Rectal varices vs hemorrhoids-diagnosis and management

Table 1 Classification of internal hemorrhoids

Grade	Hemorrhoid characteristics
I	Bulging into the anal canal but do not prolapse
II	Prolapsing during defecation but reduce spontaneously
III	Prolapsing but need manual reduction
IV	Prolapsing but are irreducible

Table 2 Difference between rectal varices and hemorrhoids

Characteristics	Rectal varices	Hemorrhoids
Extend	Extend beyond 4 cm from anal verge	Less than 4 cm from anal verge
Location	Rectum, anal canal	Anal canal
Effect on digit pressure	Collapse on digital pressure
Effect on inserting proctoscope	Do not prolapse in protoscope	Prolapse
Management	EVBL	High fiber diet
	Sclerotherapy	Stool softening agents
	Angioembolization	Increased water intake
	TIPs	Warm sitz bath

TIP: Transjugular intrahepatic portosystemic shunts.