Haemorrhoids Flashcards
1
Q
haemorrhoids
A
enlarged anal vascular cushions
associated with constipation and straining
2
Q
classification
A
1st degree: no prolapse
2nd: prolapse when straining and return on relaxation
3rd: prolapse when straining, do not return on relaxing but can be pushed back
4th: prolapsed permanently
3
Q
common presentation
A
painless, bright red bleeding
4
Q
examination
A
external- visible on inspection
internal- may be felt on PR exam
5
Q
differential diagnosis
A
IBD
anal fissures
colorectal cancer
6
Q
topical treatment
A
for symptom relief and to reduce swelling
anusol (HC)
germoloids cream
7
Q
prevention and treatment of constipation
A
increase fibre
good fluid intake
laxative
8
Q
non-surgical treatments
A
rubber band ligation
injection sclerotherapy- phenol oil
