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Hemorrhoids

      The exact definition of hemorrhoids has been difficult to formulate, if for no other reason than that the pathophysiology of this condition remains elusive. The word, hemorrhoid (haima = blood; rhoos = flowing), derives from the Greek adjective, haimorrhoides [
      • Hulme-Moir M.
      • Bartolo D.C.
      Disorders of the anorectum.
      ]. As a disease entity, hemorrhoids have been reported to plague the human race since the earliest history of man. Data from the National Center for Health Statistics suggest that approximately 10 million people in the United States suffer from hemorrhoids [
      • Johanson J.F.
      • Sonnenberg A.
      The prevalence of hemorrhoids and chronic constipation. An epidemiologic study.
      ]. The exact prevalence of hemorrhoids is difficult to estimate, however, because patients presenting with any anorectal symptoms assume that they are suffering from this condition. Therefore, the ultimate diagnosis and management truly must rest with an experienced clinician.
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