10Signs and Tests Rectal Examination Tests Visual Digital Stool Guaiac (FOBT)SigmoidoscopyAnaoscopyProctoscopy
11Referral Gastroenterologists Seek emergency care if : large amounts of rectal bleedingLightheadednessWeaknessRapid HR < 100 BPM
12ComplicationsThe 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.
20Cont. Risks Reactions to medications of anestesia Bleeding Infection Narrowing of the anus*The outcome is usually very good in the majority of cases.
21Prevention Eat high fiber diet Drink Plenty of Liquids Fiber SupplementsExerciseAvoid long periods of standing or sittingDon’t StrainGo as soon as you feel the urge
22Questions What grade of hemorrhoids prolapse and reduce spontaneously? A) Grade IB) Grade IIC) Grade IIID)Grade IV
23How many people are treated for hemorrhoids yearly? A) 3 millionB) 8 millionC) 10 millionD) 20 million
24What are two causes of hemorrhoids? A) Standing on your headB) Heavy liftingC) Jeans being too tightD) Constipation
25What is a sigmoidoscopy? An internal examination of the rectum, distal colon and large bowel using a type of small camera.Detects the presence of hidden blood in the stool.A procedure that enables a physician to view the anus, anal canal, and lower rectum using a lubricated plastic scope into the rectum.