Hemorrhoids
Evaluation
General—submucosal pads of tissue composed of arterial and venous plexuses
Epidemiology—Approximately 4.4% of the general population
Classification
Internal hemorrhoids—originate above the dentate line
Clinical—typically painless; called to patient’s attention if bleeding or prolapsed
Bleeding described as red spotting, usually at the end of defecation.
Prolapse can create a feeling of pressure or mass.
Grades
Grade I—bulge with defecation; do not prolapse.
Grade II—prolapse with defecation, but reduces spontaneously.
Grade III—prolapse with defecation and require manual reduction.
Grade IV—prolapse with defecation and cannot be reduced.
External hemorrhoids—originate below the dentate line and covered by anoderm
Clinical—associated with discomfort; can be acutely painful if thrombosed.Related posts:
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