49:
594:
483:
1132:
735:
1102:, involves the removal of much of the abnormally enlarged hemorrhoidal tissue, followed by a repositioning of the remaining hemorrhoidal tissue back to its normal anatomical position. It is generally less painful and is associated with faster healing compared to complete removal of hemorrhoids. However, the chance of symptomatic hemorrhoids returning is greater than for conventional hemorrhoidectomy, so it is typically recommended only for
651:
644:
625:
606:
587:
632:
613:
355:
967:. It is a procedure in which elastic bands are applied onto internal hemorrhoid at least 1 cm above the pectinate line to cut off its blood supply. Within 5–7 days, the withered hemorrhoid falls off. If the band is placed too close to the pectinate line, intense pain results immediately afterwards. The cure rate has been found to be about 87%, with a complication rate of up to 3%.
540:
muscles during the passage of stool. When a person bears down, the intra-abdominal pressure grows, and hemorrhoid cushions increase in size, helping maintain anal closure. Hemorrhoid symptoms are believed to result when these vascular structures slide downwards or when venous pressure is excessively
1151:
discusses a treatment similar to modern rubber band ligation: "And hemorrhoids in like manner you may treat by transfixing them with a needle and tying them with very thick and woolen thread, for application, and do not foment until they drop off, and always leave one behind; and when the patient
1115:
It is difficult to determine how common hemorrhoids are as many people with the condition do not see a healthcare provider. However, symptomatic hemorrhoids are thought to affect at least 50% of the US population at some time during their lives, and around 5% of the population is affected at any
338:
Approximately 50% to 66% of people have problems with hemorrhoids at some point in their lives. Males and females are both affected with about equal frequency. Hemorrhoids affect people most often between 45 and 65 years of age, and they are more common among the wealthy, although this may
844:
A number of preventative measures are recommended, including avoiding straining while attempting to defecate, avoiding constipation and diarrhea either by eating a high-fiber diet and drinking plenty of fluid or by taking fiber supplements and getting sufficient exercise. Spending less time
1089:
is a minimally invasive treatment using an ultrasound
Doppler to accurately locate the arterial blood inflow. These arteries are then "tied off" and the prolapsed tissue is sutured back to its normal position. It has a slightly higher recurrence rate but fewer complications compared to a
2954:
Higuero, T; Abramowitz, L; Castinel, A; Fathallah, N; Hemery, P; Laclotte Duhoux, C; Pigot, F; Pillant-Le Moult, H; Senéjoux, A; Siproudhis, L; Staumont, G; Suduca, JM; Vinson-Bonnet, B (June 2016). "Guidelines for the treatment of hemorrhoids (short report)".
2990:
Trompetto, M.; Clerico, G.; Cocorullo, G. F.; Giordano, P.; Marino, F.; Martellucci, J.; Milito, G.; Mistrangelo, M.; Ratto, C. (24 September 2015). "Evaluation and management of hemorrhoids: Italian society of colorectal surgery (SICCR) consensus statement".
326:
to help with pain, and rest. Medicated creams may be applied to the area, but their effectiveness is poorly supported by evidence. A number of minor procedures may be performed if symptoms are severe or do not improve with conservative management.
473:
on the abdomen and hormonal changes cause the hemorrhoidal vessels to enlarge. The birth of the baby also leads to increased intra-abdominal pressures. Pregnant women rarely need surgical treatment, as symptoms usually resolve after delivery.
941:
has been investigated in the treatment of low-grade hemorrhoids, although these drugs are not approved for such use in the United States or
Germany. The use of phlebotonics for the treatment of chronic venous diseases is restricted in Spain.
1067:
is a surgical excision of the hemorrhoid used primarily only in severe cases. It is associated with significant postoperative pain and usually requires two to four weeks for recovery. However, the long-term benefit is greater in those with
659:
Hemorrhoids are typically diagnosed by physical examination. A visual examination of the anus and surrounding area may diagnose external or prolapsed hemorrhoids. Visual confirmation of internal hemorrhoids, on the other hand, may require
880:. Evidence for benefits from sitz baths during any point in treatment, however, is lacking. If they are used, they should be limited to 15 minutes at a time. Decreasing time spent on the toilet and not straining is also recommended.
365:
In about 40% of people with pathological hemorrhoids, there are no significant symptoms. Internal and external hemorrhoids may present differently; however, many people may have a combination of the two. Bleeding enough to cause
3941:
3926:
386:
may cause few problems. However, when thrombosed, hemorrhoids may be very painful. Nevertheless, this pain typically resolves in two to three days. The swelling may, however, take a few weeks to disappear. A
1281:
to organize a raid to rescue Patton's son-in-law from a German prison camp; Cohen was prevented from leading the raid due to hemorrhoids. Patton personally examined Cohen and remarked, "that is some sorry
1241:
due to hemorrhoid pain. After undergoing minor surgery, Brett returned to play in the next game, quipping, "My problems are all behind me". Brett underwent further hemorrhoid surgery the following spring.
1039:
A number of surgical techniques may be used if conservative management and simple procedures fail. All surgical treatments are associated with some degree of complications, including bleeding, infection,
3115:"Consolidated List of Products—Whose Consumption and/or Sale Have Been Banned, Withdrawn, Severely Restricted or Not Approved by Governments, Twelfth Issue—Pharmaceuticals. United Nations—New York, 2005"
929:
are of questionable benefit, with potential side effects. Symptoms usually resolve following pregnancy; thus active treatment is often delayed until after delivery. Evidence does not support the use of
1031:
to decrease the size of the hemorrhoids and improve hemorrhoid related symptoms, especially bleeding. HAE is very effective at stopping bleeding related symptom with success rate of approximately 90%.
899:-containing agents should not be used for more than 14 days, as they may cause thinning of the skin. Most agents include a combination of active ingredients. These may include a barrier cream such as
307:. Diagnosis is made by looking at the area. Many people incorrectly refer to any symptom occurring around the anal area as hemorrhoids, and serious causes of the symptoms should not be ruled out.
1986:
Makris, Gregory C.; Thulasidasan, Narayan; Malietzis, George; Kontovounisios, Christos; Saibudeen, Affan; Uberoi, Raman; Diamantopoulos, Athanasios; Sapoval, Marc; Vidal, Vincent (January 2021).
3872:
Davis, BR; Lee-Kong, SA; Migaly, J; Feingold, DL; Steele, SR (March 2018). "The
American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids".
2686:
Davis, BR; Lee-Kong, SA; Migaly, J; Feingold, DL; Steele, SR (March 2018). "The
American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids".
2640:
Davis, BR; Lee-Kong, SA; Migaly, J; Feingold, DL; Steele, SR (March 2018). "The
American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Hemorrhoids".
1116:
given time. Both sexes experience about the same incidence of the condition, with rates peaking between 45 and 65 years. Some studies have found that they are common in people of higher
1056:
is another condition which may occur after hemorrhoidectomy (often together with anal stenosis). This is where the anal mucosa becomes everted from the anus, similar to a very mild form of
2915:
Perera, Nirmal; Liolitsa, Danae; Iype, Satheesh; Croxford, Anna; Yassin, Muhammed; Lang, Peter; Ukaegbu, Obioha; van Issum, Christopher (15 August 2012). "Phlebotonics for haemorrhoids".
493:
Hemorrhoid cushions are a part of normal human anatomy and become a pathological disease only when they experience abnormal changes. There are three main cushions present in the normal
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2443:
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370:
is rare, and life-threatening bleeding is even more uncommon. Many people feel embarrassed when facing the problem and often seek medical care only when the case is advanced.
407:), is on the toilet paper, or drips into the toilet bowl. The stool itself is usually normally coloured. Other symptoms may include mucous discharge, a perianal mass if they
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3587:
3564:
3610:
391:
may remain after healing. If hemorrhoids are large and cause issues with hygiene, they may produce irritation of the surrounding skin, and thus itchiness around the anus.
