Hemorrhoids Information
Incidence and Epidemiology Symptomatic hemorrhoids affect >1 million individuals in western civilization per year. The prevalence of hemorrhoidal disease is not selective for age or sex. However, age is known to have a deleterious effect on the anal canal. The prevalence of hemorrhoidal disease is less in underdeveloped countries. The typical low-fiber, high-fat western diet is associated with constipation and straining, and the development of symptomatic hemorrhoids.
The diagnosis of hemorrhoidal disease is made on physical examination. Inspection of the perianal region for evidence of thrombosis or excoriation is performed, followed by a careful digital examination. Anoscopy is performed paying particular attention to the known position of hemorrhoidal disease. The patient is asked to strain. If this is difficult for the patient, the maneuver can be performed while sitting on a toilet. The physician is notified when the tissue prolapses. It is important to differentiate the circumferential appearance of a full-thickness rectal prolapse from the radial nature of prolapsing hemorrhoids
Treatment
The hemorrhoids treatment for bleeding hemorrhoids is based upon the stage of the disease. For a mild case we can get the best medicaments for curing bleeding hemorrhoids. In young patients without a family history of colorectal cancer, the hemorrhoidal disease may be treated first and a colonoscopic examination performed if the bleeding continues.
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