patterns of presentation of haemorrhoids in Suez Canal area

ABSTRACT

The patterns of presentation of haemorrhoids were studied in 1100 patients. In this study haemorrhoids were twice as common in males than females. Eighty patients [7.8%] had 1st degree haemorrhoids, 710 [64.5%] had 2nd degree, 250 [22.7%] had 3rd degree and 60 patients had 4th degree haemorrhoids [5.5%]. The main presenting symptoms were bleeding [72.5%], prolapse [35%], pain [17.2%], and discharge +/- pruritus [23.3%]. Multiple associated ano-rectal lesions were present in 20.8%, including fissures [8%], fistulae [4%], perianal haematomas [1.9%], rectal prolapse [5%], polyps [1%] and cancer rectum [0.9%]. The multiplicity of these associated lesiens may determine to some extent the patterns of presentation of haemorrhoids in Egypt