Hemorrhoids Differential Diagnoses

Updated: Sep 24, 2019
  • Author: Kyle R Perry, MD; Chief Editor: John Geibel, MD, MSc, DSc, AGAF  more...
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Diagnostic Considerations

Hemorrhoidal complaints are usually not associated with other medical conditions or diseases. However, patients with the following diseases and conditions have an increased risk of hemorrhoidal complaints:

  • Inflammatory bowel disease (IBD): IBD and hemorrhoidal problems occur frequently; unusual hemorrhoidal presentations and findings should alert the clinician to the potential of IBD. [13]

  • Ulcerative colitis and Crohn disease

  • Pregnancy

Varicosities caused from portal hypertension are a distinct entity from hemorrhoids.

Other conditions that should be considered when evaluating a patient with suspected hemorrhoids include anal cancer, anal fissures, and anal fistulae; pedunculated polyps; perianal abscesses; pruritus ani; prostatitis; proctitis, rectal prolase, proctalagia fugax; skin tags; condyloma; inflammatory bowel disease; and colorectal tumors. [17]

Differential Diagnoses