Blog - Colorectal Clinic Associates Singapore

When to Worry About Anus Irritation: Causes and Treatments

Mon, 27 Apr 2026 20:32:34 GMT

Experiencing irritation around the anus is uncomfortable and embarrassing to talk about. While it may be caused by something minor, such as poor hygiene or a skin reaction, anus irritation can also signal a more serious condition that needs medical attention.

In this article, we explain what causes anus irritation , when it is time to worry, and what treatment options are available in Singapore to help you find relief.

What Is Anus Irritation?

Anus irritation refers to itchiness, burning, discomfort, or soreness in the area around the anus. The irritation may range from mild itching to more intense discomfort that interferes with daily activities, such as walking or sitting.

Some individuals may also experience redness, swelling, discharge, or minor bleeding, depending on the underlying causes.

Common Causes of Anus Irritation

Several common issues can lead to irritation around the anus. Understanding these causes can help you decide whether the problem can be managed at home or needs medical evaluation.

Haemorrhoids

Haemorrhoids are swollen veins in the rectum or anus that can cause pain, itching, swelling , and irritation, especially during or after bowel movements. They are often associated with constipation, pregnancy, or prolonged periods of sitting.

Anal Fissures

An anal fissure is a small tear in the skin lining the anus. It usually results from passing hard stools or straining during bowel movements. Fissures can cause sharp pain, bleeding, and anus irritation that worsens with each bowel movement.

Poor Hygiene or Over-Cleaning

Not cleaning the anal area properly can irritate the skin due to leftover faecal matter. On the other hand, over-cleaning can dry out and damage it, leading to redness and itching.

Skin Irritations and Allergies

Reactions to scented toilet paper, soaps, lotions, or laundry detergents may cause anal skin irritation. Individuals with sensitive skin or eczema are particularly susceptible to irritation from these triggers.

Infections

Bacterial or viral infections, such as sexually transmitted infections (STIs), can lead to discomfort, redness, and itching in and around the anus. Some infections may also cause discharge or pain during bowel movements.

Fungal Infections

Fungal overgrowth, particularly Candida , can affect the moist area around the anus, resulting in persistent itching and a rash-like irritation. This is more common in people with diabetes, obesity, or compromised immune systems.

Proctitis

Proctitis is inflammation of the rectal lining. It may be caused by infections, inflammatory bowel disease, or radiation therapy. Symptoms include rectal pain, bleeding, discharge, and anus irritation.

Anal Abscess or Fistula

An abscess is a painful collection of pus near the anus, while a fistula is an abnormal tunnel that forms between the anal canal and the skin. Both conditions can cause swelling, throbbing pain, anus irritation, and even fever.

When Should You Worry About Anus Irritation?

While some cases of anus irritation can resolve with basic care, certain warning signs may indicate a more serious problem:

Persistent irritation that doesn't improve after a few days
Severe pain or bleeding during bowel movements
Visible swelling, lumps, or discharge from the anus
Fever or signs of infection
Recurrent episodes of itching or soreness
History of anal abscesses, fistulas, or inflammatory bowel disease

If you notice any of these signs, seek medical advice. Early diagnosis and treatment can prevent complications and lead to faster relief.

When to See a Doctor

You should see a doctor if:

The irritation lasts more than a week
Over-the-counter treatments provide no relief
You have additional symptoms such as pain, bleeding, or discharge
There is a history of gastrointestinal or skin conditions
You notice changes in bowel habits, such as incontinence or constipation

Diagnosing The Cause of Anus Irritation

Treatment depends on the underlying cause. Common options include:

Topical creams and ointments to soothe itching and inflammation (e.g., hydrocortisone or antifungal creams)
Sitz baths —warm water baths that reduce discomfort and promote healing
Oral medications for infections, inflammation, or pain management
Lifestyle changes , such as improving hygiene, using fragrance-free products, and adjusting diet
 Minor surgical procedures to treat haemorrhoids, fissures, or fistulas if conservative treatments fail

Preventing Anus Irritation

You can reduce your risk of anus irritation by making a few simple changes:

Clean the anal area gently with warm water, avoid scrubbing or harsh soaps
Use unscented toilet paper and avoid chemical-laden wipes
Stay hydrated and eat a high-fibre diet to prevent constipation
Avoid prolonged sitting or wearing tight clothing for long periods
Treat underlying conditions like haemorrhoids or skin disorders promptly
Practice safe sex to prevent infections

Maintaining good hygiene and being mindful of irritants can go a long way in keeping the anal area healthy and irritation-free.

See a Doctor for Your Symptoms

Don't let ongoing anus irritation disrupt your daily life. At Colorectal Clinic Associates , we are trained to get to the root of the problem so you can start healing.

From simple skin irritations to more serious conditions, such as fissures, abscesses, or infections, we provide tailored treatments that bring relief. Take the first step toward feeling like yourself again. Book a consultation today .

What Is GERD and Why Won't Your Heartburn Go Away?

Fri, 24 Apr 2026 07:48:19 GMT

Everyone experiences occasional heartburn from time to time. But when it becomes a frequent or chronic issue, it could be a sign of something more concerning: gastroesophageal reflux disease, or GERD.

If you have been struggling with a burning sensation in your chest that doesn't seem to go away, it may be time to see a doctor. Let's examine GERD, its symptoms, causes, and long-term effects on your health.

What Is GERD?

GERD stands for gastroesophageal reflux disease, a gastrointestinal condition characterised by stomach acid that flows back into the oesophagus. This backwards flow, known as acid reflux, irritates the oesophageal lining and typically causes heartburn or discomfort. While occasional acid reflux is common, doctors diagnose GERD when symptoms occur at least twice a week or interfere with daily life.

Over time, prolonged exposure to stomach acid can damage the oesophagus and lead to complications if left untreated.

Symptoms of GERD

Heartburn is the most common symptom of GERD. However, GERD can also present with other symptoms, including:

A sour or bitter taste in the mouth (acid regurgitation)
Difficulty swallowing
A sensation of a lump in the throat
Chronic cough or sore throat
Hoarseness, especially in the morning
Chest pain (not related to the heart)
Nausea or frequent burping

In some people, GERD symptoms may mimic those of other conditions, such as heart disease or asthma, which can make it harder to identify without a professional diagnosis.

Why Does GERD Happen?

GERD occurs when the lower oesophageal sphincter (LES), a ring of muscle at the bottom of the oesophagus, becomes weakened or relaxes inappropriately. This makes it easy for stomach contents to flow back up into the oesophagus.

Over time, this repeated reflux can damage the oesophageal lining and lead to inflammation, ulcers, or even precancerous changes.

Risk Factors

Several factors may increase your chances of developing GERD:

Obesity : Excess weight presses on the stomach, encouraging acid reflux.
Pregnancy : Hormonal changes and increased abdominal pressure can trigger symptoms.
Smoking : Tobacco weakens the LES and increases acid production.
Certain foods and drinks : Spicy foods, caffeine, alcohol, chocolate, and fatty meals can trigger reflux.
Hiatal hernia : A structural abnormality that affects the position of the stomach and LES.
Medications : Some drugs, such as painkillers, muscle relaxants, or blood pressure medications, can worsen reflux.

How GERD Can Affect Your Health

When left untreated, GERD can lead to more than just discomfort. Chronic acid exposure can cause:

Esophagitis : Inflammation of the oesophagus, which may lead to bleeding or ulceration.
Stricture : Scar tissue that narrows the oesophagus, making swallowing difficult.
Barrett's oesophagus : A condition characterised by changes to the lining of the oesophagus, heightening the risk of oesophageal cancer.
 Respiratory problems : Refluxed acid can be inhaled into the lungs, causing chronic cough, asthma-like symptoms, or even pneumonia.

When Should You Seek Help?

If you experience heartburn or other reflux symptoms more than twice a week, or if symptoms persist despite lifestyle changes or medication, it is time to seek medical attention. Other warning signs include:

Difficulty or pain when swallowing
Unintentional weight loss
Vomiting blood or having black, tarry stools
Chest pain that doesn't improve with antacids
Persistent coughing or hoarseness

These symptoms could point to more serious gastrointestinal conditions and should not be ignored.

How GERD Is Diagnosed

A gastrointestinal (GI) specialist will begin with a review of your symptoms, lifestyle, and medical history. If GERD is suspected, the doctor may recommend more tests to confirm the diagnosis or assess damage. These may include:

Upper endoscopy (gastroscopy) : The endoscope is inserted through the mouth to examine the oesophagus, stomach, and upper small intestine.
pH monitoring : Measures acid levels in the oesophagus over 24 hours.
Oesophageal manometry : Assesses the muscle function of the oesophagus.
Barium swallow : An X-ray imaging test that highlights the upper GI tract.

What Happens During a Gastroscopy?

Gastroscopy is a common and minimally invasive procedure used to diagnose GERD and other upper GI conditions. The medical team will give you a mild sedative to help you relax, so the doctor can gently guide a flexible tube through your mouth and down into your stomach.

The endoscope transmits high-resolution images to a monitor, enabling the doctor to check for signs of inflammation, ulcers, or other abnormalities.

The procedure usually spans about 15 to 30 minutes, and most patients can go home the same day. If necessary, small tissue samples (biopsies) may be taken for further analysis.

How to Manage GERD

Managing GERD starts with lifestyle changes, such as:

Eating smaller, more frequent meals
Avoiding trigger foods like caffeine, alcohol, spicy or fatty foods
Maintaining a healthy weight
Raising the head of your bed to reduce nighttime reflux
Avoid lying down right after meals
Quitting smoking

Doctors may also prescribe medications to control stomach acid and promote healing.

In cases where lifestyle changes and medication have not been successful, or when complications are present, surgery may be considered.

Consult a Gastrointestinal Specialist in Singapore

If you are struggling with persistent heartburn or other symptoms of GERD, don't wait for them to become a bigger issue. At Colorectal Clinic Associates, our gastrointestinal specialists are experienced in diagnosing and managing GERD using evidence-based methods and patient-centred care.

With access to diagnostic tools like gastroscopy and pH monitoring, we can uncover the cause of your symptoms and guide you through a personalised treatment plan.

Schedule a consultation today for a gastroscopy screening.

Bloating, Fatigue, Constipation: The Colorectal Cancer Symptoms Women Often Dismiss

Thu, 23 Apr 2026 06:22:09 GMT

Colorectal cancer is the second most common cancer among women in Singapore, but its symptoms are often mistaken for other conditions and screening is frequently overlooked. Dr Calvin Ong highlights that if symptoms persist, it’s important to seek medical advice early rather than delay.

Quick Tips for a Faster Recovery from Minimally Invasive Gallstones Surgery

Fri, 10 Apr 2026 05:25:55 GMT

Recovering from minimally invasive gallstones surgery may be quicker and less painful than traditional open surgery. Still, it requires attention and care. In this article, we share how you can support your body's healing process and return to normal activities comfortably and safely.

Follow Your Doctor's Post-Op Instructions

Your surgeon's post-operative instructions are not just suggestions; they are essential guidelines based on your unique medical needs. You will likely be advised on medication use, activity restrictions, wound care, and follow-up appointments.

Take these instructions seriously. If you are ever unsure about something, contact your care team and seek clarification.

Prioritise Rest in the First Few Days

While the incisions from minimally invasive gallstones surgery are smaller and heal faster than larger cuts, your body still needs time to recover from the procedure. In the first 24 to 72 hours post-surgery, you might feel groggy, sore, or drained. That is completely normal.

Don't rush to resume work, household chores, or strenuous activity; doing so may slow your recovery.

Hydrate and Eat Nutritious Foods

After gallstones removal , your digestive system will need time to adjust, especially in the way it processes fats. Start with light, easily digestible meals and gradually reintroduce more complex foods as tolerated. Drink plenty of water throughout the day to stay hydrated and support detoxification and tissue repair.

Foods that contain vitamins A and C, zinc, and protein can facilitate healing and reduce inflammation.

Manage Pain Effectively

Some degree of pain or discomfort is expected following surgery, especially around the incision sites or at your shoulder, due to the carbon dioxide gas used during laparoscopic procedures. Take prescribed painkillers as directed, or use over-the-counter options if recommended.

Gentle walking and applying a warm compress (avoiding the incision) can also relieve discomfort. Consistent pain management improves comfort and also makes it easier for you to move around.

Gradually Increase Physical Activity

Being mobile soon after surgery—usually within a day—helps promote blood circulation and lower the risk of blood clot formation in your lower limbs. Start with slow walks around your home and gradually increase your activity level over the following days and weeks.

Do not carry heavy objects or do strenuous exercise until your doctor gives the go-ahead. Gentle movement is more beneficial than doing too much too soon.

Keep Your Surgical Site Clean and Monitored

Your incisions may be small, but they still need careful attention. Keep the area clean and dry, and follow instructions on when you can shower and how to dress the wounds, if required.

Watch for redness, swelling, unusual discharge, or warmth at the incision site. If you notice these signs of infection, contact your healthcare provider promptly.

Avoid Smoking and Alcohol

Smoking can impair wound healing by reducing oxygen supply to tissues, while alcohol can interfere with medications and dehydrate your body. If you smoke, consider using your recovery time as an opportunity to quit—a move that supports long-term health and healing.

Similarly, avoid alcohol until your doctor confirms it is safe. Clean living, even temporarily, helps your immune system work more efficiently during recovery.

Be Patient and Listen to Your Body

One of the most important aspects of healing is listening to your body's signals. Fatigue, discomfort, or loss of appetite are messages that your body needs rest, care, and time. Some people bounce back quickly, while others take several weeks to feel like themselves again.

Rather than comparing your progress to others', focus on making small, steady improvements. Your body knows how to heal, so treat it with the patience it deserves.

Monitor for Changes and When to Reach Out to Your Doctor

While most patients recover smoothly from minimally invasive gallstones surgery, it's essential to stay vigilant for signs that may indicate a complication. Contact your doctor immediately if you notice:

Fever above 38°C (100.4°F) – This could indicate an infection.
Persistent or worsening abdominal pain – Especially if it is severe or different from your expected post-op discomfort.
Redness, swelling, or discharge at incision sites – Signs of a possible wound infection.
Yellowing of the skin or eyes (jaundice) – This may suggest a bile duct issue or liver concern.
Nausea or vomiting that doesn't go away – Could point to a digestive complication or infection.
Inability to pass gas or have a bowel movement after several days – May signal a blockage.
Excessive bloating or abdominal swelling – Especially if accompanied by discomfort or tenderness.
Unusual fatigue or weakness – Beyond the normal tiredness expected during recovery.

It is always better to err on the side of caution. Early medical attention can make a difference in resolving issues safely.

Minimally Invasive Gallstones Surgery in Singapore

Recovering from minimally invasive gallstones surgery is usually smooth when you follow medical advice, rest, eat well, and ease back into activity.

At Colorectal Clinic Associates , our specialised team offers expert care and dedicated recovery support—guiding you through every step with clear instructions to help you heal quickly and comfortably.

If you are considering gallstone removal surgery in Singapore, book a consultation with us.

What to Expect During Your First Gastroscopy Screening

Fri, 27 Mar 2026 09:20:50 GMT

If your doctor has recommended a gastroscopy , you may be feeling uncertain about what to expect. Medical procedures, especially those involving scopes or sedation, can be intimidating at first glance.

The truth is, the more you understand the process, the more confident and comfortable you will feel walking into your appointment. In this article, we share information about gastroscopy screening, how to prepare, and what happens during and after the procedure.

What Is a Gastroscopy?

Visualisation Tool

A gastroscopy is a diagnostic procedure to allow doctors visual access to the lining of the oesophagus, stomach and the first part of the small intestine (duodenum). The gastrointestinal specialist will use a long, thin, flexible tube called a gastroscope, which is fitted with a tiny camera and light at the tip.

Detects abnormalities

They will gently pass the gastroscope through the mouth and down into the stomach. The camera sends live images to a monitor, helping the specialist identify any inflammation, ulcers, tumours, or structural abnormalities.

Minimally-invasive

A gastroscopy is minimally invasive, and doctors usually perform it as an outpatient procedure, which means you can go home on the same day. In some cases, doctors may take small tissue samples (biopsies) during the gastroscopy for laboratory analysis.

Why You Might Need a Gastroscopy

Your doctor might recommend a gastroscopy if you're experiencing persistent symptoms such as:

Chronic or severe heartburn
Unexplained nausea or vomiting
Difficulty swallowing (dysphagia)
Upper abdominal pain
Gastrointestinal bleeding
Unexplained weight loss

Gastroscopy can help detect conditions like gastritis, ulcers, gastroesophageal reflux disease (GERD), celiac disease, and even early signs of gastrointestinal cancers.

