My uncle has hemorrhoids i am 3rd yr mbbs student in my hospital ajims manglore which dept ahould i consult
For hemorrhoids, your uncle should consult the General Surgery department. Hemorrhoids (piles) are one of the most common conditions managed by general surgeons, who handle both conservative treatment and surgical options like rubber band ligation, sclerotherapy, or hemorrhoidectomy.
At AJIMS Mangalore (A.J. Institute of Medical Sciences):
- Head to the General Surgery OPD (Outpatient Department)
- Registration is typically done at the main OPD counter first, then directed to the surgery OPD
Why General Surgery?
- They assess the grade of hemorrhoids (Grade I-IV)
- Offer conservative management (fiber, stool softeners, sitz baths) for mild cases
- Perform office procedures (rubber band ligation, injection sclerotherapy) for moderate cases
- Do surgical hemorrhoidectomy for severe/prolapsed cases
When to go urgently (Emergency/Casualty instead of OPD):
- Heavy rectal bleeding that won't stop
- Severe pain with a thrombosed external hemorrhoid
- Signs of strangulation (prolapsed, cannot be pushed back)
As a 3rd-year MBBS student at the same institution, you can also ask your General Surgery faculty or senior residents directly - they'll likely fast-track your uncle through the OPD. Just mention you're a student there.
Quick tip for your uncle before the visit: Increase dietary fiber, drink plenty of water, avoid straining, and a warm sitz bath (sitting in warm water 10-15 min) can give significant relief in the meantime.
He is not sure that is it hemorrhoids or not he has bleeding while passing stools
Rectal bleeding should never be assumed to be hemorrhoids without proper examination. The department recommendation stays the same, but here's what you need to know:
Still go to General Surgery OPD
A general surgeon will do a proper anorectal examination including:
- Digital Rectal Examination (DRE) - finger examination
- Proctoscopy - direct visualization of the anal canal and lower rectum
- Sigmoidoscopy if needed
This will confirm or rule out hemorrhoids on the spot.
Important - Rectal bleeding has many causes
| Cause | Clue |
|---|---|
| Hemorrhoids (piles) | Bright red blood, on toilet paper or dripping, painless |
| Anal fissure | Bright red blood + severe pain during/after passing stool |
| Colorectal polyps | Intermittent bleeding, may be painless |
| Colorectal cancer | Blood mixed with stool, change in bowel habits, weight loss |
| Inflammatory bowel disease | Blood + mucus + diarrhea, cramping |
| Diverticular disease | Usually older patients, large painless bleed |
Red flags - Go to Emergency/Casualty immediately if:
- Large amount of blood (more than a few tablespoons)
- Blood is dark red or maroon colored (suggests higher up in colon)
- Accompanied by dizziness, weakness, or feeling faint
- Severe abdominal pain
His age matters a lot
- Below 40 - hemorrhoids/fissure are more likely, but still needs examination
- Above 40-45 - colorectal cancer must be actively ruled out; a colonoscopy may be recommended
Bottom line: Take him to General Surgery OPD at AJIMS as soon as possible. Do not delay or self-treat rectal bleeding without a proper diagnosis. As a medical student there, you are in the best position to ensure he gets seen promptly.
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