Hemorrhoids Flashcards

1
Q

What are some symptoms of hemorrhoids?

A

bleeding
itching
swelling
feeling fullness
seepage
pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a differential of hemorrhoids?

A

colorectal cancer
proctitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What does the different colors of blood mean?

A

red from anus
black has been through GI system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is an anal fissure?

A

small tears
kids get too busy and constipated –> large movement and tear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is proctitis?

A

this is MD territory
infection of the rectal region
- cramping
blood
mucous discharge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Sx of proctitis

A

urge
increase pain/cramps
increase blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is a red flag to send to doctor?

A

Blood in the stool (not on the TP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are some sx of colorectal cancer?

A
  • bleeding
    pain
    pain in stomach
    unexplained weight loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What age are we most concerned about colorectal cancer?

A

50-60 yrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Tx (non drug)

A

post BM - cleanliness
timing of showers
dry skin lotion PRN (put on TP)
take pressure off area PRN
prolapsed push it back in

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

When are sitz bath used?

A

only for surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Tx OTC products for hemorrhoids

A

Anusol - great
prep H - makes false claims works a bit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is anusol

A

zinc sulfate in the base
used for hemorrhoids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is anusol plus

A

has anesthetic (pramoxine)
not going to help with the pain much

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is the regiment for anusol?

A

for supp
insert BID and post BM

for ointment
Q4D + post BM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What else can you add on top of tx?

A

add HC 0.5%
helps with inflammation
might work
keep it weak

17
Q

What are the Rx options for hemorrhoids

A

proctofoam (surgery)
proctosedyl - mainly just benefit from supp itself

18
Q

How long to treat?

A

should be self limiting
mainly help with sx
3-4 days
7 d max