Hemorrhoids is a structure near the anal canal that when irritated they become swollen and inflamed.

Also known as “piles“.

Can be divided into: 1.) Internal Hemorrhoids and 2.) External Hemorrhoids

Nearly 70% of people will have an issues with Hemorrhoids at some point.

Frequency between males and females is even.

Symptoms

  • Rectal itching
  • Rectal pain
  • Can be painless bleeding as well.
  • Swelling or lump near rectal opening
  • Rectal bleeding

Causes or risk factors

  • Constipation
  • Diarrhea
  • Sitting on toilet for extended periods
  • Pushing hard with bowel movements
  • Pregnancy

 

1.)  Internal

  • Is often painless rectal bleeding found in toilet bowel or on toilet paper.

Treatment is often increasing fiber and other creams to promote healing

  • Citrucel
  • Metamucil
  • Loperimide (cases of diarrhea)
  • Rowasa supp
  • Sitz bath
  • Anucort cream
  • Rubber band ligation in some circumstance may be appropriate

 

2.)  External

  • Sudden onset of pain and often bleeding on toilet paper.
  • Frequent follow straining with bowel movement

Treatment

  • Citrucel
  • Metamucil
  • Other Fiber supplements
  • Loperimide (cases of diarrhea)
  • Rowasa supp
  • Sitz bath
  • Anucort cream
  • Rubber band ligation in some circumstance may be appropriate
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