Vein Disease

ABOUT

ALMORANAS

Almoranas is a condition in which the increased pressure in the veins weaken the muscles and connective tissues in the hemorrhoids which cause them to distend.

Swollen and inflamed veins around the anus or lower rectum often a result of straining to have a bowel movement. Other factors include pregnancy, aging, and chronic constipation.

image from daflon nov17

SIGNS & SYMPTOMS

External almoranas are found under the skin around your anus.

  • Discomfort or pain
  • Itching or irritation in the anus
  • Bleeding
  • Swelling around your anus

Internal almoranas lie inside the rectum.

  1. Painless bleeding during bowel movement
  2. A hemorrhoid pushing through the opening of the anus, causing pain and irritation.

Thrombosed almoranas occurs when blood forms a clot in the external hemorrhoid.

  1. Severe pain
  2. Inflammation
  3. Tender lump near the anus
vein disease

SIGNS & SYMPTOMS

External almoranas are found under the skin around your anus.

  • Discomfort or pain
  • Itching or irritation in the anus
  • Bleeding
  • Swelling around your anus

Internal almoranas lie inside the rectum.

  1. Painless bleeding during bowel movement
  2. A hemorrhoid pushing through the opening of the anus, causing pain and irritation.

Thrombosed Almoranas occurs when blood forms a clot in the external hemorrhoid

  1. Severe pain
  2. Inflammation
  3. Tender lump near the anus
vein disease
vein disease treatment

TREATMENT

INTERNAL ALMORANAS

  • Only MPFF
  • Sclerotherapy
  • Infrared coagulation
  • Rubberband ligation
  • Hemorrhoidal Artery Ligation
  • Hemorrhoidectomy
  • Stapled Hemmorhoidopexy

EXTERNAL ALMORANAS

  • Phlebotropic agent
  • Laxatives4
  • Analgesics (acetaminophen)
  • NSAID/corticosteroid (pregnancy)
  • Ointment (steroids +/lidocaine)
  • Hot sitz baths
  • Removing the clot

GRADES5

vein disease

Clinical Signs
visible solely with anoscopy, almoranas protrude on straining, not prolapsed

Symptoms
bleeding, sensation of discomfort​

grade2Clinical Signs
prolapse at the anal margin during straining, almoranas return when straining ends

Symptoms
variable discharge, pruritus​

grade3Clinical Signs
prolapse during defecation or straining, requires manual reduction

Symptoms
oozing, frank prolapse

grade4Clinical Signs
irreducible prolapse or recurs immediately after manual reduction

Symptoms
pain

Lack of erect posture
Familial tendency
Chronic diarrhea
Colon malignancy
Hepatic disease
Obesity

normal istockphoto 1024px 974684290

GRADES5

grade1

Clinical Signs
visible solely with anoscopy, almoranas protrude on straining, not prolapsed

Symptoms
bleeding, sensation of discomfort​

grade2Clinical Signs
prolapse at the anal margin during straining, almoranas return when straining ends

Symptoms
variable discharge, pruritus​

grade3Clinical Signs
prolapse during defecation or straining, requires manual reduction

Symptoms
oozing, frank prolapse

grade4Clinical Signs
irreducible prolapse or recurs immediately after manual reduction

Symptoms
pain

Lack of erect posture
Familial tendency
Chronic diarrhea
Colon malignancy
Hepatic disease
Obesity

normal istockphoto 1024px 974684290

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