by Carlo Raj, MD

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    Hemorrhoids And what are hemorrhoids? These are enlargements, varicosities of the venous plexus. There'll be two types as the picture shows here. The internal and the external. The internal as a rule of thumb tends to be painless whereas the external tends to be painful. You must be paying attention to the pectinate line anatomically. And if you are proximal to the pectinate line this is then referred to as being your intermal hemorrhoids. And then distal to it that should be external hemorrhoids. Now the internal hemorrhoids at times could actually then prolapse. Keep that in mind. It may actually look like external hemorrhoids. Intermittend bleeding with stool. What are the risk factors for hemorrhoids? Once again, chronic constipation, portal hypertension and pregnancy, all causing increased pressure. Therefore the varicosities with the hemorrhoids at some point in time, especially the external, may then give the patient extreme discomfort. Diagnosis Visual examination Management You allow for the patient to sit in a Sitz bath. Whenever you have inflammation in the throat, maybe perhaps you've heard of a resolution of drinking salt water and gargling. Salt water takes care of inflammation, Sitz bath is taking care of the inflammation of hemorrhoids. If it's constipation, management here, high fiber in general. High fiber is preventing a lot of things to the point where, remember, with high fiber you're preventing Diverticular disease. With high fiber you can perhaps even prevent Colorectal cancer. Surgery for refractory cases. And we have sigmoidoscopy taking place where you go in and then you will be cauterizing....

    About the Lecture

    The lecture Hemorrhoids by Carlo Raj, MD is from the course Small and Large Intestine Diseases.

    Included Quiz Questions

    1. Antispasmodics
    2. High fiber diet
    3. Surgery for refractory cases
    4. Sitz bath
    5. Cauterize with sigmoidoscopy
    1. Volvulus
    2. Chronic constipation
    3. Pregnancy
    4. Portal hypertension
    5. Low fiber diet

    Author of lecture Hemorrhoids

     Carlo Raj, MD

    Carlo Raj, MD

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