Haemorrhoids
Meaning of haemorrhoids: For the purposes of this Statement of Principles, haemorrhoids means: (a) inflammation, bleeding, thrombosis, prolapse or symptomatic enlargement of the haemorrhoidal cushions; and (b) excludes anorectal varices. (3) While haemorrhoids attracts ICD-10-AM code K64, O22.4 or O87.2, in applying this Statement of Principles the meaning of haemorrhoids is that given in subsection (2). (4) For subsection (3), a reference to an ICD-10-AM code is a reference to the code assigned to a particular kind of injury or disease in The International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Australian Modification (ICD-10-AM), Ninth Edition, effective date of 1 July 2015, copyrighted by the Independent Hospital Pricing Authority, ISBN 978-1-76007-020-5.
Reasonable Hypothesis (RH) — Statement of Principles No. 3 of 2017
At least one of the following factors must as a minimum exist before it can be said that a reasonable hypothesis has been raised connecting haemorrhoids or death from haemorrhoids with the circumstances of a person's relevant service:
- (1)being pregnant within the six weeks before the clinical onset of haemorrhoids;
- (2)straining at stool due to constipation or diarrhoea, within the two weeks before the clinical onset of haemorrhoids;
- (3)having a spinal cord injury at the time of the clinical onset of haemorrhoids;
Note: spinal cord injury is defined in the Schedule 1 - Dictionary.
- (4)being obese at the time of the clinical onset of haemorrhoids;
Note: being obese is defined in the Schedule 1 - Dictionary.
- (5)having a pelvic space occupying lesion of sufficient size to impinge on the haemorrhoidal veins at the time of the clinical onset of haemorrhoids;
- (6)an inability to consume an average daily intake of 20 grams of fibre in food for at least the three months before the clinical onset of haemorrhoids;
Note: fibre in food is defined in the Schedule 1 - Dictionary.
- (7)having irritable bowel syndrome for at least the three months before the clinical onset of haemorrhoids;
- (8)chewing khat at least weekly, for at least the three months before the clinical onset of haemorrhoids;
- (9)being pregnant within the six weeks before the clinical worsening of haemorrhoids;
- (10)straining at stool due to constipation or diarrhoea, within the two weeks before the clinical worsening of haemorrhoids;
- (11)having a spinal cord injury at the time of the clinical worsening of haemorrhoids;
Note: spinal cord injury is defined in the Schedule 1 - Dictionary.
- (12)being obese at the time of the clinical worsening of haemorrhoids;
Note: being obese is defined in the Schedule 1 - Dictionary.
- (13)having a pelvic space occupying lesion of sufficient size to impinge on the haemorrhoidal veins at the time of the clinical worsening of haemorrhoids;
- (14)an inability to consume an average daily intake of 20 grams of fibre in food for at least the four weeks before the clinical worsening of haemorrhoids;
Note: fibre in food is defined in the Schedule 1 - Dictionary.
- (15)having irritable bowel syndrome for at least the four weeks before the clinical worsening of haemorrhoids;
- (16)chewing khat at least weekly, for at least the three months before the clinical worsening of haemorrhoids;
- (17)for haemorrhoidal bleeding only, taking a drug from a class of drugs from the specified list of drugs, within the 30 days before the clinical worsening of haemorrhoids;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (18)having receptive anal intercourse within the 48 hours before the clinical worsening of haemorrhoids;
- (19)inability to obtain appropriate clinical management for haemorrhoids;
Aggravation-only factors: the factors in subsections 9(9) to 9(19) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
Balance of Probabilities (BoP) — Statement of Principles No. 4 of 2017
11 factors
At least one of the following factors must exist before it can be said that, on the balance of probabilities, haemorrhoids or death from haemorrhoids is connected with the circumstances of a person's relevant service:
- (1)being pregnant within the six weeks before the clinical onset of haemorrhoids;
- (2)straining at stool due to constipation or diarrhoea, within the two weeks before the clinical onset of haemorrhoids;
- (3)having a spinal cord injury at the time of the clinical onset of haemorrhoids;
Note: spinal cord injury is defined in the Schedule 1 - Dictionary.
- (4)chewing khat at least weekly, for at least the three months before the clinical onset of haemorrhoids;
- (5)being pregnant within the six weeks before the clinical worsening of haemorrhoids;
- (6)straining at stool due to constipation or diarrhoea, within the two weeks before the clinical worsening of haemorrhoids;
- (7)having a spinal cord injury at the time of the clinical worsening of haemorrhoids;
Note: spinal cord injury is defined in the Schedule 1 - Dictionary.
- (8)chewing khat at least weekly, for at least the three months before the clinical worsening of haemorrhoids;
- (9)an inability to consume an average daily intake of 20 grams of fibre in food for at least the four weeks before the clinical worsening of haemorrhoids;
Note: fibre in food is defined in the Schedule 1 - Dictionary.
- (10)for haemorrhoidal bleeding only, taking a drug from a class of drugs from the specified list of drugs, within the 30 days before the clinical worsening of haemorrhoids;
Note: specified list of drugs is defined in the Schedule 1 - Dictionary.
- (11)inability to obtain appropriate clinical management for haemorrhoids;
Aggravation-only factors: the factors in subsections 9(5) to 9(11) apply only to material contribution to, or aggravation of, the condition where it was suffered or contracted before or during (but did not arise out of) the person’s relevant service.
