Piles, also known as haemorrhoids, are a very common condition affecting both men and women. Despite how frequent the condition is, there are many piles myths that create confusion and unnecessary fear. These misconceptions often prevent people from seeking timely medical attention and proper treatment.
In this article, we separate fact from fiction by addressing the most common myths about piles, their causes, and treatment options. By understanding the truth behind these beliefs, individuals can take the right steps towards prevention and recovery.
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Understanding Piles
Before addressing the myths, it is essential to understand what piles are. Piles are swollen blood vessels located in or around the anus and lower rectum. They can occur inside the rectum (internal piles) or around the anus (external piles).
The condition develops when there is increased pressure in the anal veins, often caused by chronic constipation, prolonged sitting, straining during bowel movements, or pregnancy.
Although piles are not life-threatening, they can cause discomfort, pain, itching, bleeding, and swelling.
Myth 1: Piles Are Caused By Eating Spicy Food
One of the most widespread piles myths is that eating spicy food leads to haemorrhoids. Many people believe that chilli, curry, or other spicy ingredients irritate the bowel and cause piles to form.
Fact:
Spicy food does not cause piles. Piles occur due to increased pressure in the veins of the rectum, not because of the type of food consumed. However, spicy foods may worsen existing symptoms, especially in individuals with sensitive digestion, as they can cause a burning sensation during bowel movements.
To prevent piles or reduce discomfort, it is more important to eat a high-fibre diet including fruits, vegetables, and whole grains, and drink plenty of water to prevent constipation.
Myth 2: Only Older People Get Piles
Another common myth about piles is that it affects only the elderly. This assumption often leads younger individuals to ignore early signs or delay seeking medical advice.
Fact:
Although piles are more common with ageing—due to weakening tissues in the rectal area—anyone can develop haemorrhoids. Young adults, pregnant women, and even athletes are susceptible.
Modern sedentary lifestyles, low-fibre diets, and prolonged sitting (for example, at desks or on the toilet) are major contributors to piles across all age groups. Recognising this early can help prevent complications.
Myth 3: Piles Always Require Surgery
Many people believe that if they have piles, the only way to get rid of them is through surgery. This belief often causes fear and avoidance of medical consultation.
Fact:
Surgery is not always necessary. In fact, most mild and moderate cases of piles can be managed through non-surgical treatments such as dietary changes, topical creams, and minimally invasive procedures.
Common non-surgical methods include:
- Rubber band ligation: A small band is placed around the base of the haemorrhoid to cut off its blood supply.
- Sclerotherapy: A chemical solution is injected to shrink the haemorrhoid.
- Infrared coagulation: Heat is used to reduce the blood vessels.
Surgery is generally reserved for severe or recurrent piles, or when other treatments fail. Modern surgical options, such as laser haemorrhoidoplasty, offer faster recovery and less pain compared to traditional methods.
Myth 4: Piles Will Go Away On Their Own
A dangerous and misleading piles myth is the belief that haemorrhoids will disappear without any intervention. Some individuals ignore symptoms for months, hoping they will resolve naturally.
Fact:
Mild piles may improve with lifestyle changes such as a fibre-rich diet and proper hydration, but most cases require medical attention to prevent worsening. Untreated piles can lead to complications like thrombosis (clot formation) or prolapse, where haemorrhoids protrude from the anus.
Seeking early diagnosis and following a doctor’s advice is essential for effective management and long-term relief.
Myth 5: Sitting On Cold Surfaces Causes Piles
Many people are told from a young age that sitting on cold or wet surfaces can cause piles. This old wives’ tale is one of the most persistent piles myths passed down through generations.
Fact:
There is no scientific evidence that sitting on cold surfaces causes haemorrhoids. Piles are caused by increased venous pressure, not by temperature or cold exposure.
However, sitting for long periods—whether on a warm or cold surface—can restrict blood flow and increase pressure in the rectal veins, contributing to the development of piles. The key factor is prolonged sitting, not the temperature of the seat.
Additional Facts About Piles
- Piles Are Common: Up to 50% of adults experience piles by the age of 50.
- They Are Not Contagious: Piles are a vascular condition and cannot spread from one person to another.
- Pregnancy Increases Risk: Hormonal changes and pelvic pressure make pregnant women more prone to developing piles.
- Good Hygiene Helps: Keeping the anal area clean and avoiding harsh soaps can reduce irritation.
- Fibre Is Essential: A balanced diet with adequate fibre prevents constipation, one of the main causes of piles.
When To See A Doctor
If you experience bleeding, persistent pain, or swelling around the anus, it is important to seek medical advice. These symptoms could also indicate other conditions such as anal fissures or colorectal diseases.
Early diagnosis and treatment not only provide relief but also prevent potential complications. In Singapore, piles treatment options include both non-surgical and advanced laser procedures that offer quick recovery and minimal discomfort.
Preferred Doctors (Colorectal Surgeons) For Piles Treatment
If you are looking for a doctor in Singapore for colon & rectal cancer screening or treatment, here are our Preferred Doctors you can consider:
- Dr Daniel Lee is a highly experienced colorectal surgeon in Singapore, known for his expertise in minimally invasive techniques such as laparoscopic colorectal surgery, TAMIS, and advanced laser procedures for piles, fistulas, and pilonidal disease. Dr Lee is trusted for handling even the most challenging cases.
[SG] Featured Doctor- Dr Kevin Koo
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Understanding the truth behind common piles myths is crucial for effective prevention and management. Piles are a medical condition, not a sign of poor hygiene or dietary habits alone. By separating myths from facts, individuals can make informed decisions, seek timely medical help, and adopt healthy lifestyle practices.
Remember: early intervention and lifestyle modifications can significantly improve quality of life and prevent recurrence.
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