The most effective candles for hemorrhoids. Candles for hemorrhoids are inexpensive and effective. The best candles for hemorrhoids: reviews. Contraindications for use

Hemorrhoids are damage to the veins of the rectum, which leads to the formation of painful seals. The disease is more susceptible to people who are forced to sit or stay in one position for a long time. In women, the risk of hemorrhoids is higher, since this is facilitated by the anatomical structure of their urinary organs.

Hemorrhoids are usually called small bumps that come out of the anus, but this is only one of the manifestations of the disease. Hemorrhoids begin to develop in the mucosa or submucosa of the rectum, closer to the anus.

The main provocateurs of the disease:

• poor circulation in the pelvic area;
• passive lifestyle;
• frequent or sudden weight lifting;
• overweight;
• poor nutrition;
• weak walls of blood vessels;
• intestinal infections;
• tumor formations;
• rectal injury.

Hemorrhoids successively go through several stages, if it is not cured in time.

1. Expansion of the veins, injury to the walls of the mucosa with difficult defecation. At the same time, a person feels a slight burning sensation and tingling, maybe not even noticeable blood.
2. Dilated veins swell, forming knots. They give the feeling of a foreign body in the gut. During emptying, they are injured, bleed. Knots can come out under heavy load. A person experiences pain during bowel movements.
3. The nodes are greatly enlarged, they constantly fall out even from the slightest physical activity, they have to be constantly adjusted manually. Cracks appear in the intestine, bleeding becomes profuse.
4. At the last stage, the nodes can no longer be adjusted; they swell up a lot, take on a red-blue tint. Only their surgical removal is shown here.

How to treat

Hemorrhoids are treated by a coloproctologist.

The specialist conducts a visual examination of the bumps, a digital examination of the anus, if necessary, the diagnosis is supplemented by anoscopy, endoscopy and irrigoscopy.

In the first stages, treatment is reduced to conservative. It is enough to use candles, tablets and special ointments. At stages 3 and 4, it may be necessary to remove inflamed nodes using one of the popular methods:

• cryodestruction;
• photocoagulation;
• sclerotherapy;
• ligation with latex rings.

Of the local remedies, suppositories have proven themselves best, since they act directly on the focus of inflammation. If ointments act only on the fallen nodes and it is inconvenient to inject them, then the suppositories are deep inside the rectum, which enhances the effect of treatment.

List of active drugs

Rectal suppositories have long been successfully used to eliminate hemorrhoids. The drug should be prescribed by a doctor depending on the course of the disease.

All candles, based on the mechanism of their action, are divided into several groups.

Candles for hemorrhoids

For reference! The doctor may prescribe one or several types of drugs at once, which will need to be used according to a special scheme. At the same time, for the duration of treatment, it is necessary to establish nutrition in order to exclude problems with defecation, because this will only aggravate the course of hemorrhoids.

Women in a position who are more prone to the occurrence of hemorrhoids, you need to carefully choose the means for treatment. You can use only those suppositories that the specialist will appoint.

List of popular and effective drugs

About how to properly carry out treatment, which drugs, including suppositories, are considered as safe as possible, tells the article of a specialist proctologist.

To make the answer as detailed as possible, it is necessary to consider the main varieties of these medicines. Suppositories are divided by composition, strength therapeutic action and duration of use.

One point unites them - all medicines are designed to maximize the relief of the symptoms of the disease: relieve soreness and inflammation, reduce itching and swelling, heal damaged tissues, stop bleeding and further increase the nodules.

From our material you will learn how hemorrhoids are treated with rectal suppositories, which antihemorrhoidal suppositories are considered the most effective and affordable, what should be based on right choice similar drugs.

For the treatment of internal hemorrhoids, suppositories are often an indispensable remedy. They are used at almost any stage of the disease, they are used directly for the treatment of the disease, for preventive purposes and in a comprehensive recovery course after the removal of hemorrhoids.

