A hemorrhoid is a symptomatic dilation of the hemorrhoidal venous plexus resulting in perianal swelling, itching, pain, hematochezia, and fecal soiling.
SIGNS & SYMPTOMS
-Anal itching and pain (especially with thrombosis or ulceration)
-Constipation and straining for bowel movement
-Rectal incontinence and soiling
-Hematochezia and stool mucus
-Anal fissure, infection, or ulceration
_ Surgical therapy is appropriate for those patients with debilitating symptoms or for whom medical therapy has failed (15% to 20% of patients). Banding of internal hemorrhoids is better accepted by patients than traditional surgical therapy. Hemorrhoidal banding requires a minimum of equipment and is well suited to the office or outpatient surgical setting.
Some aching is generally experienced for several days after hemorrhoid banding procedures. Sitz baths and topical analgesics such as witch hazel are generally sufficient.
_ Increased dietary fiber.
_ Avoid prolonged sitting, straining, or heavy lifting. Encourage physical fitness.