A Study On The Dietary Habits And Their Association With The Symptoms In Patients With Hemorrhoids And Fissure-in-Ano: A Case Control Study From A South Indian Tertiary Care Hospital

ABSTRACT

DOI 10.21276/aimdr.2018.4.2.SG4 Original Article ISSN (O)2395-2822; ISSN (P)2395-2814Annals of International Medical and Dental Research, Vol (4), Issue (2) Page 11Section Surgery A Study On The Dietary Habits And Their AssociationWith The Symptoms In Patients With Hemorrhoids And Fissure-in-Ano A Case Control Study From A South Indian Tertiary Care Hospital. Shaffaf M P1, Kunhi Mohammed K P2, Siddharth Matad3 1Junior Resident, Department Of Surgery, Government Medical College, Manjeri, Kerala, India. 2Assistant Professor, Department Of Surgery, Government Medical College, Manjeri, Kerala, India. 3Senior Resident Department Of Surgery, Government Medical College, Kozhikode, Kerala, India. Received January 2018 Accepted January 2018 Copyright© the author(s), publisher. Annals of International Medical and Dental Research (AIMDR) is an Official Publication of “Society for Health Care & Research Development”. It is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.ABSTRACT Background: Both hemorrhoids and fissure-in-ano contribute to the spectrum of anorectal disorders which generate significant patient discomfort and disability. Etiological factors associated with development of symptomatic hemorrhoids include intake of low fiber diet, inadequate fluid intake, altered bowel habits leading to constipation etc. Aim: 1.To study the dietary habits of patients presenting with haemorrhoids and fissure in ano. 2. To determine the effect of altered dietary habits on the symptomatology. Methods: Case Control study conducted over one year between august 2016 to august 2017 at Department of surgery, Government Medical College, MANJERI. Results: The mean age of patients having hemorrhoids is 42.9years in case group and 44.0years in control group. Where as, the mean age of patients with fissure-in-ano is 37.1years in case group and 39.6years in control group. Majority of patients in the study population of hemorrhoids are male (84%) while female patients (56%) have more anal fissures. The p value of all analysis is <0.05. Conclusion: From this study, it has been concluded that in patients with hemorrhoids, bleeding per rectum gets aggravated with consumption of non vegetarian food items, fasting in the morning and intake of ≤ 1L of oral liquids and reduced consumption of diet containing fibre.