Candles against hemorrhoids have important advantages over other therapeutic forms. Let's talk about these advantages in more detail.

• Suppositories act locally, the active ingredients do not enter the stomach, enter the systemic circulation in minimal amounts, and are excreted from the body as soon as possible. All this together reduces the risk of undesirable consequences.
• Rectal suppositories for hemorrhoids have fewer restrictions compared to tablets or injectable drug administration. Suppositories are suitable for the treatment of patients with gastrointestinal diseases, renal failure, hypertension.
• These drugs are relatively easy to use. It is enough to be careful and careful to insert the suppository into the anus. It is only important to strictly follow the dose and instructions for a particular remedy.
• Candles from internal rectal hemorrhoids most often have a complex effect due to the multicomponent composition. They are able to relieve pain, bleeding, swelling and other negative symptoms.
• In addition, it is impossible not to note the ease of storage. Antihemorrhoid suppositories have a long shelf life - up to 5 years. Opened packaging is stored in the lower part of the refrigerator, and sealed blisters retain their qualities even at room temperature.

Despite the presence of numerous advantages, suppositories are not able to replace complex conservative treatment. Rectal suppositories should be used together with systemic remedies and after consultation with an experienced doctor.

Varieties of rectal suppositories for hemorrhoids

The choice of the most effective pharmaceutical preparation for internal hemorrhoids should be determined by the characteristics of the course of the disease. As for rectal suppositories, they can be divided into several large categories.

1. Anticoagulants. This group includes drugs in which one of the leading ingredients is heparin. Such suppositories prevent the occurrence of blood clots, improve blood circulation by reducing blood clotting, and further increase venous tone.
2. Hemostatics. These drugs fight bleeding from hemorrhoids by narrowing the vascular channels, restoring the affected epithelial layer, and relieving inflammatory processes (read more about suppositories in the article of our author).
3. Anesthetics. The anesthetic active substances contained in the composition help with painful hemorrhoids. Their use is justified at any stage of treatment, including after surgery (read more about).
4. Hormonal suppositories. Due to the content of corticosteroids, such agents are considered more effective and efficient. They are prescribed for severe pain, itching, inflammatory processes. At the same time, they have a large number of contraindications.
5. Venotonics and angioprotectors. Such drugs help to improve microcirculation and blood flow in the vessels, increase venous tone, reduce the permeability of capillary and venous walls, promote healing and regenerative processes.
6. Immunomodulators. They improve the quality of local immunity, as a result of which the damaged areas of the mucosa become more resistant to pathogens and begin to recover.
7. Astringents. Bismuth and zinc compounds allow you to dry, disinfect the affected areas, and also create a special film on the surface of the mucosa that prevents infection.
8. Homeopathic candles. Not the most effective drugs, but among the advantages one can note the softness of the impact, the almost complete absence of contraindications and undesirable consequences.

Such a variety of medicines is another argument for a thoughtful approach to antihemorrhoid therapy. The choice of rectal suppositories should be carried out by the proctologist after the diagnosis and determination of the leading symptoms.

The most effective candles for hemorrhoids

Candles from hemorrhoids, the list of which is presented below, are the most popular among patients. However, only a doctor can accurately determine which drug will most effectively cope with the symptoms.

Anticoagulants

Hemostatics

Anesthetics

Hormonal suppositories

Venotonics and angioprotectors

Candles for the treatment of hemorrhoids - the most popular drug used in the fight against pathology. Suppositories are topical preparations: their active substances are quickly absorbed, relieving the patient of the symptoms of pathology.

