Diagnosis & Management

Diagnosis
 Hemorrhoids are diagnosed by prompt clinical examination
 Although the most common cause of rectal bleeding is hemorrhoids, we must exclude the most important cause – colorectal cancer. Colonsocopic examination is required if clinically indicated 


Management
 Varies from simple reassurance to surgery
 Treat for symptomatic disease only
 Depends on grading


Four categories
1) Dietary and lifestyle modification  prevention
2) Medications  relieve symptoms
3) Outpatient hemorrhoid treatment
4) Operation


Treatment according to severity 

	Dietary and lifestyle modifications	Medications	Outpatient procedures	Operations
Grade 1	Ö	Ö	+/-	x
Grade 2	Ö	Ö	Ö	+/-
Grade 3	x	x	Ö	Ö
Grade 4	x	x	x	Ö

Reference: http://psclinic.com.hk/

The information aims to provide educational purpose only. Anyone reading it should consult

Surgery Specialist before considering treatment and should not rely on the information

above.