Beating the Bathroom Blues: Specialty Compounding for Incontinence, Fissures, and Hemorrhoids

Beating the Bathroom Blues: Specialty Compounding for Incontinence, Fissures, and Hemorrhoids

i-med-bottleLet’s just say it: bathroom troubles are embarrassing! No one likes to talk about their issues in the powder room. But if we did, we’d have a lot to talk about: 42 million Americans suffer from constipation, which is one of the most common gastroenterological problems. In fact, Americans spend more than $700 each year on laxatives alone — not to mention the money spent on remedies for complications related to constipation such as anal fissures, hemorrhoids, and related problems. And of course on the flip side, incontinence is at least as embarrassing for its sufferers.

The tailored approach offered by specialty compounding along with basic lifestyle changes may provide the best hope for millions of people across the country. This means compounding pharmaceutical professionals may just be best situated to tackle a huge problem, so let’s just talk about it.

Fecal Incontinence

Fecal incontinence is the inability to control one’s bowels. It may include either accidental bowel movements or unnoticed bowel movements, urgency, and the passage of fecal matter may be partial, “leakage.” This is an embarrassing, upsetting problem that patients are reluctant to discuss, even though it is almost always caused by a medical issue of some kind. It is also not uncommon: almost 18 million adults in the U.S. cope with fecal incontinence, or one in 12. People who have had neurological disorders causing lasting nerve damage and women who sustain injuries to the pelvic area during childbirth are at risk for fecal incontinence.

Specialty compounding can help some patients with fecal incontinence. Specifically, compounded topical gel with phenylephrine, usually at 10 percent strength, has been used successfully in the treatment of fecal incontinence. It has been shown to increase the pressure of the resting anal sphincter, which means that patients are able to “hold” more effectively.

Constipation and Its Side Effects

On the other end of the spectrum is the issue of constipation. Constipation is a major problem nationwide, given the numbers, and since people have naturally turned to stimulant laxatives, the problem has actually gotten worse. This is because overuse of these products can cause dependency, making the intestines require more of the stimulant laxatives to move, and eventually render the drug useless. Constipation can lead to hard, impacted stools and straining; this in turn causes hemorrhoids and anal fissures.

Constipation can be caused by a lack of exercise, dehydration, and by a diet that is lacking enough fiber. Older people experience constipation more frequently, often from lack of activity, but also from low hydration. Sometimes even the most careful people will experience constipation. This can be due to pregnancy, or medication regimens for serious diseases and pain management.

Compounding for Side Effects of Constipation

Compounding pharmacies can help patients suffering from the side effects of constipation in significant ways. Hemorrhoids can be treated with custom compounded suppositories containing lidocaine and other active ingredients, for example. Another specialty compounding option for treating hemorrhoids is compounded topical cream that contains hydrocortisone, ketoprofen, and lidocaine. And compounded topical treatments containing metronidazole for use after hemorrhoid removal are very effective in pain management. Both of these delivery methods bypass the already troubled GI tract of the sufferer, further increasing the comfort of the patient.

Anal fissures caused by constipation can be treated with a number of custom compounded ointments and compounded topical creams. For example, compounded topical treatments containing diltiazem, or diltiazem and nitroglycerin have been found to be effective against fissures. Compounded ointments containing nitroglycerin, misoprostol, and phenytoin are also excellent options for fissures. Compounded glyceryl trinitrate suppositories are another excellent option. Finally, compounded topical creams containing ketoprofen, lidocaine, and misoprostol have been found to be effective for anal fissure patients, as has phenytoin cream.

Each of these specialty compounding treatment options is customized to meet the patient’s specific needs. Additionally these delivery forms each maximize the success of the therapy while reducing the stress of administering the medication and increasing compliance.

Specialty compounding is the perfect way to improve the quality of life for patients with fecal incontinence, constipation, and side effects from constipation such as hemorrhoids and anal fissures. This area of custom compounding is central to holistic care for gastroenterological patients. Your pharmaceutical business can be properly equipped to provide this kind of care with the right assistance and tools.

Have you considered compounding for fecal incontinence and side effects of constipation such as anal fissures and hemorrhoids? Pharmaceutica North America is ready to advise you regarding this area and other needs, and would like to be your resource for high-quality compounding products. For more information regarding products available through PNA, please contact our very knowledgeable and friendly team.


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