Haemorrhoids Flashcards

1
Q

What are haemorrhoids known as ?

A

piles

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2
Q

What symptoms do pts experience?

A

swollen veins that can extend outside
itching
burning, pain, swelling soreness
rectal bleeding

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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
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4
Q

Tx?

A
  1. local anaesthetics (benzocaine/lidocaine)
  2. SKin protecting agents (Kaolin, ZnO)
  3. atringents
  4. topical corticosteriods reduces inflammation and swelling - only use over 18 years of age and for max 7 days
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5
Q

What are side effects?

A

local anaethetics may cause sensitisation and so they should be used for a max of 2 weeks

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6
Q

what are OTC preps?

A

anusol/germoloids, prep H

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7
Q

Counselling points?

A

pregnatn can develop

dietary advice simialr for constipation

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