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Hemorrhoids

Advanced, Patient-Centered Care with Dr. Rajesh Nambiar
Pain during bowel movements. Bleeding after using the restroom. Persistent itching or swelling around the anal area. These symptoms have the ability to turn even the most basic daily activities into a source of discomfort and stress.
Many people delay seeking help because they feel embarrassed discussing the problem, but hemorrhoids are extremely common and highly treatable.
If you are looking for safe, effective, and compassionate hemorrhoids treatment in Dubai, Dr. Rajesh Nambiar offers advanced diagnostic evaluation and minimally invasive treatment options tailored according to the severity of your condition.
With more than 20 years of surgical experience and expertise in minimally invasive gastrointestinal procedures, Dr. Rajesh combines clinical precision with a patient-first approach..
What is Hemorrhoids?
- Internal hemorrhoids – They are found inside the rectum and tend to be painless, though they may sometimes cause bleeding.
- External hemorrhoids – They appear beneath the skin around the anal area and are known to cause pain, swelling, and general irritation.
Types and grades of Hemorrhoids
Grade I Hemorrhoids
These hemorrhoids are small in size and sit internally, occasionally leading to some bleeding but staying within the anus. They can often be treated successfully with changes to daily habits and the right medications.
Grade II Hemorrhoids
These prolapse during bowel movements but return inside on their own. Patients may experience discomfort, itching, or mucus discharge.
Grade III Hemorrhoids
These hemorrhoids prolapse and require manual pushing to move back inside. Minimally invasive surgery may be recommended.
Grade IV Hemorrhoids
These remain permanently prolapsed and can become painful or thrombosed. Surgical treatment is commonly advised for lasting relief.
Common symptoms of Hemorrhoids
Common signs include:
- Painless Bright red bleeding during bowel movements
- Swelling around the anus
- Anal itching or irritation
- Pain or discomfort while sitting
- Mucus discharge
- Feeling of incomplete bowel emptying
Causes and risk factors
Some of the factors can make a person more likely to develop hemorrhoids:
Risk factor | How it contributes |
Chronic constipation | Repeated straining increases venous pressure |
Pregnancy | Increased pelvic pressure affects the rectal veins |
Obesity | Adds pressure to the abdominal and rectal vessels |
Low-fiber diet | Leads to hard stools and straining |
Heavy lifting | Raises abdominal pressure repeatedly |
Aging | Supporting tissues weaken over time |
How are Hemorrhoids diagnosed?
- Physical examination
- Digital rectal examination
- Proctoscopy, a short scope used to examine the anal canal
- Colonoscopy if additional gastrointestinal concerns are suspected
Hemorrhoids treatment in Dubai
Lifestyle and dietary changes
Mild hemorrhoids most often improve with conservative care.Patients are advised to:- Increase fiber intake
- Drink more water
- Avoid prolonged sitting
- Prevent constipation
- Exercise regularly
Medications
Topical creams, suppositories, and oral medications may help reduce:- Swelling
- Pain
- Itching
- Inflammation
Procedures for treatinghemorrhoids in Dubai
When conservative treatments fail or hemorrhoids become advanced, surgery may provide the most effective long-term solution.
Hemorrhoidectomy
This is the surgical removal of large or severe hemorrhoids. It is often recommended for large Grade III and Grade IV hemorrhoids.
Benefits include:
- Long-lasting symptom relief
- Reduced recurrence risk
- Effective treatment for large prolapsed hemorrhoids
Disadvantages:
- Post operative pain
- Prolonged recovery
Stapled Hemorrhoidopexy
This procedure repositions prolapsed hemorrhoids and reduces blood flow to the affected tissue. It usually causes less postoperative pain compared to conventional surgery.
Laser ablation of hemorrhoids
Can be done in Selected cases. Not ideal for Large hemorrhoids. A Laser probe is used to coagulate the vessels feeding the hemorrhoid causing it to Shrink with time.
