HEMORRHOID

INDAH PURWANINGRUM - 20204010113

Definition
Hemorrhoid is an inflammatory condition and the dilation
of veins around the anus that comes from the hemorrhoidal
plexus

Normal tissue found in everyone, consisting of the arterial-

venous plexus, functions as a valve in the anal canal to help
the anal sphincter system, preventing flatus and fluid
incontinence
Epidemiology
The data shows that ten million people in Indonesia are
reported to be suffering hemorrhoids 50% 50%
The incidence of hemorrhoids tends to increase as a person gets
older, where the peak age is 45-65 years
Anatomy
 Causes of Hemorrhoids
01 Straining during bowel momevent

02 Chronic constipation

03 Pregnancy

04 Obesity

05 Degeneration

06 Body position
Classification
Internal Hemorrhoid
Grade 1 Grade 2
 Bleeding  Bleeding
 No prolaps  Prolaps on defecation
that reduce
spontaneously

Grade 3 Grade 4
 Bleeding  Bleeding
 Prolaps that has to  Permanent prolaps
be reduce mannualy
 Diagnosis

SUPPORTING
HISTORY EXAMINTAION DIAGNOSIS

PHYSICAL DIFFERENTIAL
EXAMINATION DIAGNOSIS
 Treatment

NON OPERATIVE MANAGEMENT AND MINOR SURGICAL PROCEDURES

o Defecation habits
o Dietary manipulations
o Minor procedures : injection or rubber band ligation or infrared coagulation
 Treatment

OPERATIVE TREATMENT

Hemorrhoidectomy
Stapler Hemorrhoidectomy
 Prevention
01
Diets like drinking 30–40 ml/kgBB/day and foods high in fiber 20-30
g/day

02
Defecation pattern improvements can be made by changing to squat at
the time of defecation

03
Doing warm sits baths by soaking the rectal area in water warm for
10-15 minutes 2-3 times a day.
 Complication
• Chronic Bleeding
• Chronic Anemia
• Ani Strictures
• Abscess
• Ani Fistula
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Hasan Sadikin. Bandung: Fakultas Kedokteran Unpad. 2010.

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2nd edition. London: W.B. Saunders Co.; 1999. p. 351–427.

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1982;25:454.

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Tulis Ilmiah]. Medan: Universitas Sumatera Utara. 2010.

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2nd edition. St. Louis: Quality Medical Publishing Inc.; 1999. p. 193–215.

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1992;6:342–7.

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