49:
594:
483:
1132:
735:
1102:, 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
651:
644:
625:
606:
587:
632:
613:
355:
967:. 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%.
540:
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
1151:
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
1115:
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
338:
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
844:
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
1089:
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
2954:
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)".
2990:
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".
326:
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.
473:
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.
941:
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.
1067:
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
659:
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
880:. 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.
365:
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
3924:
3909:
386:
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
1281:
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
1241:
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.
1039:
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,
3115:"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"
929:
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
1031:
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%.
899:-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
307:. 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.
1986:
Makris, Gregory C.; Thulasidasan, Narayan; Malietzis, George; Kontovounisios, Christos; Saibudeen, Affan; Uberoi, Raman; Diamantopoulos, Athanasios; Sapoval, Marc; Vidal, Vincent (January 2021).
3855:
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".
2686:
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".
2640:
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".
1116:
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
1056:
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
2915:
Perera, Nirmal; Liolitsa, Danae; Iype, Satheesh; Croxford, Anna; Yassin, Muhammed; Lang, Peter; Ukaegbu, Obioha; van Issum, Christopher (15 August 2012). "Phlebotonics for haemorrhoids".
493:
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
1495:
2443:
3541:
370:
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.
407:), 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
4812:
3587:
3564:
3610:
391:
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.
1197:'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
2553:
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.).
272:
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
335:
that can be performed and is typically better tolerated than traditional therapies. Surgery is reserved for those who fail to improve following these measures.
3662:
462:. Squatting while defecating may also increase the risk of severe hemorrhoids. Evidence for these associations, however, is poor. Being a receptive partner in
1123:
Long-term outcomes are generally good, though some people may have recurrent symptomatic episodes. Only a small proportion of persons end up needing surgery.
291:
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
1635:
3768:
1147:
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
983:, 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%.
3513:
2522:
3640:
3684:
2536:
2238:
2193:
2884:
Gan, Tao; Liu, Yue-dong; Wang, Yiping; Yang, Jinlin (2010-10-06). "Traditional
Chinese Medicine herbs for stopping bleeding from haemorrhoids".
4822:
3738:
1178:(4th–5th century BC) is similar to the words of Hippocrates, but emphasizes wound cleanliness. In the 13th century, European surgeons such as
1711:
992:
methods have been shown to be effective for hemorrhoids, but are usually used only when other methods fail. This procedure can be done using
892:
1503:
688:
because of pain, although most internal hemorrhoids are not associated with pain. If pain is present, the condition is more likely to be an
431:
The exact cause of symptomatic hemorrhoids is unknown. A number of factors are believed to play a role, including irregular bowel habits (
4038:
2733:
2491:
2179:
2772:
2438:
2313:
2224:
1988:"Catheter-Directed Hemorrhoidal Dearterialization Technique for the Management of Hemorrhoids: A Meta-Analysis of the Clinical Evidence"
1458:
4611:
3189:"Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures"
876:, and rest. Increased fiber intake has been shown to improve outcomes and may be achieved by dietary alterations or the consumption of
3845:
3114:
2366:
3538:
3584:
3561:
1085:
836:) may present similar to hemorrhoids but are a different condition. Portal hypertension does not increase the risk of hemorrhoids.
3607:
2602:
Lang, DS; Tho, PC; Ang, EN (December 2011). "Effectiveness of the Sitz bath in managing adult patients with anorectal disorders".
2400:
2328:
849:, avoiding reading while on the toilet, and losing weight for overweight persons and avoiding heavy lifting are also recommended.
3368:"Meta-analysis of the use of glyceryl trinitrate ointment after haemorrhoidectomy as an analgesic and in promoting wound healing"
2755:
Beck, David E.; Roberts, Patricia L.; Saclarides, Theodore J.; Senagore, Anthony J.; Stamos, Michael J.; Nasseri, Yosef (2011).
4383:
2766:
2516:
2485:
2414:
2376:
2342:
2218:
2173:
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1452:
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are available for the treatment of hemorrhoids, little evidence supports their use. As such, they are not recommended by the
497:. These are located classically at left lateral, right anterior, and right posterior positions. They are composed of neither
447:), genetics, an absence of valves within the hemorrhoidal veins, and aging. Other factors believed to increase risk include
4388:
2139:
1174:
advocated severing the connection of the arteries to veins, claiming it reduced both pain and the spread of gangrene. The
3716:
3236:
Ommer, A; Wenger, FA; Rolfs, T; Walz, MK (November 2008). "Continence disorders after anal surgery—a relevant problem?".
869:
323:
1077:
3826:
3654:
3057:
2307:
1933:
439:), lack of exercise, nutritional factors (low-fiber diets), increased intra-abdominal pressure (prolonged straining,
1710:
Rivadeneira, DE; Steele, SR; Ternent, C; Chalasani, S; Buie, WD; Rafferty, JL; Standards
Practice Task Force of The
4538:
4155:
1020:
328:
221:
4170:
4031:
3760:
2296:
Bland, Kirby I.; Sarr, Michael G.; Büchler, Markus W.; Csendes, Attila; Garden, Oliver James; Wong, John (2008).
1666:
1027:. HAE involves the blockage of abnormal blood flow to the rectal (hemorrhoidal) arteries using microcoils and/or
4489:
3790:
2406:
950:
A number of office-based procedures may be performed. While generally safe, rare serious side effects such as
4301:
3517:
1248:
underwent surgery for hemorrhoids, subsequently describing his unpleasant experience in a widely viewed 2008
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931:
550:
332:
3632:
4827:
4817:
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3045:
549:
pressure may also be involved in hemorrhoid symptoms. Two types of hemorrhoids occur: internals from the
3676:
2837:"Conservative management of symptomatic and/or complicated haemorrhoids in pregnancy and the puerperium"
1048:, due to the close proximity of the rectum to the nerves that supply the bladder. Also, a small risk of
4722:
4373:
4348:
4165:
4094:
4024:
790:
3073:
Stücker, M; Debus, ES; Hoffmann, J; Jünger, M; Kröger, K; Mumme, A; Ramelet, AA; Rabe, E (June 2016).
593:
4747:
4690:
4338:
4291:
4141:
4104:
1170:(25 BC – 14 AD) described ligation and excision procedures and discussed the possible complications.
3730:
4732:
4545:
4499:
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4318:
4296:
3939:
1024:
459:
1963:
Hemorrhoidal Artery
Embolization Minimally Invasive Treatment for Symptomatic Internal Hemorrhoids
4787:
4769:
4251:
4246:
4210:
4180:
1234:
1098:
546:
542:
537:
533:
403:
during or following a bowel movement. The blood typically covers the stool (a condition known as
339:
reflect differences in healthcare access rather than true prevalence. Outcomes are usually good.
249:
3317:
Shanmugam, V; Thaha, MA; Rabindranath, KS; Campbell, KL; Steele, RJ; Loudon, MA (Jul 20, 2005).
4847:
4759:
4742:
4737:
4727:
4568:
4504:
4146:
4047:
1887:
Hollingshead, JR; Phillips, RK (January 2016). "Haemorrhoids: modern diagnosis and treatment".
1766:
1274:
1167:
284:. If bleeding occurs, it is usually darker. Symptoms frequently get better after a few days. A
20:
3979:
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2297:
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1442:
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4509:
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1758:
4678:
4673:
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4269:
3122:
1117:
959:
833:
794:
383:
1714:(September 2011). "Practice parameters for the management of hemorrhoids (revised 2010)".
