When is surgical intervention indicated in the treatment of hemorrhoidal disease due to straining associated with constipation?

Updated: Jul 04, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Acute or chronic episodes of straining may cause acute or chronic hemorrhoidal disease (characterized by pain, itching, or bleeding) or acute hemorrhoidal thrombosis (characterized by intense pain and acute engorgement of one or more of the hemorrhoidal columns). Generally, hemorrhoids are medically managed; surgical intervention is reserved for when medical management fails.


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