1197:'s curse after a sixth-century saint who developed them following tilling the soil. The first use of the word "hemorrhoid" in English occurs in 1398, derived from the
2553:
Alonso-Coello, P.; Guyatt, G. H.; Heels-Ansdell, D.; Johanson, J. F.; Lopez-Yarto, M.; Mills, E.; Zhuo, Q.; Alonso-Coello, Pablo (2005). Alonso-Coello, Pablo (ed.).
272:
is often used to refer to the disease. The signs and symptoms of hemorrhoids depend on the type present. Internal hemorrhoids often result in painless, bright red
335:
that can be performed and is typically better tolerated than traditional therapies. Surgery is reserved for those who fail to improve following these measures.
3662:
462:. Squatting while defecating may also increase the risk of severe hemorrhoids. Evidence for these associations, however, is poor. Being a receptive partner in
1123:
Long-term outcomes are generally good, though some people may have recurrent symptomatic episodes. Only a small proportion of persons end up needing surgery.
291:
While the exact cause of hemorrhoids remains unknown, a number of factors that increase pressure in the abdomen are believed to be involved. This may include
1635:
3768:
1147:
leaves, ground, titurated and cooked together. Smear a strip of fine linen there-with and place in the anus, that he recovers immediately." In 460 BC, the
983:, into the hemorrhoid. This causes the vein walls to collapse and the hemorrhoids to shrivel up. The success rate four years after treatment is about 70%.
3513:
2522:
3640:
3684:
2536:
2238:
2193:
2884:
Gan, Tao; Liu, Yue-dong; Wang, Yiping; Yang, Jinlin (2010-10-06). "Traditional
Chinese Medicine herbs for stopping bleeding from haemorrhoids".
4839:
3738:
1178:(4th–5th century BC) is similar to the words of Hippocrates, but emphasizes wound cleanliness. In the 13th century, European surgeons such as
1711:
992:
methods have been shown to be effective for hemorrhoids, but are usually used only when other methods fail. This procedure can be done using
892:
1503:
688:
because of pain, although most internal hemorrhoids are not associated with pain. If pain is present, the condition is more likely to be an
431:
The exact cause of symptomatic hemorrhoids is unknown. A number of factors are believed to play a role, including irregular bowel habits (
4055:
2733:
2491:
2179:
2772:
2438:
2313:
2224:
1988:"Catheter-Directed Hemorrhoidal Dearterialization Technique for the Management of Hemorrhoids: A Meta-Analysis of the Clinical Evidence"
1458:
4628:
3189:"Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures"
876:, and rest. Increased fiber intake has been shown to improve outcomes and may be achieved by dietary alterations or the consumption of
3862:
3114:
2366:
3538:
3584:
3561:
1085:
836:) may present similar to hemorrhoids but are a different condition. Portal hypertension does not increase the risk of hemorrhoids.
3607:
2602:
Lang, DS; Tho, PC; Ang, EN (December 2011). "Effectiveness of the Sitz bath in managing adult patients with anorectal disorders".
2400:
2328:
849:, avoiding reading while on the toilet, and losing weight for overweight persons and avoiding heavy lifting are also recommended.
3368:"Meta-analysis of the use of glyceryl trinitrate ointment after haemorrhoidectomy as an analgesic and in promoting wound healing"
2755:
Beck, David E.; Roberts, Patricia L.; Saclarides, Theodore J.; Senagore, Anthony J.; Stamos, Michael J.; Nasseri, Yosef (2011).
4400:
2766:
2516:
2485:
2414:
2376:
2342:
2218:
2173:
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1452:
891:
are available for the treatment of hemorrhoids, little evidence supports their use. As such, they are not recommended by the
497:. These are located classically at left lateral, right anterior, and right posterior positions. They are composed of neither
447:), genetics, an absence of valves within the hemorrhoidal veins, and aging. Other factors believed to increase risk include
4405:
2139:
1174:
advocated severing the connection of the arteries to veins, claiming it reduced both pain and the spread of gangrene. The
3716:
3236:
Ommer, A; Wenger, FA; Rolfs, T; Walz, MK (November 2008). "Continence disorders after anal surgery—a relevant problem?".
869:
323:
1077:
3826:
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3057:
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1933:
439:), lack of exercise, nutritional factors (low-fiber diets), increased intra-abdominal pressure (prolonged straining,
1710:
Rivadeneira, DE; Steele, SR; Ternent, C; Chalasani, S; Buie, WD; Rafferty, JL; Standards
Practice Task Force of The
4555:
4172:
1020:
328:
221:
4187:
4048:
3760:
2296:
Bland, Kirby I.; Sarr, Michael G.; Büchler, Markus W.; Csendes, Attila; Garden, Oliver James; Wong, John (2008).
1666:
1027:. HAE involves the blockage of abnormal blood flow to the rectal (hemorrhoidal) arteries using microcoils and/or
4506:
3790:
2406:
950:
A number of office-based procedures may be performed. While generally safe, rare serious side effects such as
4318:
3517:
1248:
underwent surgery for hemorrhoids, subsequently describing his unpleasant experience in a widely viewed 2008
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931:
550:
332:
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549:
pressure may also be involved in hemorrhoid symptoms. Two types of hemorrhoids occur: internals from the
3676:
2837:"Conservative management of symptomatic and/or complicated haemorrhoids in pregnancy and the puerperium"
1048:, due to the close proximity of the rectum to the nerves that supply the bladder. Also, a small risk of
4739:
4390:
4365:
4182:
4111:
4041:
790:
3073:
Stücker, M; Debus, ES; Hoffmann, J; Jünger, M; Kröger, K; Mumme, A; Ramelet, AA; Rabe, E (June 2016).
593:
4764:
4707:
4355:
4308:
4158:
4121:
1170:(25 BC – 14 AD) described ligation and excision procedures and discussed the possible complications.
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4749:
4562:
4516:
4511:
4335:
4313:
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1024:
459:
1963:
Hemorrhoidal Artery
Embolization Minimally Invasive Treatment for Symptomatic Internal Hemorrhoids
4804:
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4268:
4263:
4227:
4197:
1234:
1098:
546:
542:
537:
533:
403:
during or following a bowel movement. The blood typically covers the stool (a condition known as
339:
reflect differences in healthcare access rather than true prevalence. Outcomes are usually good.
249:
3317:
Shanmugam, V; Thaha, MA; Rabindranath, KS; Campbell, KL; Steele, RJ; Loudon, MA (Jul 20, 2005).
4864:
4776:
4759:
4754:
4744:
4585:
4521:
4163:
4064:
1887:
Hollingshead, JR; Phillips, RK (January 2016). "Haemorrhoids: modern diagnosis and treatment".
1766:
1274:
1167:
284:. If bleeding occurs, it is usually darker. Symptoms frequently get better after a few days. A
20:
3996:
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4695:
4690:
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4286:
3122:
1117:
959:
833:
794:
383:
1714:(September 2011). "Practice parameters for the management of hemorrhoids (revised 2010)".
8:
4859:
4771:
4538:
3945:
3282:
Lagares-Garcia, JA; Nogueras, JJ (December 2002). "Anal stenosis and mucosal ectropion".
1187:
1120:, however this may reflect differences in healthcare access rather than true prevalence.
829:
701:
665:
522:
4685:
4595:
4177:
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3489:
3462:
3433:
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1547:
1388:
1148:
1049:
997:
529:
416:
261:
127:
3715:(Mr·Beck speaking from home shortly after hospital). GlennBeckVideos. 3 January 2008.
3516:. Arlington Heights, IL: American Society of Colon and Rectal Surgeons. Archived from
3295:
1654:
1135:
An 11th-century
English miniature. On the right is an operation to remove hemorrhoids.
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4425:
4325:
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3438:
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2015:
2007:
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1904:
1900:
1862:
1844:
1770:
1759:
1731:
1658:
1577:
1448:
1392:
1380:
1238:
1190:, and John of Ardene made great progress and development of the surgical techniques.
1179:
1073:
1072:
as compared to rubber band ligation. It is the recommended treatment in those with a
1045:
877:
825:
774:
770:
746:
510:
452:
359:
199:
115:
3950:
3173:
3030:
2968:
2940:
2821:
2094:
Ellesmore, Windsor (2002). "Surgical
History of Haemorrhoids". In Charles MV (ed.).
