So, let’s talk about haemorrhoids/piles

I hope to gather all necessary information in one post for you so you do not have to open so many tabs to understand about haemorrhoids/piles. To whoever reading this, I feel you :’)

1. What?

Haemorrhoids, also known as piles (Chinese: 痔疮), are abnormally enlarged and bulging blood vessels in and around the anus and lower rectum1.

Two types –

(A) External
• develop near the anus
• covered by very sensitive skin
• painful swelling may occur if blood clot develops
• feels like a hard, sensitive lump
• bleeds only if it ruptures

(B) Internal
• develop within the anus beneath the lining
• painless bleeding and protrusion during bowel movements
• can be pushed back if mild

Internal Vs External haemorrhoids

Four degrees2

1st degree: bleed but do not prolapse
2nd degree: prolapse and retract on their own (with or without bleeding)
3rd degree: prolapse but must be pushed back in by a finger
4th degree: prolapse and cannot be pushed back in

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2. Why you and me?

Common contributing factors1,3:

  • Ageing (it’s ok, we can learn how to prevent it from worsening!)
  • Chronic constipation or diarrhoea (watch your diet!)
  • Pregnancy (noble mums)
  • Hereditary (it’s ok, we can learn how to prevent it from worsening!)
  • Faulty bowel function due to overuse of laxatives (are detox products necessary?)
  • Straining during bowel movements (linked to constipation)
  • Spending long periods of time in toilet (stop bringing your phone everywhere…)
  • Weight-lifting (your choice :))
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Author’s experience:

Of course, the fact that you are reading this post means that you suspect yourself having pile(s). I want to tell you that it is alright, almost one in two will be affected by pile at some stage in their lives1. I spotted mine when I was fifteen. It did not bother me for years although it did become slightly larger and one day in my early 20s, the second pile appeared out of nowhere. Usually they would not be affected as I pass motion but they would swell if I attempted extremely spicy food such as Mala :P. Nonetheless, slight swelling and occasional constipation did not deter me from eating what I wanted. Until things got worse.

Whenever I passed motion, the swelling of my piles worsened. I thought that the way I wiped was not clean enough so I would wash with soap BUT this action is a big NO NO4. (Soap can dry out and irritate piles! Water is sufficient.) Soon, I experienced itch so severe that my sleep was disrupted. Like most of us, I felt embarrassed about my condition and never wanted to visit a doctor but the itch was killing me. I scratched my head to think of something that I can apply to temporarily stop the itch. I googled and found out that tea tree oil might help!5 After application, I didn’t bother if it will help and rushed my ass, literally, to the nearby polyclinic. Thankfully, I could feel the itch subsiding as I made my way there.

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I was anxious about the examination by the doctor as it was so embarrassing. However, I was told to lie sideways, hug my knees, and pulled down my pants to the extent that only my buttocks were exposed (so yeah our reproductive organs are safe). The examination was quick as my swelling piles were already waving their hands in the doctor’s face. I was given a tube of Proctosedyl ointment and eighteen days’ worth of Diosmin tablets.

Application of the ointment was extremely tedious and I would suggest if you end up having to do a deep application, wash with water and dry the area before inserting the cannula. The ointment (all kinds of ointment actually) is very greasy. To me, the ointment did not help much so I would not recommend you to buy ointments online to try to cure the piles on your own. After diligently eating the medication prescribed, my piles no longer swell. Unfortunately, they are still there.
What can I try to do to prevent surgery?

4. How? (Home remedies VS Non-Surgical Procedures VS Surgeries)3, 8

Home remedies:

a) Prevent constipation
– moderate-fibre diet (more fruits, vegetables & whole grains)
– drink plenty of water (at least 8 glasses of water per day)
– exercise regularly (at least 60 minutes of moderate-intensity physical activity per week)

b) Avoid holding off bowel movements for too long

c) Avoid sitting on the toilet for more than 5 minutes (just don’t bring your phone or book in, it is very doable)

d) Topical treatments
– Apply over-the-counter haemorrhoid cream (Effectiveness varies between people)
– Use pads containing witch hazel or numbing agent (I personally did not try this before so I am not sure about its effectiveness)
– Apply tea tree oil (as mentioned under experience)
– Insert suppository for piles (I personally did not try this before so I am not sure about its effectiveness)

e) Soak regularly in warm bath or sitz bath (Effectiveness varies between people)

