Piles / hemorrhoids Discussion - Can bottom with piles enjoy anal sex? + How To Take Care Of Piles? Pile Operation (compiled)

[Marslang]

But your advice helps a lot. At the same time will change my diet to more vege after I move to my own house when it is ready. I believe more vega diet helps to improve the condition a lot.

[shyc]

Try psyllium husk. Can be found under organic or oats section of supermarket. 1-2 tsp add to you oats meal or drinks. If getting more fresh veg into diet is a issue. 

[keithoneu]

Try eating 30 raisins everyday at between 4-5pm for 1 month. You can buy Sun-Maid brand, they have mini box pack. I’ve tried it personally and it works for me. Good Luck

[Marslang]

2 minutes ago, keithoneu said:

Try eating 30 raisins everyday at between 4-5pm for 1 month. You can buy Sun-Maid brand, they have mini box pack. I’ve tried it personally and it works for me. Good Luck

Sound easy will try too. Thanks 

[Marslang]

1 hour ago, shyc said:

Try psyllium husk. Can be found under organic or oats section of supermarket. 1-2 tsp add to you oats meal or drinks. If getting more fresh veg into diet is a issue. 

Guess need a lot of fiber, will try this too. Thanks 

[upshot]

On 6/16/2020 at 3:41 PM, Marslang said:

But your advice helps a lot. At the same time will change my diet to more vege after I move to my own house when it is ready. I believe more vega diet helps to improve the condition a lot.

I am KETO DIet.. veggies is not my first priority.. heheh

Less then 5% Carbo 20% Protein 30%Veggie (non carbo type only Greens) 50% Fat. No Rice. No Bread. No Noodles. No Pasta. Almost No Fruit (too high in Sugar)

Edited June 17, 2020 by upshot

[fenghou]

On 6/16/2020 at 2:59 PM, Marslang said:

I did see my doctor 2 years back, he didnt even see my ass lor. Just hear from my description and give me 1 medicine and 1 cream tube. He told mine should be stage 2 as I told him i dun feel anything drop out from my anus when after toilet visit. So then i apply the cream and stop liao. Now the bleeding is like come and go one and most of the time no pain unless I wipe my anus to hard then the external anus wall will feel pain.

 

This describes my situation completely.

 

I am a relatively young person, I never enjoyed anal sex despite being a bottom and recently I came to the realization that it might be because I have piles/hemorrhoids.

While my condition is not serious, I am considering having it fixed permanently so that eventually I will be able to appreciate anal sex on top of taking good care for my health.

 

Are there any gay-friendly anus-doctor-specialist that anyone here can recommend?

To be honest it is quite embarrassing and I think a gay-friendly specialist will make me less nervous.

I would appreciate it as well if I can get an estimate for the Price of GP-referral vs Private Specialist 

[fatguy]

i was lucky, only got a couple, and i manage to use prep H to deal with it, and it eventually went away.

 

 

[fenghou]

20 minutes ago, fatguy said:

i was lucky, only got a couple, and i manage to use prep H to deal with it, and it eventually went away.

 

 

 

did you suffer from bleeding?

 

to be honest I am not sure if my bleeding stems from Hemorrhoids or if I have a small cut there at the anus

[fatguy]

1 minute ago, fenghou said:

 

did you suffer from bleeding?

 

to be honest I am not sure if my bleeding stems from Hemorrhoids or if I have a small cut there at the anus

 

no bleeding, it only hurt likes hell when i wipe. was god horrid when i had to go in the office. the toilet paper is dam rough. so i brought a bottle of water to moisten it before cleaning.

 

if its bleeding for a cut, it will stop after a day or so. if not better go see doc. just ask for a male doc, tell him u are guy, he will understand. when they refer they won't know who u will get, but i think male doc is ok.

[fenghou]

1 minute ago, fatguy said:

 

no bleeding, it only hurt likes hell when i wipe. was god horrid when i had to go in the office. the toilet paper is dam rough. so i brought a bottle of water to moisten it before cleaning.