It provides clear, visual confirmation of what's going on in your digestive tract, offering vital information that other tests may miss.

Preparing for Your Appointment

Being prepared helps ensure a smooth procedure and accurate results. Before your gastroscopy, your healthcare provider will give you specific instructions, but here are the general steps you can expect:

Fasting: You should stop eating and drinking for at least 6 to 8 hours before your appointment. An empty stomach is ideal for clear visibility.
Medication review: Inform your doctor about all medications you are currently taking, especially:
Blood thinners (e.g., warfarin, aspirin)
Diabetes medications
Supplements or herbal remedies
Allergies and medical history: Be sure to disclose any allergies, particularly to medications or anaesthesia, and any underlying health conditions such as heart or lung disease.
Arrange transportation: If you are receiving sedation, you will be advised not to drive afterwards. Plan for someone to accompany you to and from the clinic or hospital.
Wear comfortable clothing: Choose loose-fitting clothing and leave valuables at home. You may be asked to change into a gown for the procedure.

What Happens During the Procedure

On the day of your gastroscopy, the care team will guide you through the process to ensure you feel informed and comfortable.

Arrival and preparation: The medical team will bring you to the procedure room and ask you to lie on your side. A nurse will usually use a local anaesthetic spray to numb your throat and administer a mild sedative through an IV to help you relax.
Insertion of the gastroscope: The doctor will gently insert the thin, flexible gastroscope through your mouth and guide it down the oesophagus into the stomach and the duodenum. You may feel slight pressure or a sensation of fullness, but the sedative should keep you relaxed and pain-free.
Visual examination: As the camera at the tip of the scope sends live images to a monitor, the doctor carefully examines the lining of your upper digestive tract for any abnormalities such as inflammation, ulcers, or unusual growths.
Biopsy, if needed: If necessary, the doctor may take small tissue samples (biopsies) using instruments passed through the scope. This process is painless and usually does not cause bleeding or discomfort.
Duration: The whole procedure usually takes less than 15 minutes, though you'll spend additional time in recovery if sedation is used.

What to Expect After a Gastroscopy

After the procedure, you will be moved to a recovery area where nurses will monitor you as the sedative wears off. You may feel drowsy or slightly groggy for a few hours. Some patients report a mild sore throat, bloating, or gas—these symptoms typically resolve within a few hours.

Avoid eating or drinking until the numbness in your throat wears off. After that, you can eat normally, unless your doctor advises otherwise.

Getting Your Results

In many cases, your doctor will discuss preliminary findings with you shortly after the procedure. If biopsies are taken, the lab results may be processed in a few days to a week.

The results will help your gastrointestinal specialist identify the cause of your symptoms. If a diagnosis is made, your doctor will explain treatment options and guide you through the next steps in your care.

Seeing Blood in Your Stool? Here Is What It Could Mean

Tue, 10 Mar 2026 03:05:25 GMT

Noticing blood in your stool can be a frightening experience. While it may be caused by something minor, such as haemorrhoids, it could also signal a more serious condition in your digestive tract.

In this article, we will explore the common reasons for blood appearing in stool and discuss the available treatment options.

Common Causes of Blood in Stool

Haemorrhoids

Haemorrhoids are swollen cushions containing blood vessels in the anorectal region that can bleed during bowel movements. They may also cause anus swelling and irritation, especially after straining or prolonged sitting.

Anal Fissures

Gastrointestinal Bleeding

Bleeding can occur anywhere along the digestive tract, from the oesophagus to the rectum. Depending on the source, the blood may appear bright red or dark and tarry. Upper GI bleeding often results in black tarry stools, while lower GI bleeding typically causes red or maroon-coloured blood.

Diverticulosis / Diverticulitis

Diverticulosis occurs when small pouches (diverticula) form in the colon wall. These are often harmless, but if they become inflamed or infected, a condition known as diverticulitis, they can cause bleeding, abdominal pain, bloating, and changes in bowel habits.

Ulcers

Stomach ulcers, also known as duodenal ulcers, can bleed into the gastrointestinal tract. This type of bleeding typically results in black, tar-like stools due to the digestion of blood as it passes through the gastrointestinal tract.

Colorectal Polyps or Cancer

Polyps are growths on the lining of the colon or rectum that can sometimes bleed. While many are benign, some may develop into colorectal cancer. Bleeding from colorectal cancer can go unnoticed until the condition has progressed, making regular screening essential.

Infection

Certain infections, such as bacterial, viral, or parasitic, can cause inflammation in the intestines that leads to bloody diarrhoea. These are often accompanied by other symptoms, such as fever, cramps, and urgency.

Inflammatory Bowel Disease (IBD)

IBD includes Crohn's disease and ulcerative colitis, both of which can cause inflammation and ulcers in the digestive tract. Bloody stools, abdominal pain, weight loss, and fatigue are common symptoms.

When Should You Be Concerned About Blood in Your Stool?

While minor rectal bleeding may go away on its own, certain symptoms should never be ignored:

Recurring or persistent blood in your stool
Significant pain, weight loss, or fatigue
Changes in bowel habits (e.g. persistent constipation or diarrhoea)
A personal or family history of colorectal cancer or polyps

If you experience any of these symptoms, consult a specialist. Early detection can be critical, especially if the bleeding is due to a more serious condition like colorectal cancer or IBD.

How is the Cause of Blood in the Stool Diagnosed?

To determine the source of bleeding, your doctor may perform:

A digital rectal exam and anoscopy / proctoscopy to check for haemorrhoids or fissures
A stool test (e.g. FOBT) to detect hidden blood
A colonoscopy to examine the colon and rectum
An endoscopy to check for bleeding in the upper GI tract
Imaging tests (e.g., CT scans) are performed if diverticulitis, abscesses, or tumours are suspected.
Blood tests to check for anaemia or signs of infection

Treatment Options for Blood in the Stool

Treatment depends on the underlying cause:

Haemorrhoids – Treated with lifestyle changes, topical creams, rubber band ligation, or minor surgery
Anal fissures – Managed with stool softeners, warm baths, and topical ointments
Ulcers – Treated with acid-reducing medications and antibiotics (if H. pylori is present)
Diverticulitis – May require antibiotics, a modified diet, or surgery in severe cases
Polyps or colorectal cancer – Polyps can be removed during a colonoscopy; cancer may require surgery, chemotherapy, or radiation
IBD – Managed with anti-inflammatory medications, immune modulators, or biologic therapies
Infections – Treated with appropriate antibiotics or antiparasitic medications
Gastrointestinal bleeding – May require endoscopic procedures to stop active bleeding, or surgery in emergencies.

Preventing Blood in the Stool: Tips for a Healthy Digestive System

While not all causes of blood in the stool are preventable, you can lower your risk by adopting healthy habits:

Eat a high-fibre diet to prevent constipation and reduce strain
Stay hydrated to keep stools soft and regular
Avoid excessive use of NSAIDs (e.g., ibuprofen), which can irritate the stomach lining
Get regular screenings like colonoscopies, especially after age 50 or with a family history of colorectal cancer
Exercise regularly to support healthy digestion and bowel movements
Avoid smoking and limit alcohol consumption

Consult a Colorectal Specialist in Singapore

Seeing blood in your stool can be unsettling, but you don't have to figure it out alone. At Colorectal Clinic Associates , our experienced colorectal specialists offer comprehensive evaluation and personalised treatment plans for gastrointestinal bleeding.

Whether you are dealing with haemorrhoids or something more serious, we are here to help. Book a consultation with us and take the first step toward better digestive & colon health.

Should I Push Haemorrhoids Back In Myself?

Fri, 20 Feb 2026 02:09:16 GMT

If you are dealing with haemorrhoids , especially those that prolapse or bulge outside the anus, it might be tempting to push them back in yourself. But is it safe to do so?

The short answer is: it depends.

In this article, we will explain what prolapsed haemorrhoids are, how exactly you should deal with piles, and when to seek hemorrhoids treatment in Singapore . We will also share tips on how to prevent future prolapse so you can manage your condition more confidently.

What Are Prolapsed Haemorrhoids?

Haemorrhoids, or piles, are swollen veins in the anus and lower rectum. They can be internal (located inside the rectum) or external (located under the skin around the anus). Internal haemorrhoids may prolapse, meaning they slip down and protrude through the anal opening.

Prolapsed haemorrhoids are classified into grades:

Grade I: No prolapse, just prominent blood vessels.
Grade II: Prolapse occurs during straining but returns to its normal position on its own.
Grade III: Prolapse with straining and needs to be pushed back in manually.
Grade IV: Prolapsed and cannot be pushed back in.

Is It Safe to Push Haemorrhoids Back In?

General Recommendation

Doctors generally advise caution when it comes to pushing prolapsed haemorrhoids back in. In some cases, particularly with Grade III haemorrhoids, it may be acceptable to gently reposition them. If you do, make sure your hands are clean and apply only minimal pressure. Using lubricants such as KY Gel may facilitate the process and reduce the trauma to the surface.

Repositioning may offer temporary relief. However, if the process causes significant pain or the haemorrhoids repeatedly pop back out, stop immediately and consult a doctor.

Potential Risks

Pushing haemorrhoids back in can sometimes worsen the condition or cause complications. Potential risks include:

Tearing the tissue, leading to pain or bleeding.
Infection, especially if hygiene is not maintained.
Strangulation, where the blood supply is cut off, is a medical emergency.
Increased swelling, inflammation, or further prolapse.

How to Safely Push Back a Prolapsed Haemorrhoid

Stay calm. Prolapsed haemorrhoids can be uncomfortable but are rarely dangerous on their own.
Try a cold compress. Applying a cold pack to the area may reduce swelling and make repositioning easier.
Take a warm sitz bath. Soaking in warm water for 15 minutes, a few times a day, can help soothe the area and promote healing.
Use a haemorrhoid cream. Over-the-counter creams with hydrocortisone can reduce inflammation and itching. Lidocaine-based creams may offer temporary numbing.
Avoid straining. Straining during bowel movements increases the risk of prolapse. Use a stool softener or increase your water intake if needed.
Gently reposition if needed. If your doctor has advised it, you may attempt to gently push the haemorrhoid back in using a lubricated finger.

When Should You See a Piles Doctor?

While minor haemorrhoids can be managed at home, there are clear signs that it's time to consult a piles doctor:

You experience persistent pain or bleeding.
The haemorrhoid won't stay in place after repositioning.
You suspect infection (e.g., redness, warmth, pus).
There is severe swelling or an inability to pass stool.
You have had recurrent prolapse or worsening symptoms.
Your daily life is affected by haemorrhoid discomfort.

A piles specialist can diagnose your condition, recommend suitable treatments, and rule out other causes of rectal bleeding.

Preventing Haemorrhoids from Prolapsing in the Future

A practical approach to managing prolapsed haemorrhoids is to focus on prevention. Here are steps you can take to reduce your risk:

Adopt a high-fibre diet. Include fruits, vegetables, and whole grains to keep stools soft and regular.
Stay hydrated. Drink plenty of water throughout the day.
Avoid straining. Don't sit on the toilet for too long or push too hard during bowel movements.
Exercise regularly. Exercise helps promote healthy digestion and prevents constipation.
Respond to bowel urges promptly. Don't delay going to the toilet when you feel the need.
 Maintain a healthy weight. Obesity can increase pressure on rectal veins, leading to haemorrhoids.

See a Piles Specialist in Singapore

While self-repositioning may be helpful in some cases, it is essential to seek medical advice for severe or recurring prolapse. If you experience frequent prolapsed haemorrhoids or are unsure whether it’s safe to push them back in, consult a specialist for proper guidance and treatment.

At Colorectal Clinic Associates, we provide compassionate care tailored to your needs. Whether your symptoms are mild or severe, our team will help you find an appropriate treatment. Book a consultation today.

Is Your Gut Trying to Tell You Something? Signs You Might Need an Endoscopy

Fri, 30 Jan 2026 02:05:36 GMT

Your digestive system often signals when something isn't quite right. While it is easy to dismiss occasional bloating or cramps as nothing more than a bad meal or a stressful day, persistent symptoms could be your gut's way of calling for help. This is when your doctor may recommend an endoscopy —a minimally invasive procedure that allows a closer look inside your digestive tract to find out what’s really going on.

In this article, we explore the signs that may warrant an endoscopy and why early detection matters.

7 Signs You Shouldn't Ignore

If you're experiencing any of the following symptoms regularly, seek medical attention.

1. Persistent abdominal pain or cramping

Occasional cramps can be normal, but if you're constantly experiencing abdominal pain, especially in the same area, it may point to underlying issues.

2. Unexplained changes in bowel habits

Sudden or prolonged changes in bowel movements, whether frequent diarrhoea, constipation, or both, could signal a disruption in your digestive system.

3. Blood in the stool

Seeing blood in your stool can be worrying. It may result from haemorrhoids, but it could also indicate something more serious.

4. Chronic bloating or gas

While bloating is common after a heavy meal, persistent bloating or gas could suggest a digestive disorder, especially when accompanied by pain or a feeling of fullness.

5. Unintentional weight loss

Losing weight with no change in your diet or exercise habits might seem like a pleasant surprise, but it's a red flag when paired with digestive symptoms.

6. Ongoing fatigue with no clear cause

Feeling constantly tired, despite getting enough rest, may be due to nutrient deficiencies caused by digestive problems.

7. The sensation that your bowel doesn't empty completely

If you regularly feel as if your bowel movements are incomplete, this could indicate a blockage, inflammation, or even growths within the colon.

What Is an Endoscopy (and Why Does It Matter?)

A colorectal specialist performs an endoscopy using a flexible endoscope. It has a light source for illumination and a camera, allowing them to examine the inside of your gastrointestinal (GI) tract.

There are two main types of endoscopy:

Gastroscopy

A gastroscopy , or upper gastrointestinal tract endoscopy, examines the oesophagus, stomach and the first part of the small intestine. It is usually recommended for symptoms like persistent heartburn, nausea, vomiting, or upper abdominal pain.

Colonoscopy

A colonoscopy , on the other hand, examines the large intestine (colon) and rectum. It's often used to investigate symptoms such as rectal bleeding or changes in bowel habits or to screen for colorectal cancer, especially in people over the age of 50 or those with a family history of the disease.

Both procedures are minimally invasive and can identify potential issues early, before they become serious or hard to treat.

What to Expect if Your Doctor Recommends an Endoscopy

Pre-procedure preparation : Your doctor will provide specific instructions, which may include fasting for several hours beforehand. If you are undergoing a colonoscopy, you will also need to take a bowel-cleansing solution the day before.
Sedation and comfort : Most endoscopies are done under mild sedation to make you relaxed and comfortable. You are unlikely to remember the procedure.
The procedure itself : The doctor will gently insert the endoscope through your mouth (for a gastroscopy) or anus (for a colonoscopy). The camera sends real-time images to a screen, allowing the doctor to examine your digestive tract closely.
Tissue sampling and treatment : If necessary, the doctor may extract small tissue samples (biopsies) or remove polyps during the procedure. This is usually painless and helps in diagnosis.
Recovery time : You will be monitored as the sedation wears off. Most patients go home the same day, but they should avoid driving.
Post-procedure effects : Mild bloating, gas, or a sore throat (in the case of gastroscopy) may occur but usually subside quickly.

Making Sense of Endoscopy Results

Your doctor will use both the visual findings and lab reports to form a diagnosis and recommend next steps. Sometimes, the findings are reassuring and indicate no serious concerns, while other times they may point to conditions like gastritis, Crohn's disease, irritable bowel syndrome (IBS), or early signs of cancer.

It is natural to feel anxious while waiting for endoscopy results, but your doctor will guide you through the findings. They will explain what the results mean in plain terms and help you understand your treatment options, whether that involves medication, lifestyle adjustments, or further testing.

Endoscopy Services in Singapore

Some digestive symptoms should not be ignored. Endoscopy is an effective way to understand what's happening inside your digestive system and to take early action when needed.

At Colorectal Clinic Associates, patients receive endoscopy services tailored to their individual needs. Our clinic prioritises comfort, safety, and clear communication. We provide detailed preparation instructions and aftercare protocols to support you.

Book an appointment with us for endoscopy treatment in Singapore.

How To Choose The Right Surgeon for Minimally Invasive Colorectal Surgery?

Tue, 06 Jan 2026 06:08:28 GMT

Facing the prospect of colorectal surgery can be a source of anxiety for many patients. Selecting a qualified surgeon is an important step that can influence both your surgical experience and recovery outcomes.

So, how do you identify a surgeon who is experienced in minimally invasive colorectal techniques and meets your individual care preferences? This guide outlines key factors to consider when choosing a colorectal surgeon, enabling you to make an informed decision that supports your overall well-being.