Classification of suppositories from hemorrhoids

Antihemorrhoid suppositories are classified according to the effect they have on the patient's body. The following groups are distinguished:

1. Painkillers. The composition of such suppositories includes active substances that have an anesthetic effect: novocaine, benzocaine, lidocaine. These medicines help to get rid of pain: this symptom always accompanies hemorrhoids.
2. Hemostatic. The doctor prescribes these drugs to patients suffering from internal hemorrhoids. These drugs stop anal bleeding. Suppositories contain substances that can prevent blood loss.
3. Anti-inflammatory. Medicines of this group have a bactericidal effect. Their active substances reduce inflammation in the mucous membranes of the rectum.
4. Venotonics. These candles have a tonic effect. Their use improves blood circulation and prevents thrombosis. Under the influence of venotonics, hemorrhoids decrease.
5. Antiseptic. The suppositories of this group include substances that prevent the development of bacteria in the anal area.
6. Anticoagulants. These drugs prevent blood clotting and thrombosis. Suppositories regenerate tissues at the site of use. The composition of such suppositories includes heparin.
7. Emollient. The action of these drugs is aimed at healing wounds and cracks in the anus. Emollient suppositories prevent constipation.
8. Regenerating. Preparations of this group contribute to the rapid restoration of damaged tissues.

Many candles offered in pharmacies have a complex effect. Combined suppositories are able to save the patient from several symptoms of pathology.

Homeopathic suppositories are also used in the treatment of hemorrhoids. These products are made from natural ingredients. Such suppositories act gently, are considered effective in the fight against the disease.

Application features

The use of antihemorrhoidal suppositories requires compliance with a few simple rules:

• rectal preparations should not be kept at room temperature: the best storage place for them is the refrigerator;
• candles are placed after the act of defecation and hygiene procedures;
• it is better to put the suppository at bedtime, but if the use of the remedy is prescribed in the morning, then after the injection you should remain in the supine position for at least half an hour;
• the candle should be held in the anus, it should not be allowed to move into the rectum.

Rectal suppositories have a number of contraindications, so you should read the instructions before using them. Use of such drugs during pregnancy should only be prescribed by a doctor and under his supervision. The same applies to lactation.

Effective rectal suppositories for hemorrhoids

The pharmaceutical industry produces many types of suppositories for both internal and external hemorrhoids.

All of them have a number of advantages and disadvantages. The following drugs are considered the most effective in treating the disease.

Natalsid

The composition of the candles includes sodium alginate - an extract from brown seaweed. Natalsid is a safe drug, therefore it is prescribed for pregnant women. It has anti-inflammatory, hemostatic and regenerating effects.

The composition of Natalsid suppositories includes sodium alginate - an extract from brown seaweed.

Propolis DN

The composition of the drug includes cocoa butter, lanolin, propolis. These anti-inflammatory suppositories are prescribed as part of the complex treatment of hemorrhoids. They are able to stop bleeding. They have a number of contraindications, for example, they cannot be used for individual intolerance to bee products.

Ichthyol candles

Medicines with ichthyol are antiseptics. Ichthyol suppositories also have an analgesic effect. They are prescribed together with NSAIDs when an inflammatory process around the anus is attached.

Candles with sea buckthorn

The composition of the drug includes sea buckthorn extract. The drug is completely natural, therefore it is indicated for use by pregnant women and children. Candles with sea buckthorn relieve several symptoms of hemorrhoids, including itching and irritation. Sea buckthorn promotes healing of anal fissures.

Anuzol

It contains: belladonna extract, bismuth, zinc oxide. These suppositories have a hemostatic effect, relieve pain, protect the rectal mucosa.

posterisan

Posterisan contains antigens and metabolites of Escherichia coli. Penetrating into the mucous membrane of the rectum, these substances increase the resistance of tissues to the effects of harmful microorganisms. Posterizan is a good remedy for hemorrhoids for men and women. It is prescribed for anal itching and burning, with discharge in the anal region caused by hemorrhoids.

Procto-Glivenol

This is a complex drug used in the treatment of internal and external hemorrhoids. The active substances of suppositories are tribenoside and lidocaine, which act on the cause of the disease.

Procto-Glivenol reduces capillary permeability, improves blood and lymph flow, and has a venotonic effect. The tool acts as an anti-inflammatory, decongestant and analgesic. Has a number side effects, so its use should be agreed with the doctor.

