| Strangulation is one of the complications 0f the haemorrhoids , it causes sever painin the anal area with congestion , swelling , and even gangrene and sloughing of thehaemorroids. From June 1st 1993 to June 1st 2000 ,I managed 34 patients with strangulatedhaemorrhoids , 22 patients ,65 % ( Group A ) have been treated with the addition 0fprednisolone tablets 10mg tds for 3 days besides the traditional treatment ( admission , proneposition , antibiotics , analgesics , stool softeners and local soothing agents ) . 12 patient, 35 %( Group B ) have been treated by the traditional method only . From the 22 patient ( GroupA ) , 19 showed very good response by regression of the swelling and improvement of thepain within 24 – 72 hrs , while all the 12 patients ( Group B ) took 5-10 days to improve . Sothe Prednisolone orally is useful in the treatment of strangulated haemorrhoids providedthat it is started within the first 48 hrs . |