Why Surgeon Selection Matters

Here’s how the surgeon you choose can make a difference:

Better Surgical Outcomes: Surgeons with training and experience in minimally invasive colorectal surgery tend to achieve lower complication rates and reduce hospital stays and recovery times for patients..
Reduced Risk of Complications: An experienced surgeon is better equipped to avoid or manage complications during and after surgery, contributing to safer results.
Faster Return to Daily Life: Minimally invasive surgery, when performed by a skilled professional, typically results in smaller incisions, less pain, and quicker resumption of everyday activities.
Improved Patient Confidence: Knowing your surgeon is trained and reputable can ease anxiety and help you feel more in control of your health journey.
Personalised, Compassionate Care: The right surgeon will excel technically and prioritise communication throughout your care.

When facing any surgery, especially one as delicate as colorectal surgery, taking the time to select a qualified surgeon is an investment in your health and peace of mind.

Credentials to Look For in a Colorectal Surgeon

When looking for the right surgeon, you can start by verifying their credentials. The surgeon should be fully accredited and licensed. In Singapore, this means checking that the surgeon is registered with the Singapore Medical Council (SMC) and has received specialist accreditation from the Specialists Accreditation Board.

Board certification and membership in recognised professional organisations can be additional indicators of credibility and commitment to professional development.

Experience in Minimally Invasive Techniques

Not all surgeons perform minimally invasive colorectal surgery with the same level of expertise. Some may still rely on traditional open surgery for certain conditions, while others specialise in minimally invasive laparoscopic or robotic-assisted techniques.

A seasoned colorectal surgeon who regularly performs minimally invasive laparoscopic or robotic surgeries may be more adept at navigating complex conditions and complications.

Understanding the Surgeon’s Approach to Patient Care

Technical skills and bedside manners are important. A competent surgeon should also be a compassionate communicator who values shared decision-making.

During your initial consultation, pay attention to how the surgeon explains your condition and treatment options. A colorectal surgeon who adopts a patient-centred approach can help you feel more confident and comfortable, which can improve your emotional well-being and, at the same time, surgery outcomes.

Questions to Ask During Your Consultation

Your consultation is a key opportunity to get clarity and assess your comfort level with the surgeon. Here are some helpful questions you might consider asking:

What is your experience with minimally invasive colorectal surgery?
Which technique do you recommend for my case—laparoscopic, robotic, or another—and why?
What are the risks and benefits of the procedure you propose?
What should I expect in terms of hospital stay and recovery time?
How do you manage post-operative pain and complications?
Will you be personally performing the surgery, or will other team members be involved?
What support will I have after surgery?

These questions are about understanding the colorectal surgeon’s communication style, transparency, and philosophy of care.

Why Choose a Specialist Centre for Colorectal Care

While general hospitals offer a wide range of surgical services, specialist centres that focus specifically on colorectal care bring certain advantages. These centres are staffed by teams who are experienced in managing various colorectal conditions.

Specialist centres also tend to invest more heavily in technologies, including laparoscopic and robotic surgical systems, which are essential for minimally invasive procedures. They may offer faster diagnostic services, multidisciplinary consultations, and tailored pre- and post-operative support.

Get Minimally Invasive Colorectal Surgery in Singapore

Before choosing a surgeon, take the time to research, ask questions, and reflect on your priorities. The right choice will give you peace of mind during surgery and throughout your healing journey.

At Colorectal Clinic Associates, we have experience in the full spectrum of colorectal conditions and adopt minimally invasive techniques such as laparoscopic and robotic-assisted surgery.

To learn more about our colorectal surgeons and their minimally invasive techniques, please book a consultation with us.

Gastrointestinal Cancers: What You Can Do to Lower Your Risk

Wed, 10 Dec 2025 06:55:16 GMT

A bit of heartburn. Occasional bloating, Changes in digestion. You may dismiss these symptoms, attributing them to stress and ageing. But sometimes, these are early warning signs of something more serious, like gastrointestinal cancers.

The good news is, many of the risk factors are within your control. In this article, we outline the steps you can take to protect your digestive health proactively.

What Are Gastrointestinal (GI) Cancers?

Gastrointestinal cancers is a group of cancers that affect the digestive system, consisting of the following:

oesophagus
stomach
liver
pancreas
small intestine
colon
rectum
anus

These cancers develop slowly over time and often do not show symptoms until they are in advanced stages. Early detection, however, can improve treatment outcomes, making prevention and regular screening essential.

Know the Risk Factors

Understanding what increases your risk of GI cancer is the first step toward prevention. Risk factors can be broadly grouped into the following.

Lifestyle Factors

Certain habits and behaviours can increase your risk. A diet full of red and processed meats, an inactive lifestyle, smoking, and high consumption of alcohol are all linked to various types of gastrointestinal cancers. These factors not only affect your digestive system but also impact your overall health.

Medical Conditions

Some medical conditions, especially those involving chronic inflammation or irritation of the digestive tract, can increase cancer risk. Conditions like inflammatory bowel disease (including Crohn's disease and ulcerative colitis), gastroesophageal reflux disease (GERD), and chronic infections in the stomach must be managed effectively.

Family History and Genetics

A family history of colorectal or other GI cancers may point to inherited genetic syndromes, such as Lynch syndrome or familial adenomatous polyposis. If a close relative has been diagnosed with gastrointestinal cancers, your own risk may be higher, and earlier or more frequent screenings could be recommended.

Age and Gender

GI cancers become more common with age, usually affecting individuals over 50. Some types of GI cancers are also more prevalent in one gender. For example, men are at a slightly higher risk for colorectal cancer, while women may be more prone to certain forms of stomach cancer. However, both genders are vulnerable and should take preventive steps seriously.

What You Eat Matters

Your diet plays a pivotal role in cancer prevention. Certain foods can help protect your digestive tract, while others may increase your risk.

Eat More Of

Fibre : High-fibre foods such as whole grains, fruits, vegetables, legumes, and nuts support a healthy digestive tract and can reduce your risk of colon cancer.

Antioxidants : Foods brimming with antioxidants, such as berries, leafy greens, and colourful vegetables, help reduce inflammation and combat cell damage.

Healthy bacteria : Fermented foods such as yoghurt, kimchi, and miso may also improve gut health by encouraging beneficial bacteria.

Eat Less Of

Processed meats : Control your intake of red meat (especially if grilled or charred), processed meats like bacon and sausages, and foods high in saturated fats. These have all been associated with a higher risk of colorectal and stomach cancers.

Preserved foods : Excessive consumption of salty, pickled, and smoked foods can irritate the stomach lining over time.

Stay Hydrated

Drinking at least 2 liters of water supports healthy digestion and aids in preventing constipation, which can contribute to digestive discomfort. Aim for about 8 cups a day, and adjust according to your activity level.

Maintain a Healthy Lifestyle

A healthy digestive system thrives on more than just good food. Daily habits are significant to keeping your risk low.

Exercise

Regular exercise helps maintain a healthy weight, supports digestion, and reduces inflammation. Aim for at least 150 minutes of moderate activity or 75 minutes of vigorous activity each week. Even daily walks can make a meaningful difference.

Weight Management

Obesity can increase the risk of several types of gastrointestinal cancer, including colorectal, liver, and pancreatic cancers. Shedding even a small amount of weight can help keep inflammation under control and lower your cancer risk.

Quit Smoking and Limit Alcohol

Tobacco use is a well-known risk factor for cancers of the oesophagus, stomach, pancreas, and colon. If you smoke, seek support to quit as soon as possible.

Similarly, limit alcohol to no more than one drink a day for women and two for men, as excessive alcohol can irritate the digestive tract and increase cancer risk.

Get Regular Screenings

Screenings can detect cancer early, sometimes even before symptoms appear. Your doctor may recommend one or more of the following screening tests:

Colonoscopy

A colonoscopy is one of the most effective tools for detecting colorectal cancer in its earliest stages.

Recommended starting at age 50 for average-risk individuals, or 40, if there's a family history
Allows for the detection and removal of precancerous polyps during the same procedure
Repeated every 10 years if no abnormalities are found

Gastroscopy

Also known as an upper endoscopy, gastroscopy helps doctors examine the oesophagus, stomach, and upper part of the small intestine.

Used to detect stomach and oesophageal cancers, ulcers, or other upper GI conditions
Especially important for those with persistent acid reflux, chronic indigestion, or a family history of gastric cancer

Other Screening Tests

Depending on your symptoms and risk profile, your doctor may also recommend additional screenings, such as:

Faecal immunochemical test (FIT) – A stool test that detects hidden blood, which may indicate colorectal cancer
CT colonography (virtual colonoscopy) – A less invasive option that uses imaging to screen for polyps. Its accuracy is less than the gold standard of colonoscopy and a major disadvantage is that biopsies or removal of polyps when identified cannot be performed

Regular screening can prevent and catch gastrointestinal cancers early. Speak with your gastrointestinal specialist about which tests are right for you and how often you should get them.

Manage Chronic Digestive Conditions Early

Chronic digestive issues shouldn't be ignored. Conditions such as GERD, gastritis, or irritable bowel syndrome may seem harmless. Still, if left unmanaged, they can lead to long-term damage or complicate the early detection of more serious problems.

Work with your doctor to manage these conditions effectively and monitor any changes over time.

Be Alert to Early Warning Signs

While GI cancers can be silent in their early stages, some signs should not be ignored. These include:

persistent abdominal pain
unexplained weight loss
changes in bowel habits
blood in the stool
difficulty swallowing
a feeling of fullness even after small meals.

If you experience any of these symptoms, consult your doctor for further evaluation.

Prevention Is in Your Hands

Preventing gastrointestinal cancers starts with informed, proactive steps. Eat well, be active regularly and don't ignore digestive discomfort. Your health is your responsibility and your greatest asset.

If you are due for a screening or have risk factors that need closer attention, consider Colorectal Clinic Associates. Our experienced gastrointestinal specialists offer personalised screening plans and compassionate care to help you stay ahead of serious conditions.

Schedule an appointment with us today.

Do Haemorrhoids Go Away on Their Own?

Mon, 17 Nov 2025 06:45:47 GMT

Haemorrhoids, or piles, are a common yet uncomfortable condition that can cause pain, itching, and bleeding around the anus. If you, like many others, are experiencing them, you may be wondering if they will go away on their own.

The answer depends on the type, severity, and your overall health. In this article, we will guide you through what haemorrhoids are, how they progress over time, and what the available haemorrhoid treatment options are in Singapore.

What Are Haemorrhoids and Why Do They Occur?

Haemorrhoids are enlarged blood vessels in the lower rectum or anus, similar to varicose veins. They may develop internally within the rectum or externally under the skin around the anus.

Common causes include:

Straining during bowel movements
Chronic constipation or diarrhoea
Sitting for long periods on the toilet
Pregnancy and childbirth
A low-fibre diet
Obesity or heavy lifting

These factors increase pressure in the pelvic and rectal area, causing veins to swell and become inflamed.

Can Haemorrhoids Heal on Their Own?

Yes, symptoms of early piles may resolve especially if the triggering factors are addressed early. Small internal piles may shrink and stop causing discomfort after a few days.

However, larger, persistent, or thrombosed haemorrhoids (those with clotted blood) are not likely to resolve on their own and often require treatment.

Self-Care and At-Home Remedies to Speed Up Recovery

If your piles are mild, you can take steps at home to support healing and reduce discomfort:

Increase dietary fibre : Eat more fruits, vegetables, and whole grains to soften stools and reduce straining.
Drink plenty of water : Hydration helps prevent constipation.
Take sitz baths : Soak your anal area in warm water for 10–15 minutes, several times a day.
Avoid straining : Don’t force bowel movements or sit on the toilet for too long.
Use topical creams : Over-the-counter hydrocortisone or witch hazel pads can ease irritation.
Apply cold compresses : This can reduce swelling in external haemorrhoids.

Exercise regularly : Engaging in light activity promotes bowel regularity and reduces pressure on the veins.

When Do Piles Require Medical Attention?

You should see a piles doctor if:

You experience rectal bleeding that doesn’t improve or is heavy or frequent.
The haemorrhoids persist beyond a week despite home treatment.
You feel a lump near the anus that is painful or hard (could indicate thrombosis).
There is severe itching, pain, or discomfort affecting daily life.
Your bowel habits have changed, or you notice mucus, pus, or unusual discharge.

Treatment Options for Haemorrhoids (If They Don’t Heal on Their Own)

When haemorrhoids do not resolve with home care or if they recur frequently, medical treatment may be necessary.

Non-Surgical Treatment

Rubber Band Ligation (RBL)

The doctor secures a small rubber band around the base of the haemorrhoid, strangulating its blood supply. The haemorrhoid typically falls off within a few days.

Sclerotherapy

For this treatment, the doctor injects a medicated solution directly into the haemorrhoid, causing it to shrink and eventually fibrose and scar down.

Minimally Invasive and Surgical Options

Stapled Haemorrhoidopexy (PPH)

The piles specialist repositions and secures the haemorrhoids higher up in the rectum with a circular stapling device. This resects a cuff of haemorrhoidal tissue and also restricts blood flow to the affected tissue, causing it to shrink.

Conventional Haemorrhoidectomy

Piles surgery involves removing severe or large external or internal haemorrhoids. It’s reserved for cases where the stapled procedure is not suitable, particularly when there are associated significant external haemorrhoidal cushions and skin.

Transanal Haemorrhoidal Dearterialization

A minimally invasive technique that involves locating and tying off the arteries supplying blood to the haemorrhoids using Doppler ultrasound guidance. By reducing blood flow, the haemorrhoids gradually shrink.

Are There Preventive Measures?

Preventing haemorrhoids and avoiding recurrence is possible through consistent lifestyle adjustments:

Adopt a high-fibre diet and stay hydrated.
Don’t delay bowel movements when you feel the urge.
Maintain a healthy weight to reduce pelvic pressure.
Avoid prolonged sitting, especially on the toilet.
Use the toilet properly—some people find it beneficial to elevate their feet slightly for better posture during bowel movements.

Take the First Step Toward Relief

Haemorrhoids are treatable, and you don’t have to suffer in silence. If your symptoms persist or are bothersome, consult a piles specialist at Colorectal Clinic Associates.

Our team in Singapore offers personalised, compassionate care using evidence-based haemorrhoid treatment tailored to your needs. Book an appointment today.

What Causes Gallstones?

Tue, 14 Oct 2025 05:25:20 GMT

For people with gallstones, the pain can be sudden, intense, and unsettling. For anyone facing this pain, the question of what's causing it and what can be done to stop it is front and centre.

In this article, we discuss the root causes of gallstones and examine treatment options for those seeking lasting relief, including gallbladder removal.

Understanding gallstones

Gallstones are small, hardened deposits that form in the gallbladder, a small organ responsible for storing bile—a fluid produced by the liver that helps digest fats.

Gallstones can vary in size and composition but are commonly made up of cholesterol or bilirubin. If not treated, gallstones can lead to significant discomfort and digestive issues.

Excess Cholesterol in Bile

One of the primary causes of gallstones is an excess amount of cholesterol in the bile. The liver naturally produces cholesterol, which is dissolved in bile by bile salts. However, if there is more cholesterol than bile salts can dissolve, it can crystallise and form gallstones.

High cholesterol levels can be influenced by dietary choices, lack of exercise, and certain metabolic conditions, making it essential to manage cholesterol levels for gallstone prevention.

Excess Bilirubin

While it is a normal component of bile, an excess bilirubin can contribute to gallstone formation. Excess bilirubin is commonly associated with liver damage, certain blood disorders, and infections of the bile ducts.

Conditions such as liver cirrhosis or hemolytic anaemia, which lead to increased bilirubin production, raise the risk of developing this type of gallstone.

Incomplete Emptying of the Gallbladder

When food is digested, the gallbladder releases bile into the small intestine, but sometimes, it doesn't completely empty. When bile remains in the gallbladder for too long, it can become concentrated and may start to form gallstones.

Gallbladder dysfunction can contribute to incomplete emptying. A healthy diet and exercising regularly will help gallbladder emptying, reducing this risk factor.

Oestrogen Levels

Higher levels of oestrogen, the primary female sex hormone, is known to increase the risk of gallstone formation. Oestrogen increases cholesterol concentration in the bile and can reduce the movement of bile, both of which contribute to gallstone risk.

Pregnancy, hormone replacement therapy, and contraceptive pills can all elevate oestrogen levels. Women, particularly those undergoing hormone-based treatments, should be mindful of this link and monitor for any symptoms of gallstones.

Genetics and Family History

Genetics has a role in a person's likelihood of developing gallstones. If close family members have experienced gallstones, there is a risk of having them as well. Certain genetic factors affect bile composition, making some individuals more prone to the development of gallstones.

