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Haemorrhoids

Overview

    • Look For

    • Perianal or rectal mass - flesh / mucosal appearance
    • Thrombosed mass - purple or blue, may be associated with overlying clot
    • Blood
    • Mucus discharge
    • Significance

    • Cushions of anal vascular tissue that may bleed, prolapse, thrombose or cause pain / pruritis.
    • 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
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