A 45 year old chronic alcoholic male with severe ascites, presented with the history of passing bright red blood in his stools, since 3 days. There was no apinor diarrhea. What would you suspect in this case?
Correct Answer: Hemorrhoids
Description: Hemorrhoids, also called piles, are vascular structures in the anal canal. In their normal state, they are cushions that help with stool control.They become a disease when swollen or inflamed; the unqualified term "hemorrhoid" is often used to refer to the disease.The signs and symptoms of hemorrhoids depend on the type present] Internal hemorrhoids often result in painless, bright red rectal bleeding when defecating.External hemorrhoids often result in pain and swelling in the area of the anus. If bleeding occurs it is usually darker.Symptoms frequently get better after a few days.A skin tag may remain after the healing of an external hemorrhoid Ref Davidson edition23rd pg816
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