Although genetics cannot be controlled, awareness of family history can lead to proactive management, such as making dietary and lifestyle changes to reduce risk.

Rapid Weight Loss or Fasting

While weight loss can benefit overall health, rapid weight loss, primarily through fasting or extreme calorie restriction, can increase gallstone risk. Rapid weight loss causes the liver to produce extra cholesterol in the bile, contributing to gallstone formation.

Furthermore, fasting can lead to slower gallbladder contractions, causing bile to stay in the gallbladder longer. Individuals aiming to lose weight should do so gradually, with medical guidance, to avoid gallstone-related complications.

Cholangitis can occur if gallstones obstruct the bile ducts. It is a bacterial infection of the bile ducts and requires prompt treatment with antibiotics and sometimes surgery.

Diabetes

Type 2 Diabetes increases the risk of developing gallstones. People with diabetes often have higher triglyceride levels and metabolic abnormalities that can affect bile composition, increasing the risk of gallstone formation.

Additionally, nerve damage caused by diabetes can impact the gallbladder's function, reducing its ability to empty efficiently. Managing levels of blood sugar and maintaining a healthy diet are crucial for reducing the risk of gallstones in diabetic individuals.

Obesity

Obese people are at risk of developing gallstones. Excess body weight, especially around the belly, is linked to increased cholesterol levels in the bile and decreased gallbladder movement, promoting gallstone formation.

Obesity also heightens inflammation in the body, which can further complicate gallstone-related issues. Losing weight and maintaining the new healthy weight can help reduce the probability of gallstone formation.

Gallbladder Removal Options

When gallstones cause symptoms or complications, doctors usually recommend removal of the gallbladder.

Minimally Invasive / Laparoscopic Surgery

Laparoscopic surgery, or keyhole surgery, is the preferred option for gallbladder removal due to its minimally invasive nature. The surgeon makes several small incisions through which a camera and specialised instruments are inserted, allowing the gallbladder to be removed with minimal disruption to surrounding tissues.

Open Surgery

Open surgery is used in cases where laparoscopic surgery isn't suitable, such as when there are complications or severe inflammation. A larger incision is made in the abdomen, enabling the surgeon to directly access the gallbladder and remove it.

Gallbladder Surgery in Singapore

Gallstones are a common but manageable health issue with various causes. For those who do develop gallstones, gallbladder removal remains a very safe, reliable and effective treatment.

Colorectal Clinic Associates offers specialised gallbladder surgery in Singapore , tailored to provide safe, effective relief from gallstones and gallbladder-related issues. Our skilled surgeons specialise in both minimally invasive / laparoscopic and open gallbladder surgery, with a focus on reducing patients' discomfort and promoting recovery.

Book an appointment for gallstone removal today.

Gallstone Removal: Diagnosis and Surgical Options

admin@heroesofdigital.com (Jennifer Neo) — Mon, 22 Sep 2025 06:13:34 GMT

For those living with gallstones, the pain can be debilitating, often striking suddenly with sharp, intense discomfort in the upper abdomen. This pain can last for hours, making simple daily activities difficult to manage. If left untreated, gallstones can sometimes lead to complications that require urgent surgical removal of the gallbladder .

This article will discuss gallstones, their risk factors, and when surgery is needed.

What Are Gallstones (Gallbladder Stones)?

Gallstones are solid crystallised matter that form in the gallbladder, a small organ just beneath the liver that stores bile. Bile helps the body digest fats. Gallstones form in various sizes, the smallest measuring like a grain of sand, and the largest as large as a golf ball. They can form if the components in the bile crystallise. These stones are commonly composed of cholesterol or bilirubin and may block bile flow from the gallbladder, leading to pain and inflammation.

Causes of Gallstones

Gallstones usually develop when there is an imbalance in the substances that make up bile. Key causes include:

Excess cholesterol in bile : When bile has excessive cholesterol and not enough bile salts, cholesterol crystals form, leading to gallstones.
Excess bilirubin : Liver conditions or infections can increase bilirubin production, which can contribute to gallstone formation.
Incomplete gallbladder emptying : If the gallbladder doesn't empty fully, bile can concentrate, encouraging gallstone development.

What Are the Risk Factors for Gallstones?

Certain factors increase the likelihood of developing gallstones, including:

Age : People over the age of 40 are at higher risk.
Gender : Women are more likely to have gallstones than men, especially during pregnancy or while using birth control pills.
Obesity : Excess body weight increases cholesterol levels in bile.
Rapid weight loss : Quick weight loss can disrupt bile balance, raising the risk of gallstones.
Diet : High-cholesterol,high-fat and low-fibre diets may contribute to gallstone formation.
Family history : Genetics play a role; a family history of gallstones increases one's risk.

How Are Gallstones Diagnosed?

Gallstones are diagnosed using imaging techniques and physical examination, often following symptoms like abdominal pain , nausea, or bloating. Common diagnostic tools include:

Ultrasound scan : The most commonly used method and remains the gold standard for confirming the presence of stones, which visualises stones in the gallbladder.
CT scan : This imaging method provides a detailed view of the abdomen.
MRI : Magnetic resonance cholangiopancreatography (MRCP) can produce high-quality bile ducts and gallbladder images.

Possible Complications of Untreated Gallstones

If untreated, gallstones can worsen and lead to serious complications, including:

Cholecystitis

Cholecystitis is an inflammation of the gallbladder. It is often caused by a gallstone blocking the cystic duct. Symptoms include severe pain, fever, and vomiting, which may require emergency treatment.

Pancreatitis

Gallstones that block the pancreatic duct can cause pancreatitis or inflammation of the pancreas. This condition can give rise to severe abdominal pain, nausea, and vomiting and may require hospitalisation.

Cholangitis

Cholangitis can occur if gallstones obstruct the bile ducts. It is a bacterial infection of the bile ducts and requires prompt treatment with antibiotics and sometimes surgery.

Gallstone Ileus

Gallstone ileus is a rare but severe complication that occurs when a large gallstone causes a bowel obstruction. It typically requires surgical intervention.

When Is Gallbladder Surgery Necessary?

Gallbladder surgery, or cholecystectomy, is often recommended if you have symptomatic gallstones that cause recurrent pain or complications. While some patients with small, asymptomatic stones may not need surgery, those with more severe symptoms or complications usually require gallbladder removal.

Gallbladder Removal Surgery Options

There are two types of gallbladder surgery to remove gallstones . These include:

Laparoscopic gallbladder surgery (Laparoscopic cholecystectomy)
Open surgery (Open cholecystectomy)

Laparoscopic Gallbladder Surgery

Laparoscopic surgery is a minimally invasive surgical technique for gallbladder removal, commonly used due to its shorter recovery time and less scarring. This is the current gold standard. Doctors only need small incisions in the abdomen and a laparoscope to remove the gallbladder. The procedure is also known as a keyhole surgery, and has a quicker recovery time.

Risks (Complications)

Like any surgery, laparoscopic gallbladder removal are associated with inherent surgical risks, such as infection, bleeding, and bile duct injuries. These risks are generally lower compared to open surgery.

Procedure

The surgeon makes 0.5cm to 1 cm incisions in the abdomen and inserts a laparoscope—a thin tube with a camera attached. Guided by the camera's view, the surgeon dissects around the gallbladder, removing its attachments from surrounding structures and extracts the gallbladder through one of the incisions.

Recovery Time

Most patients recover from laparoscopic surgery within one to two weeks. Hospital stays are typically brief, with some patients discharged on the same day.

Postoperative Care

Patients should rest and avoid heavy lifting for a few weeks post-surgery. A balanced diet low in fatty foods may help ease digestion without a gallbladder.

Cost

Laparoscopic gallbladder surgery is the current gold standard for gallstone disease and is only marginally more costly than open surgery due to the equipment and expertise required, but this varies based on factors like location and insurance coverage.

Open Gallbladder Surgery

If laparoscopic surgery isn't possible due to complications or previous surgeries, an open cholecystectomy may be performed. An open surgery involves making a larger incision in the abdomen to remove the gallbladder.

Risks (Complications)

Like any major surgery, open gallbladder surgery carries risks such as infection, bleeding, blood clots, and damage to surrounding organs. The risk of complications is higher than with laparoscopic surgery, as it involves more manipulation.

Procedure

The surgeon makes a single, larger incision of 4 to 6 inches in the upper right side of the abdomen to access the gallbladder and remove it. This procedure requires general anaesthesia and may take longer than laparoscopic surgery due to the complexity of the surgery.

Recovery Time

Patients typically need a hospital stay of 3-5 days, and full recovery takes 4 to 6 weeks. They are generally advised to avoid strenuous activities until full recovery.

Postoperative Care

Patients are usually given pain medications and encouraged to move around gently to avoid complications like blood clots. A special diet focusing on foods that are easy to digest may be recommended.

Cost

Open gallbladder surgery is generally less expensive than laparoscopic surgery due to the fewer specialised tools and techniques involved. However, because these are reserved for the more complicated presentations, the longer hospital stay and recovery time often increase overall costs.

Gallbladder Surgery in Singapore

Gallstone removal surgery is an effective treatment for those suffering from gallstones. Proper diagnosis and timely intervention can help prevent severe issues, ensuring a smoother recovery.

At Colorectal Clinic Associates , our specialists provide gallbladder surgery tailored to patient needs. We use minimally invasive surgery whenever possible, including laparoscopic gallbladder removal, to reduce recovery time and postoperative pain. With a team of experienced surgeons, we prioritise patient comfort and successful outcomes.

Book a consultation for gallstone removal.

DR CALVIN ONG'S INTERVIEW

Fri, 18 Jul 2025 08:57:39 GMT

Food poisoning vs stomach flu: What’s causing your nausea, vomiting or diarrhoea?

Can Hernia Heal Without Surgery?

admin@heroesofdigital.com (Jennifer Neo) — Thu, 10 Apr 2025 08:55:31 GMT

A hernia is a condition that can be painful for both men and women. If you were diagnosed with a hernia, you may be curious to know: can it heal on its own, or is surgery necessary?

This article explores hernias, whether they can heal without surgical intervention, and what to expect from hernia surgery , including the recovery process.

What is a Hernia?

A hernia happens when an organ or tissue slips through a weakened area of muscle or tissue that should hold it in place. This condition can develop in various body parts, although it most commonly occurs in the abdominal region. Hernias are classified into types based on their location:

Inguinal Hernia : Found in the groin area and more common in men.
Femoral Hernia : Occurs near the upper thigh, more commonly in women.
Umbilical Hernia : Develops around the belly button, often seen in infants and overweight adults.
Hiatal Hernia : Located in the upper stomach area near the diaphragm.

Hernias may appear as a visible bulge, especially when standing, straining, or coughing, and may be accompanied by discomfort or pain. While some hernias cause only mild symptoms, others can cause significant pain and may require intervention to prevent complications.

Can a Hernia Heal Without Surgery?

The short answer is that hernias do not heal on their own without surgery. Once the muscle or tissue wall has been weakened and an organ pushes through, the body is unable to reverse this on its own. Unlike other minor injuries, the structural defect in the muscle wall does not repair itself over time, and leaving a hernia untreated may worsen the hernia.

Risks of Leaving a Hernia Untreated

Leaving a hernia untreated can lead to potential complications, some of which can be severe:

Incarceration : The herniated organ / tissue becomes trapped in the hernia , and cannot be returned back into its original position.
Strangulation : A severe condition where the blood flow to the herniated tissue is restricted, which can lead to tissue death. This requires emergency surgery.

Because of these risks, many doctors recommend surgical treatment even for hernias that aren't causing discomfort yet.

Hernia Surgery Procedure

Hernia repair surgery is the most effective for directly addressing the weakness in the tissue wall. The two primary surgical methods for hernia repair are open surgery and minimally invasive (laparoscopic) surgery.

Open surgery

In open surgery, an incision is made over the hernia site, and the bulge is repositioned back into place. The surgeon then repairs the muscle wall, often using a mesh to reinforce the area and reduce the risk of recurrence. Open surgery is more invasive than laparoscopic surgery and often requires a longer recovery time. However, it is effective and is often used for more extensive or complex hernias.

Laparoscopic / Robotic (Minimally Invasive) Surgery

Laparoscopic / Robotic surgery or keyhole surgery involves making smaller incisions and the use of a tiny camera (laparoscope) to guide the surgeon in repairing the hernia. This method has the advantage of quicker recovery and less postoperative pain. However, laparoscopic / robotic surgery may not be suitable for all types of hernias. Your surgeon will be able to advise you on this.

Both surgical methods have high success rates, and the choice of treatment is based on surgeon ability and preference, the size and location of the hernia, as well as the patient's overall health and lifestyle.

Recovery from Hernia Surgery

Recovery time from hernia surgery varies depending on the type of procedure performed, the patient's health, and the patient's adherence to post-surgery care guidelines.

Post-surgery Care

Following hernia surgery, patients are instructed to:

Avoid lifting heavy objects and taking part in strenuous activities for several weeks.
Gradually return to regular activities, depending on comfort and your surgeon’s advice.
Manage pain with prescribed medications and take steps to avoid excessive straining such as constipation.
Check the incision site regularly for signs of infection, such as redness, swelling, or excessive pain.

Expected recovery time

Open surgery : Full recovery for any surgery of this nature usually takes four to six weeks.
Laparoscopic surgery : Patients may return to light activities within a week, with a full recovery expected in four weeks.

Hernia Surgery in Singapore

Surgery remains the only effective treatment for most hernias. This is to repair the tissue weakness and prevent potential complications. Colorectal Clinic Associates is dedicated to providing comprehensive hernia treatmen t options. Our experienced surgeons in Singapore specialise in both open and laparoscopic / robotic hernia repairs.

We work closely with each patient throughout the diagnosis, treatment, and recovery process, offering guidance and support to help patients regain their health and confidence.

Book an appointment for hernia treatment.

Interview with 8World

Thu, 13 Mar 2025 08:52:34 GMT

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Tips to Avoid Developing Haemorrhoids

admin@heroesofdigital.com (Jennifer Neo) — Mon, 17 Feb 2025 08:34:29 GMT

Haemorrhoids, also known as piles , are swollen vascular cushions in the anal canal that can cause discomfort, itching, and bleeding. They are common in adults, both male and female. . However, piles can be prevented with the proper habits.

This article explores preventive tips to help you maintain good digestive health and avoid haemorrhoids.

Consume Adequate Fibre in your Diet

A diet with adequate fibre can effectively prevent haemorrhoids. Fibre softens stool and adds bulk, making passing motion easier, reducing straining during bowel movements—a common cause of haemorrhoids. Adults should have around 25 to 30 grams of fibre per day. Good sources of dietary fibre include:

Fruits and vegetables
Whole grains (like oats, whole wheat, and brown rice)
Legumes (beans, lentils, and chickpeas)
Nuts and seeds

Having these foods in your daily meals can improve bowel regularity and reduce pressure on the rectal veins. However, if you’re not accustomed to a high-fibre diet, gradually add more fibre to your diet to prevent gas and bloating.

Stay Hydrated

Water is vital to digestive health, aiding food to smoothly move through the digestive tract and softening stool. Staying hydrated helps prevent constipation, reducing the risk of straining and haemorrhoids. Aim for at least two litres of water daily, though it may differ from person to person based on activity level, body weight, and climate.

Other hydrating beverages, like herbal teas and diluted fruit juices, can also count as your daily water intake.

Exercise Regularly

Regular physical activity helps to improve bowel function by stimulating intestinal activity, which can reduce the risk of constipation. Exercise promotes better circulation, preventing blood from pooling in the lower rectum and minimising the chances of haemorrhoid formation.

Ideally, engage in at least 30 minutes of moderate exercise on most days of the week. These can be brisk walking, cycling, or swimming, on most days of the week. Activities that increase core strength, like yoga or Pilates, can also benefit digestive health.

Avoid Straining During Bowel Movements

Straining is a leading cause of haemorrhoids. It puts extra pressure on the vascular complexes in the anal cushions and can lead to their swelling. To prevent straining:

Go to the bathroom when you feel the urge rather than holding it in. Delaying bowel movements can result in harder stools, which are more difficult to pass.
Adopt a relaxed posture on the toilet. Placing a small stool under your feet to elevate your legs can help position your body for easier bowel movements.
Breathe deeply and relax your abdominal muscles to help move the stool without pushing forcefully.

Avoid Prolonged Sitting on the Toilet Bowl

Extended time spent on the toilet increases pressure on the vascular cushions in the anal canal. Avoid the habit of bringing reading materials or mobile devices into the bathroom, as this can lead to prolonged sitting. Use the bathroom only when necessary, and try to avoid sitting longer than necessary.

If you frequently spend a lot of time in the bathroom, it may be helpful to assess your diet and hydration habits. Constipation and slow bowel movements are often the underlying causes of haemorrhoids.

