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I will go over various clinical scenarios and management strategies for management of hemorrhoids

Prolapsing Internal Hemorrhoids

  Case : 88 year old end stage renal disease patient with recurrent admissions to hospital for hematochezia from prolapsing Internal Hemorrhoids. She had seen a Gastroenterologist and a Surgeon in the past and as advised; had been managing it with sitz bath and suppositories with minimal relief. Management : When I saw her in …