60:
605:
494:
1143:
1113:, 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
746:
978:. 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%.
662:
655:
636:
617:
598:
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366:
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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
1162:
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
1126:
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
349:
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
855:
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
1100:
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
2965:
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)".
3001:
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".
337:
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.
484:
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.
952:
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.
3952:
3937:
1078:
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
670:
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
891:. 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.
376:
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
397:
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
1292:
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
2454:
1252:
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.
1050:
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,
3126:"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"
940:
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
1042:
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%.
910:-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
4840:
318:. 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.
1997:
Makris, Gregory C.; Thulasidasan, Narayan; Malietzis, George; Kontovounisios, Christos; Saibudeen, Affan; Uberoi, Raman; Diamantopoulos, Athanasios; Sapoval, Marc; Vidal, Vincent (January 2021).
3883:
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".
3868:
2697:
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".
2651:
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".
1127:
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
1067:
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
2926:
Perera, Nirmal; Liolitsa, Danae; Iype, Satheesh; Croxford, Anna; Yassin, Muhammed; Lang, Peter; Ukaegbu, Obioha; van Issum, Christopher (15 August 2012). "Phlebotonics for haemorrhoids".
504:
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
1506:
3552:
381:
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.
418:), 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
3598:
3575:
3621:
402:
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.
2547:
2249:
2204:
1208:'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
2564:
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.).
283:
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
4850:
1722:
903:
346:
that can be performed and is typically better tolerated than traditional therapies. Surgery is reserved for those who fail to improve following these measures.
3673:
473:. Squatting while defecating may also increase the risk of severe hemorrhoids. Evidence for these associations, however, is poor. Being a receptive partner in
1134:
Long-term outcomes are generally good, though some people may have recurrent symptomatic episodes. Only a small proportion of persons end up needing surgery.
302:
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
1646:
4066:
3779:
1158:
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
994:, 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%.
4639:
3524:
2533:
3651:
1096:
3695:
2895:
Gan, Tao; Liu, Yue-dong; Wang, Yiping; Yang, Jinlin (2010-10-06). "Traditional
Chinese Medicine herbs for stopping bleeding from haemorrhoids".
3749:
1189:(4th–5th century BC) is similar to the words of Hippocrates, but emphasizes wound cleanliness. In the 13th century, European surgeons such as
4411:
2777:
2527:
2496:
2425:
2387:
2353:
2229:
2184:
1785:
1463:
1003:
methods have been shown to be effective for hemorrhoids, but are usually used only when other methods fail. This procedure can be done using
1514:
699:
because of pain, although most internal hemorrhoids are not associated with pain. If pain is present, the condition is more likely to be an
4416:
442:
The exact cause of symptomatic hemorrhoids is unknown. A number of factors are believed to play a role, including irregular bowel habits (
2744:
2502:
2190:
2783:
2449:
2324:
2235:
1999:"Catheter-Directed Hemorrhoidal Dearterialization Technique for the Management of Hemorrhoids: A Meta-Analysis of the Clinical Evidence"
1469:
880:
334:
3200:"Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures"
887:, and rest. Increased fiber intake has been shown to improve outcomes and may be achieved by dietary alterations or the consumption of
3873:
3125:
2377:
1088:
3549:
3837:
3068:
2318:
3595:
3572:
847:) may present similar to hemorrhoids but are a different condition. Portal hypertension does not increase the risk of hemorrhoids.
3618:
2613:
Lang, DS; Tho, PC; Ang, EN (December 2011). "Effectiveness of the Sitz bath in managing adult patients with anorectal disorders".
2411:
2339:
860:, avoiding reading while on the toilet, and losing weight for overweight persons and avoiding heavy lifting are also recommended.
4566:
4183:
3379:"Meta-analysis of the use of glyceryl trinitrate ointment after haemorrhoidectomy as an analgesic and in promoting wound healing"
1031:
339:
232:
2766:
Beck, David E.; Roberts, Patricia L.; Saclarides, Theodore J.; Senagore, Anthony J.; Stamos, Michael J.; Nasseri, Yosef (2011).
4198:
4059:
4517:
902:
are available for the treatment of hemorrhoids, little evidence supports their use. As such, they are not recommended by the
508:. These are located classically at left lateral, right anterior, and right posterior positions. They are composed of neither
2417:
458:), genetics, an absence of valves within the hemorrhoidal veins, and aging. Other factors believed to increase risk include
4329:
2150:
1185:
advocated severing the connection of the arteries to veins, claiming it reduced both pain and the spread of gangrene. The
4554:
3727:
3247:
Ommer, A; Wenger, FA; Rolfs, T; Walz, MK (November 2008). "Continence disorders after anal surgery—a relevant problem?".
4634:
4259:
942:
561:
343:
4855:
4845:
4649:
4644:
4371:
4361:
604:
3665:
1944:
450:), lack of exercise, nutritional factors (low-fiber diets), increased intra-abdominal pressure (prolonged straining,
1721:
Rivadeneira, DE; Steele, SR; Ternent, C; Chalasani, S; Buie, WD; Rafferty, JL; Standards
Practice Task Force of The
4750:
4401:
4376:
4193:
4122:
4052:
801:
4775:
4718:
4366:
4319:
4169:
4132:
3771:
2307:
Bland, Kirby I.; Sarr, Michael G.; Büchler, Markus W.; Csendes, Attila; Garden, Oliver James; Wong, John (2008).
1677:
1038:. HAE involves the blockage of abnormal blood flow to the rectal (hemorrhoidal) arteries using microcoils and/or
4527:
4522:
4760:
4573:
4346:
4324:
3967:
3801:
1035:
470:
961:
A number of office-based procedures may be performed. While generally safe, rare serious side effects such as
3528:
1259:
underwent surgery for hemorrhoids, subsequently describing his unpleasant experience in a widely viewed 2008
4815:
4797:
4279:
4274:
4238:
4208:
1245:
1109:
557:
553:
548:
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260:
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4755:
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31:
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560:
pressure may also be involved in hemorrhoid symptoms. Two types of hemorrhoids occur: internals from the
4792:
4537:
4396:
4388:
4356:
4243:
3687:
2848:"Conservative management of symptomatic and/or complicated haemorrhoids in pregnancy and the puerperium"
1059:, due to the close proximity of the rectum to the nerves that supply the bladder. Also, a small risk of
3084:
Stücker, M; Debus, ES; Hoffmann, J; Jünger, M; Kröger, K; Mumme, A; Ramelet, AA; Rabe, E (June 2016).
59:
4706:
4701:
4505:
4297:
1181:(25 BC – 14 AD) described ligation and excision procedures and discussed the possible complications.
1128:
970:
844:
805:
394:
3741:
4870:
4782:
4549:
3956:
1198:
840:
712:
676:
533:
1974:
Hemorrhoidal Artery
Embolization Minimally Invasive Treatment for Symptomatic Internal Hemorrhoids
493:
4696:
4606:
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3908:
3272:
3180:
3037:
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2828:
2722:
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2198:
1923:
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1399:
1159:
1060:
1008:
540:
427:
414:
during or following a bowel movement. The blood typically covers the stool (a condition known as
350:
reflect differences in healthcare access rather than true prevalence. Outcomes are usually good.
272:
138:
3328:
Shanmugam, V; Thaha, MA; Rabindranath, KS; Campbell, KL; Steele, RJ; Loudon, MA (Jul 20, 2005).
1898:
Hollingshead, JR; Phillips, RK (January 2016). "Haemorrhoids: modern diagnosis and treatment".
