8 Months Of Intermittent in Surgery — 44yo Man | General Surgery | SMLE Q#17663
SMLE Question #17663
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 44-year-old man presents with 8 months of intermittent painless bright-red blood per rectum on toilet paper and occasional prolapse during defecation that reduces spontaneously. He has no weight loss, no change in bowel habits, and no family history of colorectal cancer. Digital rectal examination is unremarkable. Anoscopy shows internal hemorrhoids that prolapse with straining and reduce spontaneously. He has increased dietary fibre and used stool softeners with partial relief. What is the most appropriate definitive treatment?
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