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NON-SURGICAL PROCEDURES:

a) sclerotherapy – a chemical is injected into the haemorrhoid to decrease its size, which will happen over several weeks

b) rubber band ligation – a method to cut off the blood supply to the haemorrhoid by tying an elastic band around it, causing it to fall off in up to 10 days

c) electrotherapy – a gentle electric current is applied to your piles to shrink them

d) infrared coagulation – an infrared light is applied to shrink the piles by cutting off blood supply

e) Oral medications Used to treat small bleeding piles

SURGICAL TREATMENTS:

a) Haemorrhoidectomy – complete surgical removal of the piles

b) Stapled haemorrhoidopexy – removal of piles using a special stapler device (less painful than “conventional” haemorrhoidectomy)

c) Transanal haemorrhoidal dearterialisation (THD) – Using an ultrasound to locate the problematic blood vessels and stitching the piles

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5. When? (to seek treatment)

Usually it is fine to live with piles as long as they do not bleed or swell severely. However, if they cause irritation, result in unbearable itch, swell continuously without showing any sign of recovery, it is highly recommended to seek a doctor’s advice whether to undergo a surgery to remove them or not.

To note, do not be overly optimistic about the surgery, piles do reappear after surgery. In fact, about 5% of the patients redeveloped piles after surgery.6 The success of the surgery depends heavily on the effort of patients to lead a healthier and “piles-friendly” lifestyle.

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6. Where? (to seek treatment)

Specialist Services at Singapore General Hospital:
Call 6321 4377

Specialist Services at Mount Elizabeth Hospital:
Call 6250 0000 (Orchard) / 68986898 (Novena) or make an appointment online (https://www.mountelizabeth.com.sg/make-appointment)

Or you can visit the nearest polyclinic and request a referral to one of the governmental hospitals.

7. Do haemorrhoids lead to cancer?

As I was researching about piles, I came across “anal cancer”. The signs of anal cancer such as bleeding from the anus or rectum, a lump near the anus, itching or discharge from the anus, and a change in bowel habits7 are very similar to that of haemorrhoids. There is no way for us to tell the difference unless we go for tests, if you are worried, please see a doctor to correctly diagnose your symptoms.

On the other hand, if you are sure that the condition you have is piles instead of cancer, then good news to you, research shows that there is no relationship between piles and cancer1. But once again, we cannot be too optimistic about anything. A healthy and active lifestyle is the way to go!


  1. Haemorrhoids. (2018, December 12). Retrieved April 19, 2021, from https://www.singhealth.com.sg/patient-care/patient-education/haemorrhoids
  2. Tan, K., Cheong, W., Dr, Lim, F., Dr, Lieske, B., Chong, C., Lee, K., Dr, & Tan, I., Dr. (2020, October 8). Haemorrhoids or Piles. Retrieved April 20, 2021, from https://www.nuh.com.sg/Health-Information/Diseases-Conditions/Pages/Haemorrhoids-or-Piles.aspx
  3. Ng, C. (2020, October 29). Should you get surgery for piles? Retrieved April 20, 2021, from https://www.mountelizabeth.com.sg/healthplus/article/surgery-haemorrhoids-piles-treatment
  4. Hemorrhoids: Home remedies, lifestyle changes, and overview. (n.d.). Retrieved April 20, 2021, from https://www.medicalnewstoday.com/articles/317114#:~:text=Hemorrhoids%20are%20highly%20sensitive%2C%20and,blood%20and%20make%20bleeding%20worse.
  5. Gotter, A. (2018, April 12). Tea Tree Oil for Hemorrhoids (1323669709 971843726 D. Wilson Dr, Ed.). Retrieved April 20, 2021, from https://www.healthline.com/health/tea-tree-oil-for-hemorrhoids#benefits
  6. Society for Surgery of the Alimentary Tract (2008). SSAT Patient Care Guidelines: Surgical Management of Hemorrhoids. Available online: http://www.ssat.com/cgi-bin/hemorr.cgi.
  7. Anal cancer treatment (pdq®)–patient version. (2020, April 17). Retrieved April 24, 2021, from https://www.cancer.gov/types/anal/patient/anal-treatment-pdq#:~:text=Anal%20cancer%20is%20a%20disease,a%20lump%20near%20the%20anus.
  8. Colorectal Surgery, Singapore General Hospital. (2018, April 24). Hemorrhoids (Piles). Retrieved April 24, 2021, from https://www.kkh.com.sg/patient-care/conditions-treatments/hemorrhoids-piles/treatment

