Clinical findings :
Symptoms :
1. Bleeding – streeking of faeces or passage of few drops post defecation
2. Pruritis –due to continuous perianal moisture
3. Discomfort – edema of heamorrhoids which may be severe if thrombosis recurs.
Signs
Prolapse : Stages
1) This occurs initially after defaection
2)
Spontaneously reduces to the stage of
3) Permanent non reduceable prolapse.
Work up:
Anoscopic examination: for heamorrhoids that do not protrude
Procto sigmoidoscopic examination: to exclude inflammatory or malignant disease at a higher level especially for patients above the age of 40.
