Haemorrhoids Flashcards
1
Q
What are haemorroids?
A
Vascular rich connective tissue cushions in anal canal.
Can be internal (above dentate) or external (below dentate)
2
Q
What are external haemorrhoids?
A
Located in distal anal canal and are convered by sensate anoderm or skin
3
Q
What are internal haemorrhoids?
A
Covered by insensate transitional epithelium
1-4, depending on how much they protrude and if they are reducible
4
Q
What are risk factors for haemorrhoids?
A
age 45-65 constipation and straining pregnancy SOL in pelvis low fibre diet
5
Q
What are Sx of haemorrhoids
A
Rectal bleeding perianal pain or discomfort itch mucus discharge palpable lesion
6
Q
What Ix in haemorrhoids?
A
DRE
proctoscopy: look at them, conclusive diagnostic test
can do colonoscopy to rule out cancer
7
Q
What is Rx of haemorrhoids
A
Fybogel, steroids, rubber band ligation, infrared photocoagulation
Surgery if severe
