Haemorrhoids are enlarged or varicose veins of the tissues at the anus or rectal outlet. They are the most frequent cause of rectal bleeding. Anal and perianal pruritus, soreness and excoriation occur commonly in patient suffering from haemorrhoids, fistulas and proctitis. Careful local toilet with attention to any minor, faecal soiling, adjustment of the diet to avoid hard stools, the use of bulk forming materials such as bran and a high residue diet are helpful.
Soothing preparations containing mild astringents such as bismuth subgallate, zinc oxide, peru balsam and hamamelis with lubricants, vasoconstrictors or mild antiseptics, in the form of topical ointments, creams and suppositories, are used to provide symptomatic relief.
Haemorrhoids in children are rare. Treatment is usually symptomatic and the use of locally applied cream is appropriate for short periods; however, local anaesthetics can cause stinging initially and this may aggravate the child's fear of defecation.
Bismuth Subgallate Compound (Bismuth Subgallate + Bismuth Oxide +Peru Balsam + Zinc Oxide)*
Suppository, 59mg + 24mg + 49mg + 296mg
Ointment, 2.25% + 0.87% + 1.875% + 10.75%
* Any antihaemorrhoidal preparation proven to be therapeutically effective can be used.
Indications: - to relieve anal and perianal pain, itching and soreness associated with hemorrhoids, anal fissures.
Cautions: -advise patients to regulate their diet to produce soft stools that pass through the anus with a minimum irritation. Patients should be instructed to take hygienic measures after defecation. See also notes above.
Dose and Administration: Rectally, wash and dry the anal area before application.
Unless otherwise indicated; Ointment - Apply rectally night and morning and after defecation. Suppositories - Insert in to the rectum night and morning and after defection.
Storage: - in a cool place.