Anal and Rectal Disorders

• Hemorrhoid:

Lignocaine 2% and Tribenoside 5%:

Indications: hemorrhoids, pruritus and other ano-rectal conditions.

Contraindications: avoid in children and infants.

Dose and Administration: insert one suppository rectally twice daily after defecation. Apply ointment twice daily and after defecation.

Herbal Preparation:

Indications: treatment of external and internal hemorrhoids as well as anal fissures.

Dose and Administration: patients are advised not to defecate for at least 4 hours after dose administration other wise the dose should be repeated after defecation. Ointment: 1 application 3 times daily for 3 weeks. Suppository: 1 suppository 3 times daily for 3 weeks.

• Rectal Sclerosants:

Oily Phenol:

Indications: hemorrhoids

Dose and Administration: 2-3 ml into the submucosal layer at the base of pil; several injections may be given at different sites; maximum total injected 10ml at any one time.

• Anal Fissures:

Nitroglycerin Ointment:

Indications: anal fissure

Contraindications: hypersensitivity to nitrates, marked anaemia, closed angle glaucoma, mitral stenosis.

Dose and Administration: apply 2.5cm of the ointment to anal canal every 12 hours until pain stops; max. Duration of use 8 weeks; child under 18 years not recommended.