Hemorrhoid Treatment Cost in the Philippines [2026 Price Guide]

Quick Answer: Hemorrhoid treatment in the Philippines costs ₱500-₱100,000 depending on the severity and treatment type. Topical medications cost ₱500-₱3,000. Non-surgical procedures (rubber band ligation, sclerotherapy) cost ₱5,000-₱15,000. Hemorrhoidectomy surgery costs ₱15,000-₱80,000+. Laser hemorrhoidectomy costs ₱40,000-₱100,000. PhilHealth covers hemorrhoid surgery starting at ₱12,000 case rate. Top hospitals include Cardinal Santos Medical Center, Makati Medical Center, and The Medical City.

Table of Contents

• Introduction
• What Are Hemorrhoids?
• Treatment Options and Prices
• What Is Included in the Price
• Price by Hospital
• Additional Costs
• PhilHealth and HMO Coverage
• Price by City
• Conservative vs. Surgical Treatment
• Recovery After Hemorrhoid Surgery
• Frequently Asked Questions
• Conclusion

Introduction

Hemorrhoids — called "almoranas" in Filipino — are one of the most common yet least discussed health problems in the Philippines. An estimated 50% of adults over 50 will experience hemorrhoid symptoms at some point in their lives. Despite how common the condition is, many Filipinos suffer silently for years due to embarrassment or uncertainty about treatment costs. The result is unnecessary pain, bleeding, and reduced quality of life.

The good news: hemorrhoids are highly treatable, and most cases respond to simple, affordable treatments. Topical medications (creams, suppositories) cost ₱500-₱3,000 and can resolve mild symptoms. Non-surgical office procedures (rubber band ligation) cost ₱5,000-₱15,000 and work well for moderate cases. Surgical removal (hemorrhoidectomy) is reserved for severe cases and costs ₱15,000-₱80,000+ depending on the hospital tier.

PhilHealth also provides case rate coverage starting at ₱12,000 for hemorrhoid surgery, significantly reducing out-of-pocket costs. This guide breaks down every treatment option available in the Philippines, their costs, and what to expect. If you are dealing with other colorectal concerns, also see our Colonoscopy Cost guide.

What Are Hemorrhoids?

Hemorrhoids are swollen, inflamed veins in the anus and lower rectum. They can be:

Internal hemorrhoids — inside the rectum, usually painless but may bleed External hemorrhoids — under the skin around the anus, can be painful, especially if thrombosed (clotted) Mixed hemorrhoids — combination of both

Causes and Risk Factors

• Straining during bowel movements (hard stools, constipation)
• Prolonged sitting on the toilet
• Chronic diarrhea or constipation
• Pregnancy
• Obesity
• Heavy lifting
• Low-fiber diet
• Aging (tissue weakens over time)

Symptoms

• Bright red blood on toilet paper or in the toilet
• Itching or irritation around the anus
• Pain or discomfort, especially during bowel movements
• Swelling around the anus
• A lump near the anus that may be tender
• Leakage of feces (advanced cases)

Hemorrhoid Grades (Internal)

Treatment Options and Prices

Conservative/Home Treatment (₱200-₱2,000)

First-line treatment for mild hemorrhoids (Grade 1).

Sitz baths, topical creams, lifestyle changes:

• Over-the-counter creams (Preparation H, Anusol, Daflon): ₱200-₱800
• Prescription topical medications: ₱500-₱1,500
• Stool softeners and fiber supplements: ₱300-₱1,000
• Sitz bath basin: ₱200-₱500
• Total for conservative treatment: ₱500-₱2,500

Lifestyle changes (free):

• Increase fiber intake (25-30g daily)
• Drink plenty of water (8-10 glasses daily)
• Exercise regularly
• Avoid straining during bowel movements
• Do not sit on the toilet for extended periods
• Lose weight if overweight

Doctor Consultation (₱500-₱3,000)

• Colorectal surgeon consultation: ₱1,500-₱3,000
• General surgeon consultation: ₱800-₱2,500
• Gastroenterologist consultation: ₱1,500-₱3,000
• Government hospital clinic: ₱500-₱1,500

Rubber Band Ligation (₱5,000-₱15,000)

A non-surgical office procedure where a small rubber band is placed around the base of internal hemorrhoids to cut off blood supply. The hemorrhoid shrinks and falls off within 1-2 weeks.

