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By ULY CLINIC

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Hemorrhoids

 

Introduction

 

Hemorrhoid disease is due to enlargement or thrombosis of the veins in the external or internal hemorrhoidal plexus.  

 

Diagnostic Criteria

 

  • Painless anal rectal piles

  • Painless bleeding –post defecation

  • Pain

  • Pruritus

  • Prolapse PLUS 

  • Endoscopy (Anoscopy, or proctosigmoidoscopy) for evidence of characteristic anal recta piles. 

 

Treatment 

 

Depends on severity of the disease 

 

  • Grade I hemorrhoids are treated with conservative medical therapy and avoidance of nonsteroidal anti-inflammatory drugs (NSAIDs) and spicy or fatty foods 

  • Grade II or III hemorrhoids are initially treated with nonsurgical procedures (sclerotherapy, band ligation

  • Very symptomatic grade III and grade IV hemorrhoids are best treated with surgical hemorrhoidectomy 

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Pharmacological Treatment:

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  • Benzyl benzoate 1.25%, bismuth oxide 0.875%, bismuth subgallate 2.25%, hydrocortisone acetate 0.25%, Peru balsam 1.875%, zinc oxide 10.75% (PR) suppository one or twice a day

OR

  • Any compound hemorrhoid preparation containing corticosteroid, soothing agent and local anesthetics (PR) suppository one or twice a day

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Updated on, 2.11.2020

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References

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1. STG

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