 

if its bleeding for a cut, it will stop after a day or so. if not better go see doc. just ask for a male doc, tell him u are guy, he will understand. when they refer they won't know who u will get, but i think male doc is ok.

 

hmmmmm if I can settle this by myself it would be great

but you don't suffer from bleeding like I do which might suggest that my condition may be too serious for self-treatment 

 

thanks for your input

[fatguy]

2 minutes ago, fenghou said:

 

hmmmmm if I can settle this by myself it would be great

but you don't suffer from bleeding like I do which might suggest that my condition may be too serious for self-treatment 

 

thanks for your input

 

Take care bro! your body is important, so u do need to take care of it. don't be shy. i actually told my company doctor, he said can have injection if its causing discomfort. but mine was a few only.

[Guest Pim]

Can it be removed permanently? By surgery perhaps

[bluerunner]

20 hours ago, Guest Pim said:

Can it be removed permanently? By surgery perhaps

Yes it can. 

[Guest Guest]

I am not a gay but I enjoy reading some BW posts. 

 

I don't do anal sex but I have piles. Super painful for weeks and unbearable. Cannot eat & sleep well. I tried all sort of 坊间流传 remedies, it didn't help at all. I googled BW and other forums to seek help but there are extremely little infos. 

 

Anyway, I did a minor surgery at a TCM clinc (Rochor Centre) few years before Rochor Centre is closed. I spent about a thousand dollar plus to remove it. The piles never came back!

 

He is very well known in removing piles and he learned the pile removing technqiues (in Japan early 80s). He has many customers from failed pile surgery (haemorrhoidectomy) in TTSH, MtE & etc. 

 

I knew Singaporeans very "kia-see" and "die-die" will go licensed MOH Specialist. At that time, in my mind, if I don't remove the piles, I die of suffering from pain. If I remove it, probably also die at TCM clinic. For me (死马当活马医), I don't make much money and I am poor at that time. I bite the bullet and gave it a shot. 

 

Many times, haemorrhoidectomy didn't work. 

[Bdman78]

Anyone know of any friendly male doctors to recommend? 

[Guest btmmm]

On 8/14/2019 at 12:13 PM, Guest Kelvin79 said:

What does a pile look like?

ptefriend pic is a member here

Is that piles or too loose only?

[Guest sigh]

my piles only coming out when i poop!

and it only bled sometimes when i poop zzz

 

but no pain or discomfort etc

[Guest Von]

What is the cause of pile and how can it be prevented,

[Guest Wtf]

What is the best cream to use? Also, I notice some meaty part comes out whenever i poo and I have to bring it back inside after washing. Will it go away by itself?

[bluerunner]

On 5/17/2022 at 1:39 AM, Guest Wtf said:

What is the best cream to use? Also, I notice some meaty part comes out whenever i poo and I have to bring it back inside after washing. Will it go away by itself?

It will not go away and it could get worse. Please go see a doctor. Worst case scenario is the doctor will advise you to have it removed. Do discuss w your doctor about the after care. Quite troublesome one; at least for the first few weeks. 

[maturemedium]

馬應龍 痔瘡膏

[Guest brave]

On 7/12/2020 at 3:06 AM, fenghou said:

 

This describes my situation completely.

 

I am a relatively young person, I never enjoyed anal sex despite being a bottom and recently I came to the realization that it might be because I have piles/hemorrhoids.

While my condition is not serious, I am considering having it fixed permanently so that eventually I will be able to appreciate anal sex on top of taking good care for my health.

 

Are there any gay-friendly anus-doctor-specialist that anyone here can recommend?

To be honest it is quite embarrassing and I think a gay-friendly specialist will make me less nervous.

I would appreciate it as well if I can get an estimate for the Price of GP-referral vs Private Specialist 

 

I think its best you accept the fact that u cant bottom anymore ie no more anal sex. The pain will only get worse and whatever treatment done is not permanent...it will come back if you exert pressure again.

[Guest Dan]

On 5/17/2022 at 1:39 AM, Guest Wtf said:

What is the best cream to use? Also, I notice some meaty part comes out whenever i poo and I have to bring it back inside after washing. Will it go away by itself?

