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This Concept Map, created with IHMC CmapTools, has information related to: 289_Hemorrhoids, Exclusions for self-treatment No Pt pregnant or breastfeeding?, Inquire about current medications/CAM therapies: inteded uses, previous use, length/effectiveness of use. Obtain applicable medical history. Exclusions for self-treatment, Antidepressant use? No Recommend product for specific symptoms unless contraindicated. Counsel on diet, hygiene & bowel habits. Reevaluate in 1 week., Exclusions for self-treatment Yes Medical Referral, Counsel on diet, hygiene & bowel habits. Reevaluate in 1 week. Symptoms resolved?, Antidepressant use? Yes Recommend hemorrhoidal agents except vasoconstrictors, Symptoms resolved? Yes Counsel pt to continue good diet, hygiene & bowel habits., Patient with complaints consitant with anorectal disorder (e.g., iching, burning) Inquire about current medications/CAM therapies: inteded uses, previous use, length/effectiveness of use. Obtain applicable medical history., Recommend hemorrhoidal agents except vasoconstrictors Counsel on diet, hygiene & bowel habits. Reevaluate in 1 week., CVD, HTN, thyroid disease, DM, or difficulty urinating (enlarged prostate gland)? Yes Recommend hemorrhoidal agents except vasoconstrictors, Pt pregnant or breastfeeding? Yes Recommend external-use hemorrhoidal agents only. If internal-use agents preferred, recommend products with protectants except glycerin., Pt pregnant or breastfeeding? No CVD, HTN, thyroid disease, DM, or difficulty urinating (enlarged prostate gland)?, Symptoms resolved? No Medical Referral, CVD, HTN, thyroid disease, DM, or difficulty urinating (enlarged prostate gland)? No Antidepressant use?