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Revised Case Report- Hemorrhoids

Revised Case Report- Hemorrhoids

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Published by christina_love08

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Published by: christina_love08 on May 13, 2010
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05/01/2013

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I.INTRODUCTION
“There are three wicks you know to the lamp of a man's life: brain, blood, and breath.Press the brain a little, its light goes out, followed by both the others. Stop the heart aminute, and out go all three of the wicks. Choke the air out of the lungs, and presentlythe fluid ceases to supply the other centres of flame,and all is soon stagnation, cold, and darkness.”-Oliver Wendell Holmes, Sr.
Health is an essential part of a person; it is the fuel which gives everyindividual the physical drive needed to conquer a day. Without it no man cansurvive, a deficiency in health impairs the normal functioning of a person, itbecomes a hindrance. Health pertains to the person’s body systems as a whole,it is not achieved if even only one body system is impaired, a good heart withweak lung still does not signal health, there should be harmony and balancebetween the systems to achieve ultimate health.HemorrhoidsHemorrhoids are swollen veins in theanalcanal. This common problemcan be painful, but it’s usually not serious. Veins can swell inside the anal canalto form internal hemorrhoids. Or they can swell near the opening of the anus toform external hemorrhoids. It is possible to have have both types at the sametime. The symptoms and treatment depend on which type is existent.Internal hemorrhoidsWith internal hemorrhoids, there is visible bright red streaks of blood ontoilet paper or bright red blood in the toilet bowl after a normal bowel movement.Blood is also visible on the surface of the stool.Internal hemorrhoids often are small, swollen veins in the wall of the analcanal. But they can be large, sagging veins that bulge out of the anus all thetime. They can be painful if they bulge out and are squeezed by the anal
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muscles. They may be very painful if the blood supply to the hemorrhoid is cutoff. If hemorrhoids bulge out,mucus may also be seen on the toilet paper or stool.External hemorrhoidsExternal hemorrhoids can bleed, and then the blood pools, causing a hard painfullump. This is called a thrombosed, or clotted, hemorrhoid.Prevelance statistics about Hemorrhoids:The following statistics relate to theprevalence of Hemorrhoids:47 per 1000 people (NHIS95);1.0% of male population self-reported havinghaemorrhoids in Australia 2001 ;1.1% of population self-reported havinghaemorrhoids in Australia 2001 ;1.2% of female population self-reported havinghaemorrhoids in Australia 2001 ; 209,000 people self-reported havinghaemorrhoids in Australia 2001; 120,000 women self-reported havinghaemorrhoids in Australia 2001 ;89,000 men self-reported having haemorrhoidsin Australia 2001 (ABS 2001 National Health Survey, Australia’s Health 2004,AIHW) (retrieved from the website:http://www.wrongdiagnosis.com/h/hemorrhoids/stats.htm)A different method for the treatment of haemorrhoids was introduced backin the late 1990s, it is called “Stapling”. Stapling became a popular alternative for hemorrhoidectomy because, it entailed faster healing, lesser pain, and lesser occurrence of itching. Although a study was conducted wherein out of 269stapling patients, 23 suffered recurrences, compared with four recurrencesamong 268 patients in the surgical-removal group, it showed a higher recurrencerate than that of the surgical removal procedure.With this result, the authors still considered excisional surgery as the goldstandard of the surgical treatment of haemorrhoids. Excisional surgery came withno or minimal recurrences, it may not entitle faster healing and lesser pain that of Stapling but it guarantees the lesser risk of recurrence after the procedure and
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recovery. The article confronts the main concern of hemorrhoid surgicaltreatment which is the longterm outcome.(Source:http://www.doctorslounge.com/surgery/news/hemorrhoid_stapling_risks.shtml)This information about haemorrhoid Stapling gives both nurses anddoctors knowledge about the procedure, its benefits and consequences. Throughthe facts they could be more knowledgeable and may give more info to their patients regarding what procedure may be beneficial to them or which procedurewould the patient prefer. And for doctors, they can have better judgement and beable to suggest a suitable procedure for a patient to undergo hemorrhoidectomy.For nurses, it can help by giving them an idea as to what should they beanticipating in terms of post-surgical outcomes, and give them a plan to createtheir nursing care plans for a post-op hemorrhoidectomy patient, plus be able togive effective health teachings.
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