8:
4842:
4754:
4521:
3928:
3282:
Lagares-Garcia, JA; Nogueras, JJ (December 2002). "Anal stenosis and mucosal ectropion".
1187:
1120:, however this may reflect differences in healthcare access rather than true prevalence.
829:
701:
665:
522:
4668:
4578:
4160:
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3489:
3462:
3433:
3408:
3343:
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1388:
1148:
1049:
997:
529:
416:
261:
127:
3715:(Mr·Beck speaking from home shortly after hospital). GlennBeckVideos. 3 January 2008.
3516:. Arlington Heights, IL: American Society of Colon and Rectal Surgeons. Archived from
3295:
1654:
1135:
An 11th-century
English miniature. On the right is an operation to remove hemorrhoids.
4459:
4408:
4308:
4004:
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3822:
3494:
3438:
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2015:
2007:
1916:
1904:
1900:
1862:
1844:
1770:
1759:
1731:
1658:
1577:
1448:
1392:
1380:
1238:
1190:, and John of Ardene made great progress and development of the surgical techniques.
1179:
1073:
1072:
as compared to rubber band ligation. It is the recommended treatment in those with a
1045:
877:
825:
774:
770:
746:
510:
452:
359:
199:
115:
3933:
3173:
3030:
2968:
2940:
2821:
2094:
Ellesmore, Windsor (2002). "Surgical
History of Haemorrhoids". In Charles MV (ed.).
1743:
48:
4464:
4113:
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3990:
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3864:
3484:
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2799:
2715:
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2059:
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1999:
1896:
1852:
1834:
1723:
1650:
1567:
1559:
1370:
1278:
821:
705:
673:
75:
4832:
4656:
4651:
4563:
4286:
4241:
4121:
3944:
3868:
3614:
3591:
3568:
3545:
2699:
2653:
1727:
1183:
1175:
1143:, which advises: "Thou shouldest give a recipe, an ointment of great protection;
1057:
912:
900:
817:
782:
486:
482:
400:
120:
69:
3993:
1052:
occurs, particularly of liquid, with rates reported between 0% and 28%. Mucosal
4705:
4555:
4418:
4378:
4313:
4274:
4185:
3955:
3384:
3367:
3075:"Consensus statement on the symptom-based treatment of chronic venous diseases"
2119:
2003:
1375:
1358:
1263:
1131:
1041:
993:
920:
798:
554:
318:
Often, no specific treatment is needed. Initial measures consist of increasing
3706:
3316:
3249:
3204:
3004:
2168:(4th ed.). Philadelphia; Baltimore: Williams & Wilkins. p. 329.
1961:
1823:"What every gastroenterologist needs to know about common anorectal disorders"
1076:
if carried out within 24–72 hours. Evidence to support this is weak, however.
4837:
4806:
4573:
4236:
2054:
2011:
1987:
1848:
1028:
1001:
988:
971:
888:
884:
865:
700:
Internal hemorrhoids originate above the pectinate line. They are covered by
532:. They contribute to 15–20% of anal closure pressure at rest and protect the
518:
514:
419:. Internal hemorrhoids are usually painful only if they become thrombosed or
319:
312:
213:
4400:
3918:
3479:
749:
occur below the dentate (or pectinate) line. They are covered proximally by
280:. External hemorrhoids often result in pain and swelling in the area of the
4714:
4626:
4441:
4131:
4074:
3876:
3498:
3442:
3393:
3352:
3319:"Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids"
3303:
3257:
3222:
3165:
3100:
3022:
2976:
2932:
2901:
2870:
2813:
2707:
2661:
2623:
2588:
2282:
2135:
2073:
2019:
1908:
1866:
1735:
1709:
1662:
1581:
1563:
1384:
1267:
1256:
1194:
938:
778:
766:
762:
753:
and distally by skin, both of which are sensitive to pain and temperature.
689:
432:
412:
404:
292:
273:
265:
180:
136:
56:
Diagram demonstrating the anatomy of both internal and external hemorrhoids
3365:
2368:
Ferri's Clinical Advisor 2020 E-Book: Ferri's Clinical Advisor 2020 E-Book
4779:
4175:
3974:
2477:
The 5-Minute Clinical Consult 2013 (Griffith's 5 Minute Clinical Consult)
1985:
1005:
916:
809:
781:
have similar symptoms and may be incorrectly referred to as hemorrhoids.
734:
388:
315:
is reasonable to confirm the diagnosis and rule out more serious causes.
308:
257:
175:
3013:
2786:
Alonso-Coello P, Zhou Q, Martinez-Zapata MJ, et al. (August 2006).
2552:
1839:
664:, insertion of a hollow tube device with a light attached at one end. A
4695:
4685:
4646:
4590:
4413:
3999:
2437:
National Digestive Diseases Information Clearinghouse (November 2004).
2334:
1245:
1198:
976:
926:
904:
813:
739:
708:. They were classified in 1985 into four grades based on the degree of
521:
in their walls, as veins do. This set of blood vessels is known as the
494:
379:
281:
277:
253:
144:
3366:
Ratnasingham, K; Uzzaman, M; Andreani, SM; Light, D; Patel, B (2010).
3091:
3074:
4449:
4190:
4126:
4082:
4065:
4060:
3985:
2804:
2787:
1160:, with earlier English translations using the now-obsolete spelling "
1153:
1053:
908:
873:
506:
444:
304:
192:
3901:
4663:
4265:
4202:
4136:
4087:
3406:
1139:
The first known mention of this disease is from a 1700 BC Egyptian
1080:
ointment after the procedure helps both with pain and with healing.
963:
is typically recommended as the first-line treatment in those with
846:
709:
685:
677:
661:
650:
498:
463:
436:
420:
408:
296:
285:
184:
2953:
2480:. Hagerstown, MD: Lippincott Williams & Wilkins. p. 572.
342:
The first known mention of the disease is from a 1700 BC Egyptian
3711:
2989:
1249:
1161:
1140:
896:
786:
750:
681:
448:
440:
343:
2785:
2444:
National Institute of Diabetes and Digestive and Kidney Diseases
2038:"Hemorrhoids: From basic pathophysiology to clinical management"
1633:
1500:
National Institute of Diabetes and Digestive and Kidney Diseases
722:
Grade III: Prolapse upon bearing down requiring manual reduction
643:
631:
624:
612:
605:
586:
4056:
3913:
3849:
3235:
3144:
Misra, MC; Imlitemsu (2005). "Drug treatment of haemorrhoids".
3052:(Second ed.). Elsevier Health Sciences. pp. 652–666.
2788:"Meta-analysis of flavonoids for the treatment of haemorrhoids"
1144:
980:
951:
802:
719:
Grade II: Prolapse upon bearing down, but spontaneous reduction
399:
Internal hemorrhoids usually present with painless, bright red
367:
354:
300:
188:
2758:
The ASCRS Textbook of Colon and Rectal Surgery: Second Edition
2207:
Azimuddin, Indru Khubchandani, Nina Paonessa, Khawaja (2009).
1821:
Schubert, MC; Sridhar, S; Schade, RR; Wexner, SD (July 2009).
1023:
is an additional minimally invasive procedure performed by an
93:
90:
2754:
1202:
1171:
1157:
669:
502:
470:
455:
217:
4432:
3854:
3407:
Jayaraman, S; Colquhoun, PH; Malthaner, RA (Oct 18, 2006).
