Abnormal swellings of the vascular mucosal anal cushions around the anus.
Women are predisposed to developing haemorrhoids during Pregnancy - bulk forming laxatives are not absorbed and are therefore safe for Pregnancy. No other preparations are licensed for use during Pregnancy
Classification:
- degree: no prolapse
- degree: prolapse when straining and return in relaxing
- degree: prolapse when straining do not return on relaxing but can be pushed back
- degree: prolapsed permanently
A common presentation is with painless, bright red bleeding, typically on the toilet tissue or seen after opening the bowels. The blood is not mixed with the stool (this should make you think of an alternative diagnosis).
- Aims to reduce symptoms, promote healing and prevent recurrence
- If constipated - bulk forming laxative can be prescribed
- Paracetamol can be prescribed for pain - opioids (can cause constipation) and NSAIDs (if rectal bleeding) should be avoided
- Topical preparations can contain a combination of LA, corticosteroids, astringents, lubricants and antiseptics - but excessive application of LA and steroids should be avoided