Piles, bleeding & anal conditions

Not every haemorrhoid case needs surgery, but bleeding should be checked.

Dr Sulaiman Bin Yusof is a Senior Consultant Colorectal and General Surgeon. Whether it is piles, rectal bleeding, an anal fissure or fistula, or pain that keeps returning, start with a private assessment rather than guessing from symptoms alone.

10,000+

Endoscopic procedures

100+

Robotic operations

Private hospital locations

WhatsApp the clinic

MBChB (Sheffield) M.Med (Surgery) FRCSEd Peter MacCallum Fellowship Senior Consultant Colorectal & General Surgeon Former Director of Endoscopy, CGH Adjunct Assoc Prof, NUS / LKC / Duke-NUS 10,000+ Endoscopic Procedures SG Health Quality Service Star 2023

Three things worth knowing

Not every piles case needs surgery, but bleeding should be checked.

01 · Assessment first

Piles can look simple from the outside.

Bleeding, swelling, itching, and pain may be from piles, but they are still symptoms worth assessing properly. The first decision is diagnosis, not surgery.

02 · Treatment depends on grade

Internal and external piles are managed differently.

Treatment choice depends on whether the piles are internal, external, bleeding, prolapsing, painful, or linked to another colorectal condition.

03 · Surgery is one option

You start with an assessment, not surgery.

The responsible path is to check what is happening, then explain the suitable options. If a scope is needed, it is Medisave claimable as day-surgery, with major panels covered.

See full coverage breakdown →

Start with what it could be

Rectal bleeding, a lump, an itch or pain: what it could mean.

Most of these are common and treatable, and most are not cancer. But the symptoms overlap, so the honest first step is finding out which one it is.

Bleeding

Rectal bleeding or blood in your stool

Bright red blood is often piles or a small tear, but rectal bleeding can have other causes. Most is not cancer; it should still be checked by a colorectal surgeon.

Itch

An itch around the anus that won't settle

A persistent anal itch has many causes, from piles to skin and hygiene factors. A proper assessment finds the cause instead of guessing at creams.

Lump

A lump or swelling near the anus

A lump near the anus is often a haemorrhoid or skin tag. A swelling that is painful, discharging, or keeps coming back is worth examining properly.

Pain

Anal pain, or pain when passing motion

Pain on passing motion can be an anal fissure, a fistula, or piles. The right treatment depends on which it is, so the first step is finding out.

Piles

Piles and haemorrhoids

Many piles settle without surgery. Grade and symptoms decide whether simple measures, a clinic procedure, or surgery is the suitable option.

The specialist

Seeing a colorectal and gut specialist

Dr Sulaiman is a Senior Consultant Colorectal Surgeon. Seeing a gut specialist early means one place to assess, scope if needed, and treat.

Same-day appointment. Scoped within the week. Home the same day.

If a scope is needed it is a quick day-surgery procedure, mostly Medisave claimable. You get a written estimate before anything is booked.

Send the clinic your symptoms →

About Dr Sulaiman

Dr Sulaiman Bin Yusof

Senior Consultant, Colorectal & General Surgeon

Medically reviewed by Dr Sulaiman Bin Yusof, MBChB (Sheffield), M.Med (Surgery), FRCSEd. Last reviewed 2026-05-22.

Volume

10,000+ endoscopic procedures across 15+ years. There is nothing too embarrassing to bring up, and nothing he has not seen before.

Fellowship

MOH Fellowship to the Peter MacCallum Cancer Centre, Melbourne. FRCSEd General Surgery.

Continuity

A colorectal surgeon, so the same specialist who assesses your piles can manage fissures, fistulae, and other anal conditions, without starting over with someone new.

In his own words

Dr Sulaiman on why he treats piles, bleeding and bowel conditions the way he does (about 2 minutes).

Coverage made clear

How Medisave and insurance work if your piles assessment leads to a scope.

Most patients pay far less than the sticker price. Here's what's covered, in plain English, with the friction handled before you arrive.

Integrated Shield Plans

Private hospital coverage panels supported.

Corporate & International

Work and overseas coverage panels supported.

Integrated Shield Plans

Most major panels covered.

AIA, Great Eastern, Prudential, NTUC Income, Singlife, HSBC Life. Pre-authorisation handled by the clinic team. Final out-of-pocket depends on your plan.

Medisave

Medisave-claimable as day-surgery.

If your assessment leads to a day-surgery scope, it is Medisave-claimable. A scope done for symptoms is also Medisave-claimable; the clinic confirms your exact Medisave eligibility in writing before booking.

No surprise bills

Final billing in writing before the procedure.

WhatsApp your insurer name + policy number. The clinic checks panel rates and pre-auth, then sends you the final figure in writing before anything happens.

Once Medisave and Integrated Shield are applied, most patients pay significantly less out of pocket. Your final figure depends on your plan and CPF balance, confirmed in writing before the procedure.

Costs, made clear

You'll know your cost before anything is booked.

Your first visit is a consultation and examination. If a scope or treatment is recommended, most of the cost is Medisave-claimable, and you receive a written estimate with insurance applied before anything is booked. No surprise bill.

The surgeon behind your care

Cared for by a senior colorectal cancer surgeon.

Dr Sulaiman is a Senior Consultant Colorectal and General Surgeon. He treats the full range of colorectal conditions, from piles and fissures to complex cancer surgery, including over 100 robotic-assisted (Da Vinci Xi) cancer operations, with a surgical fellowship at the Peter MacCallum Cancer Centre. Your piles are assessed by the same surgeon, and the suitable options are explained before anything is decided.

100+ robotic-assisted cancer operations 15+ years experience Peter MacCallum fellowship 5 private SG clinics

If surgery is needed

Most piles settle without surgery. If an operation is right for you, here is the typical cost.

