What is Hemorrhoid All information about Hemorrhoids

Hemorrhoids

Hemorrhoid Definition

  • Dilated hemorrhoid veins (superior rectal vein) due to engorgement with blood (varicosed vein).
  • I may be internal (occurring above the internal sphincter) or external (occurring outside of the external sphincter).

Risk factor of Hemorrhoids

  • Chronic straining at defection due to prolonged constipation.
  • Prolonged standing, sitting, heavy lifting and pregnancy.
  • Portal hypertension and increase abdominal pressure.

CM of Hemorrhoid

Hematochezia (the passage of bright red blood in the stool) and rectal bleeding.

Rectal pruritus, pain and prolapse.

Hemorrhoid Diagnosis

  • Rectal examination.
  • Sigmoidoscopy & proctoscopy (inspection of the rectum with a proctoscope).

Hemorrhoids Management

  • High fiber and fluid intake to prevent constipation.
  • Apply pads socked with anti-inflammatory agents (e-g hydrocortisone)astringent and anesthetics (e-g.
  • benzocaine) to shrink the mucous membrane.
  • For internal hemorrhoids nonsurgical approach like rubber band and ligstion (rubber band around hemorrhoids constrict circulation, and the tissue become necrotic, separates and sloughs off), infrared coagulation
  • cryotherapy (rapid freezing of the hemorrhoids).and laser treatment can be used.
  • Advise to avoid prolonged sitting, standing and constipation.
  • Advise for sitz bath 2-3 times per day for 7-10 days.
  • Surgery – Hemorrhoidectomy (resection of hemorrhoids).
  • Provide pone or de- lying position after surgery to prevent bleeding.

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