Hemorrhoids: Difference between revisions
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==Background== | |||
{{Hemorrhoid background}} | |||
==Types== | ==Types== | ||
[[File:M 44 anus 22.jpg|thumb|[[External hemorrhoid]]]] | |||
[[File:Perianal thrombosis 01.jpg|thumb|Thrombosed [[external hemorrhoid]]]] | |||
*[[Internal hemorrhoid]] | *[[Internal hemorrhoid]] | ||
**Originate above the dentate line | **Originate above the dentate line | ||
**Painless | |||
*[[External hemorrhoid]] | *[[External hemorrhoid]] | ||
**Originate below the dentate line | **Originate below the dentate line | ||
**Painful | |||
{{Internal Hemorrhoid Chart}} | |||
==Treatment== | |||
*Increase fiber | |||
*Sitz baths | |||
*Topical steroid - Hydrocortizone | |||
*Topical anti-spasmodic - Nifedipine | |||
*See also treatment by specific type: | |||
**[[Internal hemorrhoid]] | |||
**[[External hemorrhoid]] | |||
==See Also== | ==See Also== |
Latest revision as of 02:29, 6 January 2022
Background
- Pathologic state cccurs when internal or external hemorrhoid plexus become engorged, prolapsed, or thrombosed
- Bleeding is usually limited (surface of stool, on toilet tissue, at end of defecation)
- Passage of blood clots requires evaluation for colon lesions
Risk Factors
- Constipation and straining at stool
- Frequent diarrhea
- Older age
- IBD
Types
- Internal hemorrhoid
- Originate above the dentate line
- Painless
- External hemorrhoid
- Originate below the dentate line
- Painful
Internal hemorrhoid chart
Treatment
- Increase fiber
- Sitz baths
- Topical steroid - Hydrocortizone
- Topical anti-spasmodic - Nifedipine
- See also treatment by specific type: