Hemorrhoids ppt

Hemorrhoids ppt

1. P RE S E N T E D B Y MR. ROMAN BAJRANG RE LI A N C E IN ST I T U T E O F NURSING

2. Introduction :- H emorrids also called piles are vascular structure in the anal canal in their normal state they are cushion that help with the stool control they become a disease when swollen or inflamed the hemorrhoids commonly known as piles are due to swollen blood vessels in or around the anus rectum the hemorrhoidal veines are located in the lower part of the rectum and the anus some times these veins swell so that by passing of stool or bowel movement.

3. ACCORDING TO THE RAVINDER KAUR:- Hemorrhoids (piles) are painful swollen in large bulging blood vessels in the lower portion of the rectum ore anus swelling in the anal or rectal veins causes hemorrhoids. ACCORDING TO LUCKMANN:- Swollen and inflamed veins in the rectum and anus that cause discomfort and bleeding. ACCORDING TO LIPPIN COTT:- Hemorrhoids also called piles are swollen and inflamed veins around your anus in the lower rectum.

4. Babies (0-2) years - V ery rare. Toddlers (3-5) years Children (6-13) years Adults (40-60) years Seniors (60+ years) very rare. rare. – very common. – very commo n.

5. LARGE INTESTINE ANATOMY:- the large intestine is about 1.5 meters long beginning at the caecum in the right iliac fossa and terminating at the rectum and anal canal deep in the pelvic its lumen is about 6.5 CM in diameter large than the small intestine. Physiology of the large intestine:- Ingestion Propulsion Digestion Absorption Elimination

6. External hemorrhoids Internal hemorrhoids

7. External hemorrhoids :- external hemorrhoids are located under the skin around the anus. Internal hemorrhoids:- Internal hemorrhoids develop within the anus beneath the lining developed painless bleeding.

8. Etiology of hemorrhoids:- o Aging Anal sex Diarrhea Pregnancy and child birth o heredity Sitting on the toilet for long time. Lifting heavy object regularly .

9. PATHOPHYSIOLOGY OF HEMORRHOIDS:-

10. Sign and symptoms of hemorrhoids may include. Painless bleeding during bowel movement. Bright red blood on stool. Itching or irritation in anal region. Pain discomfort during bowel movement. Swelling around anus.

11. History and physical examination. Complete blood count. Digital rectal exam .

12. digital examination of the anal Canal can identify in included are cleared area also assess for any masses tenderness or blood and rectal tone because internal hemorrhoids are soft vascular structure they are usually not palpable unless thrombosed.

13. Complete blood count gives important information about the kings and number of cells in the blood especially red blood cell white blood cell and platelets a CBC a help your doctor check any symptoms weakness fatigue .

14. During the examination the doctor genetically put a lubricated gloved figure on the hand into the rectum growth such us hemorrhoids polyps tumor and abscess may be found in the lower rectum skin around the anus.

15. The doctor places one ore two special rubber band around the base of the hemorrhoids the band cutes of circulation couseing the hemorrhoids.

16. Scl e r o t h er a p y i s an in j e c t io n O f c h e m i c a l a d m i n i s t e r ed d i r e c t l y s ol u tio n w ith i n t h e h e m o rr h o i d s t is s u e w i th repeated s c l e r o t h er a p y t r e a t m e n t is w o r k er to shrink hemorrhoid eventually fall off during a normal bowel movement.

17. L a s e r t h er a p y can b e us e d s c ar and H a r d e n i n t er n a l hemorrhoids.

18. Apply an over the counter hemorrhoids cream or suppository containing hydrocortisone or use pads containing which hazzel or a numbing agent. Bath are shower daily to clean the skin around anus. Avoid height refined food. Avoid long period of standing or sitting. Encourage the patient to eat high fiber foods eat more fruit vegetable grains and fiber to diet slowly to avoid problem with gas.

19. Anemia - following severe or continued bleeding. Thrombosis – in strangulated piles venous rectum in occluding thrombosis occurs the thrombosis is accompanied by considerable pain. Fibrosis :- after 2 to 3 weeks thrombosed hemorrhoids become fibrosed often with spontaneous cure.

20. Eat high fibre food eat more fruite vegetables and whole grains. Drink plenty of fluids. Considers fibre supplements. Avoid long period of sitting. Exercise.

21. Personal hygine:- Advice to take daily bath Clean cloths Diet:- Advice to take green vegetable Advice to healthy diet Rest and sleep :- Advice to take proper rest and sleep at list 8 hours . Meditation:- Do not take any medicine empthy heart Must check expiry date be your taking medicine . Exercise:- Advice to take active and passive execise.