Hemorroides Internas: Grados y Tratamiento

Study Notes

Internal hemorrhoids categorized into four grades:
- Grade I: Mild symptoms, no significant prolapse.
- Grade II: Prolapse occurs during straining but reduces spontaneously.
- Grade III: Prolapse requires manual reduction.
- Grade IV: Prolapsed and cannot be reduced, often associated with pain and recurrence.

Grade I Treatment:
- Medical management may suffice, with follow-up through an external consultation.
- If symptoms improve, continue monitoring in outpatient settings.
Grade II Treatment:
- Medical management with options for additional procedures if symptoms persist.
- Recommended treatments include:
  - Elastic band ligation
  - Sclerotherapy
  - Photocoagulation
- Follow-up is required to assess symptom improvement.
Grade III Treatment:
- Surgical intervention may be necessary if conservative measures fail.
- Hemorrhoidopexy or artery ligation guided by ultrasound can be considered.
- Follow-up will determine if symptoms improve; if not, hemorrhoidectomy is the next step.
Grade IV Treatment:
- Surgical treatment typically involves hemorrhoidectomy due to severity.
- Continuous follow-up is crucial post-surgery for recovery monitoring.