1777:
1142:
295:. If bleeding occurs, it is usually darker. Symptoms frequently get better after a few days. A
4487:
4436:
4336:
4007:
3978:
3900:
3833:
3827:
3505:
3449:
3400:
3359:
3310:
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2908:
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2421:
2383:
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2080:
2026:
2018:
1915:
1873:
1855:
1781:
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1459:
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1391:
1249:
1190:
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888:
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521:
463:
370:
210:
126:
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3349:
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3256:
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3211:
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3011:
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2900:
2867:
2859:
2810:
2706:
2660:
2622:
2585:
2577:
2279:
2070:
2060:
2010:
1907:
1863:
1845:
1769:
1734:
1661:
1578:
1570:
1381:
1289:
832:
716:
684:
86:
3133:
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4684:
4679:
4591:
4314:
4269:
4149:
3863:
3625:
3602:
3579:
3556:
1725:(September 2011). "Practice parameters for the management of hemorrhoids (revised 2010)".
1194:
1186:
1068:
923:
911:
828:
793:
497:
411:
131:
80:
3293:
Lagares-Garcia, JA; Nogueras, JJ (December 2002). "Anal stenosis and mucosal ectropion".
1131:, however this may reflect differences in healthcare access rather than true prevalence.
4733:
4583:
4446:
4406:
4341:
4302:
4213:
3500:
3473:
3444:
3419:
3354:
3329:
3224:
3199:
2872:
2847:
2590:
2565:
2284:
2267:
2075:
2048:
1868:
1833:
1583:
1558:
1274:
1052:
1004:
931:
809:
745:
565:
3726:(Mr·Beck speaking from home shortly after hospital). GlennBeckVideos. 3 January 2008.
3527:. Arlington Heights, IL: American Society of Colon and Rectal Surgeons. Archived from
3306:
1665:
1146:
An 11th-century
English miniature. On the right is an operation to remove hemorrhoids.
4865:
4834:
4601:
4264:
4032:
3858:
3168:
2626:
1927:
1911:
1770:
1403:
1201:, and John of Ardene made great progress and development of the surgical techniques.
1083:
as compared to rubber band ligation. It is the recommended treatment in those with a
1039:
1012:
999:
982:
899:
895:
876:
529:
525:
330:
323:
224:
3961:
3184:
3041:
2979:
2951:
2832:
2105:
Ellesmore, Windsor (2002). "Surgical
History of Haemorrhoids". In Charles MV (ed.).
1754:
4742:
4654:
4469:
4159:
4102:
4044:
4018:
3912:
3435:
3345:
3276:
2935:
2904:
2863:
2726:
2680:
2581:
1278:
1267:
1205:
949:
789:
777:
773:
700:
443:
423:
415:
303:
284:
276:
191:
147:
3972:
3896:
2710:
2664:
1738:
1154:, which advises: "Thou shouldest give a recipe, an ointment of great protection;
4807:
4203:
4021:
4002:
1063:
occurs, particularly of liquid, with rates reported between 0% and 28%. Mucosal
1016:
927:
820:
399:
319:
268:
186:
3983:
3395:
3378:
3086:"Consensus statement on the symptom-based treatment of chronic venous diseases"
2130:
2014:
1386:
1369:
661:
329:
Often, no specific treatment is needed. Initial measures consist of increasing
4723:
4713:
4674:
4618:
4441:
4027:
3717:
3260:
3215:
3015:
2345:
2179:(4th ed.). Philadelphia; Baltimore: Williams & Wilkins. p. 329.
1972:
1834:"What every gastroenterologist needs to know about common anorectal disorders"
1256:
1209:
1087:
if carried out within 24–72 hours. Evidence to support this is weak, however.
987:
937:
915:
824:
750:
505:
390:
292:
288:
264:
155:
2065:
2022:
1998:
1859:
711:
Internal hemorrhoids originate above the pectinate line. They are covered by
543:. They contribute to 15–20% of anal closure pressure at rest and protect the
430:. Internal hemorrhoids are usually painful only if they become thrombosed or
4477:
4218:
4154:
4110:
4093:
4088:
4013:
3946:
3490:
1164:
1064:
919:
884:
760:
occur below the dentate (or pectinate) line. They are covered proximally by
517:
455:
315:
291:. External hemorrhoids often result in pain and swelling in the area of the
203:
3904:
3509:
3453:
3404:
3363:
3330:"Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids"
3314:
3268:
3233:
3176:
3111:
3033:
2987:
2943:
2912:
2881:
2824:
2718:
2672:
2634:
2599:
2293:
2146:
2084:
2030:
1919:
1877:
1746:
1673:
1592:
1574:
1395:
764:
and distally by skin, both of which are sensitive to pain and temperature.
654:
642:
635:
623:
616:
597:
67:
Diagram demonstrating the anatomy of both internal and external hemorrhoids
17:
2379:
Ferri's Clinical Advisor 2020 E-Book: Ferri's Clinical Advisor 2020 E-Book
365:
4691:
4293:
4230:
4164:
4115:
2488:
The 5-Minute Clinical Consult 2013 (Griffith's 5 Minute Clinical Consult)
857:
792:
have similar symptoms and may be incorrectly referred to as hemorrhoids.
720:
696:
688:
672:
509:
474:
447:
431:
419:
326:
is reasonable to confirm the diagnosis and rule out more serious causes.
307:
296:
195:
3024:
2797:
Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, et al. (August 2006).
1850:
675:, insertion of a hollow tube device with a light attached at one end. A
3722:
2448:
National Digestive Diseases Information Clearinghouse (November 2004).
1260:
1172:
1151:
907:
797:
761:
719:. They were classified in 1985 into four grades based on the degree of
692:
532:
in their walls, as veins do. This set of blood vessels is known as the
459:
451:
354:
3377:
Ratnasingham, K; Uzzaman, M; Andreani, SM; Light, D; Patel, B (2010).
3102:
3085:
4084:
3941:
3877:
2815:
2798:
1171:, with earlier English translations using the now-obsolete spelling "
1155:
991:
962:
813:
378:
311:
199:
3929:
1150:
The first known mention of this disease is from a 1700 BC Egyptian
1091:
ointment after the procedure helps both with pain and with healing.
974:
is typically recommended as the first-line treatment in those with
4428:
2491:. Hagerstown, MD: Lippincott Williams & Wilkins. p. 572.
1213:
1182:
1168:
1141:
744:
680:
513:
492:
481:
466:
364:
353:
The first known mention of the disease is from a 1700 BC Egyptian
228:
4460:
2455:
National Institute of Diabetes and Digestive and Kidney Diseases
2049:"Hemorrhoids: From basic pathophysiology to clinical management"
1511:
National Institute of Diabetes and Digestive and Kidney Diseases
733:
Grade III: Prolapse upon bearing down requiring manual reduction
4048:
3155:
Misra, MC; Imlitemsu (2005). "Drug treatment of haemorrhoids".
3063:(Second ed.). Elsevier Health Sciences. pp. 652–666.
2799:"Meta-analysis of flavonoids for the treatment of haemorrhoids"
730:
Grade II: Prolapse upon bearing down, but spontaneous reduction
410:
Internal hemorrhoids usually present with painless, bright red
2769:
The ASCRS Textbook of Colon and Rectal Surgery: Second Edition
2458:
2218:
Azimuddin, Indru Khubchandani, Nina Paonessa, Khawaja (2009).
1832:
Schubert, MC; Sridhar, S; Schade, RR; Wexner, SD (July 2009).
