ALMORANAS NGA

BA?
 SKIT PASS Hemorrhoids and Diverticular disease
Group 4 presents:
ALMORANAS NGA
BA? I.HEMMORHOIDS II. DIVERTICULAR DISEASE
A.Definition: Dilation of the veins of the rectum H.TWO TYPES :
and anus 1.Diverticulosis= multiple non-
B.Classified as Internal (above anal sphincter) inflamed diverticula (ASYMPTOMATIC)
JAMES RIVERA ERIK LESTER L. and External (outside sphincter) 2.Diverticulosis = multiple inflamed

Tamang C.Causes:
•
•
PORTAL HT
PREGNANCY
diverticula (SYMPTOMATIC
3.More common in men and adult ages
40-50 y/o

Hinala
• PROLONG SITTING OR I.Causes:
STANDING
• EXCESSIVE LOW IN FIBER MEALS
ALCOHOL OR CAFFEINE HIGH REFINED CARBS
Lingid sa kaalaman ni James ay unti-unti • STRAINING AT STOOL
na siyang nilalamon ng kaniyang • CIGARETTE SMOKING
karamdaman. Sa pagmamaneho lang ng J.Ax:
dyip niya inaasa ang lahat, tuwing nag-iisa D.Diagnosis (dx): 1.Abdominal pain or tenderness in
ay madaming paghihinala at haka-haka ang LLQ
1.Inspection
nabubuo sa kaniyang isipan ngunit wala ni 2.Alternate constipation and diarrhea
2.Sigmodoscopy
isa man sa mga ito ang naging tama. ..Ano with blood and mucus
kaya ang hinala niya sa mga ito? E.Assesment (ax): K.Dx:
1.Hard stool with streaks of blood
1.Barium Enema (indicates
2.Bleeding with defecation and pain
inflammatory response)
(internal)
2.Colonoscopy
3.Protrusion of external hemorrhoids
L.Nrsg Mgt:
upon inspection
1.Instruct client to select high-fiber diet
F.Nrsg intervention:
2.Encourage fluid intake
1.Instruct patient the importance of
3.Encourage px to lose weight and
high-fiber diet and increased fluid
avoid abdominal pressure such as
intake
straining at stool, vomiting, bending,
2.Instruct client to take stool softeners
lifting, tight clothing
When I Had 3.Instruct client to use ointments such
as Dubacaine, anti-inflammatories, and
M.Tx:
*Colon resection

The Chance
astringents.
4.After surgery, administer prescribed
analgesics
5.Offer warm sitz bath after each bowel
movement for at least two weeks
6.Educate on the importance of diet,
fluids and drugs
G.Treatment (tx):
1.Hemorrhoidectomy
2.Injection of sclerosing solution into
the tissue surrounding hemmorhoids

SKIT PASS