Hemorrhoids Flashcards
What are some patient factors that warrant referral to MD in patients with hemorrhoids ?
Under 12
Pregnant with severe symptoms
At risk for colorectal cancer (Over 50 with new onset of symptoms, IBD, Family history with colorectal cancer)
What are some red flags in hemorrhoids?
Black, tarry stool or blood mixed with stool
Rectal bleeding over 6-8 weeks
Severe pain
Frequent episodes of bleeding hemorrhoids
Unexplained weight loss
Protrusion requiring replacement
Symptoms not improved despite 7 days treatment
What are some typical symptoms associated with hemorrhoids?
Anal pruritis, burning or swelling, with or without pain
Bright red blood during/following defecation
Straining with defecation
Constipation or diarrhea
Palpable lump
What are some treatments for hemorrhoids?
Fiber is first line (it does not provide acute relief)
OTC or Rx combination product (Anusol)