Haemorrhoids, laser treatment & recovery – answered
Frequently Asked Questions
These answers cover the questions patients ask most often about haemorrhoids (piles), Laser Haemorrhoidoplasty, recovery and getting seen at KPJ Damansara. They are here to help you understand your condition and what treatment involves before you book. They do not replace a consultation, if your question is not here, or you would like advice specific to your situation, contact the clinic and we will help.
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Understanding Laser Haemorrhoidoplasty
What it is, how it differs, suitability, pain, safety and benefits.
What is laser haemorrhoidoplasty, and how does it work?
Laser Haemorrhoidoplasty is a minimally invasive treatment for haemorrhoids (piles). A fine laser fibre delivers controlled energy that shrinks and seals the swollen blood vessels inside the haemorrhoid, without cutting away the surrounding tissue. Because there is no open wound, patients generally have less pain, minimal bleeding and a faster return to normal activity than with conventional surgery.
How is it different from traditional haemorrhoid surgery?
Traditional surgery (open haemorrhoidectomy) removes the haemorrhoid tissue by cutting, which leaves a wound that takes time to heal and can be painful. Laser Haemorrhoidoplasty treats the haemorrhoid from the inside using laser energy, with no large incision or stitches. Patients typically report less discomfort and a quicker recovery.
Which grade of haemorrhoids is suitable for tthe laser procedure?
It is most effective for Grade II and Grade III haemorrhoids – moderate to advanced piles that bleed, swell or prolapse. Some Grade IV cases may also benefit, depending on severity. Suitability is decided by Dr. Chan after examination and assessment.
Is the laser procedure painful?
Discomfort is usually mild. Because there is no large surgical wound, pain is much less than with conventional surgery, and most patients need only simple pain relief for a short time afterwards.
Will I have problems with bowel control (incontinence) after the laser procedure?
The technique is designed to preserve the normal function of the anal sphincter. When performed by an experienced specialist, the risk of incontinence is very low.
What are the possible complications or side effects?
Complications are uncommon. Mild bleeding, swelling or discomfort may occur for a few days. Infection or recurrence is rare. Dr. Chan will give clear aftercare instructions to keep these risks low.
What are the advantages of choosing the laser procedure?
Patients who choose this treatment generally benefit from: less pain than conventional surgery; minimal bleeding; a faster return to daily activity; no large wound or stitches; and a low risk of complications.
Can haemorrhoids come back after laser treatment?
They can return if the underlying causes : constipation, prolonged straining or a low-fibre diet – continue. The recurrence rate after laser treatment is lower than after traditional surgery, and Dr. Chan will advise on preventive measures to reduce the chance of recurrence.
How long does the laser procedure itself take?
The procedure itself is typically short. Most patients are discharged the day after their procedure, though same-day discharge is possible in some cases. Dr. Chan will confirm the expected timing and the type of anaesthesia for your case during consultation.
Will I be awake during the procedure?
Anaesthesia is decided with you before the procedure based on your assessment. Dr. Chan will explain the options and what to expect at your consultation.
Recovery & Aftercare
Same-day discharge, timeline, bowel movements, diet, exercise and care instructions.
What should I except straight after the laser procedure?
Most patients are discharged the day after their procedure. Same-day discharge is possible in some cases, depending on your recovery and how you feel. In the first few days you may notice mild discomfort or slight bleeding during bowel movements – these symptoms usually settle quickly.
How long is recovery?
Recovery is generally quick. Most patients return to light activities or work within 2-3 days. Avoid strenuous exercise and heavy lifting for 1-2 weeks.
Can i pass motion after the procedure? Will it hurt?
Yes. You can have a bowel movement, though it may feel mildly uncomfortable at first. A high-fibre diet, plenty of fluids and stool softeners (if prescribed) make passing stools easier.
Are there foods I should avoid afterwards?
For the first few days, avoid spicy food, alcohol and very oily meals, which can irritate digestion. Favour fibre-rich foods : vegetables, fruit and whole grains – to prevent constipation.
What aftercare should i follow?
Key steps: drink 1.5-2 litres of water a day; eat a fibre-rich diet; avoid straining during bowel movements; take prescribed medication as instructed; and attend your follow-up appointment with Dr. Chan.
When can i exercise again?
Light walking is encouraged in the first few days. Resume more strenuous exercise – running, cycling, gym – only after 1–2 weeks, depending on how your recovery is progressing.
When should i contact the clinic after my procedure?
Contact the clinic if you have heavy or persistent bleeding, increasing pain that is not controlled by your medication, fever, or difficulty passing urine or stool. For anything you are unsure about during recovery, it is always fine to call.
Haemorrhoids: the basics
What they are, causes, symptoms, grades and non-surgical options.
What are haemorrhoids, and what causes them?
Haemorrhoids (piles) are swollen veins in the lower rectum and anus. Common causes include chronic constipation, prolonged straining, pregnancy, obesity and sitting for long periods.
What are the symptoms?
Common symptoms include rectal bleeding, swelling, pain, itching and sometimes a lump near the anus. In more advanced cases the haemorrhoid may prolapse – bulge outside the anal opening.
What are the grades of haemorrhoids?
Internal haemorrhoids are commonly described in four grades, from Grade I (no prolapse) to Grade IV (prolapsed and cannot be pushed back). The grade helps guide treatment – Dr. Chan will assess yours during examination.
What non-surgical options are there?
Milder haemorrhoids can often be managed with lifestyle changes, a high-fibre diet, more fluids, avoiding straining, and topical creams or suppositories. When symptoms persist or worsen, a minimally invasive option such as Laser Haemorrhoidoplasty may be recommended.
When should i see a doctor about haemorrhoids?
See a doctor if you notice rectal bleeding, a lump, ongoing discomfort, or a change in your bowel habits. Bleeding in particular should always be checked, because other conditions can cause similar symptoms. An examination is the reliable way to know what is going on.
Appointments, Cost & Practical Information
Booking, insurance, cost expectations, what to bring, MC / sick leave and confidentiality.
How do I schedule a consultation with Dr. Chan Siew How?
You can book by: calling the clinic on 03-7718 1160; messaging via the Contact page; booking online through KPJ Damansara; or visiting KPJ Damansara Specialist Hospital, Petaling Jaya.
Does Dr. Chan accept insurance?
Most insurance providers in Malaysia cover haemorrhoid surgery when it is medically necessary. The clinic team can assist with pre-approval (guarantee letter) and claims. Coverage depends on your policy, so check with your insurer or the team before your procedure.
How much does the treatment cost?
Cost depends on the assessment, the grade of the haemorrhoids and the hospital arrangements at KPJ Damansara. Because it varies from patient to patient, the clinic will provide an estimate after consultation. If you have medical insurance, the team can help you arrange a guarantee letter.
What should I bring to my first appointment?
Please bring your identification (IC or passport), any insurance or guarantee-letter details, a list of medications you take, and any previous relevant medical reports or referral letters.
Will I get a medical certificate (MC) for time off work?
Yes. Where appropriate, Dr. Chan can issue a medical certificate to cover your procedure and recovery. The number of days depends on your recovery and the nature of your work.
Is my consultation confidential?
Yes. Your consultation and medical information are kept confidential in line with standard medical practice at KPJ Damansara.
Are there resources to learn more before I decide?
Yes. Dr. Chan provides educational material during consultation, and the website’s Patient Education section and downloadable resources explain haemorrhoids, treatment and recovery in more detail.
Still have a question?
If your question is not answered here, speak to the clinic directly. Dr. Chan Siew How and the team can explain your options and, where needed, arrange a consultation at KPJ Damansara.