What to Do if You Have Piles

If you develop piles, early intervention can prevent them from worsening. Some home remedies include:

Warm baths or sitz baths: Sitting in warm water for ten to fifteen minutes can relieve itching and pain.
Over-the-counter creams and ointments: Various haemorrhoid creams can reduce pain, swelling, and irritation.
Ice packs: Applying an ice pack to the area for a few minutes can help reduce inflammation and numb pain.

These treatments can be effective for mild haemorrhoids. However, if symptoms show no improvement or worsen, consult a piles doctor for further advice.

Is Piles Surgery Necessary?

For many people, piles can be managed with non-surgical treatments. These treatments are designed to relieve symptoms, reduce swelling, and improve comfort. They are often effective for mild to moderate cases and can help avoid the need for surgery.

It is important to emphasise that these treatments do NOT lead to any cure from haemorrhoids. The symptoms may improve but the haemorrhoids do remain.

In cases of larger haemorrhoids—especially when bleeding is frequent, pain is severe, or the haemorrhoids are prolapsed—your doctor may recommend surgery. The surgeon will perform a haemorrhoidectomy to remove the piles surgically. There are several options for this procedure and your surgeon will be best positioned to recommend based on the severity of symptoms and clinical grade of haemorrhoids. There is no one-size-fits-all type of treatment.

Piles Surgery in Singapore

If you’re considering haemorrhoid surgery, choose a specialised clinic with experienced colorectal surgeons . Colorectal Clinic Associates offers haemorrhoid treatment options, providing patients with individualised care and expertise. Our team of skilled colorectal specialists uses minimally invasive techniques, where possible, to reduce recovery time and improve patient comfort.

Consult us for piles treatment now.

Hernia Surgery in Singapore: What to Know

admin@heroesofdigital.com (Jennifer Neo) — Wed, 15 Jan 2025 06:40:53 GMT

Living with a hernia can be challenging. For many, the condition starts as a dull ache, a persistent discomfort that comes and goes and eventually, a bulge or a lump appears. Over time, it can intensify, turning simple actions like standing, bending, or lifting into painful tasks. Hernias are a common medical condition, and for those considering treatment, surgery may sometimes be necessary.

In this article, we will cover everything you need to know about hernia surgery in Singapore , from understanding what a hernia is to what you can expect from surgery.

What is a Hernia?

A hernia is when an organ or tissue protrudes through a weak spot in the muscle or connective tissue surrounding it. It is a visible bulge commonly appearing in the abdomen or groin area. Hernias can develop due to chronic straining, lifting heavy objects, obesity, or age-related weakening of tissues, among other causes. Types of hernias include:

Inguinal hernia : Located in the groin area, it is the most common type, especially among men.
Umbilical hernia : This type, seen near the belly button, often affects infants but can also develop in adults.
 Femoral hernia : This is seen in the upper thigh near the groin and is more common in women.

What are the Common Symptoms of Hernia?

Hernia symptoms can vary based on the type and severity. Common symptoms are:

An obvious bulge or swelling in the affected area may increase when you strain or stand.
A feeling of heaviness, pressure, or discomfort at the hernia site.
Pain or discomfort, especially when bending, lifting, or coughing.
Burning or aching sensations in the area around the hernia.

How is Hernia Diagnosed?

Diagnosing a hernia involves a physical examination and a review of symptoms. The doctor may feel for a bulge in the affected area, which may become more pronounced when you cough or strain.

For some types of hernias, imaging procedures such as ultrasound and CT scan may be necessary to provide a confirmed diagnosis and evaluate the severity of the hernia.

What are the Possible Complications of a Hernia if Left Untreated?

An untreated hernia can lead to complications, some of which may be serious:

Strangulation : If part of the intestine or tissue becomes trapped and loses its blood supply, it can lead to tissue death, a life-threatening situation that requires emergency surgery.
Obstruction : The hernia can obstruct the bowel, causing severe abdominal pain, vomiting, and constipation.
 Incarceration : A hernia may become trapped or "incarcerated," making pushing it back into place impossible, which often requires immediate surgery.

When is Hernia Surgery Necessary?

Hernia surgery is often recommended if:

The hernia is causing pain or discomfort that interferes with daily activities.
The hernia is large or has grown in size over time.
There is a risk of strangulation, obstruction, or incarceration.
The hernia affects quality of life, particularly in cases where symptoms worsen over time.

In cases where hernias are small and asymptomatic, doctors may recommend a "watchful waiting" approach, monitoring the hernia over time to determine if surgery is eventually needed.

What are the Different Types of Hernia Surgery?

Hernia surgery can be performed in two main ways: open or minimally invasive. Each method has its advantages and may be recommended based on the type and location of the hernia and the patient's health.

Open surgery

Open hernia surgery is a traditional approach in which the surgeon makes a larger incision over the affected site to access the hernia directly. The herniated tissue is reduced back into its original location, the weakened abdominal wall area is often reinforced with synthetic mesh to prevent recurrence. With open surgery, patients have an extended downtime and recovery.

Minimally Invasive Hernia Surgery (Laparoscopic / Robotic Hernia Surgery)

Minimally invasive hernia surgery, or keyhole surgery , may be recommended over open surgery for hernia repair if you have:

Smaller or less complicated hernias : Laparoscopic / Robotic surgery is often preferred for smaller hernias, where minimally invasive techniques can effectively repair the hernia without needing a large incision.
Bilateral or recurrent hernias : For patients with hernias on both sides of the body (bilateral) or those experiencing a recurrence after an open surgery, laparoscopic surgery allows the surgeon to address both sides in a single operation and may reduce the risk of additional recurrences.

Laparoscopic / Robotic hernia surgery is a minimally invasive method that involves small incisions and the use of a laparoscope (a thin tube with a built-in camera) as a visual guide. The surgeon carefully moves the herniated tissue back into place within the abdominal cavity. The hernia sac is then reduced or removed if necessary.

To prevent hernia recurrence, a mesh is inserted through another small incision and placed over the weakened abdominal wall area to reinforce it. A minimally invasive hernia surgery offers reduced scarring, faster recovery, and less postoperative pain.

Risks and Complications

Like any surgical procedure, hernia surgery carries risks, although complications are generally rare. Some potential risks include:

Infection at the incision site
Haematoma collection
Recurrence of the hernia
Nerve damage or chronic pain in the surgical area
Adverse reactions to anaesthesia

Discussing these risks with your surgeon beforehand will help you understand the likelihood of complications and any measures you can take to minimise them.

Recovery Time

Recovery time from hernia surgery varies based on the surgical method and individual factors.

Laparoscopic / Robotic surgery : Most patients can resume light activities within a few days and return to work in about one to two weeks. However, stay away from strenuous activities and heavy lifting for at least four to six weeks.
 Open surgery : Recovery may take longer, typically around three to four weeks before resuming normal activities, with restrictions on heavy lifting for six to eight weeks.

Post-Operative Care

After hernia surgery, patients are given specific post-operative care instructions to facilitate healing. These may include:

Pain management : Your doctor may give pain medications to alleviate discomfort in the days following surgery.
Wound care : Keep the operated site clean and dry, and avoid soaking in water (such as baths or swimming) until the incisions have healed.
Activity restrictions : Light walking is encouraged to prevent blood clots, but avoid heavy lifting and vigorous exercise until cleared by your doctor.
Follow-up appointments : Regular check-ins with your surgeon are essential to monitor healing and address concerns.

Cost of Hernia Surgery

The cost of hernia surgery in Singapore will vary depending on the type of surgery, the hospital or clinic chosen, and whether it is a private or public institution.

Patients with health insurance or MediShield Life may be able to offset some of the costs. Please discuss specific costs and financial assistance options with the hospital or clinic.

Hernia Surgery in Singapore

Hernia surgery alleviates pain and prevents complications associated with hernias. With advancements in minimally invasive techniques, many patients can enjoy quicker recoveries and a return to normal activities. If you're considering hernia surgery in Singapore, consult a qualified specialist to discuss your options, understand the risks, and prepare for recovery.

Colorectal Clinic Associates in Singapore is known for specialising in gastrointestinal and hernia surgery. We provide comprehensive hernia diagnosis and treatment, including minimally invasive laparoscopic and the latest robotic surgery. Patients can benefit from the expertise of our experienced colorectal surgeons and a focus on patient-centred care.

Book a consultation today.

Your Guide to Hemorrhoid Surgery in Singapore

admin@heroesofdigital.com (Jennifer Neo) — Fri, 27 Dec 2024 09:45:14 GMT

For those who suffer from hemorrhoids , the discomfort and pain can make even simple daily activities—like passing motion—unpleasant and difficult. When hemorrhoids reach this stage, people often start considering treatment to regain comfort and quality of life.

In this guide, we explore hemorrhoids, their causes, symptoms, and when surgery is necessary.

What is a hemorrhoid?

A haemorrhoid or piles, is a swollen vascular cushion located in the anal canal. Haemorrhoids can develop both internally (inside the anal canal) and externally (around the anal opening).

Internal piles are often painless but can bleed or/and prolapse, while external piles may cause discomfort or pain and, in some cases, itchiness and swelling.

Hemorrhoids are a common condition affecting individuals of all ages, although ageing, lifestyle, and dietary habits can increase one's susceptibility.

What Causes Hemorrhoids?

Hemorrhoids develop due to increased pressure on the anal cushions which contain vessels. Common causes include:

Straining during bowel movements: This can occur due to constipation, making piles more likely to form.
Prolonged sitting: Sitting for extended periods, especially on the toilet, can increase pressure on rectal veins.
Pregnancy: The additional weight and hormonal changes during pregnancy can pressure the veins in the lower abdomen and pelvis.
Heavy lifting: Repeated lifting of heavy objects can contribute to piles development.
Obesity: Excess body weight can exert additional pressure on pelvic veins, increasing the risk of haemorrhoids.
Low-fibre diet: A lack of fibre leads to harder stools and straining, both of which contribute to piles.

Symptoms of Haemorrhoids

Piles symptoms vary depending on the type and severity of the hemorrhoids. Common symptoms include:

Bleeding: Often detected as bright red blood in the toilet bowl after bowel movements.
Itching or irritation: Particularly around the anal area.
Pain or discomfort: Especially with external haemorrhoids, which may cause swelling and tenderness.
Swelling: External hemorrhoids may result in lumps near the anus, which can be uncomfortable.
 Mucous discharge: Internal hemorrhoids may produce a mucous discharge that can irritate the skin around the anus.

When is Piles Surgery Necessary?

While mild cases of piles can be managed through lifestyle changes, diet adjustments, and over-the-counter treatments, surgery may be necessary when:

Symptoms persist despite non-surgical treatments.
There is significant bleeding or pain.
The piles are large, recurrent, or causing other complications.
Thrombosed hemorrhoids (blood clotting within the hemorrhoids) develop, which can be particularly painful and may need urgent treatment.

Types of Piles Surgery

If surgery is deemed necessary, several options are available depending on the hemorrhoid's type, size, and severity. Here's an overview of the most common hemorrhoid surgeries:

Rubber Band Ligation

Rubber band ligation is often used for internal hemorrhoids. During this minimally invasive procedure, a small rubber band is secured around the base of the hemorrhoids, cutting off its blood supply. Without blood flow, the piles shrink and eventually fall off within a few days. This treatment is usually done in an outpatient setting and may require more than one session.

Pros: Effective for smaller early-grade hemorrhoids, quick recovery time.
Cons: May cause mild discomfort or bleeding after the procedure.

Sclerotherapy

Sclerotherapy is injecting a sclerosing solution into the hemorrhoids. This solution causes the piles to shrink and eventually slough off. Sclerotherapy is typically used for smaller piles and may be an option for those who cannot undergo rubber band ligation due to certain medical conditions.

Pros: Quick procedure with minimal discomfort, suitable for those who cannot undergo other treatments.
Cons: It may require a series of sessions for optimal results, which is not ideal for large haemorrhoids.

Hemorrhoidal Artery Ligation (HAL)

Hemorrhoidal Artery Ligation (HAL), also known as transanal haemorrhoidal dearterialisation (THD), is a technique where the blood vessels supplying the haemorrhoids are tied off, reducing blood flow and causing the hemorrhoids to shrink. Doppler guidance is used to locate and ligate the blood vessels supplying the haemorrhoids.

Pros: Less invasive than traditional surgery, less pain, and effective for internal and external hemorrhoids.
Cons: May require general anaesthesia, which carries risks. The results of this technique are still not as established as the traditional methods.

Hemorrhoidectomy

Hemorrhoidectomy is a surgery for removing large or severe hemorrhoids, especially if they are causing significant symptoms. The surgeon excises the hemorrhoid tissue, and the area is either stitched or left open to heal. Hemorrhoidectomy is regarded as the most effective treatment for large or prolapsed hemorrhoids. This remains time-tested and is still considered a gold standard.

Pros: Provides long-term relief, highly effective for severe cases.
Cons: Longer recovery time, potential post-surgical pain.

Stapled Hemorrhoidectomy

Stapled hemorrhoidectomy, or stapled hemorrhoidopexy, is a less invasive procedure often used for prolapsed hemorrhoids. During this procedure, the hemorrhoids is repositioned back into the rectum with a circular stapling device to cut off its blood supply, and gradually shrink it.

Pros: Shorter recovery time compared to traditional hemorrhoidectomy, less postoperative pain.
Cons: Generally, it is only used for internal hemorrhoids, so it may not be suitable for all cases.

Hemorrhoids Surgery in Singapore

Hemorrhoids are uncomfortable to live with, but treatments are available for those seeking relief. Understanding your options is crucial, whether you require a minimally invasive procedure or a more intensive treatment. Consult a qualified piles specialist to determine the best course of action for lasting relief and recovery.

At Colorectal Clinic Associates, patients receive personalised and expert care from doctors with extensive experience treating piles and other colorectal conditions. Our clinic in Singapore prioritises patient comfort and recovery, ensuring patients are well-informed and confident in their chosen treatment path.

Book a consultation for piles treatment.

What Conditions Cause Upper Abdominal Pain in Women?

admin@heroesofdigital.com (Jennifer Neo) — Thu, 28 Nov 2024 09:38:55 GMT

If you're a woman and have been dealing with recurring upper abdominal discomfort , it's important not to brush it off. That nagging pain could be your body telling you something's wrong. Finding out what's causing the discomfort is the first step toward getting the right treatment and feeling better.

In this article, we'll discuss common reasons why women experience upper abdominal pain.

Indigestion

Indigestion, also known as dyspepsia, is a frequent cause of upper abdominal discomfort. It manifests as a feeling of fullness, bloating, and upper abdominal pain, often accompanied by nausea and burping.

Indigestion can result from overeating, consuming fatty or spicy foods, excessive caffeine or alcohol intake, and stress. Though usually benign, persistent indigestion may require medical attention to rule out more serious conditions.

Gastritis

Gastritis is inflammation of the stomach lining that causes sharp or burning pain in the upper abdomen. It may be acute or chronic and is often triggered by infections, prolonged use of nonsteroidal anti-inflammatory drugs (NSAIDs), excessive alcohol consumption, or stress.

Gastritis symptoms include nausea, vomiting, and a feeling of fullness after eating. Treatment usually consists of antibiotics for infections, antacids, and lifestyle modifications.

Peptic ulcer disease

Peptic ulcer disease is the formation of sores or ulcers in the lining of the stomach or the first part of the small intestine. The most common symptom is a burning or biting pain in the upper abdomen, which may improve or worsen with eating. Helicobacter pylori infection and prolonged use of NSAIDs are common causes.

Treatment usually includes antibiotics, proton pump inhibitors (PPIs), and changing of lifestyle to promote healing and prevent recurrence.

GERD

Gastroesophageal reflux disease (GERD) happens when stomach acid flows back into the oesophagus, causing irritation. This reflux leads to heartburn, a burning sensation in the chest or upper abdomen, and regurgitation of food or sour liquid.

Other symptoms include difficulty swallowing and chronic cough. Lifestyle modifications, medications like PPIs or H2 blockers can help manage GERD. Persistent GERD symptoms may warrant a gastroscopy to assess its severity.

Gallstones

Gallstones are calcified deposits of digestive fluid that can form in the gallbladder. They can cause sudden, extreme pain in the upper right abdomen, sometimes spreading to the back and shoulder. This pain, known as biliary colic, often occurs after eating fatty meals.

If gallstones obstruct the bile ducts, they can lead to inflammation of the gallbladder or pancreatitis. Treatment options would consist of medications to dissolve gallstones or surgical removal of the gallbladder.