Last month I had a same symptoms as yours. Seen a doctor at Novena. I highly recommend Maven Surgery clinic. Luckily my insurance cover everything. 

[fetish69]

Preparation H gel is good as is got witch hazel act like anti bacteria reduce inflammation. You can get it at any guardian pharmacy. Is good for btm with piles and hemorrhoids it reduce swell and itch. It feel stink when you used after you get fuck but it the sting in your ass it just few sec. Best you put before you having sex that what my fb did but make sure your top dont rim you.

Edited May 24, 2022 by fetish69

[keyboard]

Journey of Removal of Piles (again)

Medical History: Irritable Bowel Syndrome - Diarrhea (excessive straining)

 

Army time pooping blood like having daily menstrual cycle, a lot of SGH visits, injections, eventually Stapled Hemorrhoidopexy (hemorrhoidectomy). MC was a lot, think after 2 weeks went back to get another 2 weeks or something cos still a bit of bleeding. Sanitary pads daily occurrence. Can't remember if too pain or not but the staple was BIG. Worst part - last time SGH give a lot of laxative (some salt solution to dissolve in 1.5l to drink) until vomit front also.

 

OK for about 15 years then on/off the piles will start to come back. Think 2019 went to public hospital NTFGH, specialist say not bleeding everyday denied surgery. Was told no more injection method - outdated. Daflon does not really help in reality (stops bleeding over time). No touch cos that day piles acting up quite painful. Open appointment come back when worse - went poly clinic route, specialist paid <$100?

 

After circuit breaker got worse due to frequent travel. Most of the time on generic daflon (Diosper) for past two years. Went private GP (consultation + $8 referral letter), booked appointment at nearby colonoscopy clinic and did colonoscopy + ligation of piles on 1 Dec 2022. Specialist was like 1st appointment + 1 week for surgery (to get the Letter of Guarantee). Relatively no pain, IBS kicked in and gassy and constant slight cramps - no idea why. Given strong painkiller (acroxia), daflon, soluble fiber (fibrosol - very no taste, can mix food/drink). Already started pooping in 36 hours, since last meal.

Cleansing of colon - phospho soda - worst part start 8pm start pooping at 9:30pm, almost midnight then rest and 1:15 need poop again. then 5am cant sleep need to do another half bottle. Lucky nearby clinic no need take long ride. 9:05 doctor start, sleep, 9:25 finish. 10ish doctor review while on bed. 10:30 ish out of clinic take bus home, alert but not really.

 

Havent got final bill, estimated $4235 ($296 GST ownself pay)

Consultation: $200

Facility Fee: $1660

Surgeon Fee: $1350

Anesthetist Fee: $500

IV Drug: $325

Local Injection: $200

 

Not sure if they do just ligation without colonoscopy but might as well do since have to drink the liquid.

 

10 days later... Total bill $4744.27 (from CPF website)

CPF deducted from MediSave, Hospitalisation 1 day $300, Surgery Table 2C $950 both (max claimable) to the clinic.

 

Final bill (usually 5 weeks follow-up) - 29 days later

Consultation: $200

Facility Fee: $1660

Surgeon Fee: $1350 (colonoscopy $1100, ligation piles $250)

Anesthetist Fee: $500

IV Drug: $325

Local Injection (chirocaine 5mg/ml): $200

Daflon: $161.70

Fibrosol: $23.10

Arcoxia: $14.10

GST 7% (own pocket): $310.37

 

First Consult: $120

Phospho Soda 45ml: $16.60

Final Consult: $80

 

Total damage: $4650.50 + GST $325.53 (out of pocket)

 

Insurance:

Took 2 months for them to process and under paid, so wrote in and they said to file another claim for the missing monies (first consult) (likely 3-4mths for full claim).

Tough part is that Insurance don't pay the GST, so they paid "Hospital" first, CPF (Medisave), then you. Ended up the Medisave that was deducted first was only partially reimbursed (the rest being GST), which I had to claim under my company's medical benefit. Since I did a top up to Medisave to prevailing limit, the excess was transferred to OA at the start of the next month.