1743:
48:
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4007:
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2715:
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1999:
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1723:
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1278:
821:
705:
673:
75:
4849:
4673:
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4138:
3961:
3885:
3852:
3614:
3591:
3568:
3545:
2699:
2653:
1727:
1183:
1175:
1143:, which advises: "Thou shouldest give a recipe, an ointment of great protection;
1057:
912:
900:
817:
782:
486:
482:
400:
120:
69:
4010:
1052:
occurs, particularly of liquid, with rates reported between 0% and 28%. Mucosal
4722:
4572:
4435:
4395:
4330:
4291:
4202:
3972:
3384:
3367:
3075:"Consensus statement on the symptom-based treatment of chronic venous diseases"
2119:
2003:
1375:
1358:
1263:
1131:
1041:
993:
920:
798:
554:
318:
Often, no specific treatment is needed. Initial measures consist of increasing
3706:
3316:
3249:
3204:
3004:
2168:(4th ed.). Philadelphia; Baltimore: Williams & Wilkins. p. 329.
1961:
1823:"What every gastroenterologist needs to know about common anorectal disorders"
1076:
if carried out within 24–72 hours. Evidence to support this is weak, however.
4854:
4823:
4590:
4253:
3847:
2054:
2011:
1987:
1848:
1028:
1001:
988:
971:
888:
884:
865:
700:
Internal hemorrhoids originate above the pectinate line. They are covered by
532:. They contribute to 15–20% of anal closure pressure at rest and protect the
518:
514:
419:. Internal hemorrhoids are usually painful only if they become thrombosed or
319:
312:
213:
4417:
3935:
3479:
749:
occur below the dentate (or pectinate) line. They are covered proximally by
280:. External hemorrhoids often result in pain and swelling in the area of the
4731:
4643:
4458:
4148:
4091:
3893:
3498:
3442:
3393:
3352:
3319:"Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids"
3303:
3257:
3222:
3165:
3100:
3022:
2976:
2932:
2901:
2870:
2813:
2707:
2661:
2623:
2588:
2282:
2135:
2073:
2019:
1908:
1866:
1735:
1709:
1662:
1581:
1563:
1384:
1267:
1256:
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778:
766:
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753:
and distally by skin, both of which are sensitive to pain and temperature.
689:
432:
412:
404:
292:
273:
265:
180:
136:
56:
Diagram demonstrating the anatomy of both internal and external hemorrhoids
3365:
2368:
Ferri's Clinical Advisor 2020 E-Book: Ferri's Clinical Advisor 2020 E-Book
4796:
4192:
3991:
2477:
The 5-Minute Clinical Consult 2013 (Griffith's 5 Minute Clinical Consult)
1985:
1005:
916:
809:
781:
have similar symptoms and may be incorrectly referred to as hemorrhoids.
734:
388:
315:
is reasonable to confirm the diagnosis and rule out more serious causes.
308:
257:
175:
3013:
2786:
Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, et al. (August 2006).
2552:
1839:
664:, insertion of a hollow tube device with a light attached at one end. A
4712:
4702:
4663:
4607:
4430:
4016:
2437:
National Digestive Diseases Information Clearinghouse (November 2004).
2334:
1245:
1198:
976:
926:
904:
813:
739:
708:. They were classified in 1985 into four grades based on the degree of
521:
in their walls, as veins do. This set of blood vessels is known as the
494:
379:
281:
277:
253:
144:
3366:
Ratnasingham, K; Uzzaman, M; Andreani, SM; Light, D; Patel, B (2010).
3091:
3074:
4466:
4207:
4143:
4099:
4082:
4077:
4002:
2804:
2787:
1160:, with earlier English translations using the now-obsolete spelling "
1153:
1053:
908:
873:
506:
444:
304:
192:
3918:
4680:
4282:
4219:
4153:
4104:
3406:
1139:
The first known mention of this disease is from a 1700 BC Egyptian
1080:
ointment after the procedure helps both with pain and with healing.
963:
is typically recommended as the first-line treatment in those with
846:
709:
685:
677:
661:
650:
498:
463:
436:
420:
408:
296:
285:
184:
2953:
2480:. Hagerstown, MD: Lippincott Williams & Wilkins. p. 572.
342:
The first known mention of the disease is from a 1700 BC Egyptian
3711:
2989:
1249:
1161:
1140:
896:
786:
750:
681:
448:
440:
343:
2785:
2444:
National Institute of Diabetes and Digestive and Kidney Diseases
2038:"Hemorrhoids: From basic pathophysiology to clinical management"
1633:
1500:
National Institute of Diabetes and Digestive and Kidney Diseases
722:
Grade III: Prolapse upon bearing down requiring manual reduction
643:
631:
624:
612:
605:
586:
4073:
3930:
3866:
3235:
3144:
Misra, MC; Imlitemsu (2005). "Drug treatment of haemorrhoids".
3052:(Second ed.). Elsevier Health Sciences. pp. 652–666.
2788:"Meta-analysis of flavonoids for the treatment of haemorrhoids"
1144:
980:
951:
802:
719:
Grade II: Prolapse upon bearing down, but spontaneous reduction
399:
Internal hemorrhoids usually present with painless, bright red
367:
354:
300:
188:
2758:
The ASCRS Textbook of Colon and Rectal Surgery: Second Edition
2207:
Azimuddin, Indru Khubchandani, Nina Paonessa, Khawaja (2009).
1821:
Schubert, MC; Sridhar, S; Schade, RR; Wexner, SD (July 2009).
1023:
is an additional minimally invasive procedure performed by an
93:
90:
2754:
1202:
1171:
1157:
669:
502:
470:
455:
217:
4449:
3871:
3407:
Jayaraman, S; Colquhoun, PH; Malthaner, RA (Oct 18, 2006).
3050:
Vascular Medicine: A Companion to Braunwald's Heart Disease
2685:
2639:
2399:
Bernstein, Melissa; Luggen, Ann Schmidt (28 January 2011).
2254:
2162:
Dayton, Peter F. Lawrence, Richard Bell, Merril T. (2006).
1820:
1548:"Review of Hemorrhoid Disease: Presentation and Management"
864:
Conservative treatment typically consists of foods rich in
684:. This examination may not be possible without appropriate
84:
3281:
3072:
2914:
303:
for long periods. Hemorrhoids are also more common during
256:. In their normal state, they are cushions that help with
2447:
805:
is present, other potential causes should be considered.
725:
Grade IV: Prolapse with inability to be manually reduced.
553:
and externals from the inferior hemorrhoidal plexus. The
3818:
Raid! : the untold story of Patton's secret mission
1634:
Kaidar-Person, O; Person, B; Wexner, SD (January 2007).
692:
or external hemorrhoid rather than internal hemorrhoid.
288:
may remain after the healing of an external hemorrhoid.
2295:
3815:
Baron, Richard; Baum, Abe; Goldhurst, Richard (1981).
2302:. Springer Science & Business Media. p. 857.
2299:
General Surgery: Principles and International Practice
668:(DRE) can also be performed to detect possible rectal
3409:"Stapled versus conventional surgery for hemorrhoids"
3186:
99:
4830:
Diseases of veins, lymphatic vessels and lymph nodes
4063:
3908:
2255:
Reese, GE; von Roon, AC; Tekkis, PP (Jan 29, 2009).
2089:
2087:
2085:
2083:
1886:
96:
3798:
Journal of the Orders and Medals Society of America
808:Other conditions that produce an anal mass include
87:
81:
78:
3814:
2601:
2093:
1193:In medieval times, hemorrhoids were also known as
716:Grade I: No prolapse, just prominent blood vessels
2511:(2nd ed.). New York: Springer. p. 665.
2080:
1447:(2nd ed.). New York: Springer. p. 175.
4821:
3677:"Glenn Beck: Put the 'Care' Back in Health Care"
2834:
2213:(2nd ed.). New York: Springer. p. 21.
