Hemorrhoids pp 151-166 | Cite as

Technical Tips and Tricks of Outpatient Treatments for Hemorrhoids

  • Cosimo Alex LeoEmail author
  • Pramodh Chandrasinghe
  • Jonathan D. Hodgkinson
  • Carolynne J. Vaizey
  • Janindra Warusavitarne
Reference work entry
Part of the Coloproctology book series (COLOPROCT, volume 2)


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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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Cosimo Alex Leo
    • 1
    • 2
    Email author
  • Pramodh Chandrasinghe
    • 1
    • 2
    • 3
  • Jonathan D. Hodgkinson
    • 1
    • 2
  • Carolynne J. Vaizey
    • 1
    • 2
  • Janindra Warusavitarne
    • 1
    • 2
  1. 1.SurgerySt Mark’s Hospital Academic Institute, London North West NHS TrustHarrowUK
  2. 2.Department of Surgery and CancerImperial College of LondonLondonUK
  3. 3.Department of Surgery, Faculty of MedicineUniversity of KelaniyaKelaniyaSri Lanka

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