Edited March 27, 2023 by keyboard

[keyboard]

Anyone had Fistula before. I read online that it's supposed to have another opening outside the bump, mine doesn't. Doctor advised a MRI but I'm not sure if it's necessary.  

[keyboard]

Update - back a month ago

Since there was still some on/off bleeding - think the doc missed one of it last year. Went back to ask if they can check and do another round of ligation the same day.

 

Clinic does afternoon appointment only, had to fast from 8am. Appointment for 3pm, dragged till 4+.

Doctor looked and see some soreness (advised to go Daflon route) but I insisted to do ligation - options were 10 secs of pain with local anesthesia (can leave clinic in 20 mins) or general (1.5 hours). Had to rush back to work at 6pm and doctor said it was bearable pain for the injections.

 

Warning: the local anesthesia injections - definitely more than 10 secs, think 7-9 jabs is super painful - the nurse later said it was like natural childbirth pain and yea, the nurse had to use her body to hold me down.

2 days hospitalisation leave but internal piles no feeling one.

 

Marcaine 5MG/ML Injection $200

Daflon 1G 33x$5.10

Ligation of Haemorrhoids $350 - did 2

Consultation $200

Facility $650

Total: $1568.30 + GST $125.46 = $1693.76

 

As it was same day surgery - own pocket pay then claim insurance (no LOG).

 

Insurance claim (submit online myself) took 17 working days for approvals, next day bank transfer. Discharge form says TOSP Code, Ligation of Haemorrhoids (SF834A/MSP2) not an option on the portal, so selected anyhow next one.

https://www.moh.gov.sg/docs/librariesprovider5/medisave/table-of-surgical-procedures-(1-feb-2021).pdf

Edited November 9, 2023 by keyboard

[koolkai]

On 10/31/2023 at 9:53 PM, keyboard said:

Update - back a month ago

Since there was still some on/off bleeding - think the doc missed one of it last year. Went back to ask if they can check and do another round of ligation the same day.

 

Clinic does afternoon appointment only, had to fast from 8am. Appointment for 3pm, dragged till 4+.

Doctor looked and see some soreness (advised to go Daflon route) but I insisted to do ligation - options were 10 secs of pain with local anesthesia (can leave clinic in 20 mins) or general (1.5 hours). Had to rush back to work at 6pm and doctor said it was bearable pain for the injections.

 

Warning: the local anesthesia injections - definitely more than 10 secs, think 7-9 jabs is super painful - the nurse later said it was like natural childbirth pain and yea, the nurse had to use her body to hold me down.

2 days hospitalisation leave but internal piles no feeling one.

 

Marcaine 5MG/ML Injection $200

Daflon 1G 33x$5.10

Ligation of Haemorrhoids $350 - did 2

Consultation $200

Facility $650

Total: $1568.30 + GST $125.46 = $1693.76

 

As it was same day surgery - own pocket pay then claim insurance (no LOG).

 

Hi friend, I heard that the piles may come back after surgery. Is that true? 

[keyboard]

1 hour ago, koolkai said:

 

Hi friend, I heard that the piles may come back after surgery. Is that true? 

Hello! Piles is a symptom, so as long as your cause is still there, it will eventually come back.

 

Mine took 16 years before it became noticeable and another 3 years before I bothered enough to go seek public hospital "help" then private to get a quick solution.

 

Young time covered by SAF is staples surgery (that time is poop blood like menstruate like that). Now is ligation/tie (not 100% guarantee fix) but process and recovery is so much easier (don't even need to do colon prep/laxative).

[Guest Guest]

11 hours ago, koolkai said:

 

Hi friend, I heard that the piles may come back after surgery. Is that true? 

I got mine surgically removed at SGH 23 years ago and it never came back even though I drive to work everyday. Some said piles are a result of sitting too much in a hot car and as such many taxi drivers got it.  After this case, I insist on having lots of fruit juice after every meal.

 

Total bill came to around $2170 (No GST payable for Singaporean) with 1 night stay in B2 ward. Fully covered by my office's group health insurance.

