By vgreene, 8 December, 2014 Avoid in pts w/ thrombocytopoenia or on warfarin/heparin/antiplatelet (eg, clopidogrel), d/t bleed risk.
By vgreene, 8 December, 2014 If large symptomatic ext tags: refer for surgery instead of office procedure [SR/M].
By vgreene, 8 December, 2014 Options:<sup>5</sup> band ligation probably most effective [SR/M] and popular; sclero; infrared coag. Office procedures may require repeats.
By vgreene, 8 December, 2014 Topical tx: OTC astringents<sup>4</sup>/anti-inflammatories of unclear value but commonly used by pts.
By vgreene, 8 December, 2014 If seen late w/ sx improving and clot already resorbing, may be allowed to resolve w/o excision