Haemorrhoids (dilatation of veins around anorectal region) is not a primary disease . It is always secondary manifestation of other diseases in the human body. If we treat the primary cause haemorrhoids will automatically regress and cured. The complicated Haemorrhoids- thrombosed/ bleeding, malignant should be treated primarily. For bleeding haemorrhoids, Colonoscopy should be performed prior to any surgical intervention.
For thrombosed haemorrhoids, haemorrhodectomy can be done on urgent basis or drainage of haematoma in unfit patients /NSAID can be advised. Histopathological examination of the exised veins / lump /Haemorroid should be done. In present era of CPA and health insurance , medical councils , insurance companies should made mandatory Colonoscopy before any bleeding haemorrhoidal disease surgical intervention. Share your views.
