LOWER GI TRACT PERIANAL REGION HAEMORRHOIDS AND FISSURES Flashcards

1
Q

what is the main cause of LOWER GI TRACT PERIANAL REGION HAEMORRHOIDS AND FISSURES?

A

Both most commonly due to constipation.

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2
Q

what are haemorrhoids?

A

Haemorrhoids are Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding.it can be external or internal.

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3
Q

what is the cause of haemorrhoids?

A

Haemorrhoids are usually caused by straining during bowel movements, obesity or pregnancy.

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4
Q

what are anal fissures?

A

A small tear in the lining of the anus.

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5
Q

Signs of anal fissures?

A

Fresh bright bleeding on wiping, often painful defaecation as well.

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6
Q

what part of the GIT when the blood of the stool is black?

A

Upper GI tract/small intestine

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7
Q

What part of the GIT when the blood is bright red on paper?

A

Outlet bleeding i.e. perianal causes and no fresh blood on the stool or in the toilet.

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8
Q

what part of the GIT when the blood is bright red and is mixed with the stool?

A

Left colon

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9
Q

What part of the GIT when the blood is Dark red?

A

Proximal colon i.e. caecum to transverse colon OR Distal small intestine.

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10
Q

When to think of colon cancer???

A
  • Rectal bleeding, mixed in with stools and dark
  • New change in bowel habit, usually diarrhoea
  • Older adult
  • Iron deficiency — except in young menstruating women or strict lifelong vegetarian
  • Weight loss
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