1034:
is an additional minimally invasive procedure performed by an
104:
101:
3418:
Jayaraman, S; Colquhoun, PH; Malthaner, RA (Oct 18, 2006).
3061:
Vascular Medicine: A Companion to Braunwald's Heart Disease
2410:
Bernstein, Melissa; Luggen, Ann Schmidt (28 January 2011).
2173:
Dayton, Peter F. Lawrence, Richard Bell, Merril T. (2006).
1559:"Review of Hemorrhoid Disease: Presentation and Management"
875:
Conservative treatment typically consists of foods rich in
695:. This examination may not be possible without appropriate
95:
314:
for long periods. Hemorrhoids are also more common during
267:. In their normal state, they are cushions that help with
816:
is present, other potential causes should be considered.
736:
Grade IV: Prolapse with inability to be manually reduced.
564:
and externals from the inferior hemorrhoidal plexus. The
3829:
Raid! : the untold story of Patton's secret mission
1645:
Kaidar-Person, O; Person, B; Wexner, SD (January 2007).
703:
or external hemorrhoid rather than internal hemorrhoid.
299:
may remain after the healing of an external hemorrhoid.
3826:
Baron, Richard; Baum, Abe; Goldhurst, Richard (1981).
2313:. Springer Science & Business Media. p. 857.
2310:
General Surgery: Principles and International Practice
679:(DRE) can also be performed to detect possible rectal
3420:"Stapled versus conventional surgery for hemorrhoids"
110:
4841:
Diseases of veins, lymphatic vessels and lymph nodes
3919:
2266:
Reese, GE; von Roon, AC; Tekkis, PP (Jan 29, 2009).
2100:
2098:
2096:
2094:
107:
4806:
4741:
4732:
4667:
4627:
4582:
4486:
4468:
4459:
4427:
4387:
4292:
4252:
4229:
4140:
4131:
4101:
4083:
3993:
3923:
3809:
Journal of the Orders and Medals Society of America
819:Other conditions that produce an anal mass include
238:
219:
209:
185:
177:
169:
161:
137:
125:
98:
92:
89:
71:
49:
44:
1204:In medieval times, hemorrhoids were also known as
727:Grade I: No prolapse, just prominent blood vessels
2522:(2nd ed.). New York: Springer. p. 665.
1458:(2nd ed.). New York: Springer. p. 175.
3688:"Glenn Beck: Put the 'Care' Back in Health Care"
2224:(2nd ed.). New York: Springer. p. 21.
2003:Journal of Vascular and Interventional Radiology
1284:During World War II, US Army Lieutenant Colonel
1370:"Hemorrhoids: diagnosis and current management"
879:, intake of oral fluids to maintain hydration,
333:intake, drinking fluids to maintain hydration,
1647:"Hemorrhoidal disease: A comprehensive review"
1455:The ASCRS textbook of colon and rectal surgery
1167:." Hemorrhoids may have been described in the
1019:. Infrared cauterization may be an option for
500:of hemorrhoids, showing engorged blood vessels
4060:
3478:Journal of Surgical Technique and Case Report
3288:
3286:
2516:Glass, Jill C. Cash, Cheryl A. (2010-11-18).
1723:American Society of Colon and Rectal Surgeons
1640:
1638:
1636:
1634:
1632:
1630:
1628:
1626:
1624:
1622:
1231:), "stream, flow, current", itself from ῥέω (
904:American Society of Colon and Rectal Surgeons
8:
3467:
3465:
3463:
3090:Journal of the German Society of Dermatology
2692:
2690:
2566:"Laxatives for the treatment of hemorrhoids"
2546:: CS1 maint: multiple names: authors list (
2248:: CS1 maint: multiple names: authors list (
2203:: CS1 maint: multiple names: authors list (
1620:
1618:
1616:
1614:
1612:
1610:
1608:
1606:
1604:
1602:
30:"Piles" redirects here. For other uses, see
3472:Agbo, Indru Khubchandani (1 January 2011).
3249:International Journal of Colorectal Disease
2559:
2557:
2338:Fitzgerald, Margaret A. (4 December 2020).
1654:Journal of the American College of Surgeons
1447:
1445:
1443:
1441:
1439:
1437:
1435:
1433:
1363:
1361:
1359:
1357:
1355:
1353:
1351:
1349:
1347:
1345:
1343:
1341:
1339:
1337:
1335:
1333:
1331:
1329:
1327:
1223:), "liable to discharge blood", from αἷμα (
796:may also occur owing to colorectal cancer,
4738:
4640:Chronic cerebrospinal venous insufficiency
4465:
4137:
4098:
4067:
4053:
4045:
3920:
2646:
2644:
2341:Nurse Practitioner Certification Exam Prep
2168:
2166:
2164:
2162:
2160:
2124:
2122:
2120:
2118:
2116:
1827:
1825:
1823:
1821:
1819:
1817:
1552:
1501:
1499:
1431:
1429:
1427:
1425:
1423:
1421:
1419:
1417:
1415:
1413:
1325:
1323:
1321:
1319:
1317:
1315:
1313:
1311:
1309:
1307:
58:
41:
3499:
3489:
3443:
3394:
3353:
3223:
3198:Pescatori, M; Gagliardi, G (March 2008).
3101:
3023:
2871:
2814:
2589:
2283:
2261:
2259:
2074:
2064:
1867:
1849:
1815:
1813:
1811:
1809:
1807:
1805:
1803:
1801:
1799:
1797:
1716:
1714:
1712:
1710:
1582:
1550:
1548:
1546:
1544:
1542:
1540:
1538:
1536:
1534:
1532:
1497:
1495:
1493:
1491:
1489:
1487:
1485:
1483:
1481:
1479:
1385:
934:to which certain people may be allergic.
53:Haemorrhoids, piles, hemorrhoidal disease
3867:) is being considered for deletion. See
1945:"Hemorrhoidal Artery Embolization (HAE)"
1893:
1891:
1889:
1887:
1772:Illustrative Handbook of General Surgery
1708:
1706:
1704:
1702:
1700:
1698:
1696:
1694:
1692:
1690:
1163:recovers, let him be put on a course of
1097:transanal hemorrhoidal dearterialization
575:
3676:from the original on February 11, 2009.
3424:Cochrane Database of Systematic Reviews
3334:Cochrane Database of Systematic Reviews
2928:Cochrane Database of Systematic Reviews
2897:Cochrane Database of Systematic Reviews
2852:Cochrane Database of Systematic Reviews
2846:Quijano, CE; Abalos, E (Jul 20, 2005).
2042:
2040:
1303:
3628:, Henry George Liddell, Robert Scott,
3605:, Henry George Liddell, Robert Scott,
3582:, Henry George Liddell, Robert Scott,
3055:Garg, Nitin; Gloviczki, Peter (2013).
2539:
2241:
2196:
1032:Hemorrhoidal artery embolization (HAE)
539:Hemorrhoid cushions are important for
340:Hemorrhoidal artery embolization (HAE)
4851:Medical conditions related to obesity
4412:Hereditary hemorrhagic telangiectasia
3698:from the original on 28 November 2012
3295:The Surgical Clinics of North America
1992:
1990:
1966:
1964:
1939:
1937:
27:Vascular structures in the anal canal
7:
4417:Generalized essential telangiectasia
3782:from the original on 3 February 2017
3559:, Charlton T. Lewis, Charles Short,
3474:"Surgical management of hemorrhoids"
2743:. Dermnetnz.org. December 28, 2013.
