Haemorrhoids
August 18th, 2017
Overview
Haemorrhoids are cushions of anal vascular tissue that may bleed, prolapse, thrombose or cause pain / pruritis.
Look For
- Perianal or rectal mass - flesh / mucosal appearance
- Thrombosed mass - purple or blue, may be associated with overlying clot
- Blood
- Mucus discharge
Severity
- First degree - non-prolapsed
- Second degree - prolapse and reduce spontaneously
- Third degree - reduce with manual pressure
- Fourth degree - unable to be reduced
Risk Factors for Haemorrhoids
- Straining while defaecating
- Raised intra-abdominal pressure
- Congenital
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------