Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Abstract

Introduction Hemorrhoidal disease is a very common benign anorectal disease. It affects millions of people around the world, and represent a major medical and socioeconomic problem. However, studies that determine the magnitude and risk factors are limited. Therefore, the aim this study is to assess the prevalence and associated factors of hemorrhoid among adult patients visiting the surgical outpatient department at the University of Gondar Comprehensive Specialized Hospital (UoGCSH) Northwest Ethiopia. Methods An institution-based cross-sectional study was conducted from February to May 2020. A systematic random sampling technique was used to select a total of 403 participants. The data were collected then entered using EPI DATA version 3.1 and exported to the STATA 14 for analysis. Bivariable and multivariable logistic regression analysis were performed. Adjusted odds ratio (AOR) with 95% confidence interval was used as a measure of association. Variables having P-value < 0.05 from the multivariable analysis were considered to have a significant association with the outcome. Result Out of the 403 study participants, 13.1% (95%CI; 10.1, 16.8) had hemorrhoids. Constipation (AOR = 4.32, 95% CI; 2.20, 8.48) and BMI ≥25kg/m2 (AOR = 2.6, 95% CI; 1.08, 6.23) had a statistically significant association with hemorrhoid. Conclusion The overall prevalence of hemorrhoid was high and its prevalence was higher in male subjects. Constipation and being overweight were found to increase the odds of having hemorrhoids. Screening for early identification and intervention of hemorrhoids, especially for risk groups is better to be practiced by health professionals.

Pattern and Outcome of Colorectal and Perianal Surgery in a Referral Hospital, Addis Ababa, Ethiopia

“…The most common perianal condition in this study was fistula in ano unlike studies from Nepal, India, Romania and Iran in which haemorrhoids was the leading pathology ( 15 – 18 ). The male predominance that was seen in our study in patients with fistula in ano as well as haemorrhoids was in line with studies from India, Egypt, Turkey, United Kingdom and Gonder ( 16 , 19 – 22 ).…”

Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

“…Sebuah penelitian epidemiologi oleh Johanson et al pada tahun 1990 silam memperlihatkan persentase prevalensi sebesar 4,4% di Amerika Serikat dengan angka yang mencapai 10 juta keluhan. 5,10 Sementara itu, beberapa laporan penelitian pada abad ke-21 menunjukkan persentase prevalensi sebesar 14,4% dan 38,9% dari Korea Selatan dan Austria. 10 Terlepas dari minimnya efek samping dan alamiahnya bahan yang digunakan dalam obatobat tradisional, hemoroid masih merajalela di negara-negara bagian Asia Timur yang kerap mempraktikkan pengobatan tradisional.…”

Medicinal plants used for management of hemorrhoids in Ethiopia: A systematic review

“…According to a study done at Ayder Referral Hospital, internal hemorrhoids was the third most common (7.5%) colonoscopic finding [ 3 ]. Another study conducted at University of Gondar comprehensive specialized hospital showed that 13.1% of adult patients who visited the surgical outpatient department had hemorrhoids [ 4 ]. Abdissa et al.…”

“…According to a study done at Ayder Referral Hospital, internal hemorrhoids was the third most common (7.5%) colonoscopic finding [3]. Another study conducted at University of Gondar comprehensive specialized hospital showed that 13.1% of adult patients who visited the surgical outpatient department had hemorrhoids [4]. Abdissa et al [5] also showed that constipation due to hemorrhoids was responsible for one-fourth (24.4%) of the patients in the obstetric ward of Jimma University medical center to seek nursing cares.…”