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Chapter 1: Gastrointestinal
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Inflammatory bowel disease guidance
Irritable bowel syndrome guidance
Management of constipation in adults
Management of constipation in children
Management of dyspepsia and gastro-oesophageal reflux disease
Paediatric reflux disease guidance
Infantile Colic guidance
1.1 Dyspepsia and gastro-oesophageal reflux disease
1.2 Antispasmodics and other drugs altering gut motility
1.3 Antisecretory drugs and mucosal protectants
1.4 Antimotility drugs
1.5 Chronic bowel disorders
1.6 Laxatives
1.7 Local preparations for anal and rectal disorders
1.8 Stoma care
1.9 Drugs affecting intestinal secretions
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1.7.1 Soothing haemorrhoidal preparations
First Line
Second Line
Specialist
Hospital Only
| SELF-CARE: NHS England has published guidance for various common conditions for which over the counter (OTC) items should not be routinely prescribed in primary care. One of these conditions is haemorrhoids. Many of these products are cheap to buy and are readily available OTC along with advice from pharmacies. Some self-care medicines are available from shops and supermarkets. |
Please see the commissioning policy on The referral and specialist management of haemorrhoids in adults.
Anusol
(Balsam peru, bismuth oxide, (bismuth subgallate), and zinc oxide)
- Cream (£2.89 = 23g)
- Ointment (£2.95 = 25g)
- Suppositories (£2.69 = 12)
Notes
- Prescribe by brand (to aid identification where products contain multiple ingredients, or to prevent confusion where multiple brands contain similar ingredients)
