HEMORRHOIDS Factors associated with development of Genetic

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Presentation transcript:

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 Characteristics & degree of pain, itching, burning Characteristics & severity of bleeding - on toilet paper, in bowl, mixed with stool

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

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

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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