A male with massive PR Bleed

A male aged 38 years Chief Complaints Severe bleeding P/R (on/off) Palpitations, Dizziness (x 10 days) Physical Examination Pall(++) Investigations Sigmoidoscopy

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A case of bleeding haemorrhoids with enlarged Pile mass seen at others sites also besides typical 3 sites of 3 , 7 and 11 °clock positions. Patient needs, 1.Tab Dezoflav 1 gm ( containing diosmin + hesperidin ) × 8hourly for 1 week followed by B.D dose for 1 week and then O.D till surgery has been done 2.Cap Dobesil 500 mg × 8 hourly for 10 days 3.Blood transfusion Once bleeding stops with above medication and Hb level increases to 10 gm , Haemorrhoidectomy should be done

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Advanced haemorrhoids one of pile is thrombosed at 11oclock position Needs hemorrhoidectomy as pt is pallor and has h/o bleeding PR on and off Send for biopsy to r/o malignancy as well as

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Hemorrhoids Suggest blood transfusions to correct anemia. Rule out portal hypertension causing hemorrhoids. Hemorrhoidectomy ,if banding is not feasible

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? BOWEL PATHOLOGY.. ? COLITIS.. NEED'S.. HISTOPATHOLOGICAL STUDY..

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Amoebic colitis

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