11. Case studies
Case study 6
Linda is in her late forties. She comes into the pharmacy asking for a treatment for piles. She
sufferers from this occasionally and has used treatment before which provided her with
adequate relief for the itching. Now she is getting more pain and discomfort when she goes
to the toilet.
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Consider the questions you would need to ask Linda and what treatment you would recommend.
Case study 6 - Answer
Linda is in her late forties and has complained of haemorrhoids, which is a problem that affects her most of the time. Your questioning reveals that Linda also suffers from hard motions and straining at stool aggravating the haemorrhoids. She is not displaying any ‘red flag’ symptoms. You should recommend Linda uses a preparation to relieve her itching symptoms. Also recommend a stool softener, such as DulcoEase™ capsules, which can help to soften the hard, dry stools making them easier to pass without straining14. Take this opportunity to talk to Linda about lifestyle measures that may be useful in preventing the onset of constipation.
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