3050:
Vascular Medicine: A Companion to Braunwald's Heart Disease
2685:
2639:
2399:
Bernstein, Melissa; Luggen, Ann Schmidt (28 January 2011).
2254:
2162:
Dayton, Peter F. Lawrence, Richard Bell, Merril T. (2006).
1820:
1548:"Review of Hemorrhoid Disease: Presentation and Management"
864:
Conservative treatment typically consists of foods rich in
684:. This examination may not be possible without appropriate
84:
3281:
3072:
2914:
303:
for long periods. Hemorrhoids are also more common during
256:. In their normal state, they are cushions that help with
2447:
805:
is present, other potential causes should be considered.
725:
Grade IV: Prolapse with inability to be manually reduced.
553:
and externals from the inferior hemorrhoidal plexus. The
3818:
Raid! : the untold story of Patton's secret mission
1634:
Kaidar-Person, O; Person, B; Wexner, SD (January 2007).
692:
or external hemorrhoid rather than internal hemorrhoid.
288:
may remain after the healing of an external hemorrhoid.
2295:
3815:
Baron, Richard; Baum, Abe; Goldhurst, Richard (1981).
2302:. Springer Science & Business Media. p. 857.
2299:
General Surgery: Principles and International Practice
668:(DRE) can also be performed to detect possible rectal
3409:"Stapled versus conventional surgery for hemorrhoids"
3186:
99:
4813:
Diseases of veins, lymphatic vessels and lymph nodes
4046:
3891:
2255:
Reese, GE; von Roon, AC; Tekkis, PP (Jan 29, 2009).
2089:
2087:
2085:
2083:
1886:
96:
3798:
Journal of the Orders and Medals Society of America
808:Other conditions that produce an anal mass include
87:
81:
78:
3814:
2601:
2093:
1193:In medieval times, hemorrhoids were also known as
716:Grade I: No prolapse, just prominent blood vessels
2511:(2nd ed.). New York: Springer. p. 665.
2080:
1447:(2nd ed.). New York: Springer. p. 175.
4804:
3677:"Glenn Beck: Put the 'Care' Back in Health Care"
2834:
2213:(2nd ed.). New York: Springer. p. 21.
1992:Journal of Vascular and Interventional Radiology
1273:During World War II, US Army Lieutenant Colonel
2398:
1359:"Hemorrhoids: diagnosis and current management"
868:, intake of oral fluids to maintain hydration,
322:intake, drinking fluids to maintain hydration,
3180:
3143:
2883:
2473:
1636:"Hemorrhoidal disease: A comprehensive review"
1444:The ASCRS textbook of colon and rectal surgery
1356:
1156:." Hemorrhoids may have been described in the
1008:. Infrared cauterization may be an option for
489:of hemorrhoids, showing engorged blood vessels
4032:
3467:Journal of Surgical Technique and Case Report
3277:
3275:
3043:
2505:Glass, Jill C. Cash, Cheryl A. (2010-11-18).
1756:
1712:American Society of Colon and Rectal Surgeons
1629:
1627:
1625:
1623:
1621:
1619:
1617:
1615:
1613:
1611:
1220:), "stream, flow, current", itself from ῥέω (
893:American Society of Colon and Rectal Surgeons
3456:
3454:
3452:
3079:Journal of the German Society of Dermatology
2681:
2679:
2555:"Laxatives for the treatment of hemorrhoids"
2535:: CS1 maint: multiple names: authors list (
2237:: CS1 maint: multiple names: authors list (
2192:: CS1 maint: multiple names: authors list (
1609:
1607:
1605:
1603:
1601:
1599:
1597:
1595:
1593:
1591:
19:"Piles" redirects here. For other uses, see
3630:
3461:Agbo, Indru Khubchandani (1 January 2011).
3238:International Journal of Colorectal Disease
3066:
2548:
2546:
2327:Fitzgerald, Margaret A. (4 December 2020).
1959:
1643:Journal of the American College of Surgeons
1436:
1434:
1432:
1430:
1428:
1426:
1424:
1422:
1352:
1350:
1348:
1346:
1344:
1342:
1340:
1338:
1336:
1334:
1332:
1330:
1328:
1326:
1324:
1322:
1320:
1318:
1316:
1212:), "liable to discharge blood", from αἷμα (
785:may also occur owing to colorectal cancer,
4612:Chronic cerebrospinal venous insufficiency
4039:
4025:
3272:
2908:
2722:
2635:
2633:
2330:Nurse Practitioner Certification Exam Prep
2326:
2157:
2155:
2153:
2151:
2149:
2113:
2111:
2109:
2107:
2105:
2035:
1816:
1814:
1812:
1810:
1808:
1806:
1541:
1490:
1488:
1420:
1418:
1416:
1414:
1412:
1410:
1408:
1406:
1404:
1402:
1314:
1312:
1310:
1308:
1306:
1304:
1302:
1300:
1298:
1296:
47:
3488:
3478:
3449:
3432:
3383:
3342:
3212:
3187:Pescatori, M; Gagliardi, G (March 2008).
3090:
3012:
2860:
2803:
2676:
2578:
2272:
2250:
2248:
2206:
2063:
2053:
1856:
1838:
1804:
1802:
1800:
1798:
1796:
1794:
1792:
1790:
1788:
1786:
1705:
1703:
1701:
1699:
1588:
1571:
1545:
1539:
1537:
1535:
1533:
1531:
1529:
1527:
1525:
1523:
1521:
1486:
1484:
1482:
1480:
1478:
1476:
1474:
1472:
1470:
1468:
1374:
923:to which certain people may be allergic.
42:Haemorrhoids, piles, hemorrhoidal disease
3400:
2543:
1934:"Hemorrhoidal Artery Embolization (HAE)"
1882:
1880:
1878:
1876:
1761:Illustrative Handbook of General Surgery
1697:
1695:
1693:
1691:
1689:
1687:
1685:
1683:
1681:
1679:
1152:recovers, let him be put on a course of
1130:
1086:transanal hemorrhoidal dearterialization
733:
481:
353:
3665:from the original on February 11, 2009.
3511:
3413:Cochrane Database of Systematic Reviews
3323:Cochrane Database of Systematic Reviews
2917:Cochrane Database of Systematic Reviews
2886:Cochrane Database of Systematic Reviews
2841:Cochrane Database of Systematic Reviews
2835:Quijano, CE; Abalos, E (Jul 20, 2005).
2630:
2146:
2102:
2031:
2029:
1399:
1293:
4805:
3617:, Henry George Liddell, Robert Scott,
3594:, Henry George Liddell, Robert Scott,
3571:, Henry George Liddell, Robert Scott,
3044:Garg, Nitin; Gloviczki, Peter (2013).
2245:
2161:
2117:
1783:
1518:
1465:
1021:Hemorrhoidal artery embolization (HAE)
528:Hemorrhoid cushions are important for
329:Hemorrhoidal artery embolization (HAE)
4823:Medical conditions related to obesity
4384:Hereditary hemorrhagic telangiectasia
4020:
3687:from the original on 28 November 2012
3505:
3284:The Surgical Clinics of North America
2504:
2364:
1981:
1979:
1955:
1953:
1928:
1926:
1873:
1676:
349:
16:Vascular structures in the anal canal
4389:Generalized essential telangiectasia
3771:from the original on 3 February 2017
3548:, Charlton T. Lewis, Charles Short,
3463:"Surgical management of hemorrhoids"
3460:
2732:. Dermnetnz.org. December 28, 2013.
2026:
1440:
1259:had surgery for hemorrhoids in 1984.
1208:, in turn from the Greek αἱμορροΐς (
932:traditional Chinese herbal treatment
870:nonsteroidal anti-inflammatory drugs
469:During pregnancy, pressure from the
260:control. They become a disease when
204:Examination, rule out serious causes
3661:. Associated Press. March 1, 1981.
3081:(Professional society guidelines).
2959:(Professional society guidelines).
2690:(Professional society guidelines).
1552:Clinics in Colon and Rectal Surgery
1244:Conservative political commentator
761:Many anorectal problems, including
13:
3783:
3643:from the original on June 5, 2011.
2736:from the original on March 5, 2014
2096:Surgical Treatment of Haemorrhoids
1976:
1950:
1923:
477:
14:
4859:
3839:
3741:from the original on 9 March 2014
3046:"55—Chronic Venous Insufficiency"
2210:Surgical treatment of hemorrhoids
2042:World Journal of Gastroenterology
1655:10.1016/j.jamcollsurg.2006.08.022
1357:Lorenzo-Rivero, S (August 2009).
4539:Cerebral venous sinus thrombosis
3857:Diseases of the Colon and Rectum
3719:from the original on 2016-03-09.
3633:"Memories fill Kauffman Stadium"
3372:International Journal of Surgery
3158:10.2165/00003495-200565110-00003
2775:from the original on 2014-07-04.
2730:"Balsam of Peru contact allergy"
2688:Diseases of the Colon and Rectum
2642:Diseases of the Colon and Rectum
2616:10.1111/j.1742-7924.2011.00175.x
2604:Japan Journal of Nursing Science
2525:from the original on 2017-09-08.
2494:from the original on 2017-09-08.
2316:from the original on 2017-08-11.
2227:from the original on 2017-09-08.
2182:from the original on 2017-09-08.
2142:from the original on 2013-05-20.
1901:10.1136/postgradmedj-2015-133328
1716:Diseases of the Colon and Rectum
1546:Sun, Z; Migaly, J (March 2016).
1461:from the original on 2014-12-30.
1227:
649:
642:
630:
623:
611:
604:
592:
585:
222:hemorrhoidal artery embolization
74:
3808:
3753:
3723:
3699:
3669:
3655:"Brett in Hospital for Surgery"
3647:
3624:
3601:
3578:
3555:
3532:
3359:
3310:
3229:
3137:
3107:
3037:
2983:
2969:10.1016/j.jviscsurg.2016.03.004
2947:
2877:
2828:
2779:
2748:
2595:
2498:
2467:
2430:
2407:Jones & Bartlett Publishers
2392:
2358:
2320:
2289:
2200:
1502:. November 2013. Archived from
1237:was removed from a game in the
1110:
859:
756:
143:: Pain and swelling around the
4490:Hepatic veno-occlusive disease
3425:10.1002/14651858.CD005393.pub2
3335:10.1002/14651858.CD005034.pub2
2925:10.1002/14651858.CD004322.pub3
2894:10.1002/14651858.cd006791.pub2
2853:10.1002/14651858.CD004077.pub2
2571:10.1002/14651858.CD004649.pub2
2365:Ferri, Fred F. (1 June 2019).
1750:
1074:thrombosed external hemorrhoid
1016:, reoccurrence rates are high.
824:, and enlarged anal papillae.
443:, an intra-abdominal mass, or
1:
4302:Aneurysm of sinus of Valsalva
4156:Monckeberg's arteriosclerosis
3631:Dick Kaegel (March 5, 2009).
3296:10.1016/s0039-6109(02)00081-6
2402:Nutrition for the Older Adult
2165:Essentials of general surgery
1286:
1233:Hall-of-Fame baseball player
945:
907:, an analgesic agent such as
852:
839:
729:
695:
4607:Chronic venous insufficiency
4232:Aortoiliac occlusive disease
3869:10.1097/DCR.0000000000001030
3621:, on Perseus Digital Library
3598:, on Perseus Digital Library
3575:, on Perseus Digital Library
3552:, on Perseus Digital Library
3193:Techniques in Coloproctology
2993:Techniques in Coloproctology
2700:10.1097/DCR.0000000000001030
2654:10.1097/DCR.0000000000001030
2371:. Elsevier Health Sciences.
1889:Postgraduate Medical Journal
1765:. Berlin: Springer. p.
1728:10.1097/DCR.0b013e318225513d
1270:have suffered the condition.
975:involves the injection of a
560:
551:superior hemorrhoidal plexus
466:has been listed as a cause.
333:minimally invasive procedure
7:
4622:Inferior vena cava syndrome
4617:Superior vena cava syndrome
4344:Vertebral artery dissection
4334:Intracranial berry aneurysm
2957:Journal of Visceral Surgery
1065:Excisional hemorrhoidectomy
566:Internal hemorrhoid grades
505:, but blood vessels called
394:
373:
10:
4864:
4723:Hypertensive heart disease
4374:Arteriovenous malformation
4349:Familial aortic dissection
3385:10.1016/j.ijsu.2010.04.012
2559:Cochrane Database Syst Rev
2508:Family practice guidelines
2036:Lohsiriwat, Varut (2012).
2004:10.1016/j.jvir.2021.03.548
1960:UCLA Health (2024-06-24).
1376:10.1177/000313480907500801
1126:
1034:
1025:interventional radiologist
791:inflammatory bowel disease
18:
4778:
4748:Renovascular hypertension
4713:
4704:
4691:Hepatic artery thrombosis
4639:
4599:
4554:
4458:
4440:
4431:
4399:
4359:
4339:Carotid artery dissection
4292:Abdominal aortic aneurysm
4264:
4224:
4201:
4142:Intermittent claudication
4112:
4105:Peripheral artery disease
4103:
4073:
4055:
3965:
3895:
3765:The Sydney Morning Herald
3761:"The Five: Wounded pride"
3250:10.1007/s00384-008-0524-y
3205:10.1007/s10151-008-0391-0
3005:10.1007/s10151-015-1371-9
1224:), "to flow, to stream".
557:divides the two regions.
426:
227:
208:
198:
174:
166:
158:
150:
126:
114:
60:
55:
46:
38:
33:
4733:Hypertensive nephropathy
4546:Post-thrombotic syndrome
4527:Paget–Schroetter disease
4319:Coronary artery aneurysm
4297:Thoracic aortic aneurysm
3731:"Carter Leaves Hospital"
3681:ABC Good Morning America
2118:Davies, RJ (June 2006).
2055:10.3748/wjg.v18.i17.2009
1277:was selected by General
1094:Stapled hemorrhoidectomy
517:. Sinusoids do not have
460:pelvic floor dysfunction
331:is a safe and effective
4788:Orthostatic hypotension
4770:White coat hypertension
4247:Fibromuscular dysplasia
4211:Carotid artery stenosis
3619:A Greek-English Lexicon
3596:A Greek-English Lexicon
3573:A Greek-English Lexicon
3512:Cataldo, Peter (2005).
3480:10.4103/2006-8808.92797
2474:Frank J Domino (2012).
1441:Beck, David E. (2011).
1104:grade II or III disease
1099:stapled hemorrhoidopexy
1014:grade III or IV disease
832:(blood pressure in the
547:external anal sphincter
538:external anal sphincter
451:, prolonged sitting, a
268:; the unqualified term
135:: Painless, bright red
4760:Pulmonary hypertension
4743:Secondary hypertension
4738:Essential hypertension
4728:Hypertensive emergency
4569:Portacaval anastomosis
4505:Portal vein thrombosis
4147:Critical limb ischemia
4048:Cardiovascular disease
3821:. Putnam. p. 20.