1270:had surgery for hemorrhoids in 1984.
1219:, in turn from the Greek αἱμορροΐς (
943:traditional Chinese herbal treatment
881:nonsteroidal anti-inflammatory drugs
480:During pregnancy, pressure from the
271:control. They become a disease when
215:Examination, rule out serious causes
3672:. Associated Press. March 1, 1981.
3092:(Professional society guidelines).
2970:(Professional society guidelines).
2701:(Professional society guidelines).
1563:Clinics in Colon and Rectal Surgery
1255:Conservative political commentator
772:Many anorectal problems, including
3654:from the original on June 5, 2011.
2747:from the original on March 5, 2014
2107:Surgical Treatment of Haemorrhoids
25:
3871:to help reach a consensus. ›
3752:from the original on 9 March 2014
3057:"55—Chronic Venous Insufficiency"
2221:Surgical treatment of hemorrhoids
2053:World Journal of Gastroenterology
1666:10.1016/j.jamcollsurg.2006.08.022
1368:Lorenzo-Rivero, S (August 2009).
4567:Cerebral venous sinus thrombosis
3885:Diseases of the Colon and Rectum
3730:from the original on 2016-03-09.
3644:"Memories fill Kauffman Stadium"
3383:International Journal of Surgery
3169:10.2165/00003495-200565110-00003
2786:from the original on 2014-07-04.
2741:"Balsam of Peru contact allergy"
2699:Diseases of the Colon and Rectum
2653:Diseases of the Colon and Rectum
2627:10.1111/j.1742-7924.2011.00175.x
2615:Japan Journal of Nursing Science
2536:from the original on 2017-09-08.
2505:from the original on 2017-09-08.
2327:from the original on 2017-08-11.
2238:from the original on 2017-09-08.
2193:from the original on 2017-09-08.
2153:from the original on 2013-05-20.
1912:10.1136/postgradmedj-2015-133328
1727:Diseases of the Colon and Rectum
1557:Sun, Z; Migaly, J (March 2016).
1472:from the original on 2014-12-30.
660:
653:
641:
634:
622:
615:
603:
596:
233:hemorrhoidal artery embolization
85:
3666:"Brett in Hospital for Surgery"
2980:10.1016/j.jviscsurg.2016.03.004
2418:Jones & Bartlett Publishers
1513:. November 2013. Archived from
1248:was removed from a game in the
154:: Pain and swelling around the
4518:Hepatic veno-occlusive disease
3436:10.1002/14651858.CD005393.pub2
3346:10.1002/14651858.CD005034.pub2
2936:10.1002/14651858.CD004322.pub3
2905:10.1002/14651858.cd006791.pub2
2864:10.1002/14651858.CD004077.pub2
2582:10.1002/14651858.CD004649.pub2
2376:Ferri, Fred F. (1 June 2019).
1085:thrombosed external hemorrhoid
1027:, reoccurrence rates are high.
835:, and enlarged anal papillae.
454:, an intra-abdominal mass, or
1:
4330:Aneurysm of sinus of Valsalva
4184:Monckeberg's arteriosclerosis
3642:Dick Kaegel (March 5, 2009).
3307:10.1016/s0039-6109(02)00081-6
2413:Nutrition for the Older Adult
2176:Essentials of general surgery
1244:Hall-of-Fame baseball player
918:, an analgesic agent such as
4635:Chronic venous insufficiency
4260:Aortoiliac occlusive disease
3897:10.1097/DCR.0000000000001030
3632:, on Perseus Digital Library
3609:, on Perseus Digital Library
3586:, on Perseus Digital Library
3563:, on Perseus Digital Library
3204:Techniques in Coloproctology
3004:Techniques in Coloproctology
2711:10.1097/DCR.0000000000001030
2665:10.1097/DCR.0000000000001030
2382:. Elsevier Health Sciences.
1900:Postgraduate Medical Journal
1776:. Berlin: Springer. p.
1739:10.1097/DCR.0b013e318225513d
1281:have suffered the condition.
986:involves the injection of a
562:superior hemorrhoidal plexus
477:has been listed as a cause.
344:minimally invasive procedure
4650:Inferior vena cava syndrome
4645:Superior vena cava syndrome
4372:Vertebral artery dissection
4362:Intracranial berry aneurysm
2968:Journal of Visceral Surgery
1076:Excisional hemorrhoidectomy
577:Internal hemorrhoid grades
516:, but blood vessels called
4892:
4751:Hypertensive heart disease
4402:Arteriovenous malformation
4377:Familial aortic dissection
3396:10.1016/j.ijsu.2010.04.012
2570:Cochrane Database Syst Rev
2519:Family practice guidelines
2047:Lohsiriwat, Varut (2012).
2015:10.1016/j.jvir.2021.03.548
1971:UCLA Health (2024-06-24).
1387:10.1177/000313480907500801
1036:interventional radiologist
802:inflammatory bowel disease
29:
4776:Renovascular hypertension
4719:Hepatic artery thrombosis
4367:Carotid artery dissection
4320:Abdominal aortic aneurysm
4170:Intermittent claudication
4133:Peripheral artery disease
3776:The Sydney Morning Herald
3772:"The Five: Wounded pride"
3261:10.1007/s00384-008-0524-y
3216:10.1007/s10151-008-0391-0
3016:10.1007/s10151-015-1371-9
1235:), "to flow, to stream".
568:divides the two regions.
66:
57:
4761:Hypertensive nephropathy
4574:Post-thrombotic syndrome
4555:Paget–Schroetter disease
4347:Coronary artery aneurysm
4325:Thoracic aortic aneurysm
3869:templates for discussion
3742:"Carter Leaves Hospital"
3692:ABC Good Morning America
2129:Davies, RJ (June 2006).
2066:10.3748/wjg.v18.i17.2009
1288:was selected by General
1105:Stapled hemorrhoidectomy
528:. Sinusoids do not have
471:pelvic floor dysfunction
342:is a safe and effective
4816:Orthostatic hypotension
4798:White coat hypertension
4275:Fibromuscular dysplasia
4239:Carotid artery stenosis
3630:A Greek-English Lexicon
3607:A Greek-English Lexicon
3584:A Greek-English Lexicon
3523:Cataldo, Peter (2005).
3491:10.4103/2006-8808.92797
2485:Frank J Domino (2012).
1452:Beck, David E. (2011).
1115:grade II or III disease
1110:stapled hemorrhoidopexy
1025:grade III or IV disease
843:(blood pressure in the
558:external anal sphincter
549:external anal sphincter
462:, prolonged sitting, a
279:; the unqualified term
146:: Painless, bright red
4788:Pulmonary hypertension
4771:Secondary hypertension
4766:Essential hypertension
4756:Hypertensive emergency
4597:Portacaval anastomosis
4533:Portal vein thrombosis
4175:Critical limb ischemia
4076:Cardiovascular disease
3832:. Putnam. p. 20.
3132:. 2005. Archived from
1768:Chen, Herbert (2010).
1575:10.1055/s-0035-1568144
1266:Former U.S. President
1147:
976:grade I to III disease
754:
501:
373:
32:Piles (disambiguation)
4793:Systolic hypertension
4538:Renal vein thrombosis
4397:Arteriovenous fistula
4389:Vascular malformation
4357:Intracranial aneurysm
4244:Renal artery stenosis
3648:Major League Baseball
1838:World J Gastroenterol
1227:), "blood" and ῥόος (
1145:
1081:grade III hemorrhoids
1021:grade I or II disease
748:
552:increased. Increased
496:
368:
310:, and sitting on the
4707:Paradoxical embolism
4702:Cholesterol embolism
4528:May–Thurner syndrome
4523:Budd–Chiari syndrome
4506:Deep vein thrombosis
4501:primarily lower limb
4280:Raynaud's phenomenon
3748:. January 19, 1984.
