title: [Pain therapy in proctology].
abstract: Pain in the anorectal region can be quite considerable. They can be treated effectively however. Before treatment the correct diagnosis is important. In each pain regimen it is important that patients have a normally sized stool (Bristol stool form scale type 4). Diclofenac (3 dd 50 mg) should be routinely used in anorectal pain. If diclofenac does not sufficiently relieve the pain, one should add metamizole or tramadole. Topically relaxing or analgetic agents (glyceryl trinitrate, botulinum toxin A, diltiazem, nifedipin, metronidazole, cincho- or lignocaine) might be used in selected cases. If edema exists topical steroids might have an analgetic effect.
authors.affiliation: Abteilung chirurgische Proktologie der Park-Klinik Kiel, Beselerallee 67, 24105 Kiel. jjongen@proktologie-kiel.de
authors.forename: Johannes
authors.initials: J
authors.lastname: Jongen
authors.forename: Imme
authors.initials: I
authors.lastname: Kahl
authors.forename: Annette
authors.initials: A
authors.lastname: Pflug
authors.forename: Volker
authors.initials: V
authors.lastname: Kahlke
mesh_terms: D000700:Analgesics / Q000627:therapeutic use; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D003107:Colorectal Surgery; D006801:Humans; D009465:Neuromuscular Agents / Q000627:therapeutic use; D010146:Pain / Q000188:drug therapy / Q000601:surgery; D059408:Pain Management; D012002:Rectal Diseases / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*
chemical_list: D000700:Analgesics; D000893:Anti-Inflammatory Agents; D009465:Neuromuscular Agents