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Patient Guides

Patient Guides & Articles

Plain-language articles and guides on common colorectal and general surgical conditions — written to help you understand your diagnosis, your options, and what to expect from treatment.

CSSANZ RACS — Fellowship of the Royal Australasian College of Surgeons Austin Health Warringal Private Hospital — Part of Ramsay Health Care Epworth ANZ Hernia Society CCRTGE BCOR

Haemorrhoids

→ Haemorrhoids
Haemorrhoids · Rectal Bleeding

Blood After a Bowel Motion — Should I Be Worried?

Rectal bleeding should never simply be assumed to be haemorrhoids. Learn what different types of bleeding mean and when to seek assessment.

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Haemorrhoids

Haemorrhoids, Fissure, or Something Else?

Many patients assume that any perianal discomfort or bleeding must be haemorrhoids. The truth is that several different conditions can cause identical symptoms.

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Haemorrhoids

What Grade of Haemorrhoids Do I Have?

Haemorrhoids are graded I–IV based on prolapse and reducibility. Your grade is the single most important factor in deciding which treatment is right for you.

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Haemorrhoids

External vs Internal Haemorrhoids

Internal haemorrhoids bleed but are generally painless. External haemorrhoids — particularly when thrombosed — can be acutely and severely painful.

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Haemorrhoids

Do I Really Need Surgery for Haemorrhoids?

Most haemorrhoids don't need surgery. Find out what options are available — from dietary changes to rubber band ligation — and when surgery is genuinely necessary.

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Haemorrhoids

Why Do My Haemorrhoids Keep Coming Back?

Recurring haemorrhoids are frustrating but rarely inevitable. Understand what drives recurrence and when a more definitive approach makes sense.

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Haemorrhoids

What Is Recovery Like After Haemorrhoid Surgery?

An honest, week-by-week guide to haemorrhoidectomy recovery — what to expect, how to manage pain, and when to call your surgeon.

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Haemorrhoids

How Long Does It Take to Recover from Haemorrhoid Surgery?

Recovery timelines vary significantly depending on the procedure. A comparison of RBL, HALO/THD, haemorrhoidectomy, and PPH with realistic return-to-work expectations.

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Haemorrhoids

Piles vs Haemorrhoids — Is There a Difference?

Piles and haemorrhoids are the same condition — just different names. Learn about grades, symptoms, and treatments in this plain-language guide.

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Haemorrhoids · Anal Fissure

Haemorrhoids vs Anal Fissure — Key Differences

A detailed comparison of bleeding patterns, pain timing, appearance, and treatment — so you can better understand what might be causing your symptoms.

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Haemorrhoids

Anal Skin Tags vs Haemorrhoids — What's the Difference?

Skin tags and haemorrhoids are often confused. Learn what each is, why they develop, and when either might need treatment.

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Rectal Bleeding

→ Haemorrhoids

Anal Fissures

→ Anal Fissure

Pilonidal Disease

→ Pilonidal Disease

Colonoscopy

→ Bowel Cancer & Polyps
Colonoscopy

Do I Need a Colonoscopy?

Colonoscopy is the most effective tool for detecting and preventing bowel cancer. Find out who needs one — and when.

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Colonoscopy

What to Expect from Your First Colonoscopy

A complete guide to preparation, the procedure itself, and recovery — so you know exactly what to expect on the day.

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Colonoscopy

What Happens During a Colonoscopy?

A step-by-step walkthrough of the colonoscopy procedure — from arrival and sedation through scope insertion, withdrawal, and recovery.

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Colonoscopy

How Painful Is a Colonoscopy?

Most patients experience minimal discomfort under sedation. An honest look at what to expect and how to make the procedure as comfortable as possible.

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Colonoscopy

How Do I Prepare for a Colonoscopy?

Good bowel preparation is the single most important factor in colonoscopy quality. A day-by-day guide to diet, bowel prep solutions, and split dosing.

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Colonoscopy

Can I Eat Before a Colonoscopy?

What you can eat on a low-residue diet, when to switch to clear fluids, and what happens if your bowel preparation is inadequate.

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Colonoscopy

What Happens If Polyps Are Found?

Polyps are removed during colonoscopy and sent for analysis. Learn about polyp types, how they're removed, and what your surveillance interval will be.

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Colonoscopy

When Should You Have a Colonoscopy?

The right age and frequency depends on your personal risk. A guide covering average risk, family history, IBD, Lynch syndrome, and symptomatic indications.

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Colonoscopy

What Can I Eat After a Colonoscopy?

A timeline of what to eat and drink after your procedure — including special precautions if polyps were removed.

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Colonoscopy

Colonoscopy vs CT Colonography — Which Is Right for Me?

Virtual colonoscopy (CTC) is an alternative for patients who can't have conventional colonoscopy. A comparison of accuracy, safety, recovery, and who each suits.

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Bowel Cancer Screening

→ Bowel Cancer
Bowel Cancer

Bowel Cancer Screening in Australia

Australia's National Bowel Cancer Screening Program explained — who gets a kit, what a positive result means, and who needs earlier or more frequent testing.

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Bowel Cancer

When Should You Start Bowel Cancer Screening?

Average-risk Australians should start FOBT screening from age 45. For those with family history or other risk factors, earlier investigation with colonoscopy is recommended.

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Bowel Cancer

What Symptoms Could Suggest Bowel Cancer?

Rectal bleeding, unexplained weight loss, and a persistent change in bowel habit are the key warning signs. Learn which symptoms need prompt investigation.

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Bowel Cancer

Does Bowel Cancer Always Cause Bleeding?