Hemorrhoidal Ligation
The vessels feeding the Hemorrhoid are Ligated with Stitches. This can be done with or without ultrasound guidance.
What happens during these procedures?
The treatment approach depends on the severity of hemorrhoids. Early stages with occasional bleeding do not require surgery.
A standard Hemorrhoidectomy may take 30-45 minutes
During surgery:
- The affected hemorrhoidal tissue is identified.
- Swollen blood vessels are removed or repositioned.
- Bleeding is controlled carefully.
- Patients are monitored before discharge.
A laser ablation takes 10-20 minutes. It causes less pain and early recovery
- The Hemorrhoid is identified,
- A 360 degree laser probe is inserted into the base
- The laser is applied and the Blood vessels are coagulated
Many patients can return home the same day, depending on the procedure performed.
Who is an ideal candidate for treatment?
- Recurrent rectal bleeding
- Prolapsed hemorrhoids
- Symptoms not improving with medications
- Repeated hemorrhoid flare-ups
- Recurrent thrombosis
Benefits of early Hemorrhoid Treatment
Timely medical attention can have a positive impact on both physical comfort and everyday quality of life.
Benefits may include:
- Relief from pain and bleeding
- Improved bowel movements
- Reduced risk of complications
- Faster recovery with minimally invasive techniques
- Better long-term symptom control
- Reduced recurrence risk
Many patients who seek early care avoid the progression of the condition to a more serious stage requiring major surgical treatment.
Risks and safety considerations
- Bleeding
- Infection
- Temporary discomfort
- Urinary retention
- Recurrence
- Narrowing of the anal canal in rare cases
Recovery timeline after Hemorrhoids surgery
Recovery stage | Typical timeline |
Mild discomfort and swelling | First few days |
Return to desk work | 5–7 days |
Improved bowel comfort | Within 1–2 weeks |
Full healing | 4–6 weeks |
Return to strenuous activity | After medical clearance |
Recovery time varies depending on the procedure performed and the patient’s overall health.
Piles treatment in Dubai cost
- Severity of hemorrhoids
- Type of procedure required
- Hospital stay requirements
- Diagnostic investigations
- Insurance coverage

Dr. Rajesh Nambiar
MBBS · MS · DNB Surgical Gastroenterology · HPB & Transplant Fellowship · GI, Hepatobiliary & Pancreatic Surgery
- Mediclinic Welcare Hospital
- DHA Licensed Specialist
- Adjunct Clinical Lecturer – MBRU
- Emirates Medical Association
- Da Vinci System Certified Console Surgeon
20+
Years of Experience
5
Procedure Types
DHA
Licensed Specialist
Dr. Rajesh Nambiar’s approach to Hemorrhoid care
His treatment philosophy includes:
- Minimally invasive techniques whenever appropriate
- Evidence-based surgical decision-making
- Personalized treatment planning
- Thorough patient education
- Compassionate postoperative support
Restoring comfort through advanced hemorrhoid care
Living with hemorrhoids is not easy as it can affect your comfort, knock your confidence, and bring down your overall quality of life. The reassuring part is that effective treatment is available to help.
With advanced diagnostic evaluation, minimally invasive techniques, and compassionate care, patients can achieve lasting relief and improved digestive health through expert hemorrhoids treatment in Dubai.
Frequently AskedQuestions
Most hemorrhoids are not dangerous, but persistent bleeding or severe pain should always be evaluated to rule out other digestive conditions.
You should seek medical attention if symptoms last more than a week, bleeding recurs frequently, or you notice a painful lump near the anus.
Modern surgical techniques and pain management methods have significantly improved patient comfort during recovery.
Most patients resume light activities within a week, though complete healing may take several weeks depending on the procedure.
Yes, hemorrhoids can come back if underlying factors like constipation and straining continue to be a problem. This is why lifestyle changes are so important in preventing their return.
Choosing the best hospital for piles treatment in Dubai depends on factors such as surgeon expertise, access to advanced minimally invasive procedures, hospital infrastructure, and postoperative care support.