Treatment Protocol

Increase fibre/fluid intake, correct constipation. Sitz bath (10-15 mins in lukewarm water with salt) 2-3 times a day. Insert bismuth subgallate compound rectally every 12 hours for 5 days (e.g. Anusol/Sediproct).

If signs of infection: Metronidazole 400 mg every 8 hours for 5 days. Analgesics for pain. If no response: Refer to hospital for surgery.