The document discusses hemorrhoids, their definition, types, and symptoms, highlighting their commonality and potential to mask cancer. It outlines various treatment options including lifestyle changes, medication, and surgical interventions like laser treatment. The importance of proper medical evaluation for effective treatment is emphasized.

1. Laser Treatment for
Hemorrhoids
Chea Chan Hooi
MD, MS, FMAS, DMAS, CMIA, AMM
cheachanhooi@yahoo.com
085-329333

2. Content
• Definition
• History
• Anatomy
• Why they occur
• Grades
• Symptoms
• Test
• Treatment
• Conclusion
• Q&A
• Demo

3. What are hemorrhoids?
• Hemorrhoids
– Abnormal swelling of blood vessels within anal canal and
subsequent displacement outwards
– 痔疮, piles, buasir
– Two types
• Internal
• External

4. Historical treatment

9. Anatomy

10. Why hemorrhoids occur?

11. Grades of internal hemorrhoids

12. Symptoms of hemorrhoids

16. External hemorrhoids

18. Cancer

19. Tests
• Blood test
• Colonoscopy

21. Treatment options
• Lifestyle changes
– Avoid constipation
– Physical activities
– Reduce weight
– Reading in toilet?
• Medication
• Interventions

22. Injection

23. Rubber band

24. Stapler

26. Surgery

27. Laser

43. Conclusion
• Hemorrhoids are very common
• Most common symptom is bleeding
• Can be masking a cancer
• Proper medical evaluation is important
• Laser treatment of hemorrhoids is feasible

44. Thank you!
Q&A?