Proctosan

The composition of suppositories includes several components: bufeksamak relieves inflammation, titanium dioxide and bismuth subgallate have a drying and wound-healing effect, lidocaine is a good anesthetic.

Proctosan has a number of contraindications, so its use is best agreed with a doctor.

Hepatrombin G

The composition of suppositories includes: prednisone, heparin, lauromacrogol. Hepatrombin G has venous sclerosing, antimicrobial, anti-inflammatory action. It has an anti-allergic effect, prevents blood coagulation, relieves pain.

The course of treatment can last no more than 7 days. If a positive result is not observed, then you should consult a doctor who will prescribe another drug.

Relief

Under this name, a series of suppositories is produced, used to get rid of the symptoms of the disease and from hemorrhoidal bumps. The composition of the drugs includes shark liver oil, which has anti-inflammatory, immunomodulatory and wound healing effects. The composition of the preparations also includes:

• Relief: phenylephrine hydrochloride - relieves itching and swelling;
• Relief Advance: benzocaine - fights pain;
• Relief Ultra: hydrocortisone, zinc sulfate monohydrate - substances that act as an anti-allergic, anti-inflammatory agent.

Olestezin

Candles of combined action, which include: sea buckthorn oil, benzocaine and sulfaetidol. The drug has an analgesic and antibacterial effect, fights inflammatory processes. It is indicated for cracks in the anal region, with itching caused by hemorrhoids.

An allergic reaction is possible, so you should use it carefully, after carefully studying the instructions.

Nigepan

It is an analogue of Hepatrombin G. The active substance is heparin. Nigepan effectively fights pain and itching, relieves burning sensation, and has an anti-exudative effect. Suppositories can stop the growth of existing blood clots.

Candles with propolis

Suppositories containing propolis relieve swelling and pain, help to cope with burning and itching. The natural composition of suppositories allows them to be used during pregnancy. Shown at any stage of the disease.

Proctosedyl M

The composition of the drug includes:

• hydrocortisone - a substance that relieves pain, swelling and itching;
• framycetin is an antibiotic with a wide spectrum of action;
• esculoside - a substance that reduces capillary fragility;
• benzocaine and butamben, which are antipruritic and analgesic agents.

It has a lot of contraindications, so it is not recommended for use without the consent of a doctor. Not intended for pregnant women and children.

Neo-Anuzole

Neo-Anuzole has several effects, because it is a combination drug. It is prescribed for deep anal fissures. Being in the rectum, the candle acts for a long time, relieving pain and irritation. Neo-Anuzol prevents the reproduction of pathogenic microflora. The doctor will help you choose the right dosage. It is used not only for treatment, but also as a preventive measure.

Ultraproject

Candles Ultraprokt relieve pain, relieve itching, reduce inflammation. The composition of the drug includes fluocortolone and cinchocaine. The excipient is castor oil. This is a hormonal remedy, so it is prescribed with caution.

Candles Ultraprokt relieve pain, relieve itching, reduce inflammation.

From the article you will learn about rectal suppositories for hemorrhoids: a list of the most effective and inexpensive drugs from different groups, features of the use of suppositories, indications, contraindications, side effects.

Why are hemorrhoids treated with candles

For the treatment of both internal and external hemorrhoids, rectal suppositories are most often used. The drug is effective at any stage of hemorrhoidal disease, and also prevents its development, since it acts locally and systemically.

Rectal preparations are well combined with other dosage forms, therefore, they become the basis of the combined treatment of the disease after the removal of hemorrhoids, during the rehabilitation period.

Doctors confidently call the advantages of rectal suppositories:

• local effect on hemorrhoids without irritation of the gastrointestinal mucosa;
• minimal penetration into the circulatory system;
• short terms of metabolism, the withdrawal of active substances in a natural way, which reduces the risk of complications or side effects;
• minimal restrictions on the appointment in comparison with injections or tablets;
• ease of use;
• complex impact on the problem, thanks to several substances that are part of the candles;
• ease of storage.

