Hemorrhoid - Clinical features

Clinical features

l  Many patient with hemorrhoids are asymptomatic, therefore, no need for treatment

l  Symptomatic

1)       Rectal bleeding – fresh, after defecation, stain toilet paper, separated from stool; anemia if prolonged bleeding

2)       Prolapse

Ø  Grade 1 – bleeding without prolapse

Ø  Grade 2 – prolapse with spontaneous reduction

Ø  Grade 3 – prolapse with manual reduction

Ø  Grade 4 – incarcerated, irreducible prolapse

3)       Perianal irritation (itchiness) and discharge (mucus)

4)       Pain if the external hemorrhoid thrombosed

l  Hemorrhoids in pregnancy

-          Usually occur in third trimester

-          Resulted from:

1)       Hormonal changes

2)       Obstruction of venous return by the gravid uterus

3)       Chronic straining secondary to constipation

-          Majority of symptoms resolve after delivery

-          Treated with conservative measures

-          Intervention rarely indicated

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.