3121:. 2005. Archived from
1757:Chen, Herbert (2010).
1564:10.1055/s-0035-1568144
1255:Former U.S. President
1136:
965:grade I to III disease
743:
490:
362:
21:Piles (disambiguation)
4765:Systolic hypertension
4510:Renal vein thrombosis
4369:Arteriovenous fistula
4361:Vascular malformation
4329:Intracranial aneurysm
4216:Renal artery stenosis
3637:Major League Baseball
1827:World J Gastroenterol
1216:), "blood" and ῥόος (
1134:
1070:grade III hemorrhoids
1010:grade I or II disease
737:
541:increased. Increased
485:
357:
299:, and sitting on the
4679:Paradoxical embolism
4674:Cholesterol embolism
4500:May–Thurner syndrome
4495:Budd–Chiari syndrome
4478:Deep vein thrombosis
4473:primarily lower limb
4252:Raynaud's phenomenon
3737:. January 19, 1984.
3707:"Beck From the Dead"
1972:– via YouTube.
1118:socioeconomic status
960:Rubber band ligation
834:portal venous system
795:diverticular disease
747:External hemorrhoids
384:external hemorrhoids
4755:Benign hypertension
3290:(6): 1225–31, vii.
3125:on November 8, 2014
2098:. London: Springer.
1840:10.3748/wjg.15.3201
1201:"emorroides", from
1188:Henri de Mondeville
1078:Glyceryl trinitrate
830:portal hypertension
742:external hemorrhoid
704:, which lacks pain
702:columnar epithelium
666:digital rectal exam
567:
523:hemorrhoidal plexus
360:external hemorrhoid
231:50–66% at some time
216:, drinking fluids,
4828:Colorectal surgery
4818:Digestive diseases
4669:Pulmonary embolism
4579:Esophageal varices
4517:upper limb / torso
4161:Arteriolosclerosis
3966:External resources
3735:The New York Times
3659:The New York Times
3613:2011-06-05 at the
3590:2011-06-05 at the
3567:2011-06-05 at the
3550:A Latin Dictionary
3544:2011-02-25 at the
3520:on 3 December 2013
1938:www.uclahealth.org
1506:on 26 January 2016
1149:Hippocratic corpus
1137:
1050:fecal incontinence
998:infrared radiation
744:
565:
491:
417:fecal incontinence
411:through the anus,
363:
350:Signs and symptoms
252:structures in the
191:for long periods,
154:45–65 years of age
4800:
4799:
4796:
4795:
4640:Arteries or veins
4635:
4634:
4460:Venous thrombosis
4427:
4426:
4409:Cherry hemangioma
4309:Aortic dissection
4260:
4259:
4095:Buerger's disease
4014:
4013:
3092:10.1111/ddg.13006
2768:978-1-4419-1581-8
2518:978-0-8261-1812-7
2487:978-1-4511-3735-4
2416:978-1-4496-6396-4
2378:978-0-323-67977-0
2344:978-1-7196-4298-9
2261:Clinical Evidence
2220:978-1-84800-313-2
2175:978-0-7817-5003-5
2124:Clinical Evidence
2048:(17): 2009–2017.
1776:978-1-84882-088-3
1454:978-1-4419-1581-8
1239:1980 World Series
1180:Lanfranc of Milan
1090:hemorrhoidectomy.
1046:urinary retention
878:fiber supplements
826:Anorectal varices
771:colorectal cancer
657:
656:
511:connective tissue
244:), also known as
235:
234:
220:, rest, surgery,
200:Diagnostic method
187:, sitting on the
28:Medical condition
4855:
4711:
4710:
4522:Mondor's disease
4465:Thrombophlebitis
4438:
4437:
4114:Arteriosclerosis
4110:
4109:
4071:
4070:
4041:
4034:
4027:
4018:
4017:
3893:
3892:
3888:
3833:
3832:
3812:
3806:
3805:
3795:
3787:
3781:
3780:
3778:
3776:
3757:
3751:
3750:
3748:
3746:
3727:
3721:
3720:
3703:
3697:
3696:
3694:
3692:
3673:
3667:
3666:
3651:
3645:
3644:
3628:
3622:
3605:
3599:
3582:
3576:
3559:
3553:
3536:
3530:
3529:
3527:
3525:
3509:
3503:
3502:
3492:
3482:
3458:
3447:
3446:
3436:
3404:
3398:
3397:
3387:
3363:
3357:
3356:
3346:
3314:
3308:
3307:
3279:
3270:
3269:
3233:
3227:
3226:
3216:
3184:
3178:
3177:
3141:
3135:
3134:
3132:
3130:
3111:
3105:
3104:
3094:
3070:
3064:
3063:
3041:
3035:
3034:
3016:
2987:
2981:
2980:
2951:
2945:
2944:
2912:
2906:
2905:
2888:(10): CD006791.
2881:
2875:
2874:
2864:
2832:
2826:
2825:
2807:
2805:10.1002/bjs.5378
2783:
2777:
2776:
2752:
2746:
2745:
2743:
2741:
2726:
2720:
2719:
2683:
2674:
2673:
2637:
2628:
2627:
2599:
2593:
2592:
2582:
2550:
2541:
2540:
2534:
2526:
2502:
2496:
2495:
2471:
2465:
2464:
2462:
2460:
2451:. Archived from
2434:
2428:
2427:
2425:
2423:
2396:
2390:
2389:
2387:
2385:
2362:
2356:
2355:
2353:
2351:
2324:
2318:
2317:
2293:
2287:
2286:
2276:
2252:
2243:
2242:
2236:
2228:
2204:
2198:
2197:
2191:
2183:
2159:
2144:
2143:
2115:
2100:
2099:
2091:
2078:
2077:
2067:
2057:
2033:
2024:
2023:
1998:(8): 1119–1127.
1983:
1974:
1973:
1971:
1970:
1957:
1948:
1947:
1945:
1944:
1930:
1921:
1920:
1884:
1871:
1870:
1860:
1842:
1818:
1781:
1780:
1764:
1754:
1748:
1747:
1707:
1674:
1673:
1671:
1665:. Archived from
1640:
1631:
1586:
1585:
1575:
1543:
1516:
1515:
1513:
1511:
1492:
1463:
1462:
1438:
1397:
1396:
1378:
1354:
1279:George S. Patton
1096:, also known as
1012:. In those with
653:
646:
634:
627:
615:
608:
596:
589:
568:
564:
464:anal intercourse
106:
105:
102:
101:
98:
95:
92:
89:
86:
83:
80:
73:
51:
31:
30:
4863:
4862:
4858:
4857:
4856:
4854:
4853:
4852:
4803:
4802:
4801:
4792:
4774:
4700:
4657:Microangiopathy
4652:Macroangiopathy
4631:
4595:
4564:Gastric varices
4550:
4463:
4454:
4423:
4395:
4355:
4287:Aortic aneurysm
4273:
4256:
4242:Erythromelalgia
4220:
4197:
4122:Atherosclerosis
4099:
4063:
4051:
4045:
4015:
4010:
4009:
3961:
3960:
3904:
3842:
3837:
3836:
3829:
3813:
3809:
3793:
3789:
3788:
3784:
3774:
3772:
3759:
3758:
3754:
3744:
3742:
3729:
3728:
3724:
3705:
3704:
3700:
3690:
3688:
3683:. Jan 8, 2008.
