Hemorrhoids Treatment in Sharjah
Medically reviewed by Dar Al Kamal Team
What is hemorrhoids treatment?
Everyone has haemorrhoids: they are normal cushions of blood vessels in the lower rectum and anus that help with continence. They become a problem when they swell, stretch or slip down, and the result is what most people call piles. Typical signs are bright red blood on the toilet paper or in the pan, itching, a soft lump that appears after a bowel movement, a feeling of incomplete emptying, and discomfort when sitting.
Hemorrhoids treatment is the step-by-step care that settles these symptoms. It starts with finding the real cause of the bleeding, then softening the stool so the cushions are under less pressure, and, where needed, moves on to a quick clinic procedure. At Dar Al Kamal Hospital, Sharjah, this care is led by the gastroenterologist, whose focus is the whole bowel, so piles are treated in the context of your bowel habit rather than in isolation.
One detail surprises many patients: internal piles sit above a line inside the anus where the lining has very few pain nerves. That is why they usually bleed painlessly, and why sharp pain points more often to a tear (fissure) or a clot in an external pile.
Who needs it
Treatment is worth seeking if you notice bleeding from the back passage, a lump that comes down with straining, persistent itching or soreness, or mucus staining your underwear. Many people wait years out of embarrassment; the examination is quick and routine for the specialist.
Rectal bleeding deserves assessment every time, even when you are sure it is piles. The same symptom can come from a fissure, inflammation of the bowel or a polyp. After the age of about 45, with a change in bowel habit, with a family history of bowel cancer, or with darker blood mixed into the stool, your gastroenterologist may recommend a colonoscopy to view the whole large bowel before settling on piles as the explanation.
Life in the UAE adds its own pressures. A diet built around white bread, rice, fast food and meat is often low in fibre, and long hot summers make mild dehydration common, especially for people working outdoors or fasting in Ramadan. Both harden the stool and lead to straining, which is the main driver of piles. Long hours sitting at a desk or behind the wheel add to it, and pregnancy is another frequent trigger.
What happens
Your first visit begins with questions about your bowel habit, diet, fluid intake, medicines and family history. The gastroenterologist then examines the area gently, usually with a gloved finger and a short viewing tube called a proctoscope, which shows the piles directly.
Most people start with conservative care:
- More fibre from vegetables, fruit, pulses, oats and wholegrains, built up gradually
- Plenty of water through the day, with extra in hot weather
- A fibre supplement or stool softener when diet alone falls short
- Short toilet visits without straining or scrolling on a phone
- Soothing creams or suppositories to ease itching and swelling for a limited period
- Warm, shallow baths for comfort
If internal piles keep bleeding or slipping down despite these measures, a clinic treatment may be offered. The most familiar is banding, in which a small rubber ring is placed around the base of the pile to cut off its blood supply, so that it shrinks and later falls away. It is quick, done without a general anaesthetic, and sometimes repeated for more than one pile.
When piles are large, keep returning after clinic treatment, or are combined with a fissure or external skin tags, surgery may be advised. That is managed by the surgical team, and the options are covered on the haemorrhoid surgery page. If a colonoscopy is needed, sedation is described under anaesthesia for endoscopy and sedation for procedures.
Preparing for it
Keep a simple diary for a week or two before your appointment: how often you open your bowels, whether you strain, what the bleeding looks like and how much water you drink. Bring a list of all medicines, including blood thinners, painkillers and supplements, since some cause constipation or increase bleeding. For an examination with a proctoscope, no special preparation is usually required. If a colonoscopy is planned, bowel preparation instructions will be given to you in advance.
Afterwards
Piles often improve once the stool is soft and straining stops, and the same habits help prevent them from returning. After banding, a dull ache or a feeling of fullness is common at first, and slight spotting may appear when the band falls away. Keep up your fibre and fluids, especially through summer and during Ramadan, when drinking well between iftar and suhoor matters. Your gastroenterologist will arrange a review to check progress.
Contact the hospital if bleeding continues or increases, if a lump becomes very painful or will no longer go back, or if you develop a fever. Go to the emergency department for heavy bleeding, passing clots, severe pain after banding, difficulty passing urine, or feeling faint.
Cost and insurance
Most UAE insurance plans cover the consultation, examination and standard clinic treatment for piles. Colonoscopy and some procedures often need pre-approval, so the team at Dar Al Kamal Hospital, Sharjah can help you check your cover before treatment. Call 06 599 7777 to confirm what your plan includes.
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Frequently asked questions
What are the risks of clinic treatment for piles?
Clinic treatments such as banding are generally safe but can cause discomfort, a feeling of fullness, light bleeding when the band falls off and, less often, heavier bleeding, infection or difficulty passing urine. Piles can also come back over time, especially if constipation and straining continue, and some people eventually need surgery.
Is rectal bleeding always caused by piles?
Rectal bleeding is often caused by piles, but it can also come from a fissure, bowel inflammation or a polyp, so it should always be checked by a doctor. Your gastroenterologist decides whether a colonoscopy is needed based on your age, symptoms and family history.
Do piles go away on their own?
Small piles often settle on their own once constipation is treated and straining stops. Piles that keep bleeding, slipping down or causing discomfort usually benefit from assessment and treatment.
Does banding hurt?
Banding is usually felt as pressure or a dull ache rather than sharp pain, because internal piles sit in an area with very few pain nerves. Simple pain relief and warm baths help, and severe pain afterwards should be reported straight away.
How much fibre and water should I have for piles?
Most adults benefit from building up fibre gradually through vegetables, fruit, pulses and wholegrains, and from drinking enough water to keep urine pale, with extra in hot weather. Your gastroenterologist can give advice suited to your diet, and a specialist dietetic plan can be arranged by referral if needed.
Can I fast in Ramadan with piles?
Many people with piles fast without problems if they drink plenty of water between iftar and suhoor and eat fibre-rich foods at both meals. If fasting worsens constipation or bleeding, speak to your gastroenterologist for advice on managing your bowel habit during the month.
Can piles be treated during pregnancy?
Piles are common in pregnancy and are usually treated with fibre, fluids, gentle creams and avoiding straining, with procedures generally postponed until after delivery. Mention the pregnancy at your appointment so treatment can be chosen safely.
Is hemorrhoids treatment covered by insurance?
Most UAE insurance plans cover consultation, examination and clinic treatment for piles, while colonoscopy and some procedures may need pre-approval. Confirm your cover with Dar Al Kamal Hospital, Sharjah on 06 599 7777.
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