Prevalence and the Risk Factors of Haemorrhoids among the Patients Attending Tertiary Care Hospital of Bhuj, Kutch: A Cross-Sectional Study

Abstract

Background: Haemorrhoids are abnormal engorgement of arteriovenous plexus in anal cushions lining the anal canal. As per the theory of sliding anal canal lining, weakening of supporting tissues of anal cushions lead to blood vessel descent. Present study was carried out to study the surgical profile of patients with hemorrhoidectomy so that we can throw a light on the etiopathogenesis of the patients with hemorrhoidectomy. Subjects and Methods: Present cross-sectional study was carried out at a tertiary care hospital of Bhuj in the department of general surgery among 200 patients who presented with symptoms suggestive of hemorrhoids. Information on socio demographic variables, types and degrees of haemorrhoids, age at diagnosis, risk factors, clinical manifestations, associated co-morbidities, methods used for diagnosis, management practices, and outcome of management was noted down by the investigators. Dietary history was taken they were classified as having vegetarian diet or mixed diet based on the answers given by them. Results: The incidence of hemorrhoids was more in upper class compared to the lower class where only 46% were found to be affected. But statistically the difference might not be significant. Incidence of hemorrhoids was less i.e. 24% among those who took only vegetarian diet compared to 76% among those who took mixed diet. Bleeding was present in the majority i.e. 95% of the patients followed by constipation in 90% of the cases which was followed by pain in the anal region in 86% of the cases and prolapse was seen in 84% of the cases. Conclusion: Haemerrhoids are one of the common diseases observed in patients below 40 years of age, especially if they are under stress. Proper diet, which is inclusive of adequate quantities of fibre as well as with less spice, is essential to prevent this disease.

A prospective study of post-operative complications and its management following open hemorrhoidectomy in a tertiary care hospital

“…As per the theory of sliding anal canal lining, weakening of supporting tissues in anal cushions leads to blood vessel descent. 1 In constipation, chronic diarrhea, poor bathroom habits, post-poning bowel movements, and a poor-fiber diet are also considered to be contributing causes. 4 Clinically, hemorrhoids are expressed by painless, bright red bleeding from the rectum with mucous discharge, perianal irritation and pain, prolapse of the hemorrhoidal cushions, bulging masses, and soiling.…”