Hemorrhoids Flashcards
Dilated and painful veins in the rectum, anal canal, inside or outside the anal sphincter
Hemorrhoids
Classification of Hemorrhoids
Internal - hemorrhoids above the anal sphincter
External - hemorrhoids below the anal sphincter
Risk Factors
Familial tendency
Straining at stool
Prolonged sitting or standing
Pregnancy , prolonged labor
Obesity
Portal hypertension
Anal intercourse
Colon malignancy
Hemorrhoids
Diagnostic Tests: Hemorrhoids
Digital Rectal Examination
Sigmoidoscopy
Colonoscopy - rules out colorectal CA
Assessment
Bleeding with defecation of hard stool and pain - due to stretching and irritation of mucosa
Hemorrhoids
Assessment
External hemorrhoids - extreme pain due to thrombosis and edema; appear reddish blue lump
Internal hemorrhoids - not usually painful, until it bleeds and prolapse when enlarged; some protrudes during defecation and retracts after defecation
Hemorrhoids
Diet: Hemorrhoids
High-fiber diet, increase OFI
Nursing Interventions: Hemorrhoids
High fiber diet and increase OFI
Instruct client to take stool softeners
Apply ice packs for several hours followed by warm packs
Surgical Management: Hemorrhoids
Hemorrhoidectomy
Cryosurgery
Rubber Band Ligation
Removal of hemorrhoids
Internal and external packing secured by a T-binder
Hemorrhoidectomy
Application of extreme low temperature to destroy or remove disease tissue (prolonged wound healing)
Cryosurgery
Internal hemorrhoids (anoscope and small rubber band)
Rubber Band Ligation
