nurse's notes

Hem0rrhoid is a varicose veins in the lower rectum or anal canal. Asymptomatic hemorrhoids does not require any treatment but when a patient manifest signs and symptoms of hemorrhoids, he/she must see a doctor. A patient advised to adhere to a lower roughage, high fiber diet to keep the stool soft. Frequent hot sitz bath to relieve pain and prevents swelling.
Surgeon advised Hemorrhoidectomy if symptoms are severe.
Hemorrhoidectomy is a removal of hemorrhoid
Indication for Hemorrhoidectomy:
> indicated when patient have prolonged bleeding
>unbearable pain and itchiness
>when a patient complained of unrelieved discomforts.
Pre- operative nursing care:
>be sure the patient or immediate relative signed the consent for operation
>shave the perineum
>lower bowel should be evacuated thoroughly, totally clean to prevent defecation during the operation
>prepare patient physically, must had full bath
>bring to Operating Room with proper identification .
>carry out pre -op medication as ordered by the surgeon

Hemorrhoids is the rupture of veins in the anus

*Internal hemorrhoid is located inside the rectum and usually painless.
*External hemorrhoid is develop under the skin at the opening of the anal cavity. extremely painful

Signs and Symptoms:
ichyness of the anus
burning sensation
pain
inflammation
swelling
bleeding during defecation
infection of the ulceration
stool colored with bright red color due to injury of the affected veins

Management:
high fiver diet to soften stool because hard stool injure the mucosa with hemorrhoid
hot sitz bath to relieve pain and swelling
for prolapse hemorrhoid

• apply cold compress to anal area
• return hemorrhoid back manually and gently to the anal sphincter
• apply ointment as prescribed by the physician