Question

Jan is a 75-year old woman who has lost significant weight in the last year. She has complaints of anorexia and joint pain. She states she just doesn’t feel like eating sometimes. She has had significant constipation causing hemorrhoids and states it is very difficult to stool.

- What other medical history is necessary in order to effectively treat Jan?

- What education might be helpful?

- What are complications you might consider?

- What therapies might benefit Jan's health?

Answer 1

ANS I medical history- to effectively treat Jane, doctor will ask for medical history by examining rectum and anal canal and look for symptoms like

-Itching or irritation in analregion,pain or discomfort

- bleeding, swelling around anus.

- Enema and laxatives uses andcurrent medical condition .

- internal Hemorrhoids that have fallen through anal opening called prolapse

-Blood clot in a vein

ANS 2. EDUCATION - Doctor will educate the patient to

-. Eat high fibre foods like grains , fruits , vegetables etc.

- Drink plenty of fluids

- Use hemorrhoid creams or suppositories containing hydrocortisone to relieve pain

- Don't strain when trying to pass stool

-. Soak the rectal area for 10 to 15 minutes for 2-3 times a day

ANS 3. COMPLICATIONS -.

1. ANEMIA -. Chronic blood loss , may cause anemia , in which a patient don't have enough red blood cells to carry oxygen to cells

2. Strangulated Hemorrhoid - This may cause extreme pain

3. Blood clot -. Although not dangerous ,can be extremely painful sometimes need to be drained

4.Infection in the tissue.

ANS 4.. THERAPIES

1. Rubber band ligation - placing one or two small rubber bands tightly around the hemorrhoid cutting off circulation to in.

2. Sclerosis therapy - Doctor will inject the hemorrhoid with chemicals that shrink the blood vessels in the hemorrhoid tissue

3. Surgery - Minor operation involves the removal. Of hemorrhoid and draining of wound.