However, all the advantages of rectal suppositories cannot replace a set of conservative or operative measures. The main requirement for the treatment of hemorrhoidal disease is an accurate diagnosis of the cause and stage of the pathology. When knots fall out of the anus, candles are practically useless, since they can only temporarily remove those that disturb the patient.

Hemostatic or hemostatic

Hemostatic suppositories for hemorrhoids, in parallel, drugs relieve inflammation, regenerate the affected sheath of the node. In the composition - dicynone, propolis extract, etamsylate, adrenaline, calcium chloride, vikasol, phenylephrine and other components (Natalsid, Relief, Prostopin).

Candles Natalsid. An inexpensive drug - a natural hemostatic, stops the bleeding of hemorrhoids, and is additionally able to normalize intestinal motility. Feature - natural extract of brown algae in the composition.

Candles Relief. An effective vasoconstrictor, due to which a hemostatic effect is achieved.

Candles Prostopin. They improve trophism, tissue healing, exhibit a local hemostatic effect due to the components of propolis and other bee products.

Anti-inflammatory

Suppositories from hemorrhoids exhibit bactericidal properties, stop inflammation, and are able to stimulate regenerative processes (Aurobin, Ultraprokt, Posterisan, Hemorol).

Candles Aurobin. An inexpensive, but quite effective drug, a representative of a combination of a true anesthetic with anti-inflammatory substances. Hormonal supplements that significantly enhance the anti-inflammatory effect.

Candles Ultraprokt. A powerful anti-inflammatory drug due to hormonal supplements with the effect of local anesthesia.

Candles Posterisan. natural anti-inflammatory and inexpensive remedy, capable of activating the body's immune responses at the cellular (local) and humoral (general) level.

Candles Gemorol. They belong to the group of natural anti-inflammatory drugs. The drug is cheap, most effective with an already formed hemorrhoid, both in the acute and chronic stages.

Venotonics and angioprotectors

Suppositories from hemorrhoids of the group of phlebotonics and angioprotectors improve the microcirculation of the anorectal region, increase the tone of the veins, reduce capillary permeability, and help the healing of mucous membranes. The drugs prevent thrombosis of the nodes, reduce the size of the formations (RectActive, Hamamelis, Ginkor Procto, Proctis-M).

Candles Rektaktiv. They belong to the group of venotonics. They have natural ingredients in their composition, and are inexpensive.

Candles Hamamelis DN. Inexpensive drug, belongs to the group of angioprotectors of natural origin.

Candles Proktis-M. Rectal venotonic, the action of the drug is based on the properties of hyaluronic acid, which tones and nourishes tissues, improves recovery processes.

Hormonal

Hormonal suppositories for hemorrhoids contain corticosteroids, reduce inflammation, tissue swelling, exudation, that is, they dry out the nodes (feature - a large number of restrictions on use) - Relief Ultra, Relief PRO, suppositories with adrenaline, Posterizan forte.

Candles Relief Ultra. An effective anti-inflammatory and analgesic drug, they contain an analogue of adrenaline, due to which a softer and longer-lasting effect occurs.

Candles Relief PRO occupy a special place in the Relief line. According to its purpose, it is a local anesthetic with enhanced anti-inflammatory properties, which quickly relieves pain, pastosity of tissues.

Candles with adrenaline

Suppositories with adrenaline - Methyluracil. An effective and inexpensive drug for hemorrhoids, has a hemostatic, antimicrobial, immuno-strengthening effect.

Posterized forte

Candles Posterisan forte. Effective drug with anti-inflammatory, analgesic, immunostimulating action for local use in proctology.

Antiseptics

Candles from hemorrhoids kill pathogenic microflora in the anorectal region. In the composition - propolis, sea buckthorn oil, calendula, tea tree extract, other components (Betiol, Ichthyol, Sea buckthorn, tea tree candles, Calendula).

Candles Betiol. An inexpensive but effective drug, an example of a combination of anesthetics and antiseptics with anti-inflammatory components. The essence of the action is the removal of angiospasm.