Irritable Bowel Syndrome (IBS)

IBS is a functional gastrointestinal issue that affects the large intestine, causing symptoms like cramping, upper, middle and lower abdominal pain, bloating, gas, and changes in bowel habits (diarrhoea or constipation).

Stress, diet, and hormonal changes may cause IBS. Management of the condition typically requires dietary modifications, stress reduction techniques, and medications to ease symptoms.

Pancreatitis

Pancreatitis is the inflammation of the pancreas and can cause severe upper abdominal pain that may extend to the back. The pain is often coupled with nausea, vomiting, fever, and a rapid pulse.

Acute pancreatitis can result from gallstones, chronic alcohol use, or infections, while chronic pancreatitis may be due to prolonged alcohol abuse or genetic factors. Patients are usually hospitalised and advised to rest the pancreas, manage pain, and address the underlying cause.

Liver disorders

Liver disorders can cause upper abdominal discomfort, particularly on the right side. Conditions such as hepatitis, fatty liver disease, and cirrhosis often show symptoms like jaundice, fatigue, nausea, and abdominal and leg swelling.

Liver disorders can result from viral infections, excessive alcohol consumption, obesity, and metabolic disorders. Treatment depends on the specific liver condition and may necessitate medications, lifestyle changes, and, in severe cases, liver transplantation.

Stomach cancer

Stomach cancer can cause upper abdominal discomfort, early satiety, weight loss, nausea, and vomiting. Risk factors include:

Helicobacter pylori infection
Smoking
A high salt diet
A family history of stomach cancer

Early detection is crucial for treating this gastrointestinal cancer , which may involve surgery, chemotherapy, radiation therapy, or targeted therapy. Gastroscopy screening is essential for early detection and diagnosis.

Oesophageal cancer

Oesophageal cancer is another gastrointestinal cancer that presents symptoms such as difficulty swallowing, involuntary weight loss, chest pain, and upper abdominal discomfort. Risk factors include chronic GERD, smoking, heavy alcohol consumption, and Barrett's oesophagus.

Treatment may call for surgery, chemotherapy, radiation therapy, and targeted therapy. Gastroscopy screening is advised for the early detection and treatment of gastrointestinal cancers.

Consult a gastrointestinal specialist in Singapore

Upper abdominal pain may indicate serious conditions like the ones we mentioned earlier. If you are a woman experiencing persistent or severe upper abdominal discomfort, consulting a gastrointestinal specialist can help you get an accurate diagnosis and treatment.

At Colorectal Clinic Associates, our experienced specialists utilise diagnostic tools such as gastroscopy to identify the cause of symptoms like upper abdominal pain, abdominal bloating, blood in stool, anus irritation, and anus swelling. We provide targeted therapies to reduce pain and better your quality of life.

Schedule a consultation today.

A Colorectal Specialists' Guide to Abdominal Pain

admin@heroesofdigital.com (Jennifer Neo) — Fri, 01 Nov 2024 03:20:16 GMT

Recurring abdominal pain can be distressing. It may leave you wondering about its cause. Whether the pain is mild or severe, it is best advised to know what you are dealing with and how to address it.

This guide explores common causes of abdominal pain, the associated symptoms, and when to see a doctor.

Causes of abdominal pain

Gastritis and Reflux

Gastritis and reflux are common causes of abdominal bloating and discomfort. This can result from overeating, consuming spicy or high-fat foods, or consuming too much alcohol or caffeine. Other symptoms include:

Bloating
Nausea
Burping

In some instances, trapped gas can cause sharp, cramp-like pains in different parts of the abdomen. This discomfort is often due to swallowed air or the breakdown of certain foods in the digestive system.

Gastroenteritis

Gastroenteritis, often loosely coined as stomach flu, is an infection of the stomach and intestines. Viruses, bacteria, or parasites can cause it. You may have gastroenteritis if you experience:

Lower abdominal pain
Diarrhoea
Vomiting
Fever

Due to its acute onset and severe symptoms, this condition can be particularly distressing. To ensure recovery, you must stay hydrated and rest well.

Food intolerances and allergies

Food intolerances and allergies can lead to abdominal pain when the body reacts negatively to certain foods. Common triggers include lactose (found in dairy products) and gluten (found in wheat). Symptoms can include:

Abdominal bloating
Diarrhoea
Nausea
Cramping

We recommend you identify and avoid trigger foods to help manage symptoms and prevent further discomfort.

Irritable Bowel Syndrome (IBS)

IBS is a recurrent condition of the gastrointestinal tract. It presents with a group of symptoms that occur together, including:

Lower abdominal pain
Bloating
Gas
Diarrhoea or constipation

Stress and certain foods can set off IBS symptoms. Symptoms should subside once you manage stress and change your diet. However, it must be emphasised that the exact etiology of IBS remains elusive and it is a diagnosis of exclusion, meaning that it is determined when all other causes of symptoms have been excluded.

Inflammatory Bowel Disease (IBD)

IBD includes Crohn's disease and ulcerative colitis. They both cause chronic inflammation of the gastrointestinal tract. Symptoms can be severe and may involve:

Lower abdominal pain
Diarrhoea
Blood in stool
Weight loss

These conditions require medical treatment and, in some cases, surgical intervention to manage symptoms and prevent complications.

Diverticulitis

Diverticulitis occurs when small pouches (diverticula) in the colon become inflamed or infected. You might experience:

Lower abdominal pain
Fever
Nausea
Changes in bowel habits

A high-fibre diet can help prevent diverticulitis, while treatment may require antibiotics or surgery in severe cases.

Colorectal cancer

Colon cancer is a type of gastrointestinal cancer that needs immediate treatment. Watch out for symptoms like:

Lower abdominal pain
Blood in stool
Changes in bowel habits
Unexplained weight loss

Regular colonoscopy screening will enable the early detection of this condition and get you the needed treatment.

When to see a doctor

Seek medical attention if you experience any of the following symptoms:

Severe or persistent abdominal discomfort : Pain that is intense or does not go away after a few hours.
Blood in stool : Bloody or darkened stools can indicate gastrointestinal bleeding.
Unexplained weight loss : Losing weight involuntarily can indicate a serious underlying condition.
Prolonged changes in bowel habits : Diarrhoea, constipation, or changes in stool consistency that last more than a few days.
Fever : Fever accompanying abdominal pain can indicate an infection.
Nausea and vomiting : Persistent nausea and vomiting, especially if unable to keep food down.
Abdominal bloating : Severe or persistent bloating, particularly if it is accompanied by pain.
Anal irritation and swelling : Persistent or severe symptoms around the anus.

Diagnostic tests and procedures

To diagnose the abdominal pain, your doctor may order a series of tests and procedures to pinpoint the underlying issue.

Blood tests

Blood tests can help identify infections, inflammation, and other conditions that may cause abdominal pain. They can also assess overall health and organ function.

Stool tests

Stool tests detect blood in the stool, infections, and other abnormalities in the digestive tract. They are essential for diagnosing conditions like IBD, diseases, and colorectal cancer.

Imaging studies

Imaging tests provide detailed images of the abdominal organs. Tests such as ultrasound scans, CT scans, and MRI scans can help identify structural abnormalities, inflammation, and tumours.

Endoscopic procedures

Endoscopic procedures, including gastroscopy and colonoscopy allow doctors to view the inside of the digestive tract using a flexible tube with a camera. These procedures will detect issues like ulcers, tumours, and inflammation.

Screen yourself today

Understanding the causes of abdominal pain and the available diagnostic options can empower you to take control of your health. If you have persistent abdominal pain, seek medical advice to get an accurate diagnosis.

As a preventive measure, we recommend you schedule regular screenings to detect serious conditions early and get prompt treatment. At Colorectal Clinic Associates , our specialists in Singapore provide gastrointestinal screening and comprehensive care for gastrointestinal issues.

Schedule a consultation today.

Early Warnings of Gastrointestinal Cancer

admin@heroesofdigital.com (Jennifer Neo) — Wed, 02 Oct 2024 01:57:26 GMT

With gastrointestinal cancer becoming more common in Singapore, many people are increasingly vigilant, looking out for signs of the condition to ensure they receive prompt treatment.

Here are the key symptoms to watch for.

Unexplained weight loss

One of the earliest and most common signs of gastrointestinal cancer is unexplained weight loss. If you are losing weight without changing your diet or exercise routine, it could indicate an underlying issue. Cancer can cause weight loss by altering how the body uses calories and affecting appetite and metabolism.

Persistent abdominal pain

Another warning sign is persistent abdominal pain or discomfort. This pain may be localised or generalised and can vary in intensity. It might be mistaken for other conditions like gastritis or ulcers, but it's essential to consult a healthcare professional if it persists.

Changes in bowel habits

Changing bowel habits, such as diarrhoea, constipation, or stool consistency, can indicate gastrointestinal cancer. See medical advice if you notice these changes lasting over a few days, especially if other symptoms accompany them.

Blood in stool

Seeing blood in stool, either visible or detected through a test, is a significant warning sign. Blood in the stool can look bright red or darker, and tarry stools indicate bleeding in the digestive tract. This symptom should never be ignored.

Nausea and vomiting

Persistent nausea and vomiting, especially if it occurs without any apparent cause, can be a red flag for gastrointestinal cancer. These symptoms may result from a blockage in the digestive tract or from the cancer itself.

Difficulty swallowing

Difficulty swallowing, also known as dysphagia, can indicate cancer of the oesophagus or stomach. This symptom might start with difficulty swallowing solid foods and progress to liquids as the cancer advances.

Changes in appetite

A sudden change in appetite, either a decrease or an increase, can be a warning sign. Loss of appetite might lead to weight loss, while an increase in appetite without corresponding weight gain could also be concerning.

Bloating or feeling full quickly

Bloating or feeling full quickly, even after eating a small amount of food, can be an early sign of gastrointestinal cancer. This symptom can result from tumours causing narrowing of the stomach or intestines, causing discomfort and a sense of fullness.

If you experience any of the symptoms mentioned above, seeing a doctor is essential, especially if the symptoms persist for over a few weeks.

Is gastrointestinal cancer treatable?

The treatability of gastrointestinal cancer depends on the type and stage of cancer, the patient's general health, and the effectiveness of the treatment plan.

Early-stage gastrointestinal cancers have a higher chance of successful treatment. Surgery is usually required to remove the tumour. This may be followed by additional chemotherapy or radiation therapy. Advanced stages of cancer might necessitate more aggressive treatments, including targeted therapy and immunotherapy.

Screening for gastrointestinal cancer

Gastrointestinal cancer, which includes cancers of the stomach, liver, pancreas, oesophagus, and intestines, is the third deadliest cancer in the world.

Early-stage gastrointestinal cancers are often asymptomatic or present with non-specific symptoms, making them difficult to detect without screening. Regular screening can identify cancer before symptoms appear, when it is most treatable.

How gastrointestinal screening is performed

Screening involves several tests. One of the main procedures employed is a type of endoscopy which includes either gastroscopy or colonoscopy . It examines the upper or lower section of the digestive system respectively.

This is what happens during the procedure:

Sedation : You will be given a sedative to help you relax and minimise discomfort.
Throat numbing : Your throat may be sprayed with a local anaesthetic to reduce the gag reflex.
Insertion of the endoscope : The doctor will gently insert the endoscope through your mouth or anus and slowly introduce it through the upper or lower intestinal tracts.
Examination and treatment : The doctor will examine the lining of your digestive tract and, if necessary, perform treatments to remove polyps or cauterise bleeding vessels.

Consult a gastrointestinal specialist in Singapore

GI cancer is a common ailment in Singapore but can be overcome with early detection and treatment. Awareness of the warning signs and seeking timely medical advice can prevent it from progressing.

If you are experiencing symptoms or have concerns about gastrointestinal cancer, consulting a specialist is crucial. Colorectal Clinic Associates offers comprehensive diagnostic and treatments for GI cancers. Our gastroscopy and colonoscopy experts use diagnostic techniques and personalised treatment plans to provide the best possible care.

Book an appointment to learn more about gastroscopy and its cost.

What is a Gastroscopy?

admin@heroesofdigital.com (Jennifer Neo) — Fri, 06 Sep 2024 07:59:46 GMT

Gastroscopy is a common procedure for diagnosing and treating various gastrointestinal issues.

In this article, we will explore this procedure and why you should consider one for your gastrointestinal health.

Understanding gastroscopy

A gastroscopy, otherwise known as an upper endoscopy, is a medical procedure that lets doctors examine the upper section of the gastrointestinal (GI) tract. The upper GI tract includes the oesophagus, stomach, and the first part of the small intestine, the duodenum.

The procedure uses a gastroscope, a long, flexible tube with a light and camera. This tool enables doctors to visualise the inside of the GI tract on a monitor, facilitating both diagnosis and treatment of various conditions.

Gastroscopy and its role in diagnosis and treatment

Conditions such as acid reflux, gastritis, ulcers, celiac disease, and oesophageal or stomach cancer can be identified through gastroscopy. It allows for direct visualisation of abnormalities, and biopsies can be taken for further examination.

In addition to diagnosis, gastroscopy can be therapeutic. It can treat bleeding ulcers, remove foreign objects, dilate narrowed areas of the oesophagus, and remove polyps . The ability to diagnose and treat with one procedure makes gastroscopy a valuable tool in gastroenterology.

Gastroscopy and gastrointestinal cancer

Gastroscopy is particularly useful in the early detection and management of gastrointestinal cancers. Early-stage oesophageal and stomach cancers are often asymptomatic or present with nonspecific symptoms.

To guard yourself against more advanced stages of gastrointestinal cancer, we recommend you undergo a gastroscopy screening to detect and treat suspicious lesions if any, improving the chances of successful treatment and survival.

For patients diagnosed with upper GI cancer, gastroscopy can also be used to:

assess the extent of the disease
guide treatment plans
Treat early gastric cancers endoscopically without the need for invasive surgery
monitor response to therapy

Advantages of gastroscopy

Direct visualisation : Provides a clear view of the upper GI tract, allowing for accurate diagnosis.
Biopsy capability : Enables tissue sampling for histological examination, which is crucial for diagnosing conditions like cancer and infections.
Therapeutic use : Can be used to treat certain conditions during the same procedure.
Minimally invasive : Compared to surgery, gastroscopy is less invasive, with quicker recovery times and fewer complications.
Quick and efficient : The procedure typically takes 15-30 minutes, with patients resuming normal activities the same day.

When is gastroscopy necessary?

A doctor may recommend gastroscopy in various situations, including:

Persistent symptoms : Chronic heartburn, difficulty swallowing, unexplained weight loss, persistent abdominal pain, or vomiting.
Abnormal imaging or lab results : Follow-up on abnormalities found in X-rays, CT scans, or blood tests.
Screening : For patients at high risk of GI cancers, such as those with a family history.
Monitoring : To follow up on previously diagnosed conditions like ulcers or celiac disease.
Therapeutic interventions : To treat certain GI conditions.

How is gastroscopy performed?

A gastroscopy is usually performed as an outpatient procedure. Here's what to expect:

Preparation : Patients are required to fast for 6-8 hours before the procedure. Specific instructions regarding medications may also be given.
Sedation : A sedative is often administered to help the patient relax and minimise discomfort. The throat may also be numbed with a local anaesthetic spray.
Procedure : The patient lies on their side, and the gastroscope is gently inserted through the mouth, guided down the oesophagus, and into the stomach and duodenum. Air may be introduced to expand the area for better visibility. The doctor examines the lining and may perform treatments as needed.
Recovery : After the procedure, patients are monitored until the sedation wears off. It's common to experience mild throat discomfort or bloating from the air introduced during the exam. It is best to avoid eating or drinking until the numbness in their throat wears off.

Consult a gastrointestinal specialist in Singapore

Gastroscopy is a valuable procedure, especially when diagnosing and treating conditions that show no apparent symptoms. If you have concerns about your GI health, consult a gastrointestinal specialist to discuss whether a gastroscopy screening might be right for you.

At Colorectal Clinic Associates, our team of gastroscopy experts can help you achieve optimal gastrointestinal health. We offer detailed evaluations, diagnostic procedures, and personalised treatment plans to address your gastrointestinal health needs.

We will guide you through the gastroscopy process, so you understand every step and what to expect. Book an appointment today to learn more about gastroscopy and its price.

Why do you feel the urge to poop after your morning coffee? Can drinking it really help with constipation?

admin@heroesofdigital.com (Jennifer Neo) — Wed, 06 Mar 2024 08:22:26 GMT

It hasn’t been 30 minutes since you’ve drained your first cup of coffee. But right on schedule, there’s that all-too-familiar urge to do the Number 2. For many coffee drinkers, the morning cuppa almost always requires a quick deposit in the toilet before you can step out of the house with ease of mind. So why is this happening to you? Why does it only happen in the morning? And can you use coffee to help with constipation?

