The ASCRS Clinical Practice Guidelines for the Management of Haemorrhoids

These guidelines are intended to:

Primary signs of internal haemorrhoids are painless bleeding and bowel movements with intermittent protrusion. Focus should be on the:

During the medical history taking, it is important to note the following:

Physical findings for the classification of Grade III internal haemorrhoids include:

Diseases that can precipitate haematochezia, include:

Indications for a complete colon evaluation include:

The following typically form(s) the primary first-line therapy for patients with symptomatic haemorrhoid disease:

Medical therapy for haemorrhoids offer a decent potential for relief, and include topical applications containing:

The most popular and effective office-based procedure is considered to be:

The following surgical procedure is not suitable for external haemorrhoids:

It is recommended that the diagnosis of haemorrhoids should start with a thorough medical history, followed by a physical examination.

Complete endoscopic evaluation of the colon is indicated in most patients with symptomatic haemorrhoids and rectal bleeding.