Jonny and Ed
Together in Surgery
Video Duration: 28 minutes
"A dilated and disrupted vascular anal cushion"
50% of Western population
Classified according to anatomical severity
Strangulation is the main complication due to the sphincter cutting off venous supply
Constipation, low fibre diet, impaired venous return
May be asymptomatic
Common symptoms include a lump, fresh PR bleeding, pain and pruritus.
Visible prolapse, excoriations from bleeding and scratching.
ALWAYS do an abdominal exam and PR
Flexible sigmoidoscopy/colonoscopy if other conditions suspected
Improve fluid and fibre intake
Topical steroids and analgesics
Laxatives if constipation