Abstract
Hemorrhoids are laxed prolapsed anorectal fibrovasular cushions that cause symptoms when they prolapse excessively specially when they are traumatized by hard faeces causing bleeding They are very common affecting up to of the population especially elderly Hemmorrhoids needs management when they become symptomatic especially when they bleed Endoscopic rubber band ligation is increasing being recommended as the fist and best effective office based out patient treatment for symptomatic hemorrhoids since other office based treatment options and surgical approaches are more expensive painful amp associated with more complications
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