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Acute thrombosed external hemorrhoids.

C Oh

    The Mount Sinai Journal of Medicine, New York
    |January 1, 1989
    PubMed
    Summary
    This summary is machine-generated.

    Acute thrombosed external hemorrhoids are common in young adults, often linked to constipation. Treatment focuses on relieving strain and stool softening, with surgery reserved for non-responsive cases.

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    Area of Science:

    • Gastroenterology
    • Colorectal Surgery

    Background:

    • Acute thrombosed external hemorrhoids are a common condition, particularly in younger individuals.
    • The condition is frequently associated with episodes of constipation and straining during defecation.

    Purpose of the Study:

    • To analyze the characteristics and treatment outcomes of patients with acute thrombosed external hemorrhoids.
    • To investigate the postulated causes, including blood stagnation and trauma due to straining.

    Main Methods:

    • A retrospective review of 159 patients treated for acute thrombosed external hemorrhoids between 1981 and 1985.
    • Analysis of patient demographics, symptom onset, side prevalence, and treatment approaches.

    Main Results:

    • The mean age of patients was 36 years, with a 2:1 male-to-female ratio.

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  • Hemorrhoids were slightly more prevalent on the left side (51%).
  • Constipation was a common preceding factor, suggesting straining as a key etiological element.

    • Conclusions:

    • Straining due to constipation is a significant factor in the development of thrombosed external hemorrhoids.
    • Conservative management, including stool softening, is the primary treatment approach.
    • Surgical excision is indicated for cases unresponsive to conservative measures.