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Hemorrhoids pp 151–166Cite as

Technical Tips and Tricks of Outpatient Treatments for Hemorrhoids

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Part of the book series: Coloproctology ((COLOPROCT,volume 2))

Abstract

Hemorrhoids are a common condition affecting the anorectum. The clinician must accurately diagnose the condition and exclude more sinister causes responsible for the same symptoms. A focused history and thorough examination help in establishing a differential diagnosis. The treatment modality is guided by the degree of the hemorrhoids. Conservative measures should be employed, including dietary advice and toileting techniques, to treat acute inflammation and as a long-term method of reducing symptom recurrence and worsening disease. A wide range of out-patient therapies are available and all have been shown to be effective in experienced hands and when used in the correct clinical context. Here we present an approach to out-patient treatment methods including conservative treatments, medical therapies, and simple interventions.

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Authors and Affiliations

  1. Surgery, St Mark’s Hospital Academic Institute, London North West NHS Trust, Harrow, UK

    Cosimo Alex Leo, Pramodh Chandrasinghe, Jonathan D. Hodgkinson, Carolynne J. Vaizey & Janindra Warusavitarne

  2. Department of Surgery and Cancer, Imperial College of London, London, UK

    Cosimo Alex Leo, Pramodh Chandrasinghe, Jonathan D. Hodgkinson, Carolynne J. Vaizey & Janindra Warusavitarne

  3. Department of Surgery, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka

    Pramodh Chandrasinghe

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  1. Cosimo Alex Leo
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  2. Pramodh Chandrasinghe
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  3. Jonathan D. Hodgkinson
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  4. Carolynne J. Vaizey
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  5. Janindra Warusavitarne
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Correspondence to Cosimo Alex Leo .

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Editors and Affiliations

  1. Proctology Unit, University Hospital “A. Gemelli”, Catholic University, Rome, Italy

    Carlo Ratto

  2. Proctology Unit, University Hospital “A. Gemelli”, Catholic University, Rome, Italy

    Angelo Parello

  3. Proctology Unit, University Hospital “A. Gemelli”, Catholic University, Rome, Italy

    Francesco Litta

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Leo, C.A., Chandrasinghe, P., Hodgkinson, J.D., Vaizey, C.J., Warusavitarne, J. (2018). Technical Tips and Tricks of Outpatient Treatments for Hemorrhoids. In: Ratto, C., Parello, A., Litta, F. (eds) Hemorrhoids. Coloproctology, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-319-53357-5_14

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  • DOI: https://doi.org/10.1007/978-3-319-53357-5_14

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-53356-8

  • Online ISBN: 978-3-319-53357-5

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