• Mid-range private clinics: ₱5,000-₱8,000 per session
• Premium clinics: ₱8,000-₱15,000 per session
• Government hospitals: ₱3,000-₱6,000 per session

Multiple sessions may be needed (usually 1-3 sessions spaced 2-4 weeks apart).

Best for: Grade 1-3 internal hemorrhoids

Sclerotherapy (₱5,000-₱12,000)

Injection of a chemical solution into the hemorrhoid to shrink it.

• Private clinics: ₱5,000-₱12,000 per session

Best for: Grade 1-2 internal hemorrhoids, patients on blood thinners

Infrared Coagulation (IRC) (₱8,000-₱18,000)

Uses infrared light to coagulate blood vessels feeding the hemorrhoid.

• Specialized clinics: ₱8,000-₱18,000 per session

Best for: Grade 1-2 internal hemorrhoids

Traditional Hemorrhoidectomy — Open Surgery (₱15,000-₱80,000)

Surgical removal of the hemorrhoid. Traditional open technique using scalpel or electrocautery.

• Government hospitals (with PhilHealth): ₱5,000-₱20,000 out-of-pocket
• Mid-tier private hospitals: ₱35,000-₱55,000
• Premium private hospitals: ₱55,000-₱80,000
• Cardinal Santos Medical Center package: ₱75,000 (includes room, bills, professional fees)

Best for: Grade 3-4 hemorrhoids, severe symptoms, failed non-surgical treatment

Stapled Hemorrhoidopexy (PPH) (₱50,000-₱100,000)

A newer technique using a circular stapler to remove tissue and reposition hemorrhoids.

• Mid-tier private hospitals: ₱50,000-₱70,000
• Premium private hospitals: ₱70,000-₱100,000

Advantages: Less post-operative pain, faster recovery Disadvantages: More expensive, slightly higher recurrence rate

Laser Hemorrhoidoplasty (LHP) (₱40,000-₱100,000)

Uses laser energy to shrink hemorrhoidal tissue. Minimally invasive with faster recovery.

• Specialized private clinics: ₱40,000-₱80,000
• Premium hospitals: ₱70,000-₱100,000

Advantages: Minimal bleeding, less pain, faster recovery Disadvantages: More expensive, not widely available

Price Comparison Table

What Is Included in the Price

A standard hemorrhoidectomy package typically includes:

• Surgeon's professional fee
• Anesthesiologist's fee
• Operating room fees
• Surgical supplies and equipment
• Anesthesia
• Hospital room for 1-2 days (varies by package)
• Standard medications during hospital stay
• Post-operative care
• One follow-up visit

Not usually included:

• Pre-operative tests (CBC, bleeding time, urinalysis, ECG — ₱1,500-₱4,000)
• Pre-op consultation fees
• Extended hospital stay beyond package
• Post-operative medications to take home (pain relievers, stool softeners)
• Room upgrades
• Complications management

Price by Hospital

Government Hospitals

Mid-Tier Private Hospitals

Premium Private Hospitals

Additional Costs

PhilHealth and HMO Coverage

PhilHealth

PhilHealth provides case rate coverage for hemorrhoid surgery under the All Case Rates system:

• Hemorrhoidectomy case rate: Starting at ₱12,000
• Stapled hemorrhoidopexy: Similar coverage
• Complicated cases: May receive higher case rates

What PhilHealth covers:

• Surgeon's professional fee
• Anesthesia and anesthesiologist
• Operating room usage
• Hospital room charges
• Standard medications

What you still pay:

• Difference between total hospital bill and case rate
• Room upgrades
• Extended stay
• Complications
• Non-covered services

HMO Coverage

Most HMO plans cover hemorrhoid surgery when medically indicated:

• Basic HMOs: ₱30,000-₱50,000 coverage
• Standard HMOs: ₱50,000-₱80,000 coverage
• Premium HMOs: Often full coverage at in-network facilities

Pre-authorization is usually required. Always verify coverage before surgery.