1992:Journal of Vascular and Interventional Radiology
1273:During World War II, US Army Lieutenant Colonel
2398:
1359:"Hemorrhoids: diagnosis and current management"
868:, intake of oral fluids to maintain hydration,
322:intake, drinking fluids to maintain hydration,
3180:
3143:
2883:
2473:
1636:"Hemorrhoidal disease: A comprehensive review"
1444:The ASCRS textbook of colon and rectal surgery
1356:
1156:." Hemorrhoids may have been described in the
1008:. Infrared cauterization may be an option for
489:of hemorrhoids, showing engorged blood vessels
4049:
3467:Journal of Surgical Technique and Case Report
3277:
3275:
3043:
2505:Glass, Jill C. Cash, Cheryl A. (2010-11-18).
1756:
1712:American Society of Colon and Rectal Surgeons
1629:
1627:
1625:
1623:
1621:
1619:
1617:
1615:
1613:
1611:
1220:), "stream, flow, current", itself from ῥέω (
893:American Society of Colon and Rectal Surgeons
3456:
3454:
3452:
3079:Journal of the German Society of Dermatology
2681:
2679:
2555:"Laxatives for the treatment of hemorrhoids"
2535:: CS1 maint: multiple names: authors list (
2237:: CS1 maint: multiple names: authors list (
2192:: CS1 maint: multiple names: authors list (
1609:
1607:
1605:
1603:
1601:
1599:
1597:
1595:
1593:
1591:
19:"Piles" redirects here. For other uses, see
3630:
3461:Agbo, Indru Khubchandani (1 January 2011).
3238:International Journal of Colorectal Disease
3066:
2548:
2546:
2327:Fitzgerald, Margaret A. (4 December 2020).
1959:
1643:Journal of the American College of Surgeons
1436:
1434:
1432:
1430:
1428:
1426:
1424:
1422:
1352:
1350:
1348:
1346:
1344:
1342:
1340:
1338:
1336:
1334:
1332:
1330:
1328:
1326:
1324:
1322:
1320:
1318:
1316:
1212:), "liable to discharge blood", from αἷμα (
785:may also occur owing to colorectal cancer,
4629:Chronic cerebrospinal venous insufficiency
4056:
4042:
3272:
2908:
2722:
2635:
2633:
2330:Nurse Practitioner Certification Exam Prep
2326:
2157:
2155:
2153:
2151:
2149:
2113:
2111:
2109:
2107:
2105:
2035:
1816:
1814:
1812:
1810:
1808:
1806:
1541:
1490:
1488:
1420:
1418:
1416:
1414:
1412:
1410:
1408:
1406:
1404:
1402:
1314:
1312:
1310:
1308:
1306:
1304:
1302:
1300:
1298:
1296:
47:
3488:
3478:
3449:
3432:
3383:
3342:
3212:
3187:Pescatori, M; Gagliardi, G (March 2008).
3090:
3012:
2860:
2803:
2676:
2578:
2272:
2250:
2248:
2206:
2063:
2053:
1856:
1838:
1804:
1802:
1800:
1798:
1796:
1794:
1792:
1790:
1788:
1786:
1705:
1703:
1701:
1699:
1588:
1571:
1545:
1539:
1537:
1535:
1533:
1531:
1529:
1527:
1525:
1523:
1521:
1486:
1484:
1482:
1480:
1478:
1476:
1474:
1472:
1470:
1468:
1374:
923:to which certain people may be allergic.
42:Haemorrhoids, piles, hemorrhoidal disease
3856:) is being considered for deletion. See
3400:
2543:
1934:"Hemorrhoidal Artery Embolization (HAE)"
1882:
1880:
1878:
1876:
1761:Illustrative Handbook of General Surgery
1697:
1695:
1693:
1691:
1689:
1687:
1685:
1683:
1681:
1679:
1152:recovers, let him be put on a course of
1130:
1086:transanal hemorrhoidal dearterialization
733:
481:
353:
3665:from the original on February 11, 2009.
3511:
3413:Cochrane Database of Systematic Reviews
3323:Cochrane Database of Systematic Reviews
2917:Cochrane Database of Systematic Reviews
2886:Cochrane Database of Systematic Reviews
2841:Cochrane Database of Systematic Reviews
2835:Quijano, CE; Abalos, E (Jul 20, 2005).
2630:
2146:
2102:
2031:
2029:
1399:
1293:
4822:
3617:, Henry George Liddell, Robert Scott,
3594:, Henry George Liddell, Robert Scott,
3571:, Henry George Liddell, Robert Scott,
3044:Garg, Nitin; Gloviczki, Peter (2013).
2245:
2161:
2117:
1783:
1518:
1465:
1021:Hemorrhoidal artery embolization (HAE)
528:Hemorrhoid cushions are important for
329:Hemorrhoidal artery embolization (HAE)
4840:Medical conditions related to obesity
4401:Hereditary hemorrhagic telangiectasia
4037:
3687:from the original on 28 November 2012
3505:
3284:The Surgical Clinics of North America
2504:
2364:
1981:
1979:
1955:
1953:
1928:
1926:
1873:
1676:
349:
16:Vascular structures in the anal canal
4406:Generalized essential telangiectasia
3771:from the original on 3 February 2017
3548:, Charlton T. Lewis, Charles Short,
3463:"Surgical management of hemorrhoids"
3460:
2732:. Dermnetnz.org. December 28, 2013.
2026:
1440:
1259:had surgery for hemorrhoids in 1984.
1208:, in turn from the Greek αἱμορροΐς (
932:traditional Chinese herbal treatment
870:nonsteroidal anti-inflammatory drugs
469:During pregnancy, pressure from the
260:control. They become a disease when
204:Examination, rule out serious causes
3661:. Associated Press. March 1, 1981.
3081:(Professional society guidelines).
2959:(Professional society guidelines).
2690:(Professional society guidelines).
1552:Clinics in Colon and Rectal Surgery
1244:Conservative political commentator
761:Many anorectal problems, including
13:
3783:
3643:from the original on June 5, 2011.
2736:from the original on March 5, 2014
2096:Surgical Treatment of Haemorrhoids
1976:
1950:
1923:
477:
14:
4876:
3860:to help reach a consensus. ›
3839:
3741:from the original on 9 March 2014
3046:"55—Chronic Venous Insufficiency"
2210:Surgical treatment of hemorrhoids
2042:World Journal of Gastroenterology
1655:10.1016/j.jamcollsurg.2006.08.022
1357:Lorenzo-Rivero, S (August 2009).
4556:Cerebral venous sinus thrombosis
3874:Diseases of the Colon and Rectum
3719:from the original on 2016-03-09.
3633:"Memories fill Kauffman Stadium"
3372:International Journal of Surgery
3158:10.2165/00003495-200565110-00003
2775:from the original on 2014-07-04.
2730:"Balsam of Peru contact allergy"
2688:Diseases of the Colon and Rectum
2642:Diseases of the Colon and Rectum
2616:10.1111/j.1742-7924.2011.00175.x
2604:Japan Journal of Nursing Science
2525:from the original on 2017-09-08.
2494:from the original on 2017-09-08.
2316:from the original on 2017-08-11.
2227:from the original on 2017-09-08.
2182:from the original on 2017-09-08.
2142:from the original on 2013-05-20.
1901:10.1136/postgradmedj-2015-133328
1716:Diseases of the Colon and Rectum
1546:Sun, Z; Migaly, J (March 2016).
1461:from the original on 2014-12-30.
1227:
649:
642:
630:
623:
611:
604:
592:
585:
222:hemorrhoidal artery embolization
74:
3808:
3753:
3723:
3699:
3669:
3655:"Brett in Hospital for Surgery"
3647:
3624:
3601:
3578:
3555:
3532:
3359:
3310:
3229:
3137:
3107:
3037:
2983:
2969:10.1016/j.jviscsurg.2016.03.004
2947:
2877:
2828:
2779:
2748:
2595:
2498:
2467:
2430:
2407:Jones & Bartlett Publishers
2392:
2358:
2320:
2289:
2200:
1502:. November 2013. Archived from
1237:was removed from a game in the
1110:
859:
756:
143:: Pain and swelling around the
4507:Hepatic veno-occlusive disease
3425:10.1002/14651858.CD005393.pub2
3335:10.1002/14651858.CD005034.pub2
2925:10.1002/14651858.CD004322.pub3
2894:10.1002/14651858.cd006791.pub2
2853:10.1002/14651858.CD004077.pub2
2571:10.1002/14651858.CD004649.pub2
2365:Ferri, Fred F. (1 June 2019).
