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Other measures include:

  • ensuring the perineum is dried and washed after defaecation:
    • these measures help to prevent/treat pruritus ani
    • the application of talcum powder after cleaning is a simple measure that will keep the perineum dry

  • digital replacement of prolapsed haemorrhoids:
    • this can lead to symptomatic relief

  • local anaesthetic creams and ointments

  • treatment aimed at reducing spasm of the internal anal sphincter:
    • nitroglycerine ointments:
      • glyceryl trinitrate 0.2-0.3% (unlicensed)
    • botulinum toxin injection
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