Haemorrhoid

Question 1

what are haemorrhoid

Answer 1

swelling of anal cushion containing blood vessels, inside snd outside anus

Question 2

Symptoms

Answer 2

P B S I
pain after defecation (external piles)
Blood in stool bright red
swelling/ lump around anus- haemorrhoid
itchy sore skin around anus

Question 3

risk factors

Answer 3

pregnancy, consitpation

Question 4

advice

Answer 4

perianal hygiene, inc h20 and fibre

Question 5

Treatment 3 stages

Answer 5

Constipation: bulk laxative
pain: simple analgesia (avoid opioid and NSAID in rectal bleed)
topical preparations with: local anaesthetic corticosteroid , astringent lubricant antiseptic

Question 6

types of topical preparation
local pain
perianal inflammation

Answer 6

1)for local pain - local anaesthetic; lidocaine cinchocaine , primocaine
2)perianal inflammation- local corticosteroid i.e fludrocortisone, hydrocortisone , prednisolone exclude infection HSV, perianal thrush