Haemorrhoids and anal fissures

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The Pharmaceutical Journal
Vol 279 No 7461 p79-82
21 July 2007

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Continuing professional development

Haemorrhoids and anal fissures

Susan Allen looks at two common anorectal problems that pharmacists might encounter

Continuing professional development articles

Susan Allen, PgD (Comm), MRPharmS, is a freelance pharmaceutical and copy writer from Market Harborough

Anorectal anatomy

An awareness of anorectal anatomy can help understanding of haemorrhoidal disease and anal fissures

SUMMARY

The two most common conditions affecting the anorectal area (the rectum and anal canal) that pharmacists are likely to encounter are haemorrhoids and anal fissures.

Many customers with these conditions find talking about their symptoms embarrassing and pharmacists should be prepared to handle consultations sensitively. Use of a consultation room can encourage more open conversation about these conditions.

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Glossary

Anal verge The opening of the anus on the surface of the body

Dentate line (also called the pectinate line) The junction within the anal canal denoting the transition from anal skin (anoderm) to the lining of the rectum.

Posterior midline Aligned with the midline of the body and going backwards (ie, away from the vagina or scrotum)

Sitz-bath A therapeutic hip bath