External Hemorrhoid

Etiology

  • Cushioning
  • Normal vascular cushions that help w/continence

Risk Factors

  • Very common
  • Perhaps chronic straining
  • Industrialized societies

Symptoms

  • Itching
  • Soiling
  • Painless bleeding
  • Unless thrombosed
  • Fullness/swelling sensation
  • Blood on toilet paper, in bowl
  • If thrombosed then acute pain

Physical Exam Findings

  • Bluish venous structure in peri-rectal area
  • Readily apparent if thrombosed

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