[bluerunner]

Try sitting on a tub of warm water w salt added inside die 15min once a while. You can get the sitting tub at pharmacy or at clinic. 
Don’t spend too much time sitting or squatting in toilet. That’s very bad for health. That action induces piles. 

[Guest Piles operation]

Hi all.. i had internal prolapsed piles and am going for surgery this coming Sat..

 

Doctor recommended to do the stapled hemorrhoidectomy aka PPH

 

While i know stapled hemorrhoidectomy is less painful, but i heard the recurrence of piles is higher than that using traditional hemorrhoidectomy. Is it true?

 

Also the pain is much worse for the traditional one? But how painful

is the pain?

 

Right now i am deciding whether to proceed with the stapled or switch to traditional..

 

Any advice would be appreciated. Thanks! 🙏🏻 

[XavMar]

..

Edited June 9, 2024 by XavMar

[passinthenight]

11 hours ago, Guest Piles operation said:

Hi all.. i had internal prolapsed piles and am going for surgery this coming Sat..

 

Doctor recommended to do the stapled hemorrhoidectomy aka PPH

 

While i know stapled hemorrhoidectomy is less painful, but i heard the recurrence of piles is higher than that using traditional hemorrhoidectomy. Is it true?

 

Also the pain is much worse for the traditional one? But how painful

is the pain?

 

Right now i am deciding whether to proceed with the stapled or switch to traditional..

 

Any advice would be appreciated. Thanks! 🙏🏻 

 I had the traditional operation done about 35 years ago. At the time the surgeon said I had the biggest piles he had ever seen. This was because I started having problems in my early 20's and didn't get the operation until I was in my late 20's. So the condition just kept getting worse. I still get a flare up every now and then but the cream sorts it out pretty quickly. Whatever you decide, I hope your operation is as successful as the one I had. 

[Guest Piles operation]

11 hours ago, XavMar said:

Did mine few years back via surgery laser cut. At sgh, done within few hours and can discharge on the same day. Full anathesia. Did come back but treatable with cream.

so yours is the conventional hemorrhoidectomy? Via laser cut is less painful?

 

How long after the op did it come back? 

[Guest Piles operation]

9 hours ago, passinthenight said:

 I had the traditional operation done about 35 years ago. At the time the surgeon said I had the biggest piles he had ever seen. This was because I started having problems in my early 20's and didn't get the operation until I was in my late 20's. So the condition just kept getting worse. I still get a flare up every now and then but the cream sorts it out pretty quickly. Whatever you decide, I hope your operation is as successful as the one I had. 

After the operation, was it very painful for you, like eg. When you sit down or pass motion etc..?

How long did the pain last?

What cream are u using?

 

Thanks! I hope the op will be a success too..

[XavMar]

On 4/11/2024 at 8:14 PM, Guest Piles operation said:

 

 

Edited June 9, 2024 by XavMar

[passinthenight]

17 hours ago, Guest Piles operation said:

After the operation, was it very painful for you, like eg. When you sit down or pass motion etc..?

How long did the pain last?

What cream are u using?

 

Thanks! I hope the op will be a success too..

 I remember taking my annual leave so I could take my time to recover.

It was roughly 2 weeks for me before I could say I was free of any pain and discomfort when going to the toilet. I used rectinol ointment to help the healing process. 

 

 The key to easing the pain, is to eat user friendly food because what goes in has to come out. I know if I ate fruit and vegetables and anything with lots of fibre, it was less painful when going to the toilet.

 

 Eventually, you will recover and life goes back to normal. They will come back eventually, if you strain too much when going to the toilet. However, I found they will heal within a few days with the ointment.

[nothunk00]

Staple method is really painful for me, for the 1st day I cannot even pee cos I cannot relax my sphincter properly, and they don't allow you to take additional painkillers each day.

My piles has relapse after 8 yrs, now I'm thinking to just go for ligation method.

[singalion]

For piles not to return, it also means that you have to change your way of doing the toilet action.

If you keep you previous habits, the piles will build up again.

 

One of the main issues is is you press too much (straining) while release.

Try not to rush and to let the stool flow naturally from alone.

 

You also require changing your food habits.