Total bill before MediSave and MediShield Life payouts. Most of it is Medisave-claimable as day surgery.

Procedure	Typical total bill (before MediSave)
Laser haemorrhoidoplasty	$8,160 to $10,633
Stapled haemorrhoidopexy	$9,297 to $10,602
Conventional haemorrhoidectomy	$8,160 to $10,633

Each bill includes the surgeon's fee, anaesthetist, and day-surgery charges. You receive a written estimate with your insurance applied before anything is booked.

Assessment walkthrough

What happens at your piles assessment.

When an assessment is worth booking

Blood when you pass motion or on toilet paper
A lump, swelling, or prolapse near the anus
Pain, itching, or burning that keeps returning
Discharge that will not settle
Symptoms during or after pregnancy
Piles symptoms that come back after previous treatment

How the visit works

Consultation

You describe what you are experiencing in plain words. No preparation is needed for this first visit.

Examination

A gentle examination, with an anoscopy or proctoscopy where indicated, to see what is causing the symptoms.

A scope if it is needed

If the bleeding needs a closer look, Dr Sulaiman may recommend a scope to rule out other causes.

Findings and options

You leave knowing what it is and what the suitable options are, with costs and coverage checked before anything is arranged.

Ask Dr Sulaiman about piles

When to see a colorectal surgeon

Bleeding, a lump, pain, or something that keeps coming back. These are the signals that matter.

Most people search online at 2am when something does not feel right. The guessing is usually worse than the answer.

A private assessment, and a scope if it is needed, shows exactly what is causing the bleeding, the lump, or the pain, often in a single visit. You leave knowing what it is and what the options are.

If you have noticed blood when you pass motion, a lump near the anus, pain that keeps returning, or discharge that will not settle, this is the conversation worth having with a colorectal surgeon.

Singapore context

Around 1 in 3 Singaporeans will have haemorrhoids, yet most stay silent for years.

Piles are extremely common. But the same symptoms, bleeding, a lump, or a change in bowel habits, can also point to other conditions. That overlap is exactly why a proper look matters, rather than guessing from how things feel.

Source: HealthXchange, SingHealth.

Honest filter

An assessment with Dr Sulaiman is not the right next step if…

The right next step should match your actual situation. We'd rather point you to the appropriate care than book you in for something you don't need. If any of the below sound like you, send a WhatsApp and the clinic team will route you appropriately.

You want surgery without an assessment

Surgery is one option for selected cases, not a starting point. Dr Sulaiman assesses what is causing the symptoms first, then explains whether a less invasive option fits.

You need an emergency assessment

Heavy active bleeding, severe pain, fever, or feeling faint needs an A&E visit at the nearest hospital, not a scheduled outpatient appointment. Go now. Call us after.

You just want a quick answer first

If you are not ready to come in yet, that is fine. Send your main symptom on WhatsApp and the clinic team can tell you whether an assessment is worth booking, with no pressure to commit.

If none of the above apply, send a WhatsApp and the clinic team will help you set up the right consultation with Dr Sulaiman.

Speak to Dr Sulaiman

Where Dr Sulaiman sees patients

Five private hospital locations across Singapore.

Choose the location closest to your home, work, or preferred hospital panel. Exact appointment availability is confirmed by the clinic team.

Primary clinic location

Gleneagles Medical Centre · 6 Napier Road, #06-16, Singapore 258499

+65 6993 8624

Mount Elizabeth Novena

38 Irrawaddy Road, #10-48/49
Singapore 329563

+65 6643 9929 Open in Maps

Parkway East Hospital

319 Joo Chiat Place, #05-08
Singapore 427989

+65 6348 1383 Open in Maps

Mount Alvernia Hospital

820 Thomson Road, #08-62 Medical Centre D
Singapore 574623

+65 6250 0537 Open in Maps

Connexion Farrer Park Medical Centre

1 Farrer Park Station Road, #14-12
Singapore 217562

+65 8491 1525 Open in Maps

Pre-fill your details

Send the clinic the details before you talk.

A 1-minute form. Submitting opens WhatsApp with your details pre-filled so the clinic team can prepare the right answer before replying.

Full name

Phone or WhatsApp number

What's prompting your enquiry?

Have you seen a doctor for this before?

Best time to reply on WhatsApp

How are you covered?

By submitting, you agree the clinic may contact you about your enquiry and store your details for that purpose, in line with Singapore's PDPA. More at drsulaiman.com.sg.

Common Questions

Questions patients usually want answered before they message.

If your question is not here, the fastest way to get an answer is to send a message on WhatsApp. Dr Sulaiman's clinic team responds during clinic hours.

Are piles and haemorrhoids the same thing?

In everyday Singapore English, piles and haemorrhoids often refer to the same condition. The important point is whether the symptoms are internal, external, bleeding, painful, or prolapsing.

Do I need piles surgery?

Not necessarily. Surgery is one possible option for selected cases. Dr Sulaiman first needs to assess what is causing your symptoms and whether a less invasive option fits.

Should bleeding piles be checked?

Yes, bleeding should be discussed with a doctor. Piles can bleed, but self-diagnosing bleeding without assessment can miss other causes.

Can I ask about haemorrhoid treatment without committing?

Yes. The form above sends the clinic team the basic symptom and coverage details, so they can reply with the right next step.

Can I send symptoms by WhatsApp first?

Yes. The form above opens WhatsApp with your answers pre-filled, so the clinic team can see the main concern before replying.

How do I check fees or insurance coverage?

You can see how Medisave and insurance work, with an itemised scope estimate, in the pricing section above. Send your insurer name, policy type, and main symptom, and the clinic team can advise what needs to be checked before the appointment.