3675:
3674:
3670:
3653:
3652:
3648:
3629:
3625:
3615:Wayback Machine
3606:
3602:
3592:Wayback Machine
3583:
3579:
3569:Wayback Machine
3560:
3556:
3546:Wayback Machine
3537:
3533:
3523:
3521:
3510:
3506:
3459:
3450:
3419:(4): CD005393.
3405:
3401:
3364:
3360:
3329:(3): CD005034.
3315:
3311:
3280:
3273:
3244:(11): 1023–31.
3234:
3230:
3185:
3181:
3152:(11): 1481–91.
3142:
3138:
3128:
3126:
3113:
3112:
3108:
3071:
3067:
3060:
3042:
3038:
2999:(10): 567–575.
2988:
2984:
2952:
2948:
2919:(8): CD004322.
2913:
2909:
2882:
2878:
2847:(3): CD004077.
2833:
2829:
2784:
2780:
2769:
2753:
2749:
2739:
2737:
2728:
2727:
2723:
2684:
2677:
2638:
2631:
2600:
2596:
2565:(4): CD004649.
2551:
2544:
2528:
2527:
2519:
2503:
2499:
2488:
2472:
2468:
2458:
2456:
2435:
2431:
2421:
2419:
2417:
2409:. p. 116.
2397:
2393:
2383:
2381:
2379:
2363:
2359:
2349:
2347:
2345:
2325:
2321:
2310:
2294:
2290:
2253:
2246:
2230:
2229:
2221:
2205:
2201:
2185:
2184:
2176:
2160:
2147:
2116:
2103:
2092:
2081:
2034:
2027:
1984:
1977:
1968:
1966:
1958:
1951:
1942:
1940:
1932:
1931:
1924:
1885:
1874:
1833:(26): 3201–09.
1819:
1784:
1777:
1755:
1751:
1708:
1677:
1669:
1638:
1632:
1589:
1544:
1519:
1509:
1507:
1494:
1493:
1466:
1455:
1439:
1400:
1355:
1294:
1289:
1230:
1184:Guy de Chauliac
1176:Susruta Samhita
1129:
1113:
1084:Doppler-guided
1058:rectal prolapse
1042:anal strictures
1037:
979:agent, such as
952:perianal sepsis
948:
919:. Some contain
913:vasoconstrictor
901:petroleum jelly
862:
855:
842:
818:rectal prolapse
783:Rectal bleeding
759:
732:
698:
563:
487:Gross pathology
480:
478:Pathophysiology
429:
401:rectal bleeding
397:
376:
352:
274:rectal bleeding
139:
137:rectal bleeding
121:General surgery
110:
77:
68:
67:
29:
24:
17:
12:
11:
5:
4861:
4851:
4850:
4845:
4840:
4835:
4830:
4825:
4820:
4815:
4798:
4797:
4794:
4793:
4791:
4790:
4784:
4782:
4776:
4775:
4773:
4772:
4767:
4762:
4757:
4752:
4751:
4750:
4740:
4735:
4730:
4725:
4719:
4717:
4708:
4706:Blood pressure
4702:
4701:
4699:
4698:
4693:
4688:
4683:
4682:
4681:
4676:
4671:
4661:
4660:
4659:
4654:
4643:
4641:
4637:
4636:
4633:
4632:
4630:
4629:
4624:
4619:
4614:
4609:
4603:
4601:
4597:
4596:
4594:
4593:
4588:
4587:
4586:
4581:
4576:
4566:
4560:
4558:
4556:Varicose veins
4552:
4551:
4549:
4548:
4543:
4542:
4541:
4531:
4530:
4529:
4524:
4514:
4513:
4512:
4507:
4502:
4497:
4492:
4482:
4481:
4480:
4469:
4467:
4456:
4455:
4453:
4452:
4446:
4444:
4435:
4429:
4428:
4425:
4424:
4422:
4421:
4419:Spider angioma
4416:
4411:
4405:
4403:
4401:Vascular nevus
4397:
4396:
4394:
4393:
4392:
4391:
4386:
4379:Telangiectasia
4376:
4371:
4365:
4363:
4357:
4356:
4354:
4353:
4352:
4351:
4346:
4341:
4336:
4331:
4321:
4316:
4314:Aortic rupture
4311:
4306:
4305:
4304:
4299:
4294:
4279:
4277:
4275:pseudoaneurysm
4262:
4261:
4258:
4257:
4255:
4254:
4249:
4244:
4239:
4234:
4228:
4226:
4222:
4221:
4219:
4218:
4213:
4207:
4205:
4199:
4198:
4196:
4195:
4194:
4193:
4188:
4186:Oxycholesterol
4183:
4178:
4173:
4168:
4158:
4152:
4151:
4150:
4149:
4144:
4139:
4134:
4129:
4118:
4116:
4107:
4101:
4100:
4098:
4097:
4092:
4091:
4090:
4079:
4077:
4068:
4053:
4052:
4044:
4043:
4036:
4029:
4021:
4012:
4011:
4008:
4007:
3996:
3982:
3970:
3969:
3967:
3963:
3962:
3959:
3958:
3947:
3936:
3921:
3905:
3900:
3899:
3897:
3896:Classification
3890:
3889:
3863:(3): 284–292.
3852:
3841:
3840:External links
3838:
3835:
3834:
3827:
3807:
3804:(3): 10. 1997.
3791:"Harold Cohen"
3782:
3767:. 2009-12-12.
3752:
3722:
3698:
3668:
3646:
3623:
3600:
3577:
3554:
3531:
3504:
3448:
3399:
3358:
3309:
3271:
3228:
3179:
3136:
3106:
3065:
3058:
3036:
2982:
2946:
2907:
2876:
2827:
2778:
2767:
2747:
2721:
2694:(3): 284–292.
2675:
2629:
2594:
2542:
2517:
2497:
2486:
2466:
2429:
2415:
2391:
2377:
2357:
2343:
2319:
2308:
2288:
2257:"Haemorrhoids"
2244:
2219:
2199:
2174:
2145:
2130:(15): 711–24.
2120:"Haemorrhoids"
2101:
2079:
2025:
1975:
1949:
1922:
1872:
1782:
1775:
1749:
1722:(9): 1059–64.
1675:
1672:on 2012-09-22.
