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Anorectal DisordersHemorrhoids Hemorrhoids are dilated veins located beneath the lining of the anal canal. Internal hemorrhoids are located in the upper anal canal. External are located in the lower canal. Internal become symptomatic when constipation causes disruption of the supporting tissues and resultant prolapse and excessive of the vascular cushions fissure. The most common symptom of internal is painless rectal bleeding, which is usually bright red and ranges from a few drops to a spattering stream at the end of defecation. If internal remain prolapsed, a dull aching may occur. Blood and mucus stains may appear on underwear, and itching in the perianal region is common. Classification
Management of Internal Hemorrhoids Grade 1 and uncomplicated grade 2 are treated with avoidance of nonsteroidal anti-inflammatory drugs and dietary modification (increased fiber and fluids and avoidance of binding, spicy, and fatty foods). Symptomatic grade 2 and grade 3 Treatment |