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Abstract

COJ Biomedical Science & Research

External Hemorrhoids in Teenagers Uncommon, but Needs Attention

  • Open or CloseShruti S1 and Suresh K2*

    1Department of Public Health and Environmental Sciences, India

    2Department of Public Health, India

    *Corresponding author: Suresh K, Department of Public Health, India

Submission: June 02, 2021; Published: June 15, 2021

Volume2 Issue1
June 2021

Abstract

Anyone can get symptomatic hemorrhoids, even teenagers, though uncommon in children because hemorrhoids take a while to develop. Overweight or obese Teenagers are at higher risk. They are common in elderly and during pregnancy in women. External hemorrhoids mostly occur in boys in their second decade of life. Positive family history and constipation were the most common risk factor in our patients. Hemorrhoids is a quite common condition that a surgeon in India encounters in day-to-day practice. Hemorrhoid Laser Procedure (LHP) is a new laser procedure in which hemorrhoidal arterial flow feeding the hemorrhoidal plexus is stopped by laser coagulation, as arterial overflow in the superior hemorrhoidal arteries would lead to dilatation of the hemorrhoidal venous plexus. As LHP is a costly intervention, most surgeons in India still prefer Open Hemorrhoidectomy. We have reported one such surgery in a Teenager.

A 19-year-old boy presented with bleeding per Anum during defecation for 2 years and some mass projection during passage of stool for 6 months to a private surgeon in a district headquarters. The patient reported of pushing up the protrusion by hand after defecation and ablution. On physical examination, position of hemorrhoids was found at 3,7,11 O’clock position. Doctor prescribed phosphorus 200/2 doses-OD *2 days. Placebo 30/BD*15 DAYS. Advised-Sitz bath, restricting spicy and oily food. He was advised to return after completion of the conservative course of treatment if bleeding, prolapse and pain continued for operation.

Background: Hemorrhoids are varicosities of the veins of the anal canal. It may be external or internal depending on the position of the varicosity. They are common in elderly and during pregnancy in women. External hemorrhoids mostly occur in boys in their second decade of life. Positive family history and constipation were the most common risk factor in our patients. Conservative treatment is sufficient for the management of external hemorrhoid in children because of its low recurrence rates, but in adults’ different methods are tried to treat hemorrhoids in Indian System of Medicine (ISM) but with no longlasting relief. Instead, it may produce adverse effects and, anemia due to bleeding and discomfort to patient. The surgical treatment being faster and easier is the preferred choice to get rid of hemorrhoids.

Keywords: Constipation; Dentate line; Hemorrhoidectomy; Hemorrhoids; Piles; LHP

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