Combining PhilHealth and HMO

Both benefits can be used together to significantly reduce out-of-pocket costs:

Example: Stapled hemorrhoidopexy at a premium hospital

• Total bill: ₱90,000
• PhilHealth case rate: ₱15,000
• Subtotal: ₱75,000
• HMO coverage (80%): ₱60,000
• Out-of-pocket: ₱15,000

Price by City

Conservative vs. Surgical Treatment

Conservative Treatment (First-Line)

Best for:

• Grade 1 and 2 hemorrhoids
• Mild symptoms
• First-time sufferers
• Patients preferring non-invasive treatment

What it involves:

• Fiber supplements and dietary changes
• Increased water intake
• Topical creams and ointments
• Sitz baths (warm water soaks)
• Stool softeners
• Avoiding straining

Success rate: 50-70% of mild cases resolve with conservative treatment alone.

Non-Surgical Office Procedures

Best for:

• Grade 2-3 internal hemorrhoids
• Failed conservative treatment
• Patients wanting minimally invasive treatment

What it involves:

• Quick office procedures (15-30 minutes)
• Local or topical anesthesia
• Return to normal activities within 1-2 days
• May require multiple sessions

Success rate: 70-90% of Grade 2-3 hemorrhoids respond well.

Surgical Treatment (Hemorrhoidectomy)

Best for:

• Grade 3-4 hemorrhoids
• Severe symptoms
• Failed non-surgical treatment
• Thrombosed external hemorrhoids
• Multiple large hemorrhoids

What it involves:

• Operating room procedure under anesthesia
• 1-2 days hospital stay
• 2-6 weeks recovery
• More significant post-operative pain

Success rate: 95%+ for definitive treatment, lowest recurrence rate

Recovery After Hemorrhoid Surgery

Post-Operative Timeline

Day 1-3:

• Significant pain, especially during bowel movements
• Pain controlled with prescription medications
• Hospital discharge (for most patients)

Week 1:

• Sitz baths 2-3 times daily
• Stool softeners essential
• Light activities only
• Return to desk work possible (some patients)

Week 2:

• Pain improves significantly
• Can return to most normal activities
• Continue stool softeners and sitz baths

Week 3-4:

• Most pain resolved
• Can return to exercise
• Wound healing nearly complete

Week 6:

• Full recovery for most patients
• Return to all activities

Post-Operative Care Tips

• Take pain medications as prescribed
• Use stool softeners to prevent constipation
• Take sitz baths 2-3 times daily for comfort
• Stay well-hydrated (8-10 glasses water daily)
• Eat a high-fiber diet to ensure soft stools
• Avoid heavy lifting for 2-4 weeks
• Avoid prolonged sitting on hard surfaces
• Keep the area clean with gentle cleansing after bowel movements
• Use unscented wipes instead of toilet paper

Frequently Asked Questions

Can hemorrhoids go away on their own?

Mild hemorrhoids (Grade 1) often resolve with lifestyle changes and conservative treatment within a few weeks. Moderate to severe hemorrhoids usually require medical or surgical treatment. Chronic hemorrhoids that keep returning rarely go away completely without treatment.

When should I see a doctor for hemorrhoids?

See a doctor if you have:

• Persistent bleeding that does not resolve
• Severe pain that affects your daily activities
• A hard, painful lump around the anus (thrombosed hemorrhoid)
• Blood in stools that is not clearly from hemorrhoids
• Symptoms lasting more than 1-2 weeks despite home treatment
• Changes in bowel habits
• Any concerning symptoms in patients over 40

Rectal bleeding should always be evaluated by a doctor to rule out more serious conditions like colorectal cancer.

