PREVALENCE OF HEMORRHOIDS AND ASSOCIATED FACTORS AMONGST ADULTS PRESENTING IN CMH RAWALPINDI WITH PER RECTAL BLEEDING

Abstract

Objective: To determine prevalence of hemorrhoids and its precipitating factors in patients presenting with per rectal bleeding at CMH Rawalpindi.

Study Design: “Cross sectional study”.

Place and duration of study: “CMH Rawalpindi” from November 2023 to February 2024.

Patients and Methods: We included 105 patients who presented with “per rectal (PR) bleeding”. These patients were assessed for presence of “hemorrhoids”. Patients in which hemorrhoids were diagnosed, detailed history was taken to determine the precipitating factors. Data was analyzed by SPSS 22.

Results: Mean age of patients was 31.33 ± 6.86 years. There were 71 (67.62%) male and 34 (32.38%) female patients. Mean BMI was 32.37 ± 2.95 kg/m2. Prevalence of “hemorrhoids” in patients who presented with “PR bleeding” at surgical department was 34 (32.38%). Most prevalent precipitating factors of hemorrhoids were lack of regular exercise 28 (82.35%) and habit of prolonged sitting on the toilet 28 (82.35%) followed by habit of straining while defecation 25 (73.53%), low fiber diet intake 23 (67.65%) and chronic constipation 21 (61.76%).

Conclusion: Prevalence of “hemorrhoids” in patients presenting with “PR bleeding” is 32.38% and its most prevalent precipitating factors were lack of regular exercise and habit of prolonged sitting on the toilet.