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Looking for a doctor for haemorrhoids in Melbourne? Dr Thomas Tiang provides specialist haemorrhoid assessment and treatment, from banding to day-case surgery.
Haemorrhoids (piles) are swollen veins in the anal canal and one of the most common reasons people look for a haemorrhoid doctor. Typical symptoms are bright red bleeding when opening the bowels, itching, discomfort, swelling, or a lump that prolapses. As a specialist colorectal surgeon based in Essendon, Dr Thomas Tiang assesses haemorrhoids properly — confirming the diagnosis, grading the haemorrhoids, and excluding other causes of rectal bleeding — before recommending treatment. Options range from dietary and topical measures, to in-rooms rubber band ligation and injection sclerotherapy, through to haemorrhoidectomy or haemorrhoidopexy performed without staples for advanced disease. Consultations are available in Essendon with surgery at John Fawkner Private, Warringal Private, Northern Private, and Western Private Hospitals.
Sub-topics
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A thorough consultation, examination, and proctoscopy to confirm haemorrhoids, grade their severity, and distinguish internal from external disease. Where rectal bleeding needs further investigation, colonoscopy is arranged to exclude other causes.
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For mild haemorrhoids, dietary fibre, adequate fluids, stool softeners, and topical agents often settle symptoms. Advice is tailored to your bowel habit and lifestyle to reduce straining and prevent recurrence.
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Minimally invasive, in-rooms treatments for symptomatic internal haemorrhoids. Banding places a small elastic band at the base of the haemorrhoid; sclerotherapy injects an agent that shrinks it. Both are quick, require no general anaesthetic, and allow a rapid return to normal activity.
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For large, prolapsing, or recurrent haemorrhoids, surgical treatment provides durable relief. Dr Tiang performs both excisional haemorrhoidectomy and haemorrhoidopexy — without staples — with careful attention to pain control and preservation of continence.
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Acutely painful thrombosed haemorrhoids are assessed urgently. Depending on timing and severity, treatment may be conservative or involve evacuation of the clot to relieve pain quickly.
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A GP referral is required for all specialist appointments.
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