1587:
1517:
1464:
1453:
1398:
1291:
1290:
1288:
1285:
1284:
1283:
1271:
1264:Matthew Hayden
1260:
1253:
1242:
1229:
1226:
1128:
1125:
1112:
1109:
1108:
1107:
1091:
1081:
1036:
1033:
1029:microparticles
1018:
1017:
994:electrocautery
984:
968:
947:
944:
921:Balsam of Peru
885:topical agents
861:
858:
854:
851:
845:attempting to
841:
838:
799:angiodysplasia
775:rectal varices
758:
755:
731:
728:
727:
726:
723:
720:
717:
697:
694:
676:, an enlarged
655:
654:
647:
640:
636:
635:
628:
621:
617:
616:
609:
602:
598:
597:
590:
583:
579:
578:
575:
572:
562:
559:
555:pectinate line
479:
476:
428:
425:
396:
393:
375:
372:
351:
348:
233:
232:
229:
225:
224:
210:
206:
205:
202:
196:
195:
178:
172:
171:
168:
164:
163:
160:
156:
155:
152:
148:
147:
130:
124:
123:
118:
112:
111:
109:
108:
64:
62:
58:
57:
53:
52:
44:
43:
40:
36:
35:
27:
15:
9:
6:
4:
3:
2:
4860:
4849:
4848:Anal diseases
4846:
4844:
4841:
4839:
4836:
4834:
4831:
4829:
4826:
4824:
4821:
4819:
4816:
4814:
4811:
4810:
4808:
4789:
4786:
4785:
4783:
4781:
4777:
4771:
4768:
4766:
4763:
4761:
4758:
4756:
4753:
4749:
4746:
4745:
4744:
4741:
4739:
4736:
4734:
4731:
4729:
4726:
4724:
4721:
4720:
4718:
4716:
4712:
4709:
4707:
4703:
4697:
4694:
4692:
4689:
4687:
4684:
4680:
4677:
4675:
4672:
4670:
4667:
4666:
4665:
4662:
4658:
4655:
4653:
4650:
4649:
4648:
4645:
4644:
4642:
4638:
4628:
4625:
4623:
4620:
4618:
4615:
4613:
4610:
4608:
4605:
4604:
4602:
4598:
4592:
4589:
4585:
4582:
4580:
4577:
4575:
4574:Caput medusae
4572:
4571:
4570:
4567:
4565:
4562:
4561:
4559:
4557:
4553:
4547:
4544:
4540:
4537:
4536:
4535:
4532:
4528:
4525:
4523:
4520:
4519:
4518:
4515:
4511:
4508:
4506:
4503:
4501:
4498:
4496:
4493:
4491:
4488:
4487:
4486:
4483:
4479:
4476:
4475:
4474:
4471:
4470:
4468:
4466:
4461:
4457:
4451:
4448:
4447:
4445:
4443:
4439:
4436:
4434:
4430:
4420:
4417:
4415:
4412:
4410:
4407:
4406:
4404:
4402:
4398:
4390:
4387:
4385:
4382:
4381:
4380:
4377:
4375:
4372:
4370:
4367:
4366:
4364:
4362:
4358:
4350:
4347:
4345:
4342:
4340:
4337:
4335:
4332:
4330:
4327:
4326:
4325:
4322:
4320:
4317:
4315:
4312:
4310:
4307:
4303:
4300:
4298:
4295:
4293:
4290:
4289:
4288:
4284:
4281:
4280:
4278:
4276:
4271:
4267:
4263:
4253:
4250:
4248:
4245:
4243:
4240:
4238:
4237:Degos disease
4235:
4233:
4230:
4229:
4227:
4223:
4217:
4214:
4212:
4209:
4208:
4206:
4204:
4200:
4192:
4189:
4187:
4184:
4182:
4179:
4177:
4174:
4172:
4169:
4167:
4164:
4163:
4162:
4159:
4157:
4154:
4153:
4148:
4145:
4143:
4140:
4138:
4135:
4133:
4130:
4128:
4125:
4124:
4123:
4120:
4119:
4117:
4115:
4111:
4108:
4106:
4102:
4096:
4093:
4089:
4086:
4085:
4084:
4081:
4080:
4078:
4076:
4072:
4069:
4067:
4062:
4058:
4054:
4049:
4042:
4037:
4035:
4030:
4028:
4023:
4022:
4019:
4006:
4002:
4001:
3997:
3995:
3992:
3988:
3987:
3983:
3981:
3977:
3976:
3972:
3971:
3968:
3964:
3957:
3953:
3952:
3948:
3946:
3942:
3941:
3937:
3935:
3931:
3930:
3926:
3922:
3920:
3916:
3915:
3911:
3907:
3906:
3903:
3898:
3894:
3886:
3882:
3878:
3874:
3870:
3866:
3862:
3858:
3853:
3851:
3847:
3844:
3843:
3830:
3828:9780399125973
3824:
3820:
3819:
3811:
3803:
3799:
3792:
3786:
3770:
3766:
3762:
3756:
3740:
3736:
3732:
3726:
3718:
3714:
3713:
3708:
3702:
3686:
3682:
3678:
3672:
3664:
3660:
3656:
3650:
3642:
3638:
3634:
3627:
3620:
3616:
3612:
3609:
3604:
3597:
3593:
3589:
3586:
3581:
3574:
3570:
3566:
3563:
3558:
3551:
3547:
3543:
3540:
3535:
3519:
3515:
3514:"Hemorrhoids"
3508:
3500:
3496:
3491:
3486:
3481:
3476:
3472:
3468:
3464:
3457:
3455:
3453:
3444:
3440:
3435:
3430:
3426:
3422:
3418:
3414:
3410:
3403:
3395:
3391:
3386:
3381:
3378:(8): 606–11.
3377:
3373:
3369:
3362:
3354:
3350:
3345:
3340:
3336:
3332:
3328:
3324:
3320:
3313:
3305:
3301:
3297:
3293:
3289:
3285:
3278:
3276:
3267:
3263:
3259:
3255:
3251:
3247:
3243:
3239:
3232:
3224:
3220:
3215:
3210:
3206:
3202:
3198:
3194:
3190:
3183:
3175:
3171:
3167:
3163:
3159:
3155:
3151:
3147:
3140:
3124:
3120:
3116:
3110:
3102:
3098:
3093:
3088:
3085:(6): 575–83.
3084:
3080:
3076:
3069:
3061:
3059:9781437729306
3055:
3051:
3047:
3040:
3032:
3028:
3024:
3020:
3015:
3010:
3006:
3002:
2998:
2994:
2986:
2978:
2974:
2970:
2966:
2962:
2958:
2950:
2942:
2938:
2934:
2930:
2926:
2922:
2918:
2911:
2903:
2899:
2895:
2891:
2887:
2880:
2872:
2868:
2863:
2858:
2854:
2850:
2846:
2842:
2838:
2831:
2823:
2819:
2815:
2811:
2806:
2801:
2798:(8): 909–20.
2797:
2793:
2789:
2782:
2774:
2770:
2764:
2760:
2759:
2751:
2735:
2731:
2725:
2717:
2713:
2709:
2705:
2701:
2697:
2693:
2689:
2682:
2680:
2671:
2667:
2663:
2659:
2655:
2651:
2648:(3): 284–92.
2647:
2643:
2636:
2634:
2625:
2621:
2617:
2613:
2610:(2): 115–28.
2609:
2605:
2598:
2590:
2586:
2581:
2576:
2572:
2568:
2564:
2560:
2556:
2549:
2547:
2538:
2532:
2524:
2520:
2514:
2510:
2509:
2501:
2493:
2489:
2483:
2479:
2478:
2470:
2455:on 2010-03-23
2454:
2450:
2449:
2445:
2440:
2439:"Hemorrhoids"
2433:
2418:
2412:
2408:
2404:
2403:
2395:
2380:
2374:
2370:
2369:
2361:
2346:
2340:
2336:
2332:
2331:
2323:
2315:
2311:
2309:9781846288326
2305:
2301:
2300:
2292:
2284:
2280:
2275:
2270:
2266:
2262:
2258:
2251:
2249:
2240:
2234:
2226:
2222:
2216:
2212:
2211:
2203:
2195:
2189:
2181:
2177:
2171:
2167:
2166:
2158:
2156:
2154:
2152:
2150:
2141:
2137:
2133:
2129:
2125:
2121:
2114:
2112:
2110:
2108:
2106:
2097:
2090:
2088:
2086:
2084:
2075:
2071:
2066:
2061:
2056:
2051:
2047:
2043:
2039:
2032:
2030:
2021:
2017:
2013:
2009:
2005:
2001:
1997:
1993:
1989:
1982:
1980:
1965:
1964:
1956:
1954:
1939:
1935:
1929:
1927:
1918:
1914:
1910:
1906:
1902:
1898:
1895:(1083): 4–8.