What’s in Coffee Other Than Caffeine?

Most people know that coffee contains caffeine, which is a diuretic that increases your body’s production of urine. But what many don’t know is that caffeine also has some effects on gut motility, said Dr Sulaiman Bin Yusof , a senior consultant general and colorectal surgeon from Colorectal Clinic Associates (a subsidiary of Foundation Healthcare Holdings).

“Like all things in life, it’s never due to one thing,” he said, adding that there are other substances in coffee that can move things along in your colon. These include chlorogenic acids, citric acid, acetic acid, flavonoids and tannins, among other compounds. “There have been research papers stating that even the bitter taste of coffee itself has a role in stimulating the stomach,” said Dr Sulaiman .

Maximum precision for minimal post-surgical pain

admin@heroesofdigital.com (Jennifer Neo) — Fri, 24 Mar 2023 00:33:22 GMT

Can cancer really be prevented? Dr Dean Koh talks about 5 myths and facts on cancer prevention

admin@heroesofdigital.com (Jennifer Neo) — Wed, 02 Mar 2022 01:22:01 GMT

Dr Dean Koh , a general surgeon who specialises in treating colon and rectal cancer, answers our questions and clarifies 5 common ideas about cancer prevention.

1. Eating less red meat and processed meat reduces the risk of colorectal cancer

Is it true that people should eat less meat in general to prevent cancer?

Meat is an important source of protein, vitamins and minerals in our diet. It is important to note that the studies in medical literature linking meat to the risk of colorectal cancer all refer to processed meats and red meats. White meats are generally well accepted not to be associated with an increased risk at all. While there is no harm in reducing one's intake of meat in general, what I would advise will be a more pragmatic approach of consuming meats in moderation and leaning more towards white meat as opposed to the red meats.

Any form of processed meat (be they red or white) increases the risk of cancer. This is because mutagen and carcinogens are produced when the meats are cooked at high temperatures such as by charcoal grilling. In addition, nitrates/nitrites and salts which are used in processed meat leads to carcinogenic nitrosamines being formed.

Mutagens and carcinogens

These are substances that increase the likelihood of mutations, or triggers the development of cancerous growths. A mutagen induces change or mutation while a carcinogen induces abnormal growth in cells or tissues. They are not identical terms, but both are significant factors, as mutagen can result in the development of cancer.

Carcinogenic nitrosamines in processed meats

The World Health Organization (WHO)’s International Agency for Research on Cancer (IARC) categorizes processed meats as a carcinogen, based on consistent data that connects high consumption of processed meat with stomach cancer.

But don’t panic just yet. The truth is that nitrates and nitrites are naturally-occurring chemical compounds. They are legally used as preservatives to prevent the growth of harmful bacteria in foods like ham and some cheeses. They are also found in vegetables, which acquire these compounds from the soil they grow in.

While nitrates are relatively inert, nitrites are more reactive and can react in the acidic stomach environment and, with the presence of chemicals called amines found in protein foods, form nitrosamines. Nitrosamines can also be created when foods are cooked at high temperatures.

Taken in context, there’s no need to swear off processed meats completely. However, it’s also important to understand that high consumption of processed meats is also linked to coronary artery disease, stroke and diabetes. In other words, make it an occasional option rather than a daily one.

Is it true that less red or processed meat is better? Or would you suggest going meatless 1 day a week?

There is little harm in reducing meat intake, even if it’s for 1 day a week. Replacing meats with fish and poultry is always a good start. Another alternative will be to choose smaller portions of meat or use these as a side dish instead of the main focus of the meal.

An often-used guideline to consumption will be as follows: daily consumption of 100g of red meat or 50g of processed meat increases the risk of colorectal cancer by 15 – 20%. You can do the math to determine just how many servings of what proportions that will amount to.

Is this recommendation only for processed meat?

As mentioned above, reduction in the ingestion of processed meat in the long term will certainly reduce one's risk of developing colorectal cancer. In fact, current evidence supports a 15 – 20% increased risk of colorectal cancer for every 50g of processed meat consumed per day!

What do you classify as ‘fat meat’?

This is a non-specific term that generally refers to meat that is marbled with excessive fat. The effect of consuming too much of it is more related to the obesity/overweight risks, which is associated with increased incidences of colorectal cancer rather than the carcinogenic effect.

Cancer prevention tips

While there is no proven way to fully prevent cancer, you can help to stay healthy and reduce your risk by making a few changes to your diet.

Eat more fruits and vegetables, in a variety of colours. These, which includes different kinds of beans and legumes, provide essential fibre and a wide range of vitamins, minerals and other nutrients.
Maintain a healthy weight. Sometimes, it’s not just how much we eat but what type of food we eat. Some foods are high in calories, such as soft drinks and fruit-based drinks, creamy dressings, and processed foods that contain high-fructose corn syrup. So, eating smaller meals may not be as effective as cutting out soft drinks and processed foods. Try healthier snacks such as fresh fruits, yogurt, and baked instead of fried or sugar-laden treats.
Reduce consumption of processed and red. It’s not necessary to eliminate these entirely, but it can help to limit your intake by taking smaller portions, or making it a treat on weekends or special occasions. To maintain a health intake of protein, you can eat more fish, chicken, turkey or beans.
Cook your proteins differently. Instead of high-temperature cooking methods such as frying, try baking, broiling or poaching meats instead.

2. Being physically active might reduce the risk of cancer

Regular activity is associated with lower risk of many diseases, including colon cancer. In fact, the World Cancer Research Fund identifies body fat and physical inactivity as 2 out of 4 preventable risk factors (the other 2 are alcohol consumption and diet).

Regular exercise is not just associated with risk reduction in colorectal cancer, there are clear benefits that this results in reduced rates of premature death and incidence/mortality from various cancers. It is important to note that the optimal intensity, duration and frequency of physical activity needed to reduce cancer risks are unknown, the recommendation accepted by most cancer societies around the world is 300 minutes of moderate activity or 150 minutes of vigorous activity per week.

3. Sufficient intake of vitamin D may reduce the risk of colorectal cancer

A healthy vitamin D intake is said to reduce the risk of colorectal cancer and increase survival rates for those already affected by colorectal cancer. How does healthy vitamin D levels reduce the risk of colorectal cancer?

Vitamin D has an effect on the initiation and progression of colorectal cancer. This is because of its effect on reducing cell proliferation, and stimulating cell death in cancer cells. There have been studies demonstrating an anti-inflammatory effect of Vitamin D as well.

The largest studies evaluating the effect of vitamin D are the Nurses' Health Study (NHS) and the Women's Health Initiative (WHI).

In general, do women in Singapore lack vitamin D?

It's unlikely. This is because of our year-round tropical climate which rarely confines a person indoors for a prolonged period of time. Vitamin D is obtained through skin exposure to UV radiation, through diet (milk and cereal which are fortified with vitamin D) and through supplements. It is important to note that the association between colorectal cancer and vitamin D is not definitively proven, a level of 30ng/ml is generally recommended for not just cancer prevention but for other health conditions.

4. Long-term use of aspirin can lower the risk of colon cancer

Is it true that the long-term use of aspirin can lower the risk of colon cancer? Can aspirin be taken as a supplement?

The data surrounding aspirin and the reduction of colorectal cancer has proven to be inconclusive. Aspirin has been associated with a reduction in the development of the precursor lesion to colorectal cancer – the adenomatous polyp. However, it must be emphasised that high level evidence for the use of aspirin in healthy individuals in reducing the risk of colorectal cancer is not yet available. Most authorities advocate caution with respect to the use of aspirin in the primary prevention setting simply because of its risk of bleeding.

Based on the current available data in medical literature, this cannot be recommended in healthy individuals as a means of prevention of colorectal cancer. Virtually all studies have shown that regular aspirin consumption is associated with an elevated risk of gastrointestinal bleeding and haemorrhagic stroke.

5. A diet rich in garlic reduces the risk of colon cancer

Is it true that a diet rich in garlic reduces the risk of colon cancer? How much garlic should a person eat?

There is yet little evidence that allium compounds contained in garlic can prevent cancer. All that has been concluded so far is a possible association but these have been predominantly based on preclinical studies. In fact, a recent study involving over 300,000 subjects showed no protective effects as a result of garlic consumption.

Article contributed by Dr Dean Koh

Reference

Q&A on the carcinogenicity of the consumption of red meat and processed meat. (2015, October) Retrieved from https://www.who.int/features/qa/cancer-red-meat/en/

Thompson, R. (2015, 23 October) Red meat and bowel cancer risk – how strong is the evidence? Retrieved from https://www.wcrf.org/int/blog/articles/2015/10/red-meat-and-bowel-cancer-risk-how-strong-evidence

A Robotic Aid for Colorectal Cancer

admin@heroesofdigital.com (Jennifer Neo) — Wed, 27 Oct 2021 10:07:10 GMT

The Silent Killer In Your Bottom

admin@heroesofdigital.com (Jennifer Neo) — Tue, 11 May 2021 04:00:54 GMT

Many colorectal cancer patients do not show any symptoms until the disease has advanced, hence early detection can mean the difference between life and death.

When one of Dr. Dean Koh’s patients first discovered that he had colon cancer, the disease was already in its advanced stage and had spread to his lungs. This came as a surprise to the patient’s family who remembered him to be physically active and careful with his diet. Dr. Koh, a General Surgeon at Mount Elizabeth Novena Hospital, believes that the patient could have avoided colon cancer if he had detected the silent killer early enough through regular screening.

“For patients who have been diagnosed with colorectal cancer, there is some good news as treatment, including surgery, has advanced significantly.”

“The lack of awareness of colorectal cancer risk factors is alarming especially in a time when people are so focused on living well and living longer,” says Dr. Koh, who believes testing for colorectal cancer should be an integral part of health check-ups, and anyone over the age of 50 should go for screening colonoscopy . “Once people hit middle age, they tend to be very focused on what’s happening on the outside, particularly visible signs of aging. However, what we really need to be focusing on is what’s happening on the inside,” says Dr. Koh.

"Colorectal cancer tends to be more prevalent among those aged above 50, lack physical exercise, are obese or have a diet which is low in fibre."

Left undetected, advanced colorectal cancer can be difficult to treat. Therefore, early detection of colorectal cancer through screening tests like colonoscopy can make the difference between life and death.

The disease tends to be more prevalent among those aged above 50, lack physical exercise, are obese, or have a diet which is low in fibre and includes high-calorie processed foods and red meat. People in these high-risk groups should go for a colonoscopy to screen for any abnormalities in their colon and rectum.

For patients who have been diagnosed with colorectal cancer, there is some good news as treatment, including surgery, has advanced significantly. Doctors today are using minimally invasive surgical techniques (using small incisions) to treat a wide range of colorectal problems, resulting in less pain, less injury to tissue, minimal scarring, and less blood loss. “This means that you have a faster recovery time and are able to return to your normal activities in a much shorter timeframe,” commented Dr. Koh.

Going Bottoms Up is Easy

One of the most important tests you should go for if you are over the age of fifty is a colonoscopy.

With a colonoscopy, a flexible tube is used to look at the internal lining of the colon and rectum and take tissue samples for further testing if required. The entire process usually takes less than 15 minutes and is done under mild sedation.

Patients going in for a colonoscopy are often recommended to do a gastroscopy of the same sitting to screen the intestinal tract for diseases including gastric cancer.

The preparation is the same for a colonoscopy and saves you having to go through the procedure at another time.

Am I at risk?

I am older than 50 years.
I have a family history of colon cancer.
I have had colon polyps, ulcerative colitis, or Crohn’s disease.
I am a smoker.
My diet is high in red meat and low in fruits and vegetables.
I do limited physical activity.

If you have ticked any of the above, you may be at increased risk for colorectal cancer.

Understanding Risk Factors and Screening

If you are aged 50 and above, you should go for a colonoscopy every five years. Those with a family history of colon cancer should be screened every three years.

Constipation and Hemorrhoidal Diseases

admin@heroesofdigital.com (Jennifer Neo) — Tue, 13 Apr 2021 09:50:02 GMT

Introduction to Constipation

admin@heroesofdigital.com (Jennifer Neo) — Mon, 12 Apr 2021 03:40:00 GMT

大肠癌

admin@heroesofdigital.com (Jennifer Neo) — Fri, 09 Apr 2021 09:41:26 GMT

我问医生 ASK DOC

admin@heroesofdigital.com (Jennifer Neo) — Fri, 09 Apr 2021 09:30:49 GMT

Laparoscopy and Robotic Surgery

admin@heroesofdigital.com (Jennifer Neo) — Fri, 09 Apr 2021 07:44:02 GMT

This video is about Dr. Dean Koh , a senior consultant and general surgeon at Colorectal Clinic Associates in Mount Elizabeth Novena Hospital, and his expertise in laparoscopic and ro botic-assisted colorectal surgery . Dr. Koh discusses how his early interest in video games helped him develop the hand-eye coordination necessary for these minimally invasive techniques. He explains that robotic surgery is an advancement of laparoscopic surgery, offering greater precision and improved patient outcomes, such as reduced post-operative pain and shorter recovery times. The video highlights Dr. Koh's extensive experience and his role in training other surgeons in these advanced surgical methods.

Treatment Options for Different Stages of Cancer

admin@heroesofdigital.com (Jennifer Neo) — Fri, 09 Apr 2021 07:18:33 GMT

The incidence of colorectal cancer in Singapore continues to rise. Based on the Singapore Cancer Registry (dated 2006-2010) it is the number one cancer suffered in men, and number two in women.

Colorectal cancer has quickly become a massive problem as too many people have little to no knowledge on how to treat it. Fortunately, there are several tailor-made surgical procedures to treat it.

As a simplified walk-through, diagnosis of colorectal cancer is confirmed via biopsy performed during colonoscopy . The extent of the disease is then determined with a computer tomographic (CT) scan of the chest, abdomen and pelvis. Positron Emission Tomography (PET) and magnetic resonance imaging (MRI) are also used in certain cases.

Colorectal cancer staging is based on the TNM system, which identifies:

How deep the tumor has invaded the wall of the colon.
If and to what extent the surrounding lymph nodes are involved.
If it has spread to other organs (a process known as metastasis).

At different stages of the cancer, different options are available to best treat the disease. At the earliest stage, where the cancer is found only in the innermost lining of the colon, treatment usually involves local excision to remove the tumor and a small amount of surrounding tissue. Thanks to technological advances in fibre-optics and video processing, this can be performed through the colonoscope using forceps, wire snares and electrocautery or through endoscopic submucosal dissection (ESD), where a special type of microknife is inserted through the scope to allow the surgeon to safely remove the affected region.

For stage one cancers that have spread beyond the inner lining of the colon to the second and third layers. Stage two cancers which extend through the muscular wall of the colon and the surrounding lymph nodes are not involved with cancer cells, the optimal treatment is surgery. This involves an operation that removes the segment of colon affected - together with the surrounding lymph nodes - and then joining the two ends of the colon back together to re-establish continuity of the colon. In this present day and age, these operations are almost routinely performed using minimally invasive techniques (laparoscopic surgery) and involves the insertion of several ports sized 0.5 to 1.0cm in diameter through several sites on the abdomen. The extent of operation is similar if not better than the conventional open technique of the past.

Technological and surgical advances have now even allowed for laparoscopic instruments to be inserted into one site instead of multiple sites. This is known as single site laparoscopic surgery and is suitable for well-selected types of colorectal cancers. An even more recent breakthrough is the use of robotic technology to complete these operations. The modern day da Vinci Si robotic system provides high-definition images in 3-dimensions for the surgeon and wrist-like movements of the surgical instruments inserted through small ports on the abdominal wall. All these make for more precision, superior stability and visualization.

Stage 3 cancers will have spread outside the colon to one or more surrounding lymph nodes. In addition to the treatment of surgical resection as mentioned above, patients will also require chemotherapy. External radiation may also be needed if the tumor is large and invades the tissues surrounding the colon.

Radiation plays an integral role particularly in the treatment of rectal cancers where it can be used before or after surgical resection. This has allowed colorectal surgeons to save the anus in most cases of rectal cancer.

Stage 4 cancers have spread beyond the colon to other organs of the body, most commonly to the liver or the lungs. Also known as a “metastatic” state, the treatment of these are varied and may include removal of the cancer surgically if it causes symptoms. Chemotherapy plays a central role in patients with metastatic colorectal cancer. This serves to control the spread of the cancer, relieve symptoms and even result in shrinkage. At times, complete resolution of the cancer may even be achieved.

In selected metastatic colorectal cancers, the surgical option is available. When metastases is confined to the abdominal cavity, it is at times possible to surgically remove all visible cancer cells (cytoreductive surgery), followed by the instillation of heated chemotherapy into the abdominal cavity to further improve control, reduce disease recurrence and prolong survival.

