Haemorrhoids

Le résumé fourni par la source

Abstract Symptomatic haemorrhoids are common but their true prevalence is difficult to establish. As many anorectal complaints are attributed to haemorrhoids, it is important to rule out malignancy by a detailed history, examination, and endoscopy as indicated. Constipation, poor defaecatory habits such straining and spending a long time on the commode contribute to development of symptomatic haemorrhoids. Most patients with symptoms can be managed by changing their dietary and defaecation habits. As a rule, one should initially manage symptomatic haemorrhoids with non-operative treatment including dietary modification and rubber-band ligation etc. In severe cases, haemorrhoidectomy should be considered. Complications are rare, but patients should be appropriately counselled regarding its complications and severe postoperative pain.

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