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