Haemorrhoids Flashcards
1
Q
What are haemorrhoids known as ?
A
piles
2
Q
What symptoms do pts experience?
A
swollen veins that can extend outside
itching
burning, pain, swelling soreness
rectal bleeding
3
Q
When to refer?
A
- symptoms longer than 3 weeks
- unresponsive to 1 week of OTC tx
- blood in stools may indicate underlying condition
- ab pain, N/V
- haemorrhoid preps not licensed in pregnancy
4
Q
Tx?
A
- local anaesthetics (benzocaine/lidocaine)
- SKin protecting agents (Kaolin, ZnO)
- atringents
- topical corticosteriods reduces inflammation and swelling - only use over 18 years of age and for max 7 days
5
Q
What are side effects?
A
local anaethetics may cause sensitisation and so they should be used for a max of 2 weeks
6
Q
what are OTC preps?
A
anusol/germoloids, prep H
7
Q
Counselling points?
A
pregnatn can develop
dietary advice simialr for constipation