1894:
1890:
1883:
1881:
1879:
1877:
1868:
1864:
1859:
1854:
1850:
1846:
1841:
1836:
1832:
1828:
1824:
1817:
1815:
1813:
1811:
1809:
1807:
1805:
1803:
1801:
1799:
1797:
1795:
1793:
1791:
1789:
1787:
1778:
1772:
1768:
1763:
1762:
1753:
1745:
1741:
1737:
1733:
1729:
1725:
1721:
1717:
1713:
1706:
1704:
1702:
1700:
1698:
1696:
1694:
1692:
1690:
1688:
1686:
1684:
1682:
1680:
1668:
1664:
1660:
1656:
1652:
1649:(1): 102–17.
1648:
1644:
1637:
1630:
1628:
1626:
1624:
1622:
1620:
1618:
1616:
1614:
1612:
1610:
1608:
1606:
1604:
1602:
1600:
1598:
1596:
1594:
1592:
1583:
1579:
1574:
1569:
1565:
1561:
1557:
1553:
1549:
1542:
1540:
1538:
1536:
1534:
1532:
1530:
1528:
1526:
1524:
1522:
1505:
1501:
1497:
1496:"Hemorrhoids"
1491:
1489:
1487:
1485:
1483:
1481:
1479:
1477:
1475:
1473:
1471:
1469:
1460:
1456:
1450:
1446:
1445:
1437:
1435:
1433:
1431:
1429:
1427:
1425:
1423:
1421:
1419:
1417:
1415:
1413:
1411:
1409:
1407:
1405:
1403:
1394:
1390:
1386:
1382:
1377:
1372:
1369:(8): 635–42.
1368:
1364:
1360:
1353:
1351:
1349:
1347:
1345:
1343:
1341:
1339:
1337:
1335:
1333:
1331:
1329:
1327:
1325:
1323:
1321:
1319:
1317:
1315:
1313:
1311:
1309:
1307:
1305:
1303:
1301:
1299:
1297:
1292:
1280:
1276:
1272:
1269:
1265:
1261:
1258:
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1002:laser surgery
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989:cauterization
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978:
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972:Sclerotherapy
969:
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519:muscle tissue
516:
515:smooth muscle
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313:sigmoidoscopy
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4715:Hypertension
4627:Venous ulcer
4583:
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4472:
4442:Inflammation
4323:
4282:
4171:Hyperplastic
4132:Fatty streak
4075:Inflammation
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3123:the original
3119:apps.who.int
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2453:the original
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1667:the original
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1555:
1551:
1508:. Retrieved
1504:the original
1499:
1443:
1366:
1362:
1275:Harold Cohen
1268:Viv Richards
1257:Jimmy Carter
1235:George Brett
1221:
1217:
1213:
1209:
1205:
1195:Saint Fiacre
1192:
1166:
1138:
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1111:Epidemiology
1103:
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987:
986:A number of
970:
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939:phlebotonics
936:
925:
882:
863:
860:Conservative
856:
843:
807:
760:
757:Differential
745:
699:
690:anal fissure
658:
527:
492:
468:
433:constipation
430:
405:hematochezia
398:
377:
364:
341:
337:
317:
293:constipation
290:
269:
245:
242:haemorrhoids
241:
237:
236:
181:Constipation
176:Risk factors
140:
132:
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4780:Hypotension
4324:head / neck
4176:Cholesterol
4066:capillaries
3975:MedlinePlus
3539:hæmorrhoida
3199:(1): 7–19.
1510:15 February
1262:Cricketers
1210:haimorrhois
1206:hæmorrhoida
1006:cryosurgery
954:may occur.
937:The use of
917:epinephrine
883:While many
309:Colonoscopy
238:Hemorrhoids
151:Usual onset
39:Other names
34:Hemorrhoids
4843:Acute pain
4807:Categories
4696:Vasculitis
4686:Thrombosis
4647:Angiopathy
4591:Varicocele
4584:Hemorrhoid
4414:Halo nevus
4270:dissection
4061:arterioles
4005:Hemorrhoid
4000:Patient UK
3951:DiseasesDB
3846:Hemorrhoid
3129:7 November
2335:F.A. Davis
1969:2024-07-18
1943:2024-07-18
1287:References
1246:Glenn Beck
1199:Old French
977:sclerosing
946:Procedures
927:Flavonoids
905:zinc oxide
874:sitz baths
853:Management
840:Prevention
814:anal warts
789:including
740:thrombosed
530:continence
495:anal canal
380:thrombosed
278:defecating
270:hemorrhoid
254:anal canal
212:Increased
4450:Phlebitis
4191:Trans fat
4127:Foam cell
4083:Arteritis
4050:(vessels)
3994:emerg/242
3986:eMedicine
2792:Br J Surg
2531:cite book
2446:(NIDDK),
2233:cite book
2188:cite book
2012:1051-0443
1917:207022763
1849:1007-9327
1393:220122385
1154:Hellebore
1054:ectropion
909:lidocaine
810:skin tags
706:receptors
682:abscesses
561:Diagnosis
507:sinusoids
445:pregnancy
413:itchiness
305:pregnancy
228:Frequency
209:Treatment
193:pregnancy
116:Specialty
4664:Embolism
4266:Aneurysm
4203:Stenosis
4137:Atheroma
4088:Aortitis
4057:Arteries
3991:med/2821
3877:29420423
3775:24 April
3769:Archived
3739:Archived
3717:Archived
3685:Archived
3663:Archived
3641:Archived
3611:Archived
3588:Archived
3565:Archived
3542:Archived
3499:22413048
3443:17054255
3394:20691294
3353:16034963
3304:12516850
3258:18629515
3223:18512007
3174:33128093
3166:16134260
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3031:30827065
3023:26403234
2977:27209079
2941:28445593
2933:22895941
2902:20927750
2871:16034920
2822:45532404
2814:16736537
2773:Archived
2740:March 5,
2734:Archived
2708:29420423
2662:29420423
2624:22117576
2589:16235372
2523:Archived
2492:Archived
2459:18 March
2314:Archived
2283:19445775
2225:Archived
2180:Archived
2140:Archived
2136:16973032
2074:22563187
2020:33971251
1909:26561592
1867:19598294
1744:29688768
1736:21825884
1663:17189119
1582:26929748
1459:Archived
1385:19725283
915:such as
911:, and a
847:defecate
767:fistulae
763:fissures
730:External
710:prolapse
696:Internal
686:sedation
678:prostate
662:anoscopy
577:Picture
543:internal
534:internal
499:arteries
437:diarrhea
421:necrotic
409:prolapse
395:Internal
389:skin tag
374:External
297:diarrhea
286:skin tag
266:inflamed
250:vascular
185:diarrhea
162:Few days
159:Duration
141:External
133:Internal
128:Symptoms
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1162:emerods
1141:papyrus
1127:History
1035:Surgery
897:Steroid
828:due to
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779:itching
751:anoderm
574:Diagram
453:chronic
449:obesity
441:ascites
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674:polyps
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513:, and
458:, and
427:Causes
415:, and
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301:toilet
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