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Hemorrhoids77
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Question | Answer |
---|---|
Hemorrhoids: | Hemorrhoids are painful, swollen veins in the lower portion of the rectum or anus |
Hemorrhoids II: | It can occur internal which can occur above the internal sphincter or it can occur external which can occur outside the external sphincter. |
Factors | Most common cause is straining of bowel movement. Other causes include: pregnancy, sitting/standing for long periods of time, prolonged constipation, anal infections and portal hypertension. |
Manifestations: | Bleeding, pruritis and prolonged pain. |
Diagnostic studies: | Digital examination & anoscopy, sigmoidoscopy. |
Management | High fiber diet and increased fluid intake. Drugs such as creams, supps or antiinflammatory agents & stool softeners. Sitz baths. |
Surgery: Hemoorrhoidectomy | Surgical incision of hemorrhoids via cautery, clamp or excision. |