Choosing conservative therapy in acute hemorrhoids

Hemorrhoids.

Most patients with hemorrhoids experience only mild symptoms that can be treated with nonprescription topical preparations. Patients usually seek treatment when symptoms increase. Internal hemorrhoids typically present with prolapse or painless rectal bleeding. External hemorrhoids also bleed and can cause acute pain if thrombosed. Medical therapy should be initiated with stool softeners plus l...

Choosing Targets for Gene Therapy

Choosing Initial Therapy for Hypertension

With numerous safe and effective antihypertensive drugs now available, the clinician should no longer choose only diuretic agents or /3-adrenergic receptor blockers (/3-blockers) as initial therapy. Five classes of agents, including angiotensin converting enzyme inhibitors, /3-blockers, calcium entry blockers, peripheral a,-adrenergic receptor blockers, and thiazide diuretic agents, are all app...

Definitive therapy for internal hemorrhoids--new opportunities and options.

Hemorrhoids are common in Western societies. Appropriate assessment and treatment of symptomatic hemorrhoids can substantially reduce morbidity and improve patient well-being. In this article, the clinical presentation, differential diagnoses, and current treatment options, including the CRH-O'Regan banding device, an emerging technology for the anoscopic treatment of symptomatic internal hemor...

Conservative Therapy of Chronic Pancreatitis

Medical treatment of chronic pancreatitis is based on the three main characteristics of the disease, pain and exocrine and endocrine insufficiency. Pain is the leading symptom of chronic pancreatitis. Patients may suffer from continuous pain or relapsing pain in parallel with relapses of the chronic inflammatory process or complications. Pain may decrease over time due to what is called “burn o...