1750:
1074:thrombosed external hemorrhoid
1016:, reoccurrence rates are high.
824:, and enlarged anal papillae.
443:, an intra-abdominal mass, or
1:
4319:Aneurysm of sinus of Valsalva
4173:Monckeberg's arteriosclerosis
3845:
3631:Dick Kaegel (March 5, 2009).
3296:10.1016/s0039-6109(02)00081-6
2402:Nutrition for the Older Adult
2165:Essentials of general surgery
1286:
1233:Hall-of-Fame baseball player
945:
907:, an analgesic agent such as
852:
839:
729:
695:
4624:Chronic venous insufficiency
4249:Aortoiliac occlusive disease
3886:10.1097/DCR.0000000000001030
3621:, on Perseus Digital Library
3598:, on Perseus Digital Library
3575:, on Perseus Digital Library
3552:, on Perseus Digital Library
3193:Techniques in Coloproctology
2993:Techniques in Coloproctology
2700:10.1097/DCR.0000000000001030
2654:10.1097/DCR.0000000000001030
2371:. Elsevier Health Sciences.
1889:Postgraduate Medical Journal
1765:. Berlin: Springer. p.
1728:10.1097/DCR.0b013e318225513d
1270:have suffered the condition.
975:involves the injection of a
560:
551:superior hemorrhoidal plexus
466:has been listed as a cause.
333:minimally invasive procedure
7:
4639:Inferior vena cava syndrome
4634:Superior vena cava syndrome
4361:Vertebral artery dissection
4351:Intracranial berry aneurysm
2957:Journal of Visceral Surgery
1065:Excisional hemorrhoidectomy
566:Internal hemorrhoid grades
505:, but blood vessels called
394:
373:
10:
4881:
4740:Hypertensive heart disease
4391:Arteriovenous malformation
4366:Familial aortic dissection
3385:10.1016/j.ijsu.2010.04.012
2559:Cochrane Database Syst Rev
2508:Family practice guidelines
2036:Lohsiriwat, Varut (2012).
2004:10.1016/j.jvir.2021.03.548
1960:UCLA Health (2024-06-24).
1376:10.1177/000313480907500801
1126:
1034:
1025:interventional radiologist
791:inflammatory bowel disease
18:
4795:
4765:Renovascular hypertension
4730:
4721:
4708:Hepatic artery thrombosis
4656:
4616:
4571:
4475:
4457:
4448:
4416:
4376:
4356:Carotid artery dissection
4309:Abdominal aortic aneurysm
4281:
4241:
4218:
4159:Intermittent claudication
4129:
4122:Peripheral artery disease
4120:
4090:
4072:
3982:
3912:
3765:The Sydney Morning Herald
3761:"The Five: Wounded pride"
3250:10.1007/s00384-008-0524-y
3205:10.1007/s10151-008-0391-0
3005:10.1007/s10151-015-1371-9
1224:), "to flow, to stream".
557:divides the two regions.
426:
227:
208:
198:
174:
166:
158:
150:
126:
114:
60:
55:
46:
38:
33:
4750:Hypertensive nephropathy
4563:Post-thrombotic syndrome
4544:Paget–Schroetter disease
4336:Coronary artery aneurysm
4314:Thoracic aortic aneurysm
3858:templates for discussion
3731:"Carter Leaves Hospital"
3681:ABC Good Morning America
2118:Davies, RJ (June 2006).
2055:10.3748/wjg.v18.i17.2009
1277:was selected by General
1094:Stapled hemorrhoidectomy
517:. Sinusoids do not have
460:pelvic floor dysfunction
331:is a safe and effective
4805:Orthostatic hypotension
4787:White coat hypertension
4264:Fibromuscular dysplasia
4228:Carotid artery stenosis
3619:A Greek-English Lexicon
3596:A Greek-English Lexicon
3573:A Greek-English Lexicon
3512:Cataldo, Peter (2005).
3480:10.4103/2006-8808.92797
2474:Frank J Domino (2012).
1441:Beck, David E. (2011).
1104:grade II or III disease
1099:stapled hemorrhoidopexy
1014:grade III or IV disease
832:(blood pressure in the
547:external anal sphincter
538:external anal sphincter
451:, prolonged sitting, a
268:; the unqualified term
135:: Painless, bright red
4777:Pulmonary hypertension
4760:Secondary hypertension
4755:Essential hypertension
4745:Hypertensive emergency
4586:Portacaval anastomosis
4522:Portal vein thrombosis
4164:Critical limb ischemia
4065:Cardiovascular disease
3821:. Putnam. p. 20.
3121:. 2005. Archived from
1757:Chen, Herbert (2010).
1564:10.1055/s-0035-1568144
1255:Former U.S. President
1136:
965:grade I to III disease
743:
490:
362:
21:Piles (disambiguation)
4782:Systolic hypertension
4527:Renal vein thrombosis
4386:Arteriovenous fistula
4378:Vascular malformation
4346:Intracranial aneurysm
4233:Renal artery stenosis
3637:Major League Baseball
1827:World J Gastroenterol
1216:), "blood" and ῥόος (
1134:
1070:grade III hemorrhoids
1010:grade I or II disease
737:
541:increased. Increased
485:
357:
299:, and sitting on the
4696:Paradoxical embolism
4691:Cholesterol embolism
4517:May–Thurner syndrome
4512:Budd–Chiari syndrome
4495:Deep vein thrombosis
4490:primarily lower limb
4269:Raynaud's phenomenon
3737:. January 19, 1984.
3707:"Beck From the Dead"
1972:– via YouTube.
1118:socioeconomic status
960:Rubber band ligation
834:portal venous system
795:diverticular disease
747:External hemorrhoids
384:external hemorrhoids
4772:Benign hypertension
3290:(6): 1225–31, vii.
3125:on November 8, 2014
2098:. London: Springer.
1840:10.3748/wjg.15.3201
1201:"emorroides", from
1188:Henri de Mondeville
1078:Glyceryl trinitrate
830:portal hypertension
742:external hemorrhoid
704:, which lacks pain
702:columnar epithelium
666:digital rectal exam
567:
523:hemorrhoidal plexus
360:external hemorrhoid
231:50–66% at some time
216:, drinking fluids,
4845:Colorectal surgery
4835:Digestive diseases
4686:Pulmonary embolism
4596:Esophageal varices
4534:upper limb / torso
4178:Arteriolosclerosis
3983:External resources
3735:The New York Times
3659:The New York Times
3613:2011-06-05 at the
3590:2011-06-05 at the
3567:2011-06-05 at the
3550:A Latin Dictionary
3544:2011-02-25 at the
3520:on 3 December 2013
1938:www.uclahealth.org
1506:on 26 January 2016
1149:Hippocratic corpus
1137:
1050:fecal incontinence
998:infrared radiation
744:
565:
491:
417:fecal incontinence
411:through the anus,
363:
350:Signs and symptoms
252:structures in the
191:for long periods,
154:45–65 years of age
4817:
4816:
4813:
4812:
4657:Arteries or veins
4652:
4651:
4477:Venous thrombosis
4444:
4443:
4426:Cherry hemangioma
4326:Aortic dissection
4277:
4276:
4112:Buerger's disease
4031:
4030:
3092:10.1111/ddg.13006
2768:978-1-4419-1581-8
2518:978-0-8261-1812-7
2487:978-1-4511-3735-4
2416:978-1-4496-6396-4
2378:978-0-323-67977-0
2344:978-1-7196-4298-9
2261:Clinical Evidence
2220:978-1-84800-313-2
2175:978-0-7817-5003-5
2124:Clinical Evidence
2048:(17): 2009–2017.
1776:978-1-84882-088-3
1454:978-1-4419-1581-8
1239:1980 World Series
1180:Lanfranc of Milan
1090:hemorrhoidectomy.
