Bleeding per rectum Hemorrhoids/Piles Anal fissure.
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Presentation on theme: "Bleeding per rectum Hemorrhoids/Piles Anal fissure."— Presentation transcript:
1 Bleeding per rectumHemorrhoids/PilesAnal fissure
2 Objectives: You students will be able to get a detailed history and associated symptomsEvaluate and manage bleeding per rectumRecognize and conservatively treat piles and anal fissure
3 Bleeding per rectum: DD Hemorrhoids (piles)FissureCancerPolypInflammatory bowel disease (IBD)
4 Hemorrhoids/PilesEnlargement of the normal spongy blood-filled cushions in the wall of the anus (internal hemorrhoids), usually a consequence of prolonged constipation or, occasionally, diarrhea.
5 Anal FissureA break in the skin lining the anal canal, usually causing pain during bowel movements and sometimes bleeding. It occurs as a consequence of constipation or sometimes of diarrhea.
6 Diagnostic Grading System for Piles DegreeDescriptionFirstSecondThirdFourthNo prolapse, asymptomaticProlapse during defecation, spontaneous reductionProlapse – manual reductionProlapse – difficult to be reduced by the patient