No — right-sided cancers in particular rarely cause visible rectal bleeding. Understand why bowel cancer can be silent and why regular screening matters.

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Bowel Cancer

Family History and Bowel Cancer Risk

One first-degree relative with bowel cancer roughly doubles your risk. The NHMRC's three-tier risk classification guides how early and how often you should be screened.

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Bowel Cancer

Can Young People Get Bowel Cancer?

Bowel cancer in under-50s is rising globally. Learn why young people dismiss warning symptoms — and which signs should never be ignored regardless of age.

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Bowel Cancer

The Rise of Early-Onset Bowel Cancer

Rates of bowel cancer in adults under 50 have risen steadily for three decades. What is driving the trend, what it means for screening, and why age is not protection.

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Bowel Cancer

IBS vs Bowel Cancer Symptoms — How to Tell Them Apart

IBS and bowel cancer can cause overlapping symptoms. Learn the distinguishing features that should prompt further investigation rather than reassurance.

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Bowel Cancer

What Does a Positive FOBT Mean?

A positive bowel screening test is not a cancer diagnosis — it's an invitation to investigate. Learn what happens next, why colonoscopy is mandatory, and what to expect.

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Constipation

→ Diverticular Disease

Diverticular Disease

→ Diverticular Disease

Gallstones

→ Gallstones

Iron Deficiency & Anaemia

→ Bowel Cancer

Inguinal (Groin) Hernia

→ Hernia
Hernia

How Do I Know If I Have a Hernia?

A hernia produces a recognisable set of symptoms. Most are not dangerous, but they will not resolve without surgery and can develop serious complications if untreated.

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Hernia

What Does a Groin Hernia Feel Like?

An intermittent bulge in the groin that appears on standing or straining and disappears lying down is the classic sign. Learn the full symptom picture and warning signs of strangulation.

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Hernia

Do All Hernias Need Surgery?

Small asymptomatic inguinal hernias can sometimes be watched, but femoral hernias always need repair. Understanding when to operate and when it's safe to wait.

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Hernia

When Should a Hernia Be Repaired?

Symptomatic hernias, femoral hernias, and large defects generally warrant prompt repair. A guide to timing surgery around your symptoms, risk, and fitness for anaesthesia.

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Hernia

Can a Hernia Heal Without Surgery?

No — fascial defects do not regenerate. Trusses provide temporary symptom relief but don't fix the hernia. Learn why delaying repair can make the eventual operation more difficult.

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Hernia

Mesh vs Non-Mesh Hernia Repair

Mesh reduces recurrence from 10–15% to under 2%. Learn about the Lichtenstein repair, laparoscopic mesh techniques, and when non-mesh approaches like Shouldice are preferred.

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Hernia

Laparoscopic vs Open Hernia Surgery

Both approaches achieve excellent outcomes. Laparoscopic repair is preferred for bilateral and recurrent hernias; open suits all hernias and can be done under local anaesthetic.

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Hernia

How Painful Is Hernia Surgery Recovery?

Most patients describe mild to moderate discomfort — well-controlled with paracetamol and ibuprofen. An honest guide to what the first two weeks look like.

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Hernia

When Can I Exercise After Hernia Surgery?

A week-by-week return-to-activity guide — from walking in the first days to returning to heavy lifting and contact sport at 8–12 weeks.

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Hernia

Can Exercise Cause a Hernia?

Exercise doesn't cause hernias in people with a normal abdominal wall, but high intra-abdominal pressure with poor technique can precipitate one in susceptible individuals.

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Hernia

Can Weightlifting Cause a Hernia?

Heavy lifting spikes intra-abdominal pressure. Learn the mechanism, the role of underlying wall weakness, safe bracing technique, and when to return to lifting after repair.

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Umbilical & Ventral Hernias

→ Hernia

General Symptoms & When to Seek Help

General

When Should You See a Colorectal Surgeon?

What a colorectal surgeon does, how to get a referral, and which symptoms warrant prompt specialist assessment rather than a "wait and see" approach from your GP.

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General

When Can I Return to Work After Surgery?

Return-to-work timelines for 9 common procedures — from colonoscopy (next day) to bowel surgery (4–6 weeks) — for both desk and manual work.

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Symptoms

What Causes Anal Pain?

A gateway guide covering all major causes of anal pain — from fissure and thrombosed haemorrhoid to perianal abscess, proctalgia fugax, and levator ani syndrome.

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Symptoms

Is Anal Pain Ever Serious?

Most anal pain has a benign cause, but persistent pain unrelated to bowel motions, pain with fever, or pain with a palpable lump needs prompt assessment.

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Symptoms

Why Is There Mucus After a Bowel Motion?

Small amounts of mucus are normal, but excess mucus — especially with blood — can signal haemorrhoids, IBD, or rarely a villous adenoma. Know when to seek assessment.

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Symptoms

Why Does My Bottom Itch?

Pruritus ani is extremely common and usually benign. Learn the most frequent causes — from dietary triggers to skin conditions — and practical steps to get relief.

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Symptoms

Why Do I Feel a Lump Around My Anus?

A perianal lump could be a thrombosed haemorrhoid, skin tag, abscess, anal wart, or — rarely — anal cancer. A guide to what each feels like and when to be seen urgently.

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Symptoms

Why Is There Leakage After a Bowel Motion?

Post-defecation soiling is common and treatable. Causes include prolapsing haemorrhoids, incomplete emptying, sphincter weakness, and IBS — each with different management.

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📅 Last reviewed: May 2026
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