Unformatted text preview: Hemorrhoids
Jessie Hester & Candice Perkins
October 1, 2003 What Are Hemorrhoids?
What Alternative Names Rectal Lump Piles Lump in the Rectum Definition: Dilated or enlarged veins in the lower
portion of the rectum or anus.
Cont. Two Types: Internal- Under the skin External- Around the anus Grades:
I- Hemorrhoids only bleed
II- Prolapse and reduce spontaneously
III- Require replacement
!V- Permanently Prolapsed Frequency
Frequency 10 million Peak ages: 45-65 years ½ of adults experience hemorrhoids by
age Common among pregnant women Temporary Symptoms
Symptoms Rectal Bleeding
Bright red blood in stool
Pain during bowel movements
Causes Pressure Constipation
Constipation Diarrhea Sitting or standing for long periods of
time Obesity Heavy Lifting Pregnancy Signs and Tests
Signs Rectal Examination Visual Digital Tests Stool Guaiac (FOBT) Sigmoidoscopy Anaoscopy Proctoscopy Referral
Referral Gastroenterologists Seek emergency care if : large amounts of rectal bleeding Lightheadedness Weakness Rapid HR < 100 BPM Complications
Complications The blood in the enlarged veins may form
clots and the tissue surrounding the
hemorrhoids can die (Necrosis)
hemorrhoids This causes painful lumps in the anal
area. Severe bleeding can occur causing iron
deficiency Treatment Non-surgical
Treatment Mild cases are controlled by: Preventing constipation Drinking Fluids High-fiber diet Use of Fiber supplements Stool softeners Cont.
Cont. Apply and OTC cream or suppository
containing Keep anal area clean Soak in a warm bath Apply ice packs or compresses x 10min Cont.
Cont. If prolapses, gently push back into anal
canal Use a sitz bath with warm water Use moist towelettes or wet toilet paper
instead of dry toilet paper.
Treatments For painful or persistant hemorrhoids: Tying off a hemorrhoid Sclerotherapy Infered Light Laser Therapy Freezing Electrical Current Surgery Hemorrhoid Surgery
Hemorrhoid Alternative Name: Hemorrhoidectomy Hemorrhoid surgery is the removal of
enlarged veins around the anus
Cont. Indications Persistent itching Anal bleeding Pain Blood clots Infection Cont.
Cont. Risks Reactions to medications of anestesia Bleeding Infection Narrowing of the anus
*The outcome is usually very good in the
majority of cases.
Prevention Eat high fiber diet
Drink Plenty of Liquids
Avoid long periods of standing or sitting
Go as soon as you feel the urge Questions
Questions What grade of hemorrhoids prolapse and
A) Grade I
B) Grade II
C) Grade III
D)Grade IV How many people are treated for
A) 3 million
B) 8 million
C) 10 million
D) 20 million What are two causes of hemorrhoids?
A) Standing on your head
B) Heavy lifting
C) Jeans being too tight
D) What is a sigmoidoscopy?
A) An internal examination of the rectum,
distal colon and large bowel using a type of
B) Detects the presence of hidden blood in
C) A procedure that enables a physician to
view the anus, anal canal, and lower
rectum using a lubricated plastic scope into
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.
- Fall '11