The proper treatment option employed in patients with colorectal cancer is essential in ensuring good outcomes and optimal survival. An experienced surgeon, combined with an informed patient and a skilled multispecialty team approach, is now considered to be the standard of care. At Colorectal Clinic Associates , we provide all the above treatment options, together with our partners in medical oncology, radiation oncology, urology and gynecology amongst others. This is essential to ensure highest standards of care quality in treatment.

Colorectal Cancer Screening Procedures in Singapore

admin@heroesofdigital.com (Jennifer Neo) — Fri, 09 Apr 2021 05:01:01 GMT

Cancer remains one of the top causes of mortality in the developed world. The incidence of cancer globally shows no signs of abating. The Globocan project by the International Agency for Research on Cancer reported about 12 million cancer cases reported worldwide in 2008 resulting in about 7 million deaths . More than half of these occur in the economically developing world.

Breast cancer is the leading cancer diagnosed in females whilst lung cancer is the commonest malignancy detected in males. The pattern of incidence differs between the developing world and the economically developed one. Lung, colorectal and prostate cancers are predominant in males in the developed countries. Their female counterparts are afflicted by breast, colorectal and lung cancers. In the developing countries, cancers of the lung, liver, stomach, and cervix are more common.

What is Colorectal Cancer?

Colon and rectal cancer is the second most commonly diagnosed cancer in females worldwide. In males, it is ranked number three. Over 1.2 million new cases are estimated to be detected each year, resulting in about 600,000 deaths. Incidence rates are highest in Australia, Europe and North America. There is a male preponderance in most countries. Of note is the fact that the rapidly increasing incidence is in areas historically deemed as low-risk. These include eastern Europe and certain parts of Asia, where the rates have even exceeded the peak incidences observed in the United States and Australia.

Death rates have been noted to be decreasing in most of these western countries and this is believed to be a result of improved treatment, increased awareness and early detection. Proven modifiable risk factors include smoking, excessive alcohol consumption, physical inactivity, obesity, and red and processed meat consumption.

Singapore belongs to one of the Asian countries where the incidence of colorectal cancer has reached that of the West. It has become the top ranked cancer in men and women combined. As a result of this disturbing trend, the Ministry of Health has increased its efforts to promote screening to the population.

The vast majority of colon and rectal cancers arise from adenomatous polyps. The transformation of these adenomatous polyps (adenoma-carcinoma sequence) to cancer has been shown to take 5 to 10 years. This occurs following a series of multiple gene mutations. The key essence is that these adenomatous polyps are relatively asymptomatic. They are present in up to 25% of individuals at the age of 50 years and its prevalence increases with age. More than 90% of these polyps, if detected by screening modalities, can be removed from the colon without the need for surgery.

This detectable premalignant phase (adenoma), coupled with a relatively long duration of malignant transformation, forms the fundamental basis for screening as an effective means of preventing colon and rectal cancer. Mortality can be reduced simply by screening asymptomatic individuals for the presence of adenomas and early cancers. Studies in medical literature have demonstrated that the number of early staged colorectal cancers detected have doubled just by instituting an effective screening programme. Reduction of mortality rates of between 15 to 30% have been reported.

The paradigm in screening for colon and rectal cancer has shifted from ‘early detection’ to PREVENTION.

When should screening commence and who should be screened ?

Screening in an individual of average risk should begin at the age 50 years. This is based on the fact that the risk increases sharply after this age. Screening should commence earlier in increased and high–risk individuals. The age of commencement is dependent on the risk factors present. Increased-risk individuals include those with a personal history of colorectal neoplasia, one or more first degree relatives with a history of colorectal cancer, or a personal history of breast, endometrial, ovarian cancers. High–risk individuals are those who possess a hereditary or inherited predisposition to developing colorectal cancers. These include those who have a family history of one of the polyposis syndromes. Although uncommon, patients who suffer from a long history of ulcerative colitis are also considered high risk.

How to screen for colorectal cancer ?

For a screening test to be widely applicable, it must be inexpensive, reliable and acceptable. Various screening tests for colorectal cancer have been reported.

Faecal occult blood testing (FOBT) is the only screening modality that has been shown in 3 large randomized trials to show a 33% reduction in colorectal cancer mortality. In light of this, there is very little reason not to offer FOBT screening for average-risk individuals aged 50 years and above at the very least. It is important to note that the early studies mentioned above made use of the guaiac based kit which has been shown to have a 60-70% sensitivity for cancer and only 25-50% sensitivity for polyps.

Nowadays, most FOBT kits utilize the faecal immunochemical test (FIT). This has been shown to be more sensitive and technologically superior. The hallmark of this is that it is specific for human globulin, thereby reducing the incidence of false positives from red meat ingestion. It is more specific for sources of bleeding in the lower gastrointestinal tract. To top it off, the method of collection is far simpler and should increase compliance. Comparisons between FOBT and FIT have shown the latter to be superior in sensitivity for both cancers and polyps. The recommendation for FIT is for 2 separate samples to be taken on 2 separate days.

A positive FOBT or FIT mandates further evaluation with optical colonoscopy.

Optical colonoscopy

This is the only test that allows for the direct visualization of the colonic mucosa. It is by far the most accurate means of diagnosing colon and rectal neoplasia and serves as the gold standard by which all other screening modalities are referenced. The main advantage of colonoscopy is the fact that it remains the only means by which polyps can be removed at the same sitting as the diagnostic procedure. The removal of these polyps essentially prevents them from ever developing into cancer. Another benefit of colonoscopy is the long recommended screening interval of 10 years.

Pre-procedure bowel preparation usually takes 1 of 2 forms: 1) high-volume (3-4 litres) polyethylene glycol (PEG) or 2) low-volume (90 mls) oral fleet. Oral fleet is contraindicated in patients with renal impairment due to its high phosphate content. For suitable patients, it is a more palatable option as it can be mixed with sweetened fluids. Patients taking oral fleet must be encouraged to drink plenty of water to decrease the likelihood of phosphate toxicity.

The reported miss rates for optical colonoscopy is 6-12% for large adenomas and 5% for cancers. More often than not, it is the small, flat polyps that are missed. New imaging modalities such as chromoendoscopy, narrow band imaging and other adjunct technologies have been developed to increase and improve the yield of polyp detection during the procedure.

The screening interval for colonoscopy is dependent on the findings at the index procedure. The 10 year interval is applicable only if there were no neoplastic lesions found. This interval drops with increasing numbers and complexity of the polyps detected. Colonoscopy is the only screening test that combines detection with prevention by polypectomy.

A note on flexible sigmoidoscopy should be made. Its main difference is that no prior mechanical bowel preparation aside from fleet enemas is required. Its effectiveness is based on the assumption that two-thirds of polyps and cancers are located within the reach of the sigmoidoscope. It is prudent to note that about 60% of advanced neoplastic lesions are not associated with a distal lesion. Hence, the recommendation is that sigmoidoscopy should be combined with faecal occult blood testing for better detection.

Computer Tomographic Colography / Virtual Colonoscopy

Virtual colonoscopy is a minimally invasive imaging examination using a new radiologic technique to generate images of the colon and rectal wall. Rapid advancements in this technology, including multi-detector CT, thin slices, software improvements and techniques such as stool tagging with barium or contrast agents, have made this the best available imaging test if optical colonoscopy is contraindicated or incomplete. There is however still the existing concern with the risk of cumulative radiation if used repetitively for surveillance.

Full mechanical bowel preparation similar to that for colonoscopy is still the main requirement. More importantly, there will still be a need to undergo optical colonoscopy to rule out suspicious lesions and for therapeutic polypectomy. The current recommended interval for this modality is 5 years if the results are normal.

Other Notable Screening Tests:

Double Contrast Barium Enema

Whilst commonly employed in the past, is no longer recommended as a first line modality for colorectal cancer screening. It is still an option if colonoscopy is contraindicated or unsuccessful.

Stool DNA Tests

Stool DNA tests are still not ready for population screening due to the lack of standardized laboratory protocols, the high costs of tests, and the lack of data on appropriate intervals between negative stool DNA examinations.

Serum Carcinoembryonic Antigen (CEA)

Lastly, whilst serum carcinoembryonic antigen (CEA) is useful for monitoring tumour burden in patients already diagnosed with colorectal cancer, its low specificity and sensitivity in the diagnosis of colorectal cancer makes it a poor screening tool.

What is colorectal cancer?

admin@heroesofdigital.com (Jennifer Neo) — Fri, 09 Apr 2021 04:07:10 GMT

A video featuring Dr. Dean Koh talking about colorectal cancer in Singapore. Call us today for available treatment options suited for you.

Anal Fistulas

admin@heroesofdigital.com (Jennifer Neo) — Thu, 08 Apr 2021 07:06:12 GMT

Dr Charles Tsang, an experienced colorectal surgeon in Singapore shares his insights on anal fistula through answering some commonly asked questions in the video.

治疗肛痿

admin@heroesofdigital.com (Jennifer Neo) — Mon, 23 Nov 2020 09:43:08 GMT

Gain insights on anal fistula, from the sharing given by Dr Charles Tsang, an colorectal surgeon in Singapore. He was featured on a local Chinese newspaper article.

New Techniques in Treating Anal Fistulas

admin@heroesofdigital.com (Jennifer Neo) — Mon, 23 Nov 2020 09:35:48 GMT

Colorectal doctors in Singapore discussed two surgical procedures that close an anal fistula without affecting patients' faecal continence.

Importance of Lifelong Learning In The Healthcare Sector

admin@heroesofdigital.com (Jennifer Neo) — Mon, 13 Jan 2020 04:44:18 GMT

“Importance Of Lifelong Learning In The Healthcare Sector – Dr Dean Koh”

from MONEY FM 89.3 by SPH RADIO. Released: 2020. Genre: Podcast.

37 year Old Experiences Frequent Abdominal Pain and Diarrhea, Shocked After Being Diagnosed with Colorectal Cancer

admin@heroesofdigital.com (Jennifer Neo) — Mon, 12 Aug 2019 04:05:47 GMT

Based on the provided Lianhe Wanbao newspaper article dated August 12, 2019, this report discusses a concerning trend of colorectal cancer affecting younger individuals locally. It highlights the case of a 37-year-old man who was diagnosed with colorectal cancer after experiencing frequent abdominal pain and diarrhea, initially mistaking them for minor stomach problems. A colorectal surgeon quoted in the article confirms this trend and stresses the critical importance of early diagnosis and screening for better treatment outcomes. The article further emphasizes this point with the case of a 63-year-old woman who was diagnosed with stage three cancer during a routine check-up, urging the public not to ignore symptoms and to undergo regular screenings to detect and remove precancerous polyps before they become malignant.

Robotic Surgery in Colorectal Cancer

admin@heroesofdigital.com (Jennifer Neo) — Sat, 01 Mar 2014 07:48:12 GMT

Colorectal Cancer Screening. Why you need to do it now!

admin@heroesofdigital.com (Jennifer Neo) — Sat, 01 Mar 2014 07:34:37 GMT

The article highlighted that colorectal cancer (CRC) is a significant and growing health concern in Singapore, being the most common cancer in men and the second most common in women. The author, Dr. Charles Tsang , emphasizes the critical importance of early screening for improving survival rates, as many individuals are diagnosed at a late stage. The article outlines two main screening methods: the Faecal Immunochemical Test (FIT), a simple, non-invasive annual stool test proven to reduce mortality by 33%, and the colonoscopy , which is considered the preferred prevention strategy because it can detect and remove precancerous polyps . Despite public awareness campaigns and the availability of subsidized or free test kits in Singapore, the article notes that screening uptake is low and strongly encourages individuals aged 50 and above to participate in regular screening to combat the rising burden of the disease.

我问医生 ASK DOC

admin@heroesofdigital.com (Jennifer Neo) — Fri, 10 May 2013 09:43:05 GMT

名医宝鉴 HEALTH

admin@heroesofdigital.com (Jennifer Neo) — Fri, 12 Apr 2013 05:02:11 GMT

真实医疗档案 HEALTH

admin@heroesofdigital.com (Jennifer Neo) — Tue, 09 Apr 2013 09:50:59 GMT

Colorectal cancer in Singapore today – Preventable, treatable

admin@heroesofdigital.com (Jennifer Neo) — Tue, 09 Apr 2013 03:31:12 GMT

No fear now of colonoscopy

admin@heroesofdigital.com (Jennifer Neo) — Thu, 14 Mar 2013 03:36:41 GMT

如何预防治疗结肠直肠癌 – Channel 8 早安您好 Mar 2013

admin@heroesofdigital.com (Jennifer Neo) — Fri, 08 Mar 2013 09:09:19 GMT

大肠癌生存率提高 – LianHe Zaobao

admin@heroesofdigital.com (Jennifer Neo) — Thu, 07 Mar 2013 09:39:45 GMT

Featured in the Singaporean newspaper Lianhe Zaobao, this insightful magazine article, titled "大肠癌生存率提高" (which translates to "Colorectal Cancer Survival Rate Increase"), sheds light on the encouraging trend of rising survival rates for colorectal cancer . The article features Colorectal Clinic Associatesand esteemed specialists Dr. Charles Tsang and Dr. Dean Koh . The clinic's site is a valuable resource, detailing a wide array of services for colorectal health—from managing conditions like irritable bowel syndrome and haemorrhoids to advanced treatments like colonoscopies and robotic cancer surgery . For those seeking expert care or more information, the website also provides other health articles and contact details for their clinics conveniently located at Mount Elizabeth Novena Hospital and Parkway East Hospital.

The Dedicated Duo – This Quarterly (Jan – Mar 2013)

admin@heroesofdigital.com (Jennifer Neo) — Tue, 01 Jan 2013 04:58:19 GMT

Colorectal Excellence – This Quarterly (Oct – Dec 2012)

admin@heroesofdigital.com (Jennifer Neo) — Mon, 01 Oct 2012 05:00:25 GMT

痔疮大解出血除动手术可有其他治法？

admin@heroesofdigital.com (Jennifer Neo) — Sun, 30 Sep 2012 09:48:13 GMT

Robotics in Colorectal Surgery (中文) 三生有幸 – 机器人在结肠直肠癌手术（下)

admin@heroesofdigital.com (Jennifer Neo) — Tue, 18 Sep 2012 07:06:12 GMT

Anal Fistula (中文) 三生有幸 – 肛瘘

admin@heroesofdigital.com (Jennifer Neo) — Fri, 24 Aug 2012 09:39:27 GMT

Anal Fistula (中文) 三生有幸 – 肛瘘 (下)

admin@heroesofdigital.com (Jennifer Neo) — Thu, 23 Aug 2012 09:40:55 GMT

Always constipated before her period

admin@heroesofdigital.com (Jennifer Neo) — Thu, 26 Apr 2012 09:45:47 GMT

Screening for Colorectal Cancer – Walking The Talk

admin@heroesofdigital.com (Jennifer Neo) — Sun, 08 Apr 2012 07:06:12 GMT

A video discussing the importance of colorectal cancer screening for early detection. Call us today for medical guidance.

Anal Fistulas – This Quarterly (April – June 2012)

admin@heroesofdigital.com (Jennifer Neo) — Sun, 01 Apr 2012 09:34:21 GMT

Dr Dean Koh & Dr Charles Tsang's sharing about anal fistula treatment was featured on a magazine. They both are experienced colorectal surgeons in Singapore.

Anal Fistulas – This Quarterly (April – June 2012)

admin@heroesofdigital.com (Jennifer Neo) — Sun, 01 Apr 2012 04:54:40 GMT

Precise And Robotic

admin@heroesofdigital.com (Jennifer Neo) — Tue, 01 Nov 2011 21:30:26 GMT

Doctor Robot – Straits Times October 2011

admin@heroesofdigital.com (Jennifer Neo) — Thu, 06 Oct 2011 08:54:27 GMT

This magazine feature from The Straits Times, dated October 4, 2011, explores the increasing use of robotic surgical systems in Singaporean hospitals. The article highlights the advantages of this technology, such as greater precision and faster recovery times. It features several key surgeons who are pioneers in the field. Among them is Dr. Dean Koh , a colorectal surgeon and associate professor, who noted that his team began using the robot for colorectal surgery in 2009 and performed 20 to 30 such operations in the year prior to the article, with an expectation for that number to grow. The piece also extensively quotes another colorectal surgeon , Dr. Ng Khee Wee, who shares his positive experiences with the robot's enhanced 3-D vision and precision. Other featured doctors include Dr. Christopher Cheng, who was part of the first team to use the da Vinci robot in Singapore in 2003 for prostate cancer surgery, showcasing the technology's adoption across various specialties like urology, gynaecology, and colorectal surgery.