2024 Oct 1 CSD2 Hemorrhoids Lecture Notes PDF

10/1/24 Lecture in Cholla Self Care: Gastrointestinal (GI) Disorders Hemorrhoids D R G E R B E R , P H A R M D , B C G P, FA S C P, FA Z PA OFFICE : 201-15 C A N VA S I NB O X (I N S T E A D O F E M A I L ) T O S C H E D U L E A M E E T I N G , P L E A SE U SE H T T P S :/ / C A L...

10/1/24 Lecture in Cholla Self Care: Gastrointestinal (GI) Disorders Hemorrhoids D R G E R B E R , P H A R M D , B C G P, FA S C P, FA Z PA OFFICE : 201-15 C A N VA S I NB O X (I N S T E A D O F E M A I L ) T O S C H E D U L E A M E E T I N G , P L E A SE U SE H T T P S :/ / C A L E N D LY. C OM / DAW N - GER BER Please use Canvas Inbox for “email” course communication to Dr. Gerber, instead of MWU email. A succinct subject line is appreciated. Example subject line: Which astringents can be used externally and internally? This will help Dr. Gerber respond to communication more efficiently and quickly. Every effort is made to respond to Canvas Inbox 2 messages within 48 hours. © D. Gerber 2020  1. Classify the severity of a patient’s GI complaints. 2. Describe risk factors that can lead to hemorrhoids. After attending 3. Compare and contrast the mechanism of action, these lectures, indications, onset, and duration of action, and adverse effects of OTC medications used to treat hemorrhoids. completing the required readings 4. Assess the advantages and disadvantages of OTC medications used to treat hemorrhoids. and studying 5. Recommend an appropriate drug treatment selection for these handouts, a patient with hemorrhoids. the pharmacy 6. Formulate appropriate counseling information to be student should be provided a patient on a given treatment regimen for hemorrhoids. able to: Required Reading: Handbook of Nonprescription Drugs: Hemorrhoids chapter 3 Make it Stick! “Trying to solve a problem before being taught the solution leads to better learning, even when errors are made in the attempt.” Brown, Peter C.. Make It Stick (p. 4). Harvard University Press. Kindle Edition. 4 Notes: 5 Hemorrhoids Swollen, inflamed veins around the anus or lower rectum. They are either inside the anus or under the skin around the anus. 6 Health Condition Causes of Hemorrhoids Straining to have a bowel Obesity Aging movement Chronic Diarrhea Pregnancy constipation 7  Lack of dietary fiber Prolonged sitting Risk Factors Prolonged standing Pregnancy 8 Symptoms Bright red blood covering the stool, on toilet paper or in the toilet bowl Itching Discomfort Burning Swelling Inflammation 9 Internal vs External hemorrhoids Internal above dentate line NO: sensory fibers External below dentate line YES: sensory fibers 10 What questions do you need to ask? What could be the cause? If not excluded for self-treated, which medication is best? Treatment or prevention? What other disease states are present? Past medical history? What other medications are present? Current disease states? What education needs to be provided for best medication outcome? Medications? 11 Exclusion of self-treatment CONDITIONS SPECIAL POPULATIONS