3718:"Beck From the Dead"
1983:– via YouTube.
1129:socioeconomic status
971:Rubber band ligation
845:portal venous system
806:diverticular disease
758:External hemorrhoids
395:external hemorrhoids
4783:Benign hypertension
3301:(6): 1225–31, vii.
3136:on November 8, 2014
2109:. London: Springer.
1851:10.3748/wjg.15.3201
1212:"emorroides", from
1199:Henri de Mondeville
1089:Glyceryl trinitrate
841:portal hypertension
753:external hemorrhoid
715:, which lacks pain
713:columnar epithelium
677:digital rectal exam
578:
534:hemorrhoidal plexus
371:external hemorrhoid
242:50–66% at some time
227:, drinking fluids,
4856:Colorectal surgery
4846:Digestive diseases
4697:Pulmonary embolism
4607:Esophageal varices
4545:upper limb / torso
4189:Arteriolosclerosis
3994:External resources
3746:The New York Times
3670:The New York Times
3624:2011-06-05 at the
3601:2011-06-05 at the
3578:2011-06-05 at the
3561:A Latin Dictionary
3555:2011-02-25 at the
3531:on 3 December 2013
1949:www.uclahealth.org
1517:on 26 January 2016
1160:Hippocratic corpus
1148:
1061:fecal incontinence
1009:infrared radiation
755:
576:
502:
428:fecal incontinence
422:through the anus,
374:
361:Signs and symptoms
263:structures in the
202:for long periods,
165:45–65 years of age
4828:
4827:
4824:
4823:
4668:Arteries or veins
4663:
4662:
4488:Venous thrombosis
4455:
4454:
4437:Cherry hemangioma
4337:Aortic dissection
4288:
4287:
4123:Buerger's disease
4042:
4041:
3103:10.1111/ddg.13006
2779:978-1-4419-1581-8
2529:978-0-8261-1812-7
2498:978-1-4511-3735-4
2427:978-1-4496-6396-4
2389:978-0-323-67977-0
2355:978-1-7196-4298-9
2272:Clinical Evidence
2231:978-1-84800-313-2
2186:978-0-7817-5003-5
2135:Clinical Evidence
2059:(17): 2009–2017.
1787:978-1-84882-088-3
1465:978-1-4419-1581-8
1250:1980 World Series
1191:Lanfranc of Milan
1101:hemorrhoidectomy.
1057:urinary retention
889:fiber supplements
837:Anorectal varices
782:colorectal cancer
668:
667:
522:connective tissue
255:), also known as
246:
245:
231:, rest, surgery,
211:Diagnostic method
198:, sitting on the
39:Medical condition
16:(Redirected from
4883:
4739:
4550:Mondor's disease
4493:Thrombophlebitis
4466:
4142:Arteriosclerosis
4138:
4099:
4069:
4062:
4055:
4046:
3921:
3916:
3844:
3843:
3823:
3817:
3816:
3806:
3798:
3792:
3791:
3789:
3787:
3768:
3762:
3761:
3759:
3757:
3738:
3732:
3731:
3714:
3708:
3707:
3705:
3703:
3684:
3678:
3677:
3662:
3656:
3655:
3639:
3633:
3616:
3610:
3593:
3587:
3570:
3564:
3547:
3541:
3540:
3538:
3536:
3520:
3514:
3513:
3503:
3493:
3469:
3458:
3457:
3447:
3415:
3409:
3408:
3398:
3374:
3368:
3367:
3357:
3325:
3319:
3318:
3290:
3281:
3280:
3244:
3238:
3237:
3227:
3195:
3189:
3188:
3152:
3146:
3145:
3143:
3141:
3122:
3116:
3115:
3105:
3081:
3075:
3074:
3052:
3046:
3045:
3027:
2998:
2992:
2991:
2962:
2956:
2955:
2923:
2917:
2916:
2899:(10): CD006791.
2892:
2886:
2885:
2875:
2843:
2837:
2836:
2818:
2816:10.1002/bjs.5378
2794:
2788:
2787:
2763:
2757:
2756:
2754:
2752:
2737:
2731:
2730:
2694:
2685:
2684:
2648:
2639:
2638:
2610:
2604:
2603:
2593:
2561:
2552:
2551:
2545:
2537:
2513:
2507:
2506:
2482:
2476:
2475:
2473:
2471:
2462:. Archived from
2445:
2439:
2438:
2436:
2434:
2407:
2401:
2400:
2398:
2396:
2373:
2367:
2366:
2364:
2362:
2335:
2329:
2328:
2304:
2298:
2297:
2287:
2263:
2254:
2253:
2247:
2239:
2215:
2209:
2208:
2202:
2194:
2170:
2155:
2154:
2126:
2111:
2110:
2102:
2089:
2088:
2078:
2068:
2044:
2035:
2034:
2009:(8): 1119–1127.
1994:
1985:
1984:
1982:
1981:
1968:
1959:
1958:
1956:
1955:
1941:
1932:
1931:
1895:
1882:
1881:
1871:
1853:
1829:
1792:
1791:
1775:
1765:
1759:
1758:
1718:
1685:
1684:
1682:
1676:. Archived from
1651:
1642:
1597:
1596:
1586:
1554:
1527:
1526:
1524:
1522:
1503:
1474:
1473:
1449:
1408:
1407:
1389:
1365:
1290:George S. Patton
1107:, also known as
1023:. In those with
664:
657:
645:
638:
626:
619:
607:
600:
579:
475:anal intercourse
117:
116:
113:
112:
109:
106:
103:
100:
97:
94:
91:
84:
62:
42:
21:
4891:
4890:
4886:
4885:
4884:
4882:
4881:
4880:
4831:
4830:
4829:
4820:
4802:
4728:
4685:Microangiopathy
4680:Macroangiopathy
4659:
4623:
4592:Gastric varices
4578:
4491:
4482:
4451:
4423:
4383:
4315:Aortic aneurysm
4301:
4284:
4270:Erythromelalgia
4248:
4225:
4150:Atherosclerosis
4127:
4091:
4079:
4073:
4043:
4038:
4037:
3989:
3988:
3932:
3882:
3872:
3853:
3848:
3847:
3840:
3825:
3824:
3820:
3804:
3800:
3799:
3795:
3785:
3783:
3770:
3769:
3765:
3755:
3753:
3740:
3739:
3735:
3716:
3715:
3711:
3701:
3699:
3694:. Jan 8, 2008.
3686:
3685:
3681:
3664:
3663:
3659:
3641:
3640:
3636:
3626:Wayback Machine
3617:
3613:
3603:Wayback Machine
3594:
3590:
3580:Wayback Machine
3571:
3567:
3557:Wayback Machine
3548:
3544:
3534:
3532:
3522:
3521:
3517:
3471:
3470:
3461:
3430:(4): CD005393.
3417:
3416:
3412:
3376:
3375:
3371:
3340:(3): CD005034.
3327:
3326:
3322:
3292:
3291:
3284:
3255:(11): 1023–31.
3246:
3245:
3241:
3197:
3196:
3192:
3163:(11): 1481–91.