1046:urinary retention
878:fiber supplements
826:Anorectal varices
771:colorectal cancer
657:
656:
511:connective tissue
244:), also known as
235:
234:
220:, rest, surgery,
200:Diagnostic method
187:, sitting on the
28:Medical condition
4872:
4728:
4727:
4539:Mondor's disease
4482:Thrombophlebitis
4455:
4454:
4131:Arteriosclerosis
4127:
4126:
4088:
4087:
4058:
4051:
4044:
4035:
4034:
3910:
3909:
3905:
3833:
3832:
3812:
3806:
3805:
3795:
3787:
3781:
3780:
3778:
3776:
3757:
3751:
3750:
3748:
3746:
3727:
3721:
3720:
3703:
3697:
3696:
3694:
3692:
3673:
3667:
3666:
3651:
3645:
3644:
3628:
3622:
3605:
3599:
3582:
3576:
3559:
3553:
3536:
3530:
3529:
3527:
3525:
3509:
3503:
3502:
3492:
3482:
3458:
3447:
3446:
3436:
3404:
3398:
3397:
3387:
3363:
3357:
3356:
3346:
3314:
3308:
3307:
3279:
3270:
3269:
3233:
3227:
3226:
3216:
3184:
3178:
3177:
3141:
3135:
3134:
3132:
3130:
3111:
3105:
3104:
3094:
3070:
3064:
3063:
3041:
3035:
3034:
3016:
2987:
2981:
2980:
2951:
2945:
2944:
2912:
2906:
2905:
2888:(10): CD006791.
2881:
2875:
2874:
2864:
2832:
2826:
2825:
2807:
2805:10.1002/bjs.5378
2783:
2777:
2776:
2752:
2746:
2745:
2743:
2741:
2726:
2720:
2719:
2683:
2674:
2673:
2637:
2628:
2627:
2599:
2593:
2592:
2582:
2550:
2541:
2540:
2534:
2526:
2502:
2496:
2495:
2471:
2465:
2464:
2462:
2460:
2451:. Archived from
2434:
2428:
2427:
2425:
2423:
2396:
2390:
2389:
2387:
2385:
2362:
2356:
2355:
2353:
2351:
2324:
2318:
2317:
2293:
2287:
2286:
2276:
2252:
2243:
2242:
2236:
2228:
2204:
2198:
2197:
2191:
2183:
2159:
2144:
2143:
2115:
2100:
2099:
2091:
2078:
2077:
2067:
2057:
2033:
2024:
2023:
1998:(8): 1119–1127.
1983:
1974:
1973:
1971:
1970:
1957:
1948:
1947:
1945:
1944:
1930:
1921:
1920:
1884:
1871:
1870:
1860:
1842:
1818:
1781:
1780:
1764:
1754:
1748:
1747:
1707:
1674:
1673:
1671:
1665:. Archived from
1640:
1631:
1586:
1585:
1575:
1543:
1516:
1515:
1513:
1511:
1492:
1463:
1462:
1438:
1397:
1396:
1378:
1354:
1279:George S. Patton
1096:, also known as
1012:. In those with
653:
646:
634:
627:
615:
608:
596:
589:
568:
564:
464:anal intercourse
106:
105:
102:
101:
98:
95:
92:
89:
86:
83:
80:
73:
51:
31:
30:
4880:
4879:
4875:
4874:
4873:
4871:
4870:
4869:
4820:
4819:
4818:
4809:
4791:
4717:
4674:Microangiopathy
4669:Macroangiopathy
4648:
4612:
4581:Gastric varices
4567:
4480:
4471:
4440:
4412:
4372:
4304:Aortic aneurysm
4290:
4273:
4259:Erythromelalgia
4237:
4214:
4139:Atherosclerosis
4116:
4080:
4068:
4062:
4032:
4027:
4026:
3978:
3977:
3921:
3861:
3842:
3837:
3836:
3829:
3813:
3809:
3793:
3789:
3788:
3784:
3774:
3772:
3759:
3758:
3754:
3744:
3742:
3729:
3728:
3724:
3705:
3704:
3700:
3690:
3688:
3683:. Jan 8, 2008.
3675:
3674:
3670:
3653:
3652:
3648:
3629:
3625:
3615:Wayback Machine
3606:
3602:
3592:Wayback Machine
3583:
3579:
3569:Wayback Machine
3560:
3556:
3546:Wayback Machine
3537:
3533:
3523:
3521:
3510:
3506:
3459:
3450:
3419:(4): CD005393.
3405:
3401:
3364:
3360:
3329:(3): CD005034.
3315:
3311:
3280:
3273:
3244:(11): 1023–31.
3234:
3230:
3185:
3181:
3152:(11): 1481–91.
3142:
3138:
3128:
3126:
3113:
3112:
3108:
3071:
3067:
3060:
3042:
3038:
2999:(10): 567–575.
2988:
2984:
2952:
2948:
2919:(8): CD004322.
2913:
2909:
2882:
2878:
2847:(3): CD004077.
2833:
2829:
2784:
2780:
2769:
2753:
2749:
2739:
2737:
2728:
2727:
2723:
2684:
2677:
2638:
2631:
2600:
2596:
2565:(4): CD004649.
2551:
2544:
2528:
2527:
2519:
2503:
2499:
2488:
2472:
2468:
2458:
2456:
2435:
2431:
2421:
2419:
2417:
2409:. p. 116.
2397:
2393:
2383:
2381:
2379:
2363:
2359:
2349:
2347:
2345:
2325:
2321:
2310:
2294:
2290:
2253:
2246:
2230:
2229:
2221:
2205:
2201:
2185:
2184:
2176:
2160:
2147:
2116:
2103:
2092:
2081:
2034:
2027:
1984:
1977:
1968:
1966:
1958:
1951:
1942:
1940:
1932:
1931:
1924:
1885:
1874:
1833:(26): 3201–09.
1819:
1784:
1777:
1755:
1751:
1708:
1677:
1669:
1638:
1632:
1589:
1544:
1519:
1509:
1507:
1494:
1493:
1466:
1455:
1439:
1400:
1355:
1294:
1289:
1230:
1184:Guy de Chauliac
1176:Susruta Samhita
1129:
1113:
1084:Doppler-guided
1058:rectal prolapse
1042:anal strictures
1037:
979:agent, such as
952:perianal sepsis
948:
919:. Some contain
913:vasoconstrictor
901:petroleum jelly
862:
855:
842:
818:rectal prolapse
783:Rectal bleeding
759:
732:
698:
563:
487:Gross pathology
480:
478:Pathophysiology
429:
401:rectal bleeding
397:
376:
352:
274:rectal bleeding
139:
137:rectal bleeding
121:General surgery
110:
77:
68:
67:
29:
24:
17:
12:
11:
5:
4878:
4868:
4867:
4862:
4857:
4852:
4847:
4842:
4837:
4832:
4815:
4814:
4811:
4810:
4808:
4807:
4801:
4799:
4793:
4792:
4790:
4789:
4784:
4779:
4774:
4769:
4768:
4767:
4757:
4752:
4747:
4742:
4736:
4734:
4725:
4723:Blood pressure
4719:
4718:
4716:
4715:
4710:
4705:
4700:
4699:
4698:
4693:
4688:
4678:
4677:
4676:
4671:
4660:
4658:
4654:
4653:
4650:
4649:
4647:
4646:
4641:
4636:
4631:
4626:
4620:
4618:
4614:
4613:
4611:
4610:
4605:
4604:
4603:
4598:
4593:
4583:
4577:
4575:
4573:Varicose veins
4569:
4568:
4566:
4565:
4560:
4559:
4558:
4548:
4547:
4546:
4541:
4531:
4530:
4529:
4524:
4519:
4514:
4509:
4499:
4498:
4497:
4486:
4484:
4473:
4472:
4470:
4469:
4463:
4461:
4452:
4446:
4445:
4442:
4441:
4439:
4438:
4436:Spider angioma
4433:
4428:
4422:
4420:
4418:Vascular nevus
4414:
4413:
4411:
4410:
4409:
4408:
4403:
4396:Telangiectasia
4393:
4388:
4382:
4380:
4374:
4373:
4371:
4370:
4369:
4368:
4363:
4358:
4353:
4348:
4338:
4333:
4331:Aortic rupture
4328:
4323:
4322:
4321:
4316:
4311:
4296:
4294:
4292:pseudoaneurysm
4279:
4278:
4275:
4274:
4272:
4271:
4266:
4261:
4256:
4251:
4245:
4243:
4239:
4238:
4236:
4235:
4230:
4224:
4222:
4216:
4215:
4213:
4212:
4211:
4210:
4205:
4203:Oxycholesterol
4200:
4195:
4190:
4185:
4175:
4169:
4168:
4167:
4166:
4161:
4156:
4151:
4146:
4135:
4133:
4124:
4118:
4117:
4115:
4114:
4109:
4108:
4107:
4096:
4094:
4085:
4070:
4069:
4061:
4060:
4053:
4046:
4038:
4029:
4028:
4025:
4024:
4013:
3999:
3987:
3986:
3984:
3980:
3979:
3976:
3975:
3964:
3953:
3938:
3922:
3917:
3916:
3914:
3913:Classification
3907:
3906:
3880:(3): 284–292.
