Hemorrhoids-1 - Hemorrhoids Hemorrhoids Evaluation I Jessie...

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Unformatted text preview: Hemorrhoids Hemorrhoids Evaluation I 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 Dilated portion of the rectum or anus. portion Cont. 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 of age 50 age Common among pregnant women Temporary Symptoms Symptoms Rectal Bleeding Bright red blood in stool Pain during bowel movements Anal Itching Rectal Prolapse Thrombus Causes Causes Pressure Constipation Constipation Diarrhea Sitting or standing for long periods of Sitting time 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 The clots and the tissue surrounding the hemorrhoids can die (Necrosis) hemorrhoids This causes painful lumps in the anal This area. area. Severe bleeding can occur causing iron Severe deficiency anemia. 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 Apply containing hydrocortisone 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 If canal canal Use a sitz bath with warm water Use moist towelettes or wet toilet paper Use instead of dry toilet paper. instead Treatments 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 Hemorrhoid enlarged veins around the anus enlarged Cont. 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 *The majority of cases. majority Prevention Prevention Eat high fiber diet Drink Plenty of Liquids Fiber Supplements Exercise Avoid long periods of standing or sitting Don’t Strain Go as soon as you feel the urge Questions Questions What grade of hemorrhoids prolapse and What reduce spontaneously? reduce A) Grade I B) Grade II C) Grade III D)Grade IV How many people are treated for How hemorrhoids yearly? hemorrhoids 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 C) D) Constipation D) What is a sigmoidoscopy? A) An internal examination of the rectum, An distal colon and large bowel using a type of small camera. small B) Detects the presence of hidden blood in Detects the stool. the C) A procedure that enables a physician to procedure view the anus, anal canal, and lower rectum using a lubricated plastic scope into the rectum. the Questions???? Questions???? ...
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