3154:
3153:
3149:
3139:
3137:
3124:
3123:
3119:
3083:
3082:
3078:
3071:
3054:
3053:
3049:
3010:(10): 567–575.
3000:
2999:
2995:
2964:
2963:
2959:
2930:(8): CD004322.
2925:
2924:
2920:
2894:
2893:
2889:
2858:(3): CD004077.
2845:
2844:
2840:
2796:
2795:
2791:
2780:
2765:
2764:
2760:
2750:
2748:
2739:
2738:
2734:
2696:
2695:
2688:
2650:
2649:
2642:
2612:
2611:
2607:
2576:(4): CD004649.
2563:
2562:
2555:
2538:
2530:
2515:
2514:
2510:
2499:
2484:
2483:
2479:
2469:
2467:
2447:
2446:
2442:
2432:
2430:
2428:
2420:. p. 116.
2409:
2408:
2404:
2394:
2392:
2390:
2375:
2374:
2370:
2360:
2358:
2356:
2337:
2336:
2332:
2321:
2306:
2305:
2301:
2265:
2264:
2257:
2240:
2232:
2217:
2216:
2212:
2195:
2187:
2172:
2171:
2158:
2128:
2127:
2114:
2104:
2103:
2092:
2046:
2045:
2038:
1996:
1995:
1988:
1979:
1977:
1970:
1969:
1962:
1953:
1951:
1943:
1942:
1935:
1897:
1896:
1885:
1844:(26): 3201–09.
1831:
1830:
1795:
1788:
1767:
1766:
1762:
1720:
1719:
1688:
1680:
1649:
1644:
1643:
1600:
1556:
1555:
1530:
1520:
1518:
1505:
1504:
1477:
1466:
1451:
1450:
1411:
1367:
1366:
1305:
1300:
1241:
1195:Guy de Chauliac
1187:Susruta Samhita
1140:
1124:
1095:Doppler-guided
1069:rectal prolapse
1053:anal strictures
1048:
990:agent, such as
963:perianal sepsis
959:
930:. Some contain
924:vasoconstrictor
912:petroleum jelly
873:
866:
853:
829:rectal prolapse
794:Rectal bleeding
770:
743:
709:
574:
498:Gross pathology
491:
489:Pathophysiology
440:
412:rectal bleeding
408:
387:
363:
285:rectal bleeding
150:
148:rectal bleeding
132:General surgery
121:
88:
79:
78:
40:
35:
28:
23:
22:
15:
12:
11:
5:
4889:
4887:
4879:
4878:
4873:
4868:
4863:
4858:
4853:
4848:
4843:
4833:
4832:
4826:
4825:
4822:
4821:
4819:
4818:
4812:
4810:
4804:
4803:
4801:
4800:
4795:
4790:
4785:
4780:
4779:
4778:
4768:
4763:
4758:
4753:
4747:
4745:
4736:
4734:Blood pressure
4730:
4729:
4727:
4726:
4721:
4716:
4711:
4710:
4709:
4704:
4699:
4689:
4688:
4687:
4682:
4671:
4669:
4665:
4664:
4661:
4660:
4658:
4657:
4652:
4647:
4642:
4637:
4631:
4629:
4625:
4624:
4622:
4621:
4616:
4615:
4614:
4609:
4604:
4594:
4588:
4586:
4584:Varicose veins
4580:
4579:
4577:
4576:
4571:
4570:
4569:
4559:
4558:
4557:
4552:
4542:
4541:
4540:
4535:
4530:
4525:
4520:
4510:
4509:
4508:
4497:
4495:
4484:
4483:
4481:
4480:
4474:
4472:
4463:
4457:
4456:
4453:
4452:
4450:
4449:
4447:Spider angioma
4444:
4439:
4433:
4431:
4429:Vascular nevus
4425:
4424:
4422:
4421:
4420:
4419:
4414:
4407:Telangiectasia
4404:
4399:
4393:
4391:
4385:
4384:
4382:
4381:
4380:
4379:
4374:
4369:
4364:
4359:
4349:
4344:
4342:Aortic rupture
4339:
4334:
4333:
4332:
4327:
4322:
4307:
4305:
4303:pseudoaneurysm
4290:
4289:
4286:
4285:
4283:
4282:
4277:
4272:
4267:
4262:
4256:
4254:
4250:
4249:
4247:
4246:
4241:
4235:
4233:
4227:
4226:
4224:
4223:
4222:
4221:
4216:
4214:Oxycholesterol
4211:
4206:
4201:
4196:
4186:
4180:
4179:
4178:
4177:
4172:
4167:
4162:
4157:
4146:
4144:
4135:
4129:
4128:
4126:
4125:
4120:
4119:
4118:
4107:
4105:
4096:
4081:
4080:
4074:
4072:
4071:
4064:
4057:
4049:
4040:
4039:
4036:
4035:
4024:
4010:
3998:
3997:
3995:
3991:
3990:
3987:
3986:
3975:
3964:
3949:
3933:
3928:
3927:
3925:
3924:Classification
3918:
3917:
3891:(3): 284–292.
3880:
3856:
3852:
3851:External links
3849:
3846:
3845:
3838:
3818:
3815:(3): 10. 1997.
3802:"Harold Cohen"
3793:
3778:. 2009-12-12.
3763:
3733:
3709:
3679:
3657:
3634:
3611:
3588:
3565:
3542:
3515:
3459:
3410:
3369:
3320:
3282:
3239:
3190:
3147:
3117:
3076:
3069:
3047:
2993:
2957:
2918:
2887:
2838:
2789:
2778:
2758:
2732:
2705:(3): 284–292.
2686:
2640:
2605:
2553:
2528:
2508:
2497:
2477:
2440:
2426:
2402:
2388:
2368:
2354:
2330:
2319:
2299:
2268:"Haemorrhoids"
2255:
2230:
2210:
2185:
2156:
2141:(15): 711–24.
2131:"Haemorrhoids"
2112:
2090:
2036:
1986:
1960:
1933:
1883:
1793:
1786:
1760:
1733:(9): 1059–64.
1686:
1683:on 2012-09-22.