我不需要每一个人都爱我(八三夭): English Translation

八三夭 (831)
我不需要每一个人都爱我 (A Rock Can Be A Star)
作词 / Lyricist:阿璞 (八三夭) [A Pu (831)]
作曲 / Composer: 阿璞 (八三夭) [A Pu (831)]
编曲 / Arranger:八三夭 (831)、Jerry C、赖暐哲 (Steven Lai)

“在这人往高处爬的世界,只希望我们都能成为我们想要成为的大人。”
– PinkOlifant

<我不需要每一个人都爱我 MV>

为什么 人生要活得 那么累?
Why must we live such a tiring life?
该怎么 讨好每个人 每张嘴?
How do we please every pair of lips and every mind?
当按赞 和留言 定义了 我是谁
When definition of who I am depends on “comments” and “likes”
那快乐 是不是也需要 业配?
Is placement marketing what happiness also requires?

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做自己 太有想法 有人白眼
When being yourself and having too many ideas invite rolling of eyes
但努力 迎合别人 也有人嘴
When putting in hard work and accomodating to others invite gossips and rumours
害怕被 谁标签 而活成 那标配
Our fear of being labelled has resulted in us living our lives based on the configured standard
不冒险 的人生是否 才危险?
Is a life without risk more perilous?

我不需要每一个人 都爱我的一切
I don’t need everyone to love everything about me
我只需要一次机会 为自己爱一遍
I only need one chance to truly love what I love
我相信即使不完美 a rock can be a star
I believe that though imperfect, 一块无名之石也能成为明日之星
没流下那眼泪 怎会懂梦有多 珍贵?
Without shedding that drop of tear,
We will never know how precious our dreams are

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小人物 承受误解 拾起笑脸
Being an insignificant figure, he can only tolerate misunderstandings and pick up his smiles
像你我 渴望某天 成为经典
Just like you and me, he longs for the day when he will turn into a classic
不讲理 的世界 对热血 泼冷水
This unreasonable world likes to dampen our burning passion
该怎么 守护初心不被 摧毁?
How do we change the world without being changed?

我不需要每一个人 都爱我的一切
I don’t need everyone to love everything about me
我只需要一次机会 为自己爱一遍
I only need one chance to truly love what I love
我相信即使不完美 a rock can be a star
I believe that though imperfect, 一块无名之石也能成为明日之星
没流下那眼泪 怎会懂梦有多 珍贵?
Without shedding that drop of tear,
We will never know how precious our dreams are

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那些 超级英雄也 像你有血 有泪
Just like you, those superheroes shed blood and tears
哪天 wanna run-away 其实也不 丢脸
If you ever 想逃 it is never a shame
但放不下的 就别后退 记住你最诚实 的脸
If you can’t put it down, then don’t back off,
Remember the most truthful face of yours
哪些 爱我喷我的 不再纠结 随便
Those who love me, those who vilify me,
I will not be bothered by any of these anymore
那些 我所爱所为 我执著的 一切
Things I do, things I love,
Every single thing I persevere for
终会定义 我是谁
Will ultimately be the definition of who I am

我不需要每一个人 都爱我的一切
I don’t need everyone to love everything about me
只要一生一次机会 为自己爱一遍
I only need one chance in this life, to love once for myself
我相信即使不完美 a rock can be a star
I believe that though imperfect, 一块无名之石也能成为明日之星
没流下那眼泪 怎会懂梦有多 珍贵?
Without shedding that drop of tear,
We will never know how precious our dreams are

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(啦啦啦啦啦~珍贵)
Lalalalala~how precious
我相信即使不完美 A rock can be a star
I believe that though imperfect, 一块无名之石也能成为明日之星
没留下那眼泪 怎会懂梦有多珍贵
Without shedding that drop of tear,
We will never know how precious our dreams are

别怕流下眼泪 当你眼中闪耀着 光辉
Don’t be afraid to shed tears when your eyes are glowing with radiance

我不再 把人生活得 那么累
I no longer live a tiring life
也不再 讨好每个人 每张嘴
And I no longer try to please every pair of lips and every mind
全世界 不理解 其实也 无所谓
Even if the entire world does not understand me, it’s alright
流过泪 才会懂梦有多珍贵 对不对?
It’s only after shedding those tears that we’ll truly understand how precious our dreams are, isn’t it?

Translated by PinkOlifant.
– – –

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