Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding.Haemorrhoids are usually caused by straining during bowel movements, obesity or pregnancy.

Essentials of Diagnosis:-

• Rectal bleeding and discomfort following defaeca- tion. Protrusion and pain around anus.
• Haemorrhoids visible on anal inspection or ano- scopic examination.


Treatment:-

  1. Lower roughage diet.
  2. Regulationofbowelhabitwithmineraloilorstool
    softeners.
  3. Warm sitz bath (hip bath) for 15 min, 2-3 times a day.
  4. Soothinganalsuppository2to3timesdaily.
  5. Xylocaine 2 per cent topical ointment before and after defaecation.
  6. Diasomin (150 mg) (Daflon) 2 cap twice daily to tds for 1 week.
  7. AntibioticspreferablyAmpicillinfor5to7days to combat any infection if present.
  8. The use of heparin containing oint. (Hirudoid) or
    Hydrocortisone ointment (Proctosedyl) are of value once acute pain and bleeding are controlled.
  9. Control other precipitating/aggravating factors like obesity, chronic cough, portal hypertension, etc.

    Surgical Treatment:-
    -Injection of sclerosing agents but recurrence occurs in 5 per cent cases.
    -Band ligation.
    -Excision.

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