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1.7 LOCAL PREPARATIONS FOR ANAL AND RECTAL DISORDERS

1.7 Local Preparations for anal and rectal disorders

    1.7.1 Soothing haemorrhoidal preparations

            GREEN       Anusol® cream & suppositories [Consider OTC/Self care] 
 

    1.7.2 Compound haemorrhoidal preparations with corticosteroids

            GREEN       Anusol® HC ointment (do not use for longer than 7 days) 
 

    1.7.3 Rectal sclerosants

            RED           Oily phenol injection 5%
 

   1.7.4. Management of anal fissures

            The management of anal fissure requires stool softening by increasing dietary fibre or by the use of a bulk-forming laxative. 
            Short term use of local anaesthetic preparations may help. If these measures are inadequate the patient should be referred 
            for specialist treatment in hospital – here the local use of glyceryl trinitrate or diltiazem may be appropriate.
 
            AMBER    Diltiazem cream 2% (prescribe generically)
            AMBER    Glyceryl trinitrate (Rectogesic®) ointment 0.4%

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