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==Overview==
==Overview==
 
Symptoms of hemorrhoids include [[Dyschezia|pain with defecation]], [[hematochezia]], and [[discharge|anal discharge]].
==History and Symptoms==
==History and Symptoms==
The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement. Internal hemorrhoids that are not prolapsed are usually not painful. Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.
===External hemorrhoids===
 
*External hemorrhoids are painful as the skin below the punctate line is sensitive to pain.<ref name="pmid28567655">{{cite journal |vauthors=Guttenplan M |title=The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist |journal=Curr Gastroenterol Rep |volume=19 |issue=7 |pages=30 |year=2017 |pmid=28567655 |doi=10.1007/s11894-017-0574-9 |url=}}</ref>
Blood clots may form in external hemorrhoids. A blood clot in a vein is called a thrombosis. Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus. When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch.
*[[Blood clots]] may form in external hemorrhoids.  
Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse.
*Thrombosed external hemorrhoids cause [[bleeding]], painful [[swelling]], or a hard lump around the [[anus]].  
 
*When the [[blood clot]] dissolves, extra skin is left behind. This skin can become [[irritation|irritated]] or [[itch]].
Hemorrhoids are not dangerous or life threatening. Symptoms usually go away within a few days, and some people with hemorrhoids never have symptoms.
*Excessive straining, rubbing, or cleaning around the [[anus]] may make symptoms, such as [[itching]] and [[irritation]], worse.
 
===Internal hemorrhoids===
The common man in general tolerates the disease for a long time ,self treating with lot of ointments available over the counter and seeks medical aid only when intolerable
*The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement.
 
*Internal hemorrhoids that are not prolapsed are usually not painful.
The main reasons for seeking delayed advise are as follows:
*Prolapsed hemorrhoids often cause pain, discomfort, and anal [[itch|itching]].<ref name="pmid28567655">{{cite journal |vauthors=Guttenplan M |title=The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist |journal=Curr Gastroenterol Rep |volume=19 |issue=7 |pages=30 |year=2017 |pmid=28567655 |doi=10.1007/s11894-017-0574-9 |url=}}</ref>
 
* Myths about the surgical treatment
* Postoperative pain  
* Fear of incontinence after surgery
 
But the latest in Biomedical engineering has a lot to offer in newer modalities of management of hemorrhoids.


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{WH}}
{{WS}}


[[Category:Gastroenterology]]
[[Category:Gastroenterology]]
[[Category:Surgery]]
[[Category:Surgery]]
[[Category:Primary care]]
[[Category:Needs overview]]
[[Category:Needs overview]]
{{WH}}
{{WS}}

Latest revision as of 22:03, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]

Overview

Symptoms of hemorrhoids include pain with defecation, hematochezia, and anal discharge.

History and Symptoms

External hemorrhoids

  • External hemorrhoids are painful as the skin below the punctate line is sensitive to pain.[1]
  • Blood clots may form in external hemorrhoids.
  • Thrombosed external hemorrhoids cause bleeding, painful swelling, or a hard lump around the anus.
  • When the blood clot dissolves, extra skin is left behind. This skin can become irritated or itch.
  • Excessive straining, rubbing, or cleaning around the anus may make symptoms, such as itching and irritation, worse.

Internal hemorrhoids

  • The most common symptom of internal hemorrhoids is bright red blood on stool, on toilet paper, or in the toilet bowl after a bowel movement.
  • Internal hemorrhoids that are not prolapsed are usually not painful.
  • Prolapsed hemorrhoids often cause pain, discomfort, and anal itching.[1]

References

  1. 1.0 1.1 Guttenplan M (2017). "The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist". Curr Gastroenterol Rep. 19 (7): 30. doi:10.1007/s11894-017-0574-9. PMID 28567655.

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