Lump in the Rectum
Dilated or enlarged veins in the lower portion of the rectum or anus.
Internal- Under the skin
External- Around the anus
I.Haemorrhoids only bleed
II.Prolapse and reduce spontaneously
Peak ages: 45-65 years
½ of adults experience haemorrhoids by age 50
Common among pregnant women
Bright red blood in stool
Pain during bowel movements
Sitting or standing for long periods of time
Sign & Tests
stool guaiac test or guaiac faecal occult blood test (gFOBT)
Seek emergency care if:
large amounts of rectal bleeding
Rapid HR > 100 BPM
The blood in the enlarged veins may form clots and the tissue surrounding the haemorrhoids can die (Necrosis)
This causes painful lumps in the anal area.
Severe bleeding can occur causing iron deficiency anaemia.
Mild cases are controlled by:
Use of Fibre supplements
Apply an OTC cream or suppository containing hydrocortisone
Keep anal area clean
Soak in a warm bath
Apply ice packs or compresses for 10min
If prolapses, gently push back into anal canal
Use a sitz bath with warm water
Use moist towelettes or wet toilet paper instead of dry toilet paper.
For painful or persistent haemorrhoids:
Tying off a haemorrhoid
Alternative Name: Hemorrhoidectomy
Haemorrhoid surgery is the removal of enlarged veins around the anus
Reactions to medications of anaesthesia
Narrowing of the anus
Eat high fibre diet
Drink Plenty of Liquids
Take Fibre Supplements
Avoid long periods of standing or sitting
Go as soon as you feel the urge
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