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Hemorrhoids

 Syn. hemorrhoid

Signs & Symptoms

 Bright red rectal bleeding
Note: coats the stool at the end of defecation or may drip into the toilet
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]
Mild pain
Ref: Uptodate [ Anal fissure: Clinical manifestations, diagnosis, prevention]
Hematochezia
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]
Perianal pruritus
Note: cause anal pain
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]

Physical Examination

 Thrombosed hemorrhoid
Note: cause anal pain
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]
Perianal pruritus
Note: cause anal pain
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]
Acute onset of perianal pain
Note: due to thrombosis
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]

Lab / Serology

 Iron deficiency anemia
Note: due to chronic blood loss
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]

Imagin Study

Complication

 Gangrenous internal hemorrhoids
Note: due to thrombosis, due to lack of blood supply
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]
Prolapsed internal hemorrhoids
Note: due to thrombosis, due to lack of blood supply
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]
Strangulated internal hemorrhoids
Note: due to thrombosis, due to lack of blood supply
Ref: Uptodate [ Hemorrhoids: Clinical manifestations and diagnosis]

Risk Factors

Cause

Other