Is hemorrhoid surgery painful?

Yes, hemorrhoidectomy is known for causing significant post-operative pain, especially during the first week. Pain is typically worse during bowel movements. Modern techniques (stapled hemorrhoidopexy, laser) cause less pain but are more expensive. Pain is well-controlled with prescription medications.

How long does hemorrhoid surgery recovery take?

• Open hemorrhoidectomy: 4-6 weeks for full recovery
• Stapled hemorrhoidopexy: 2-3 weeks
• Laser hemorrhoidoplasty: 1-2 weeks

Most patients can return to desk work within 1-2 weeks.

Can hemorrhoids come back after surgery?

Recurrence rates vary by technique:

• Traditional hemorrhoidectomy: 2-5% recurrence (lowest)
• Stapled hemorrhoidopexy: 10-15% recurrence
• Laser hemorrhoidoplasty: 5-15% recurrence
• Rubber band ligation: 20-30% recurrence over 5 years

Preventive measures (high-fiber diet, adequate hydration, avoiding straining) significantly reduce recurrence risk.

Can I prevent hemorrhoids?

Yes, many cases can be prevented by:

• Eating a high-fiber diet (25-30g daily)
• Drinking plenty of water
• Exercising regularly
• Avoiding straining during bowel movements
• Not sitting on the toilet for extended periods
• Maintaining a healthy weight
• Taking breaks from prolonged sitting

Are hemorrhoid creams safe to use?

Yes, most over-the-counter hemorrhoid creams are safe for short-term use (1-2 weeks). Prolonged use of steroid-containing creams (hydrocortisone) can cause skin thinning and other side effects. If symptoms persist beyond 2 weeks, see a doctor rather than continuing self-treatment.

Does PhilHealth fully cover hemorrhoid surgery?

No, but the ₱12,000+ case rate covers a significant portion at government hospitals and a meaningful portion at private hospitals. At government hospitals, the case rate often covers most or all of your bill. At private hospitals, you will still pay the difference.

What if I'm too embarrassed to see a doctor?

You are far from alone — hemorrhoids affect millions of Filipinos. Doctors who specialize in colorectal conditions see this every day and are completely non-judgmental. Early treatment prevents complications and reduces suffering. Untreated hemorrhoids can lead to significant bleeding, severe pain, and other complications that are much harder to treat than early-stage hemorrhoids. Your health and quality of life are worth the brief discomfort of the consultation.

Conclusion

Hemorrhoids are one of the most treatable yet most undertreated conditions in the Philippines. The cost of treatment varies from as little as ₱500 for over-the-counter medications to ₱80,000+ for hospital-based surgery — but effective treatment is accessible at every budget level.

First-line approach: Conservative treatment with lifestyle changes, topical creams, and fiber supplements (₱500-₱2,500). Works for mild Grade 1 hemorrhoids.

Moderate cases: Office-based procedures like rubber band ligation at a colorectal surgery clinic (₱5,000-₱15,000). Effective for Grade 2-3 internal hemorrhoids.

Severe cases: Hemorrhoidectomy at a government hospital (₱15,000-₱25,000) or mid-tier private hospital (₱35,000-₱60,000). With PhilHealth, out-of-pocket costs can drop to ₱15,000-₱40,000.

Premium approach: Stapled hemorrhoidopexy or laser hemorrhoidoplasty at a premium hospital like Cardinal Santos Medical Center, Makati Medical Center, or The Medical City (₱75,000-₱120,000). Faster recovery with less pain.

Pro tip: Don't suffer in silence. Hemorrhoids are embarrassing to discuss but are a routine medical problem that doctors treat every day. Early treatment is easier, cheaper, and more effective than waiting until the condition becomes severe. If you have rectal bleeding or pain that persists more than 1-2 weeks, see a colorectal surgeon or general surgeon. For patients over 40 with new symptoms, consider also having a colonoscopy to rule out other causes. Browse surgical and gastroenterology services on ClinicFinderPH to find qualified specialists near you.