Colorectal Medicine in South Africa

Colorectal medicine is a field of medicine that focuses on the disorders of the colon, rectum, and anus. Physicians specializing in this field of medicine are called colorectal doctor or colon and rectal doctor. They are trained to diagnose, treat, and manage a wide range of diseases, including Hemorrhoids, Anal itching, Fistulas, Anal fissures, Anal cancer, Colon cancer, Rectal cancer, Chron’s disease, Diverticulitis, Ulcerative colitis, Pilonidal cysts, Rectal prolapse, Fecal incontinence, Anal condyloma, Chronic constipation, Problems with bowel movements and urination.

Colorectal doctors are highly experienced and qualified to use numerous medical procedures to diagnose and treat conditions affecting the colon, rectum, and anus. These procedures include, but are not limited to Physical exams, including evaluation of vital signs and blood pressure, Colonoscopy, Barium enema, Digital rectal examination, Capsule Endoscopy, Proctoscopy, Sigmoidoscopy, Defecating proctography, Bowel surveillance.

Some colorectal doctors are also trained to perform surgery, such as bowel obstruction repair, pelvic laparoscopy, colectomy, colostomy, hemorrhoidectomy, polypectomy, strictureplasty, and more depending on the patient’s particular condition. They can also prescribe medications, such as antibiotics and anti-inflammatory drugs.

How Long Should I Stay in South Africa?

The length of stay depends on the type of procedure you underwent. For most diagnostic procedures, you should be able to leave South Africa within 2 to 3 days or until the results are ready. Once the result is ready, you will have to see your colorectal doctor. They will explain the results and discuss the treatment plan with you, if necessary. For surgical procedures, it is wise to stay for 3 to 7 days to let your body recover. You may also need to attend a follow-up checkup where your doctor removes the surgical stitches and monitor your healing progress.

What's the Expected Recovery Time?

For many procedures, such as colonoscopy and sigmoidoscopy, you should be able to resume normal activities within 24 hours or after the sedation wears off. With surgical procedures, it may take around six to twelve weeks until you can go back to your normal activity, with the exception of strenuous activities. Your doctor will give you a recovery timeline, which includes when you can return to work and your full daily activities.

What Aftercare is Required?

Your medical team will give you aftercare instructions. It may include recommended diet, exercises, activity restrictions, and wound care (if any incision were made). For cancer patients, you may need to attend regular checkups. You do have the option to have the checkups with your local doctor at home if you cannot travel to South Africa multiple times. For non-cancer patients, your doctor will decide whether you need a follow-up checkup or not.

What's the Success Rate?

Thanks to the continuous advancement of colorectal medicine, the diagnostic procedures are now more accurate and the treatments are more successful than they were previously. More and more procedures are performed using new techniques and technology as well. For example, your doctor can now explore the entire colon without creating any incision or causing significant discomfort to you by using colon capsule endoscopy. However, this does not mean that there are no risks to colorectal procedures. Although uncommon, you still need to be aware of the risks, such as bleeding and infection.

Are there Alternatives?

In some cases, your general physician may be able to diagnose and treat your condition. However, if they think you need specialist treatment, they will still refer you to a colorectal doctor. 

Colorectal Medicine in and around South Africa

About South Africa

South Africa is home to some of the world's most luxurious private game reserves and lodges. Wildlife lovers come here from all corners of the globe in search of the "Big Five": lion, buffalo, leopard, rhino, and elephants. Coral reefs, shark dives, dragon-backed mountain ranges, white-water rafting, and golden beaches lapped by legendary surf breaks are some of South Africa's many other attractions. Traveling around this vast land and touring the vibrant cities, visitors can learn about the nation's turbulent history. Travelers coming to South Africa for medical treatments do so for cost savings, advanced medical technology, and the internationally qualified and skilled doctors. The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Colorectal Medicine procedures. Medical Tourists travel from all across the globe, particularly from African countries with an inferior healthcare system. Popular destinations include the capital city, Pretoria, neighboring Johannesburg, and the stunning Cape Town.

Popular Parts of South Africa

With more than 57 million inhabitants, South Africa is the world’s 24th most populous nation. It is a multiethnic society with a large variety of cultures, languages, and religions. Known for its exhilarating outdoor adventure, fascinating wildlife, magnificent landscapes, and opulent history makes South Africa a truly magical destination

