Hemorrhoids Flashcards
What are some symptoms of hemorrhoids?
bleeding
itching
swelling
feeling fullness
seepage
pain
What is a differential of hemorrhoids?
colorectal cancer
proctitis
What does the different colors of blood mean?
red from anus
black has been through GI system
What is an anal fissure?
small tears
kids get too busy and constipated –> large movement and tear
What is proctitis?
this is MD territory
infection of the rectal region
- cramping
blood
mucous discharge
Sx of proctitis
urge
increase pain/cramps
increase blood
What is a red flag to send to doctor?
Blood in the stool (not on the TP)
What are some sx of colorectal cancer?
- bleeding
pain
pain in stomach
unexplained weight loss
What age are we most concerned about colorectal cancer?
50-60 yrs
Tx (non drug)
post BM - cleanliness
timing of showers
dry skin lotion PRN (put on TP)
take pressure off area PRN
prolapsed push it back in
When are sitz bath used?
only for surgery
Tx OTC products for hemorrhoids
Anusol - great
prep H - makes false claims works a bit
What is anusol
zinc sulfate in the base
used for hemorrhoids
What is anusol plus
has anesthetic (pramoxine)
not going to help with the pain much
What is the regiment for anusol?
for supp
insert BID and post BM
for ointment
Q4D + post BM