09+O23

=PEL Core Topics - OTC=

//haemorrhoids //

Haemorhoids are associated with constipation, diarrhoea and prolonged straining. It is important to confirm diagnosis as patients commonly describe any anorectal symptom as haemorrhoids. Most cases can be managed conservatively. Give advice to avoid prolonged straining and to increase fibre and fluid intake. Fibre (either dietary or as bulking agents) is effective in relieving symptoms and reducing episodes of bleeding. Topical anorectal medications often contain a corticosteroid and/////or a local anaesthetic agent. Evidence for their efficacy is anecdotal. Topical corticosteroids may reduce inflammation and local anaesthetics may relieve pain, burning and itching. Sclerotherapy, rubber band ligation or haemorrhoidectomy are indicated for more severe haemorrhoids or those unresponsive to conservative management.

Resources
[|AMH - Perianal disorders]