Hemorrhoids classification: Difference between revisions
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Created page with "__NOTOC__ {{Hemorrhoids}} {{CMG}} ==Overview== ==Classification== * (I84.3-I84.5) '''External hemorrhoids''' are those that occur outside of the anal verge (the [[distal]..." |
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===By degree of prolapse=== | ===By degree of prolapse=== | ||
The most common grading system was developed by Banov:<ref name=".<ref | The most common grading system was developed by Banov:<ref name=". <ref> name="pmid3861909">{{cite journal |author=Banov L, Knoepp LF, Erdman LH, Alia RT |title=Management of hemorrhoidal disease |journal=J S C Med Assoc |volume=81 |issue=7 |pages=398–401 |year=1985 |pmid=3861909 |doi=}}</ref> | ||
* '''Grading of Internal Hemorrhoids''' | * '''Grading of Internal Hemorrhoids''' | ||
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** '''Grade III:''' The hemorrhoids prolapse upon defecation, but must be manually reduced. | ** '''Grade III:''' The hemorrhoids prolapse upon defecation, but must be manually reduced. | ||
** '''Grade IV:''' The hemorrhoids are prolapsed and cannot be manually reduced. | ** '''Grade IV:''' The hemorrhoids are prolapsed and cannot be manually reduced. | ||
==References== | ==References== | ||
Revision as of 18:31, 29 August 2012
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Classification
- (I84.3-I84.5) External hemorrhoids are those that occur outside of the anal verge (the distal end of the anal canal). They are sometimes painful, and can be accompanied by swelling and irritation. Itching, although often thought to be a symptom from external hemorrhoids, is more commonly due to skin irritation.
- (I84.3) External hemorrhoids are prone to thrombosis: if the vein ruptures and a blood clot develops, the hemorrhoid becomes a thrombosed hemorrhoid.[1]
- (I84.0-I84.2) Internal hemorrhoids are those that occur inside the rectum. As this area lacks pain receptors, internal hemorrhoids are usually not painful and most people are not aware that they have them. Internal hemorrhoids, however, may bleed when irritated.
- (I84.1) Untreated internal hemorrhoids can lead to two severe forms of hemorrhoids: prolapsed and strangulated hemorrhoids:
By degree of prolapse
The most common grading system was developed by Banov:[2]
- Grading of Internal Hemorrhoids
- Grade I: The hemorrhoids do not prolapse.
- Grade II: The hemorrhoids prolapse upon defecation but spontaneously reduce.
- Grade III: The hemorrhoids prolapse upon defecation, but must be manually reduced.
- Grade IV: The hemorrhoids are prolapsed and cannot be manually reduced.