• Cape Town is the oldest city and the legislative capital of South Africa. This pleasant city has a lot to offer as you can Hike the Table Mountain, take a wine tour, cruise to Robben Island, relax on beautiful beaches, visit District Six Museum, discover Kirstenbosch Botanical Gardens, and watch the Boulders Penguin Colony or shop in trendy markets. 
• Johannesburg is the largest and the most populous city. It is changing rapidly into an ultra-modern metropolis. Other than being an urban city, it also boasts a rich history. Tourists can visit the Apartheid Museum to learn more about the country’s difficult past through exhibitions. Other museums such as MOAD and MuseuMAfriCA are also worth a visit to view the city’s art and history.
• Durban is a cosmopolitan city with sunny beaches and charming Afro-Indian culture. There are more Indian nationals residing in this city than any other country outside of India. It is the place to go if you want to see marine life. Visit uShaka Marine World where you can snorkel, dive, and interact with animals. 
• Pretoria is a scenic city and you will find various historic buildings with astounding architecture such as the Voortrekker Monument, Union Buildings, and Church Square with its statue of Paul Kruger. Those who are looking for some outdoor activities can explore Pretoria National Botanical Garden and Rietvlei Nature Reserve for some wildlife viewing.
• Kruger National Park is one of the largest national parks and one of the most exciting safari destinations in the world. Here you can view all of Africa’s safari species such as Lion, Elephant, Rhino, Leopard, Buffalo, Hippo, and Giraffe along with more than 100 mammal species and 500 varieties of bird.

Weather and Climate in South Africa

South Africa’s climate is determined by its situation in the Southern Hemisphere’s subtropical zone and between the Atlantic and Indian Oceans. The country is a year-round destination thanks to its varying regional climates. May to September is the Dry Season with little to no rain. The days are mostly sunny, but it gets cold in the evenings and mornings. The average temperature during this season is around 14 °C with June to August as the coldest months. The wet season starts in October and ends in April. There will be occasional short rain showers in the afternoon. The average temperature during the wet season is around 20 °C, but it can also be as high as 35 °C, especially in December, January, and February.

Getting Around in South Africa

The main and the busiest airport in South Africa is the O.R. Tambo International Airport. The airport is located in Kempton Park, near Johannesburg and Pretoria. It serves as the primary domestic and international gateway to and from South Africa. The airport operates flights to other cities in South Africa as well as numerous major cities in the world including London, Singapore, Sydney, Abu Dhabi, and Atlanta. There are also two other major international airports: Cape Town International and King Shaka International. The inexpensive way to travel around the country is by flying with budget airlines such as FlySadair, Kalula.com, and Mango.

South Africa has an excellent infrastructure and is easy to navigate. However, if you wish to visit several cities, expect to have at least one long-distance trip. You can travel around by bus, train, or rental car. There are several long-distance bus companies you can choose, such as Intercape, Translux, and Greyhound. The buses are relatively affordable and safe. They are generally equipped with air-conditioning and an onboard toilet. For short-distance travel, Baz Bus is the best choice. A one-way ticket fare starts at around 500 ZAR.

Although trains are slow, they are less expensive than flights and more comfortable than buses. Shosholoza Meyl long-distance trains serve Cape Town, Johannesburg, Durban, Bloemfontein, and several other major cities. This train is very affordable with tickets costing as low as 400 ZAR for a sleeper train. If you’re looking for a more luxurious train, try the Blue Train which offers comfortable compartments, good food, and wine for around 18,300 ZAR. 

Taxis are available to get around major cities. Tourists can hail one directly from the streets. However, since the taxi ranks are not common, it is best to call for one. The base fare can be different in every city, ranging between 11 ZAR to 20 ZAR. 

Tourist Visas in South Africa

A valid visa is required if you wish to visit South Africa. Citizens of more than 60 countries can enter and stay for up to 90 days. Other countries not listed in the visa exemption agreement must apply and obtain a visa to the nearest South Africa embassy or consulate. All visitors must hold a passport valid for at least 30 days after the expiration of their intended visit, and the passport must have at least two unused pages. 

Additional Information

1. Local Currency: South African Rand (ZAR) is the official currency. 1 USD converts to 14 ZAR.
2. Money & Payments: Tourists can find ATMs all around the country. Credit Cards are widely accepted. However, since South Africa has a reputation for scams, you should inform your bank about your travel plans to avoid declined transactions. It is also advisable to always bring some cash with you. Tipping is expected here and you can tip around 10% to 15% of the bill in restaurants and cafes and the standard tip in hotels is 10 to 20 ZAR. 
3. Local Language: There are 11 official languages in the country, including Zulu, Xhosa, Afrikaans, Northern Sotho, Tswana, Southern Sotho, Tsonga, Swazi, Venda, Southern Ndebele, and English. Zulu is the most widely spoken language.
4. Local Culture and Religion: As a secular state, South Africa has a diverse religious population. Most of the population follows Christianity. Other religions such as the traditional African religion, Islam, Hinduism, and Judaism are also freely practiced.
5. Public Holidays: The country has 12 public holidays such as New Year’s Day, Good Friday, Freedom Day, and Christmas Day.