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HEMORRHOIDS

HEMORRHOIDS. Factors associated with development of Genetic Increased venous pressure from various causes Rectal tumors & causes for incomplete evacuation of stool from the rectum. HISTORY. Bleeding & rectal pain most common complaint Dietary consumption of roughage

Mercy
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HEMORRHOIDS

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  1. HEMORRHOIDS Factors associated with development of • Genetic • Increased venous pressure from various causes • Rectal tumors & causes for incomplete evacuation of stool from the rectum

  2. HISTORY • Bleeding & rectal pain most common complaint • Dietary consumption of roughage • Characteristics & degree of pain, itching, burning • Characteristics & severity of bleeding - on toilet paper, in bowl, mixed with stool

  3. PHYSICAL EXAM • Internal hemorrhoids - one or more intrarectal masses, usually soft & tender • Bleeding of hemorrhoids coats stool whereas stool itself is negative for blood • Internal hemorrhoids may be large & prolapse through anus • Thrombose hemorrhoids - firm & tender

  4. TREATMENT • Proper bowel & eating habits best preventative measures • Cold packs 1st few hours, hot sitz bath bid for 20-30 minutes • Use of bulk laxatives or a high fiber diet, stool softeners & lubricants • Medications - astringent OTC in creams & suppository forms

  5. FOLLOW-UP • Refer to GI if no improvement in symptoms in 4-7 days or have severe bleeding, unrelieved constipation • Minimize recurrence by reviewing preventative measures

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