ITEMS IN AFP WITH KEYWORD:
After 12 months, neither aspirin nor EPA, alone or in combination, are any better than placebo at preventing colorectal adenomas in patients with high-risk neoplasia.
Mar 1, 2019 Issue
Hemorrhoids, Tremor, C. difficile Infection, Migraine, Vitamin D Screening [AFP Clinical Answers]
Key clinical questions and their evidence-based answers directly from the journal’s content, written by and for family physicians.
Treatment of hemorrhoids begins with conservative therapies, such as a high-fiber diet, increased water intake, warm water baths, fiber supplementation, stool softeners, and topical preparations. If these are unsuccessful, office-based and surgical procedures are warranted. Office-based procedures are generally more effective for lower-grade hemorrhoids.
What are the effects of surgical treatments for chronic anal fissure?
The prevalence of benign anorectal conditions in the primary care setting is high, although evidence of effective therapy is often lacking. In addition to recognizing common benign anorectal disorders, physicians must maintain a high index of suspicion for inflammatory and malignant disorders. Patie...
What are the effects of treatments for uncomplicated diverticular disease and what treatments prevent complications? What are the effects of treatments for acute diverticulitis?
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 ca...
What are the effects of treatments for hemorrhoidal disease?
External hemorrhoids represent distended vascular tissue in the anal canal distal to the dentate line. Persons with thrombosed external hemorrhoids usually present with pain on standing, sitting or defecating. Acutely tender, thrombosed external hemorrhoids can be surgically removed if encountered w...
Patients with a wide variety of anorectal lesions present to family physicians. Most can be successfully managed in the office setting. A high index of suspicion for cancer should be maintained and all patients should be questioned about relevant family history or other indications for cancer screen...