43 yo Male presents with anal pain.
Pink, nonbleeding hemorrhoids, treatment?sitz baths, manual reduction, fiber supplement
Dusky, very tender mass coming out of the anus, diagnosis?Sounds like a thrombosed hemorrhoid
Dusky, very tender, treatment?excision, but not for everyone.
Above treatment if? Contraindications: – Immunocompromised – Pregnant – A child – Portal hypertension (eg alcoholic cirrhosis) – Coagulaopathy. Excise only if in severe pain and <48 hours old
Who wants to see photos?
references
Tintnalli’s
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andygrock
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