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Hemorrhoids
Published in Charles Theisler, Adjuvant Medical Care, 2023
General Instructions: Symptomatic, painful hemorrhoids may be managed with stool softeners (e.g., docusate, psyllium) and warm sitz baths (i.e., sitting in a tub of tolerably hot water for 10 min) after each bowel movement and as needed thereafter. Anesthetic ointments containing lidocaine or witch hazel compresses may be utilized, as well as soothing wipes (Tucks), creams, or salves.2
Anti-Inflammatory Activity of Wild Medicinal Plants of Piauí State-Brazil
Published in Mahendra Rai, Shandesh Bhattarai, Chistiane M. Feitosa, Ethnopharmacology of Wild Plants, 2021
Valdiléia Teixeira Uchôa, Mahendra Rai, Gilmânia Francisca Sousa Carvalho, Herbert Gonzaga Sousa, Patrícia e Silva Alves, Renata da Silva Carneiro, Ariane Maria da Silva Santos Nascimento, Felipe Pereira da Silva Santos, Gabriel e Silva Sales
According to Figueiredo and Lima (2015), this species is used in folk medicine in the form of vials, infusions and teas, using water or rum as a solvent, to treat gastritis, duodenal ulcer, genital damage, chronic inflammation, colic, kidney problems, cough treatment, digestive and heart disease, ovarian inflammation, diabetes, flu, gastritis, kidney and stroke pain, diabetes, wounds and pain in general. It is also used as a sitz bath for genitourinary problems, eyewash, injuries and general inflammation (Leite et al. 2015).
Introduction to the clinical stations
Published in Sukhpreet Singh Dubb, Core Surgical Training Interviews, 2020
I would first ensure that the patient was made comfortable with appropriate analgesic. Following this, I would offer conservative treatment first which would include a high fibre diet and elevated fluid intake. I would recommend sitz baths as well as stool softeners. For topical analgesic, I would offer GTN but avoid it for pregnant or lactating patients. I would warn the patient about headaches with this therapy and recommend paracetamol which is often helpful. Diltiazem is an alternative if headaches do not abate.
An HIV-positive man with painless ulcer and pustules: mpox, syphilis, or both?
Published in Baylor University Medical Center Proceedings, 2023
Ian Thien Bui, Benjamin Sloan, Marc Tribble, Angela Yen Moore
Medical management of mpox patients depends on severity of infection and comorbidities. In most cases, the disease is self-limited and will resolve on its own without medical intervention. Patients who develop infection in sites that are at high risk for pain such as the rectum, eyes, or oropharynx should be counseled with a multimodal pain management approach. Pain-reducing measures include over-the-counter remedies such as acetaminophen, nonsteroidal antiinflammatory drugs, and sitz baths. There are several indications for tecovirimat (TPOXX), the current off-label antiviral treatment of choice; some criteria for using antiviral therapy include severe manifestation, immunocompromised status such as HIV with CD4+ count <200 cells/μL, site of lesions that associate with stricture, and lesions such as in the pharynx and anal canal. Dosing and duration of therapy is individualized, but commonly is given as 600 mg orally or 200 mg intravenously every 12 hours for 14 days.12 Coinfection management should follow the current established therapeutic regime.
High post-operative pain scores despite multimodal analgesia in ambulatory anorectal surgery: a prospective cohort study
Published in Acta Chirurgica Belgica, 2019
Aline Ceulemans, Danny De Looze, Dirk Van de putte, Eline Stiers, Marc Coppens
Patients receiving extra information regarding adequate pain management and use of sitz baths took significantly more analgesics than the patients who did not, but still took less than the maximum advised dose. Patients who had undergone a hemorrhoidectomy made the most use of the provided rescue medication (one extra tramadol) up to one week post-operatively. The amount of analgesics taken diminishes over time, but not completely in accordance with the recommendations in the brochure. Especially in patients treated for hemorrhoids, the average intake of diclofenac and tramadol remains high, even after the fourth postoperative day. Meanwhile the intake of paracetamol steadily decreases. Patients in which an infiltration with ropivacaine was administered did not report a significant difference in pain scores on days 0 and 1.
Advances in treatment of acute sulfur mustard poisoning – a critical review
Published in Critical Reviews in Toxicology, 2019
Leila Etemad, Mohammad Moshiri, Mahdi Balali-Mood
Dry bandage is not suggested for SM skin injuries (Momeni et al. 1992). As the neoepidermis that appears in the early stages of re-epithelialization is very fragile and easily removable, dressing should be replaced with maximum attention (Graham and Schoneboom 2013). Some authors believe that applying permeable non adherent dressing, that could be left in place for a longer period of time are more favorable than frequent changeable dressing, both to the patient and to the nurse (Graham et al. 2005; Graham and Schoneboom 2013). Some authors suggest biological dressings because of their effectiveness in reducing the pain and healing duration (Gu 2014). Sitz bath and multiple rinses of the genital reign with 1:5000 potassium permanganate solution, followed by coating with topical antibiotics cream or solutions are suggested for genital skin injuries (Gu 2014). Because of the high risk of contaminating a genital dressing by urine, a wound dressing in this regions is not advocated (Gu 2014).