Haemorrhoids
EBM Guidelines
Apr 14, 2022 • Latest change Apr 14, 2022
Table of contents
Extract
- Haemorrhoids are a consequence of the enlargement and prolapse of the so-called anal cushions, i.e. the blood vessel-rich soft tissues around the anal canal.
- Symptoms associated with haemorrhoids are common and usually self-limited, but they tend to recur.
- Surgery is usually reserved only for patients with persistently prolapsed (grade IV) haemorrhoids.
Linked evidence summaries
- Fiber supplements in the diet appear to relieve overall symptoms and bleeding from symptomatic hemorrhoids.B
- Rubber band ligation is more effective than sclerotherapy in the treatment of symptomatic hemorrhoids. Hemorrhoidectomy is more effective than rubber band ligation at least for grade III haemorrhoids, but has more complications.A
Search terms
Colonoscopy, Fissure in Ano, Gastroenterology, Haemorrhoids, Hemorrhoids, K62.3, K64*, Liver Cirrhosis, Proctoscopy, Rectal Prolapse, Sigmoidoscopy, Surgery, anal fistula, anal hematoma, hemorrhoid classification, hemorrhoid strangulation, hemorrhoidal crisis, hemorrhoids, prolapsed, mucous membrane prolapse, perianal abscess, rectal bleeding, rectal touch, rubber band ligation, thrombosed hemorrhoid