| Disease |
HAEMORRHOIDS (PILES) |
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| Quotation |
" When you are healthy, you walk tall. When you have piles, you sit tall" |
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| Definition |
Varicosities of the haemorrhoidal venous plexus. |
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| Prognosis |
Is a benign recurring problem that responds satisfactorily to general common sense needing surgery. Avoidance of constipation, and local measures and sitz baths for symptom relief, suffice for the great majority of patients. |
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| General Measures |
High fibre diet, and increased intake of liquids. Elimination of constipating foods like cheese, unripe fruits. More exercises, and reduction of time spent on the commode use of soap and water to clean up after stools. |
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| Advice to Patient |
Detal patient on use Haemorrhoidal cream. Reassurance on benign nature of condition. The need of proper diet, exercise and stooling pattern. |
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| Follow Up |
Regularly depending on therapy offered. |
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| Inadequate Response |
Look for background or associated conditions like portal hypertension, malignancy, pregnancy constipation. |
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| Prevention |
High fibre diet, and increased intake of liquids. Elimination of constipating foods like cheese, unripe fruits. More exercises, and reduction of time spent on the commode use of soap and water to clean up after stools. |
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| Reference From |
www.uptodate.com/patient_info/topicpages/topics/12411F0.asp |