3869:
3841:
3840:External links
3838:
3835:
3834:
3827:
3807:
3804:(3): 10. 1997.
3791:"Harold Cohen"
3782:
3767:. 2009-12-12.
3752:
3722:
3698:
3668:
3646:
3623:
3600:
3577:
3554:
3531:
3504:
3448:
3399:
3358:
3309:
3271:
3228:
3179:
3136:
3106:
3065:
3058:
3036:
2982:
2946:
2907:
2876:
2827:
2778:
2767:
2747:
2721:
2694:(3): 284–292.
2675:
2629:
2594:
2542:
2517:
2497:
2486:
2466:
2429:
2415:
2391:
2377:
2357:
2343:
2319:
2308:
2288:
2257:"Haemorrhoids"
2244:
2219:
2199:
2174:
2145:
2130:(15): 711–24.
2120:"Haemorrhoids"
2101:
2079:
2025:
1975:
1949:
1922:
1872:
1782:
1775:
1749:
1722:(9): 1059–64.
1675:
1672:on 2012-09-22.
1587:
1517:
1464:
1453:
1398:
1291:
1290:
1288:
1285:
1284:
1283:
1271:
1264:Matthew Hayden
1260:
1253:
1242:
1229:
1226:
1128:
1125:
1112:
1109:
1108:
1107:
1091:
1081:
1036:
1033:
1029:microparticles
1018:
1017:
994:electrocautery
984:
968:
947:
944:
921:Balsam of Peru
885:topical agents
861:
858:
854:
851:
845:attempting to
841:
838:
799:angiodysplasia
775:rectal varices
758:
755:
731:
728:
727:
726:
723:
720:
717:
697:
694:
676:, an enlarged
655:
654:
647:
640:
636:
635:
628:
621:
617:
616:
609:
602:
598:
597:
590:
583:
579:
578:
575:
572:
562:
559:
555:pectinate line
479:
476:
428:
425:
396:
393:
375:
372:
351:
348:
233:
232:
229:
225:
224:
210:
206:
205:
202:
196:
195:
178:
172:
171:
168:
164:
163:
160:
156:
155:
152:
148:
147:
130:
124:
123:
118:
112:
111:
109:
108:
64:
62:
58:
57:
53:
52:
44:
43:
40:
36:
35:
27:
15:
9:
6:
4:
3:
2:
4877:
4866:
4865:Anal diseases
4863:
4861:
4858:
4856:
4853:
4851:
4848:
4846:
4843:
4841:
4838:
4836:
4833:
4831:
4828:
4827:
4825:
4806:
4803:
4802:
4800:
4798:
4794:
4788:
4785:
4783:
4780:
4778:
4775:
4773:
4770:
4766:
4763:
4762:
4761:
4758:
4756:
4753:
4751:
4748:
4746:
4743:
4741:
4738:
4737:
4735:
4733:
4729:
4726:
4724:
4720:
4714:
4711:
4709:
4706:
4704:
4701:
4697:
4694:
4692:
4689:
4687:
4684:
4683:
4682:
4679:
4675:
4672:
4670:
4667:
4666:
4665:
4662:
4661:
4659:
4655:
4645:
4642:
4640:
4637:
4635:
4632:
4630:
4627:
4625:
4622:
4621:
4619:
4615:
4609:
4606:
4602:
4599:
4597:
4594:
4592:
4591:Caput medusae
4589:
4588:
4587:
4584:
4582:
4579:
4578:
4576:
4574:
4570:
4564:
4561:
4557:
4554:
4553:
4552:
4549:
4545:
4542:
4540:
4537:
4536:
4535:
4532:
4528:
4525:
4523:
4520:
4518:
4515:
4513:
4510:
4508:
4505:
4504:
4503:
4500:
4496:
4493:
4492:
4491:
4488:
4487:
4485:
4483:
4478:
4474:
4468:
4465:
4464:
4462:
4460:
4456:
4453:
4451:
4447:
4437:
4434:
4432:
4429:
4427:
4424:
4423:
4421:
4419:
4415:
4407:
4404:
4402:
4399:
4398:
4397:
4394:
4392:
4389:
4387:
4384:
4383:
4381:
4379:
4375:
4367:
4364:
4362:
4359:
4357:
4354:
4352:
4349:
4347:
4344:
4343:
4342:
4339:
4337:
4334:
4332:
4329:
4327:
4324:
4320:
4317:
4315:
4312:
4310:
4307:
4306:
4305:
4301:
4298:
4297:
4295:
4293:
4288:
4284:
4280:
4270:
4267:
4265:
4262:
4260:
4257:
4255:
4254:Degos disease
4252:
4250:
4247:
4246:
4244:
4240:
4234:
4231:
4229:
4226:
4225:
4223:
4221:
4217:
4209:
4206:
4204:
4201:
4199:
4196:
4194:
4191:
4189:
4186:
4184:
4181:
4180:
4179:
4176:
4174:
4171:
4170:
4165:
4162:
4160:
4157:
4155:
4152:
4150:
4147:
4145:
4142:
4141:
4140:
4137:
4136:
4134:
4132:
4128:
4125:
4123:
4119:
4113:
4110:
4106:
4103:
4102:
4101:
4098:
4097:
4095:
4093:
4089:
4086:
4084:
4079:
4075:
4071:
4066:
4059:
4054:
4052:
4047:
4045:
4040:
4039:
4036:
4023:
4019:
4018:
4014:
4012:
4009:
4005:
4004:
4000:
3998:
3994:
3993:
3989:
3988:
3985:
3981:
3974:
3970:
3969:
3965:
3963:
3959:
3958:
3954:
3952:
3948:
3947:
3943:
3939:
3937:
3933:
3932:
3928:
3924:
3923:
3920:
3915:
3911:
3903:
3899:
3895:
3891:
3887:
3883:
3879:
3875:
3870:
3868:
3864:
3859:
3855:
3854:
3849:
3844:
3843:
3830:
3828:9780399125973
3824:
3820:
3819:
3811:
3803:
3799:
3792:
3786:
3770:
3766:
3762:
3756:
3740:
3736:
3732:
3726:
3718:
3714:
3713:
3708:
3702:
3686:
3682:
3678:
3672:
3664:
3660:
3656:
3650:
3642:
3638:
3634:
3627:
3620:
3616:
3612:
3609:
3604:
3597:
3593:
3589:
3586:
3581:
3574:
3570:
3566:
3563:
3558:
3551:
3547:
3543:
3540:
3535:
3519:
3515:
3514:"Hemorrhoids"
3508:
3500:
3496:
3491:
3486:
3481:
3476:
3472:
3468:
3464:
3457:
3455:
3453:
3444:
3440:
3435:
3430:
3426:
3422:
3418:
3414:
3410:
3403:
3395:
3391:
3386:
3381:
3378:(8): 606–11.