1598:
1528:
1475:
1464:
1409:
1302:
1301:
1299:
1296:
1295:
1294:
1282:
1275:Matthew Hayden
1271:
1264:
1253:
1240:
1237:
1139:
1136:
1123:
1120:
1119:
1118:
1102:
1092:
1047:
1044:
1040:microparticles
1029:
1028:
1005:electrocautery
995:
979:
958:
955:
932:Balsam of Peru
896:topical agents
872:
869:
865:
862:
856:attempting to
852:
849:
810:angiodysplasia
786:rectal varices
769:
766:
742:
739:
738:
737:
734:
731:
728:
708:
705:
687:, an enlarged
666:
665:
658:
651:
647:
646:
639:
632:
628:
627:
620:
613:
609:
608:
601:
594:
590:
589:
586:
583:
573:
570:
566:pectinate line
490:
487:
439:
436:
407:
404:
386:
383:
362:
359:
244:
243:
240:
236:
235:
221:
217:
216:
213:
207:
206:
189:
183:
182:
179:
175:
174:
171:
167:
166:
163:
159:
158:
141:
135:
134:
129:
123:
122:
120:
119:
75:
73:
69:
68:
64:
63:
55:
54:
51:
47:
46:
38:
26:
24:
14:
13:
10:
9:
6:
4:
3:
2:
4888:
4877:
4876:Anal diseases
4874:
4872:
4869:
4867:
4864:
4862:
4859:
4857:
4854:
4852:
4849:
4847:
4844:
4842:
4839:
4838:
4836:
4817:
4814:
4813:
4811:
4809:
4805:
4799:
4796:
4794:
4791:
4789:
4786:
4784:
4781:
4777:
4774:
4773:
4772:
4769:
4767:
4764:
4762:
4759:
4757:
4754:
4752:
4749:
4748:
4746:
4744:
4740:
4737:
4735:
4731:
4725:
4722:
4720:
4717:
4715:
4712:
4708:
4705:
4703:
4700:
4698:
4695:
4694:
4693:
4690:
4686:
4683:
4681:
4678:
4677:
4676:
4673:
4672:
4670:
4666:
4656:
4653:
4651:
4648:
4646:
4643:
4641:
4638:
4636:
4633:
4632:
4630:
4626:
4620:
4617:
4613:
4610:
4608:
4605:
4603:
4602:Caput medusae
4600:
4599:
4598:
4595:
4593:
4590:
4589:
4587:
4585:
4581:
4575:
4572:
4568:
4565:
4564:
4563:
4560:
4556:
4553:
4551:
4548:
4547:
4546:
4543:
4539:
4536:
4534:
4531:
4529:
4526:
4524:
4521:
4519:
4516:
4515:
4514:
4511:
4507:
4504:
4503:
4502:
4499:
4498:
4496:
4494:
4489:
4485:
4479:
4476:
4475:
4473:
4471:
4467:
4464:
4462:
4458:
4448:
4445:
4443:
4440:
4438:
4435:
4434:
4432:
4430:
4426:
4418:
4415:
4413:
4410:
4409:
4408:
4405:
4403:
4400:
4398:
4395:
4394:
4392:
4390:
4386:
4378:
4375:
4373:
4370:
4368:
4365:
4363:
4360:
4358:
4355:
4354:
4353:
4350:
4348:
4345:
4343:
4340:
4338:
4335:
4331:
4328:
4326:
4323:
4321:
4318:
4317:
4316:
4312:
4309:
4308:
4306:
4304:
4299:
4295:
4291:
4281:
4278:
4276:
4273:
4271:
4268:
4266:
4265:Degos disease
4263:
4261:
4258:
4257:
4255:
4251:
4245:
4242:
4240:
4237:
4236:
4234:
4232:
4228:
4220:
4217:
4215:
4212:
4210:
4207:
4205:
4202:
4200:
4197:
4195:
4192:
4191:
4190:
4187:
4185:
4182:
4181:
4176:
4173:
4171:
4168:
4166:
4163:
4161:
4158:
4156:
4153:
4152:
4151:
4148:
4147:
4145:
4143:
4139:
4136:
4134:
4130:
4124:
4121:
4117:
4114:
4113:
4112:
4109:
4108:
4106:
4104:
4100:
4097:
4095:
4090:
4086:
4082:
4077:
4070:
4065:
4063:
4058:
4056:
4051:
4050:
4047:
4034:
4030:
4029:
4025:
4023:
4020:
4016:
4015:
4011:
4009:
4005:
4004:
4000:
3999:
3996:
3992:
3985:
3981:
3980:
3976:
3974:
3970:
3969:
3965:
3963:
3959:
3958:
3954:
3950:
3948:
3944:
3943:
3939:
3935:
3934:
3931:
3926:
3922:
3914:
3910:
3906:
3902:
3898:
3894:
3890:
3886:
3881:
3879:
3875:
3870:
3866:
3865:
3860:
3855:
3854:
3850:
3841:
3839:9780399125973
3835:
3831:
3830:
3822:
3819:
3814:
3810:
3803:
3797:
3794:
3781:
3777:
3773:
3767:
3764:
3751:
3747:
3743:
3737:
3734:
3729:
3725:
3724:
3719:
3713:
3710:
3697:
3693:
3689:
3683:
3680:
3675:
3671:
3667:
3661:
3658:
3653:
3649:
3645:
3638:
3635:
3631:
3627:
3623:
3620:
3615:
3612:
3608:
3604:
3600:
3597:
3592:
3589:
3585:
3581:
3577:
3574:
3569:
3566:
3562:
3558:
3554:
3551:
3546:
3543:
3530:
3526:
3525:"Hemorrhoids"
3519:
3516:
3511:
3507:
3502:
3497:
3492:
3487:
3483:
3479:
3475:
3468:
3466:
3464:
3460:
3455:
3451:
3446:
3441:
3437:
3433:
3429:
3425:
3421:
3414:
3411:
3406:
3402:
3397:
3392:
3389:(8): 606–11.
3388:
3384:
3380:
3373:
3370:
3365:
3361:
3356:
3351:
3347:
3343:
3339:
3335:
3331:
3324:
3321:
3316:
3312:
3308:
3304:
3300:
3296:
3289:
3287:
3283:
3278:
3274:
3270:
3266:
3262:
3258:
3254:
3250:
3243:
3240:
3235:
3231:
3226:
3221:
3217:
3213:
3209:
3205:
3201:
3194:
3191:
3186:
3182:
3178:
3174:
3170:
3166:
3162:
3158:
3151:
3148:
3135:
3131:
3127:
3121:
3118:
3113:
3109:
3104:
3099:
3096:(6): 575–83.
3095:
3091:
3087:
3080:
3077:
3072:
3070:9781437729306
3066:
3062:
3058:
3051:
3048:
3043:
3039:
3035:
3031:
3026:
3021:
3017:
3013:
3009:
3005:
2997:
2994:
2989:
2985:
2981:
2977:
2973:
2969:
2961:
2958:
2953:
2949:
2945:
2941:
2937:
2933:
2929:
2922:
2919:
2914:
2910:
2906:
2902:
2898:
2891:
2888:
2883:
2879:
2874:
2869:
2865:
2861:
2857:
2853:
2849:
2842:
2839:
2834:
2830:
2826:
2822:
2817:
2812:
2809:(8): 909–20.
2808:
2804:
2800:
2793:
2790:
2785:
2781:
2775:
2771:
2770:
2762:
2759:
2746:
2742:
2736:
2733:
2728:
2724:
2720:
2716:
2712:
2708:
2704:
2700:
2693:
2691:
2687:
2682:
2678:
2674:
2670:
2666:
2662:
2659:(3): 284–92.
2658:
2654:
2647:
2645:
2641:
2636:
2632:
2628:
2624:
2621:(2): 115–28.
2620:
2616:
2609:
2606:
2601:
2597:
2592:
2587:
2583:
2579:
2575:
2571:
2567:
2560:
2558:
2554:
2549:
2543:
2535:
2531:
2525:
2521:
2520:
2512:
2509:
2504:
2500:
2494:
2490:
2489:
2481:
2478:
2466:on 2010-03-23
2465:
2461:
2460:
2456:
2451:
2450:"Hemorrhoids"
2444:
2441:
2429:
2423:
2419:
2415:
2414:
2406:
2403:
2391:
2385:
2381:
2380:
2372:
2369:
2357:
2351:
2347:
2343:
2342:
2334:
2331:
2326:
2322:
2320:9781846288326
2316:
2312:
2311:
2303:
2300:
2295:
2291:
2286:
2281:
2277:
2273:
2269:
2262:
2260:
2256:
2251:
2245:
2237:
2233:
2227:
2223:
2222:
2214:
2211:
2206:
2200:
2192:
2188:
2182:
2178:
2177:
2169:
2167:
2165:
2163:
2161:
2157:
2152:
2148:
2144:
2140:
2136:
2132:
2125:
2123:
2121:
2119:
2117:
2113:
2108:
2101:
2099:
2097:
2095:
2091:
2086:
2082:
2077:
2072:
2067:
2062:
2058:
2054:
2050:
2043:
2041:
2037:
2032:
2028:
2024:
2020:
2016:
2012:
2008:
2004:
2000:
1993:
1991:
1987:
1976:
1975:
1967:
1965:
1961:
1950:
1946:
1940:
1938:
1934:
1929:
1925:
1921:
1917:
1913:
1909:
1906:(1083): 4–8.
