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  • Hemorrhoid

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    Apink
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    This document discusses internal and external hemorrhoids. It notes that internal hemorrhoids are inside the anal canal and can cause painless bleeding or prolapse during defecation, while external hemorrhoids are outside the anal canal around the sphincter and cause symptoms due to thrombosis. The document also grades the stages of internal hemorrhoids and discusses treatment options for hemorrhoids, including non-surgical approaches like lifestyle changes and fiber supplements as well as surgical procedures like electrocautery and hemorrhoidectomy.

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    This document discusses internal and external hemorrhoids. It notes that internal hemorrhoids are inside the anal canal and can cause painless bleeding or prolapse during defecation, while external hemorrhoids are outside the anal canal around the sphincter and cause symptoms due to thrombosis. The document also grades the stages of internal hemorrhoids and discusses treatment options for hemorrhoids, including non-surgical approaches like lifestyle changes and fiber supplements as well as surgical procedures like electrocautery and hemorrhoidectomy.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    30 views5 pages

    Hemorrhoid

    Uploaded by

    Apink
    This document discusses internal and external hemorrhoids. It notes that internal hemorrhoids are inside the anal canal and can cause painless bleeding or prolapse during defecation, while external hemorrhoids are outside the anal canal around the sphincter and cause symptoms due to thrombosis. The document also grades the stages of internal hemorrhoids and discusses treatment options for hemorrhoids, including non-surgical approaches like lifestyle changes and fiber supplements as well as surgical procedures like electrocautery and hemorrhoidectomy.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    of 5

    Hemorrhoid

    Hemorrhoid

    External Hemorrhoids Internal Hemorrhoids


    Outside anal canal, around sphincter Inside anal canal
    Symptoms due to thrombosis Symtomps due to bleeding and/or
    irritation of mucosa
    Painless, bleeding
    Prolapse associated with defecation
    Can not be inserted to anal canal Can be inserted to anal canal up to grade
    III
    • Internal Hemorrhoids →
    Internal hemorrhoidal plexus
    – V. Rectus Inferior
    – V. Rectus Media
    • External Hemorrhoids →
    external hemrroidal plexus
    – V. Rectus Inferior
    Internal Hemorrhoid: Grading
    • Tx:
    – Non Farmakologis
    • Changing lifestyle
    (menghindari risk
    factor)
    • Diet tinggi serat
    • Endoskopi (Rubber
    band & Sclerotherapy)
    – Farmakologis
    • Fecal softener
    • Fiber supplement
    • NSAID
    – Surgery
    • Electrocautery &
    Cryosurgery
    • Hemorrhoidectomy
    (excision or stapled)

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