3377:
3373:
3369:
3362:
3354:
3350:
3345:
3340:
3336:
3332:
3328:
3324:
3320:
3313:
3305:
3301:
3297:
3293:
3289:
3285:
3278:
3276:
3267:
3263:
3259:
3255:
3251:
3247:
3243:
3239:
3232:
3224:
3220:
3215:
3210:
3206:
3202:
3198:
3194:
3190:
3183:
3175:
3171:
3167:
3163:
3159:
3155:
3151:
3147:
3140:
3124:
3120:
3116:
3110:
3102:
3098:
3093:
3088:
3085:(6): 575–83.
3084:
3080:
3076:
3069:
3061:
3059:9781437729306
3055:
3051:
3047:
3040:
3032:
3028:
3024:
3020:
3015:
3010:
3006:
3002:
2998:
2994:
2986:
2978:
2974:
2970:
2966:
2962:
2958:
2950:
2942:
2938:
2934:
2930:
2926:
2922:
2918:
2911:
2903:
2899:
2895:
2891:
2887:
2880:
2872:
2868:
2863:
2858:
2854:
2850:
2846:
2842:
2838:
2831:
2823:
2819:
2815:
2811:
2806:
2801:
2798:(8): 909–20.
2797:
2793:
2789:
2782:
2774:
2770:
2764:
2760:
2759:
2751:
2735:
2731:
2725:
2717:
2713:
2709:
2705:
2701:
2697:
2693:
2689:
2682:
2680:
2671:
2667:
2663:
2659:
2655:
2651:
2648:(3): 284–92.
2647:
2643:
2636:
2634:
2625:
2621:
2617:
2613:
2610:(2): 115–28.
2609:
2605:
2598:
2590:
2586:
2581:
2576:
2572:
2568:
2564:
2560:
2556:
2549:
2547:
2538:
2532:
2524:
2520:
2514:
2510:
2509:
2501:
2493:
2489:
2483:
2479:
2478:
2470:
2455:on 2010-03-23
2454:
2450:
2449:
2445:
2440:
2439:"Hemorrhoids"
2433:
2418:
2412:
2408:
2404:
2403:
2395:
2380:
2374:
2370:
2369:
2361:
2346:
2340:
2336:
2332:
2331:
2323:
2315:
2311:
2309:9781846288326
2305:
2301:
2300:
2292:
2284:
2280:
2275:
2270:
2266:
2262:
2258:
2251:
2249:
2240:
2234:
2226:
2222:
2216:
2212:
2211:
2203:
2195:
2189:
2181:
2177:
2171:
2167:
2166:
2158:
2156:
2154:
2152:
2150:
2141:
2137:
2133:
2129:
2125:
2121:
2114:
2112:
2110:
2108:
2106:
2097:
2090:
2088:
2086:
2084:
2075:
2071:
2066:
2061:
2056:
2051:
2047:
2043:
2039:
2032:
2030:
2021:
2017:
2013:
2009:
2005:
2001:
1997:
1993:
1989:
1982:
1980:
1965:
1964:
1956:
1954:
1939:
1935:
1929:
1927:
1918:
1914:
1910:
1906:
1902:
1898:
1895:(1083): 4–8.
1894:
1890:
1883:
1881:
1879:
1877:
1868:
1864:
1859:
1854:
1850:
1846:
1841:
1836:
1832:
1828:
1824:
1817:
1815:
1813:
1811:
1809:
1807:
1805:
1803:
1801:
1799:
1797:
1795:
1793:
1791:
1789:
1787:
1778:
1772:
1768:
1763:
1762:
1753:
1745:
1741:
1737:
1733:
1729:
1725:
1721:
1717:
1713:
1706:
1704:
1702:
1700:
1698:
1696:
1694:
1692:
1690:
1688:
1686:
1684:
1682:
1680:
1668:
1664:
1660:
1656:
1652:
1649:(1): 102–17.
1648:
1644:
1637:
1630:
1628:
1626:
1624:
1622:
1620:
1618:
1616:
1614:
1612:
1610:
1608:
1606:
1604:
1602:
1600:
1598:
1596:
1594:
1592:
1583:
1579:
1574:
1569:
1565:
1561:
1557:
1553:
1549:
1542:
1540:
1538:
1536:
1534:
1532:
1530:
1528:
1526:
1524:
1522:
1505:
1501:
1497:
1496:"Hemorrhoids"
1491:
1489:
1487:
1485:
1483:
1481:
1479:
1477:
1475:
1473:
1471:
1469:
1460:
1456:
1450:
1446:
1445:
1437:
1435:
1433:
1431:
1429:
1427:
1425:
1423:
1421:
1419:
1417:
1415:
1413:
1411:
1409:
1407:
1405:
1403:
1394:
1390:
1386:
1382:
1377:
1372:
1369:(8): 635–42.
1368:
1364:
1360:
1353:
1351:
1349:
1347:
1345:
1343:
1341:
1339:
1337:
1335:
1333:
1331:
1329:
1327:
1325:
1323:
1321:
1319:
1317:
1315:
1313:
1311:
1309:
1307:
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4459:Inflammation
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4188:Hyperplastic
4149:Fatty streak
4092:Inflammation
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1504:the original
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1443:
1366:
1362:
1275:Harold Cohen
1268:Viv Richards
1257:Jimmy Carter
1235:George Brett
1221:
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1209:
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1195:Saint Fiacre
1192:
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1111:Epidemiology
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860:Conservative
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757:Differential
745:
699:
690:anal fissure
658:
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468:
433:constipation
430:
405:hematochezia
398:
377:
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337:
317:
293:constipation
290:
269:
245:
242:haemorrhoids
241:
237:
236:
181:Constipation
176:Risk factors
140:
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4797:Hypotension
4341:head / neck
4193:Cholesterol
4083:capillaries
3992:MedlinePlus
3846:‹ The
3539:hæmorrhoida
3199:(1): 7–19.
1510:15 February
1262:Cricketers
1210:haimorrhois
1206:hæmorrhoida
1006:cryosurgery
954:may occur.
937:The use of
917:epinephrine
883:While many
309:Colonoscopy
238:Hemorrhoids
151:Usual onset
39:Other names
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4860:Acute pain
4824:Categories
4713:Vasculitis
4703:Thrombosis
4664:Angiopathy
4608:Varicocele
4601:Hemorrhoid
4431:Halo nevus
4287:dissection
4078:arterioles
4022:Hemorrhoid
4017:Patient UK
3968:DiseasesDB
3863:Hemorrhoid
3129:7 November
2335:F.A. Davis
1969:2024-07-18
1943:2024-07-18
1287:References
1246:Glenn Beck
1199:Old French
977:sclerosing
946:Procedures
927:Flavonoids
905:zinc oxide
874:sitz baths
853:Management
840:Prevention
814:anal warts
789:including
740:thrombosed
530:continence
495:anal canal
380:thrombosed
278:defecating
270:hemorrhoid
254:anal canal
212:Increased
4467:Phlebitis
4208:Trans fat
4144:Foam cell
4100:Arteritis
4067:(vessels)
4011:emerg/242
4003:eMedicine
2792:Br J Surg
2531:cite book
2446:(NIDDK),
2233:cite book
2188:cite book
2012:1051-0443
1917:207022763
1849:1007-9327
1393:220122385
1154:Hellebore
1054:ectropion
909:lidocaine
810:skin tags
706:receptors
682:abscesses
561:Diagnosis
507:sinusoids
445:pregnancy
413:itchiness
305:pregnancy
228:Frequency
209:Treatment
193:pregnancy
116:Specialty
4681:Embolism
4283:Aneurysm
4220:Stenosis
4154:Atheroma
4105:Aortitis
4074:Arteries
4008:med/2821
3894:29420423
3848:template
3775:24 April
3769:Archived
3739:Archived
3717:Archived
3685:Archived
3663:Archived
3641:Archived
3611:Archived
3588:Archived
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2589:16235372
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2020:33971251
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1459:Archived
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915:such as
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767:fistulae
763:fissures
730:External
710:prolapse
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686:sedation
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499:arteries
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421:necrotic
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389:skin tag
374:External
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286:skin tag
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