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Hemorrhoids Evaluation I Jessie Hester & Candice Perkins October 1, 2003.

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Presentation on theme: "Hemorrhoids Evaluation I Jessie Hester & Candice Perkins October 1, 2003."— Presentation transcript:

1 Hemorrhoids Evaluation I Jessie Hester & Candice Perkins October 1, 2003

2 What Are Hemorrhoids?  Alternative Names  Rectal Lump  Piles  Lump in the Rectum  Definition:  Dilated or enlarged veins in the lower portion of the rectum or anus.

3 Cont.  Two Types:  Internal- Under the skin  External- Around the anus Grades: I- Hemorrhoids only bleed II- Prolapse and reduce spontaneously III- Require replacement !V- Permanently Prolapsed

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6 Frequency  10 million  Peak ages: years  ½ of adults experience hemorrhoids by age 50  Common among pregnant women  Temporary

7 Symptoms  Rectal Bleeding  Bright red blood in stool  Pain during bowel movements  Anal Itching  Rectal Prolapse  Thrombus

8 Causes  Pressure  Constipation  Diarrhea  Sitting or standing for long periods of time  Obesity  Heavy Lifting  Pregnancy

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10 Signs and Tests  Rectal Examination  Visual  Digital  Tests  Stool Guaiac (FOBT)  Sigmoidoscopy  Anaoscopy  Proctoscopy

11 Referral  Gastroenterologists  Seek emergency care if :  large amounts of rectal bleeding  Lightheadedness  Weakness  Rapid HR < 100 BPM

12 Complications  The blood in the enlarged veins may form clots and the tissue surrounding the hemorrhoids can die (Necrosis)  This causes painful lumps in the anal area.  Severe bleeding can occur causing iron deficiency anemia.

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14 Treatment Non-surgical  Mild cases are controlled by:  Preventing constipation  Drinking Fluids  High-fiber diet  Use of Fiber supplements  Stool softeners

15 Cont.  Apply and OTC cream or suppository containing hydrocortisone  Keep anal area clean  Soak in a warm bath  Apply ice packs or compresses x 10min

16 Cont.  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.

17 Treatments  For painful or persistant hemorrhoids:  Tying off a hemorrhoid  Sclerotherapy  Infered Light  Laser Therapy  Freezing  Electrical Current  Surgery

18 Hemorrhoid Surgery  Alternative Name: Hemorrhoidectomy  Hemorrhoid surgery is the removal of enlarged veins around the anus

19 Cont.  Indications  Persistent itching  Anal bleeding  Pain  Blood clots  Infection

20 Cont.  Risks  Reactions to medications of anestesia  Bleeding  Infection  Narrowing of the anus *The outcome is usually very good in the majority of cases.

21 Prevention  Eat high fiber diet  Drink Plenty of Liquids  Fiber Supplements  Exercise  Avoid long periods of standing or sitting  Don’t Strain  Go as soon as you feel the urge

22 Questions  What grade of hemorrhoids prolapse and reduce spontaneously? A) Grade I B) Grade II C) Grade III D)Grade IV

23  How many people are treated for hemorrhoids yearly? A) 3 million B) 8 million C) 10 million D) 20 million

24  What are two causes of hemorrhoids? A) Standing on your head B) Heavy lifting C) Jeans being too tight D) Constipation

25  What is a sigmoidoscopy? A)An internal examination of the rectum, distal colon and large bowel using a type of small camera. B)Detects the presence of hidden blood in the stool. C)A procedure that enables a physician to view the anus, anal canal, and lower rectum using a lubricated plastic scope into the rectum.

26 Questions????


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