Professional Documents
Culture Documents
Evaluation I
Jessie Hester & Candice Perkins
October 1, 2003
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.
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
Frequency
10 million
Peak ages: 45-65 years
of adults experience hemorrhoids by
age 50
Common among pregnant women
Temporary
Symptoms
Rectal Bleeding
Bright red blood in stool
Pain during bowel movements
Anal Itching
Rectal Prolapse
Thrombus
Causes
Pressure
Constipation
Diarrhea
Sitting or standing for long periods of time
Obesity
Heavy Lifting
Pregnancy
Signs and Tests
Rectal Examination
Visual
Digital
Tests
Stool Guaiac (FOBT)
Sigmoidoscopy
Anaoscopy
Proctoscopy
Referral
Gastroenterologists
Indications
Persistent itching
Anal bleeding
Pain
Blood clots
Infection
Cont.
Risks
Reactions to medications of anestesia
Bleeding
Infection
Narrowing of the anus