti-Reflux Surgery/ Hiatus Hernia Repair

$500 Known gap

Endoscopic Pilonidal Sinus Surgery

$300 gap/ If uninsured, a surgical fee of $ 850 is payable.


No gap


No gap

Emergency Surgery After Hours

$500 Known gap

Cancellation Fee Within 24 Hours