Abstract

A STUDY ON MANAGEMENT OF HEMORRHOID CASES ADMITTED IN SURGERY DEPARTMENT OF A TERTIARY CARE HOSPITAL IN MANDYA

Monisha M. N.*, Aleena Shaju, Aiswarya Satheesh and Albin Augustine

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Abstract

Background: Hemorrhoids are defined as the symptomatic enlargement and distal displacement of the normal anal cushions. The most common symptom of hemorrhoids is rectal bleeding associated with bowel movement. Hemorrhoids are treated conservatively, using many methods such as lifestyle modification, fiber supplement, administration of venotonic drugs etc. Nonoperative approaches include sclerotherapy and, preferably, rubber band ligation. Several surgical approaches for treating hemorrhoids have been introduced including hemorrhoidectomy and stapled hemorrhoidopexy. Objective: To study the management for hemorrhoid patients in department of surgery and to evaluate drug utilization pattern for hemorrhoid patients in department of surgery. Methodology: This was a record based retrospective study on management of hemorrhoid in hospitalized patients of surgery ward. Result: A total of 156 patients were evaluated of which 66.66% were males. Majority of patients fall under age group of 30-39 years (30.76%) and under grade 3 (32.69%) hemorrhoids. Majority of the patients were presented to the hospital with bleeding per rectum (25.64%). The most preferred non pharmacological treatment in our study was high fiber diet (42.08%). Antibiotics were the most administered drug in both pre-operative (16.97%) and Post-operative (40.14%) management. Conclusion: From this study it is concluded that majority of hemorrhoid cases were found in middle aged males. Most of the hemorrhoid patients were presented with bleeding per rectum in which grade 3 were common on the basis of severity of hemorrhoids. There are multitudes of options for the management of hemorrhoid disease and specific treatment choice should be based on individual patients and clinical factors.

Keywords: Hemorrhoid, pre-operative, post-operative, conservative therapy, antibiotics.