1905:
1901:
1894:
1892:
1890:
1888:
1884:
1879:
1875:
1870:
1865:
1861:
1857:
1852:
1847:
1843:
1839:
1835:
1828:
1826:
1824:
1822:
1820:
1818:
1816:
1814:
1812:
1810:
1808:
1806:
1804:
1802:
1800:
1798:
1794:
1789:
1783:
1779:
1774:
1773:
1764:
1761:
1756:
1752:
1748:
1744:
1740:
1736:
1732:
1728:
1724:
1717:
1715:
1713:
1711:
1709:
1707:
1705:
1703:
1701:
1699:
1697:
1695:
1693:
1691:
1687:
1679:
1675:
1671:
1667:
1663:
1660:(1): 102–17.
1659:
1655:
1648:
1641:
1639:
1637:
1635:
1633:
1631:
1629:
1627:
1625:
1623:
1621:
1619:
1617:
1615:
1613:
1611:
1609:
1607:
1605:
1603:
1599:
1594:
1590:
1585:
1580:
1576:
1572:
1568:
1564:
1560:
1553:
1551:
1549:
1547:
1545:
1543:
1541:
1539:
1537:
1535:
1533:
1529:
1516:
1512:
1508:
1507:"Hemorrhoids"
1502:
1500:
1498:
1496:
1494:
1492:
1490:
1488:
1486:
1484:
1482:
1480:
1476:
1471:
1467:
1461:
1457:
1456:
1448:
1446:
1444:
1442:
1440:
1438:
1436:
1434:
1432:
1430:
1428:
1426:
1424:
1422:
1420:
1418:
1416:
1414:
1410:
1405:
1401:
1397:
1393:
1388:
1383:
1380:(8): 635–42.
1379:
1375:
1371:
1364:
1362:
1360:
1358:
1356:
1354:
1352:
1350:
1348:
1346:
1344:
1342:
1340:
1338:
1336:
1334:
1332:
1330:
1328:
1326:
1324:
1322:
1320:
1318:
1316:
1314:
1312:
1310:
1308:
1304:
1297:
1291:
1287:
1283:
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1013:laser surgery
1010:
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1000:cauterization
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980:
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4743:Hypertension
4655:Venous ulcer
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4470:Inflammation
4351:
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4199:Hyperplastic
4160:Fatty streak
4103:Inflammation
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3130:apps.who.int
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1519:. Retrieved
1515:the original
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1377:
1373:
1286:Harold Cohen
1279:Viv Richards
1268:Jimmy Carter
1246:George Brett
1232:
1228:
1224:
1220:
1216:
1206:Saint Fiacre
1203:
1177:
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1133:
1125:
1122:Epidemiology
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1024:
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997:A number of
981:
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960:
950:phlebotonics
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874:
871:Conservative
867:
854:
818:
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768:Differential
756:
710:
701:anal fissure
669:
538:
503:
479:
444:constipation
441:
416:hematochezia
409:
388:
375:
352:
348:
328:
304:constipation
301:
280:
256:
253:haemorrhoids
252:
248:
247:
192:Constipation
187:Risk factors
151:
143:
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4808:Hypotension
4352:head / neck
4204:Cholesterol
4094:capillaries
4003:MedlinePlus
3857:‹ The
3550:hæmorrhoida
3210:(1): 7–19.
1521:15 February
1273:Cricketers
1221:haimorrhois
1217:hæmorrhoida
1017:cryosurgery
965:may occur.
948:The use of
928:epinephrine
894:While many
320:Colonoscopy
249:Hemorrhoids
162:Usual onset
50:Other names
45:Hemorrhoids
18:Hemorrhoids
4871:Acute pain
4835:Categories
4724:Vasculitis
4714:Thrombosis
4675:Angiopathy
4619:Varicocele
4612:Hemorrhoid
4442:Halo nevus
4298:dissection
4089:arterioles
4033:Hemorrhoid
4028:Patient UK
3979:DiseasesDB
3874:Hemorrhoid
3140:7 November
2346:F.A. Davis
1980:2024-07-18
1954:2024-07-18
1298:References
1257:Glenn Beck
1210:Old French
988:sclerosing
957:Procedures
938:Flavonoids
916:zinc oxide
885:sitz baths
864:Management
851:Prevention
825:anal warts
800:including
751:thrombosed
541:continence
506:anal canal
391:thrombosed
289:defecating
281:hemorrhoid
265:anal canal
223:Increased
4478:Phlebitis
4219:Trans fat
4155:Foam cell
4111:Arteritis
4078:(vessels)
4022:emerg/242
4014:eMedicine
2803:Br J Surg
2542:cite book
2457:(NIDDK),
2244:cite book
2199:cite book
2023:1051-0443
1928:207022763
1860:1007-9327
1404:220122385
1165:Hellebore
1065:ectropion
920:lidocaine
821:skin tags
717:receptors
693:abscesses
572:Diagnosis
518:sinusoids
456:pregnancy
424:itchiness
316:pregnancy
239:Frequency
220:Treatment
204:pregnancy
127:Specialty
4692:Embolism
4294:Aneurysm
4231:Stenosis
4165:Atheroma
4116:Aortitis
4085:Arteries
4019:med/2821
3905:29420423
3859:template
3786:24 April
3780:Archived
3750:Archived
3728:Archived
3696:Archived
3674:Archived
3652:Archived
3622:Archived
3599:Archived
3576:Archived
3553:Archived
3510:22413048
3454:17054255
3405:20691294
3364:16034963
3315:12516850
3269:18629515
3234:18512007
3185:33128093
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2882:16034920
2833:45532404
2825:16736537
2784:Archived
2751:March 5,
2745:Archived
2719:29420423
2673:29420423
2635:22117576
2600:16235372
2534:Archived
2503:Archived
2470:18 March
2325:Archived
2294:19445775
2236:Archived
2191:Archived
2151:Archived
2147:16973032
2085:22563187
2031:33971251
1920:26561592
1878:19598294
1755:29688768
1747:21825884
1674:17189119
1593:26929748
1470:Archived
1396:19725283
926:such as
922:, and a
858:defecate
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774:fissures
741:External
721:prolapse
707:Internal
697:sedation
689:prostate
673:anoscopy
588:Picture
554:internal
545:internal
510:arteries
448:diarrhea
432:necrotic
420:prolapse
406:Internal
400:skin tag
385:External
308:diarrhea
297:skin tag
277:inflamed
261:vascular
196:diarrhea
173:Few days
170:Duration
152:External
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139:Symptoms
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1374:Am Surg
1261:YouTube
1173:emerods
1152:papyrus
1138:History
1046:Surgery
908:Steroid
839:due to
798:colitis
790:itching
762:anoderm
585:Diagram
464:chronic
460:obesity
452:ascites
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685:polyps
681:tumors
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469:, and
438:Causes
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379:anemia
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229:NSAIDs
200:toilet
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3805:(PDF)
3273:S2CID
3181:S2CID
3157:Drugs
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