Improving Hemorrhoid Outcomes: A Narrative Review and Best Practices Guide for Pharmacists

Area of Science:

• Pharmacology
• Clinical Pharmacy
• Gastroenterology

Background:

• Hemorrhoidal disease is common, causing significant healthcare costs.
• Current management faces challenges in patient education, early detection, and treatment choice.
• Pharmacists' roles are expanding in hemorrhoid management.

Purpose of the Study:

• To provide pharmacists with updated insights on evidence-based hemorrhoid management.
• To introduce structured assessment algorithms for standardized symptom evaluation.
• To empower pharmacists to bridge gaps in patient care and optimize treatment pathways.

Main Methods:

• Narrative review of current literature and guidelines.
• Incorporation of the 2024 American Society of Colon and Rectal Surgeons (ASCRS) guidelines.
• Integration of digital decision-support platforms and structured evaluation algorithms.

Main Results:

• Emerging evidence supports the use of phlebotonics for symptom management.
• Digital tools enhance pharmacists' ability to assess symptoms and triage patients accurately.
• Pharmacists can systematically evaluate symptoms, identify red flags, and improve decision-making.

Conclusions:

• Pharmacists are pivotal in improving hemorrhoid care due to their accessibility and trusted role.
• Adopting updated guidelines and novel tools can enhance treatment outcomes and patient safety.
• Pharmacists can significantly improve the quality of life for patients with hemorrhoidal disease.