 

One of the causes for hemorrhoids is also if your stool is too hard or it causes frequent constipation.

 

Add a different type of food to your diet to avoid constipation or stool being much too hard.

 

A third layer is exercise.

 

here is a good overview:

 

https://www.health.harvard.edu/diseases-and-conditions/hemorrhoids_and_what_to_do_about_them

 

 

[Guest Say Goodbye To Piles]

Taking prunes or prune juice helps to soften stool and reduces chances of getting piles

[Guest Piles operation]

On 4/11/2024 at 10:19 PM, XavMar said:

Ya the conventional cut. I had inner piles also, so the treatment proposed was to go under surgery. No feeling during the ops, but recovery period was painful due to the wound. Bearable with numbing gel and pain killers.

 

I think it came back after around 5 years, but these are easily manageable with the cream. I used Himalayas' piles cream, can get from Watsons or Guardian. Usually when stressed and severally dehydrated which lead to constipation then the piles would appear. Otherwise so far so good for me.

oh ic.. there were no other options other than surgery is it? Like maybe taking meds, etc..

 

Then did he suggest Stapled Hemorrhoidectomy, or straightaway just the conventional one as surgical options to u?

 

Was there any mc given and how many days? How long was your recovery period?

[Guest Piles operation]

On 4/12/2024 at 2:26 PM, passinthenight said:

 I remember taking my annual leave so I could take my time to recover.

It was roughly 2 weeks for me before I could say I was free of any pain and discomfort when going to the toilet. I used rectinol ointment to help the healing process. 

 

 The key to easing the pain, is to eat user friendly food because what goes in has to come out. I know if I ate fruit and vegetables and anything with lots of fibre, it was less painful when going to the toilet.

 

 Eventually, you will recover and life goes back to normal. They will come back eventually, if you strain too much when going to the toilet. However, I found they will heal within a few days with the ointment.

wow u take annual leave, how many days? Was there any MC given?

 

Does ur boss know about this? (Assuming if there was mc given, in one way or another he/she would know right?)

[Guest Piles operation]

On 4/12/2024 at 2:34 PM, nothunk00 said:

Staple method is really painful for me, for the 1st day I cannot even pee cos I cannot relax my sphincter properly, and they don't allow you to take additional painkillers each day.

My piles has relapse after 8 yrs, now I'm thinking to just go for ligation method.

I feel you, i also cannot pee during 1st day or just pee very little. Subsequent days also have trouble peeing normally. Then also got this feeling like having a stool stuck inside the rectum but can’t get it out which is kinda uncomfortable.

 

How long did it take for u to recover fully? Were u working during that time u had the surgery? Did they issue any MC to you and how many days?

[XavMar]

On 4/21/2024 at 3:48 PM, Guest Piles operation said:

 .

 

Edited June 9, 2024 by XavMar

[Guest MeToo]

 

Sometimes, I develop external haemorrhoids, often after a night of drinking. To address this, I take ample amounts of diosper, and typically, they disappear within a week, though it's not a permanent fix.

 

 

 

 

[passinthenight]

On 4/21/2024 at 5:54 PM, Guest Piles operation said:

wow u take annual leave, how many days? Was there any MC given?

 

Does ur boss know about this? (Assuming if there was mc given, in one way or another he/she would know right?)

 The operation is not that uncommon. My Boss at the Time was much older than me but had the same operation when he was younger. I had annual leave available at the time so I just decided to use that to my advantage. I had no deadline to recover, I could just take my time. 

 

 I remember at the time I was about 5 to 7 kgs over weight. 

That all disappeared during recovery so I was happy to shed the extra weight.

[Guest Me 3]

On 4/21/2024 at 10:41 PM, Guest MeToo said:

 

Sometimes, I develop external haemorrhoids, often after a night of drinking. To address this, I take ample amounts of diosper, and typically, they disappear within a week, though it's not a permanent fix.

 

 

 

 

 

 

Thank you for this advise! I went and bought some to try too for my acute piles. Also used googled and saw that Tea Tree oil can help with the swelling and its also anti-bacterial. 1 week later, the swelling is almost gone!