Ichthyol candles

Suppositories Ichthyol. They act quickly, are inexpensive, allow you to stop the severity of the process, relieve swelling. Candles have a cumulative effect. Ichthyol regenerates healthy cells, while removing the affected from the surface of the dermis.

Sea buckthorn candles

Suppositories Sea buckthorn oil. The effectiveness of suppositories from hemorrhoids is manifested by the anti-inflammatory properties of the drug. Sea buckthorn has an antitumor, bactericidal, hemostatic effect, and is cheap.

tea tree candles

Suppositories tea tree essential oil - antiseptic.

Candles from calendula

Suppositories Calendula. An antiseptic, a medicine is made from low-melting fats (cocoa butter or anhydrous lanolin), to which the required amount of decoction of plant flowers of the desired concentration is added.

Anticoagulants

Heparin suppositories for hemorrhoids prevent thrombosis of nodes, reduce blood clotting, increase vein tone, stimulate tissue regeneration (Hepatrombin G, Hepazolon, Nigepan).

Candles Gepatrombin G. One of the most effective medicines, dissolves already formed blood clots, prevents the formation of new ones.

Candles Gepazolone. Cheap, antithrombotic, anti-inflammatory, analgesic drug.

Candles Nigepan. Inexpensive but effective thrombolytic drug with pain relief. anti-inflammatory effect.

Healing (regenerating)

Healing suppositories from hemorrhoids stimulate damaged areas of the skin, mucous membranes at the cellular level (glycerin, Salofalk, Propolis DN).

Glycerin suppositories

Suppositories Glycerin. Means soften the mucous membrane of the rectum, facilitate defecation, which is important for hemorrhoids.

Candles Salofalk. An effective drug that stimulates regeneration by activating the immune system. The downside is serious side effects.

Candles Propolis DN. The drug heals defects of the mucous membrane and skin of the rectum with hemorrhoidal disease, activates the immune system, stops inflammation.

Astringents

In suppositories from hemorrhoids based on bismuth, zinc, the main property is the drying of hemorrhoids, the prevention of secondary infection (Proctosan, Anestezol, Anuzol, Neo-Anuzol).

Candles Proctosan. The drug is an example of a combination of anesthetic, anti-inflammatory, astringent components.

Suppositories Anestezol. Anesthetic suppositories, belong to astringent anesthetics, are inexpensive.

Candles Anuzol. Inexpensive drug with astringent, anti-inflammatory and analgesic effect.

Candles Neo-Anuzol. The drug is antiseptic, dries and knits, stops the inflammation of the rectum. It differs from the usual Anuzol in the admissibility of use during pregnancy.

homeopathic

Suppositories from hemorrhoids based on microdoses of natural ingredients in official medicine are considered as a placebo effect. The peculiarity of homeopathic remedies is a mild effect on the problem, the complete absence of contraindications, complications (Gemo-Pro, Nova-Vita, Adonis, Hemoprost-T, Phytomax).

Suppositories Gemo-Pro. Homeopathic remedy - extract from the healing mud lake Tambukan. Other natural components complement each other, have a complex effect.

Candles Nova Vita. Multicomponent compositions from the group of homeopaths.

Candles Tambukan "Adonis". The drug improves tissue metabolism.

Candles Gemoprost-T. Homeopathic medicine regenerate tissues, stop inflammation, have an antimicrobial effect

Phytomax

Candles Fitomaks PRO. homeopathic remedies from hemorrhoids and other inflammatory diseases of the pelvic organs.

Immunomodulators

A group of suppositories from hemorrhoids that stimulate local immunity, resist pathogenic microbes, and stimulate tissue regeneration (Polyoxidonium, Genferon, Viferon).

Suppositories Polyoxidonium. A combined immunomodulatory agent that comprehensively increases the body's resistance to local and generalized infections.

Genferon

Candles Genferon light. A drug from the group of interferons.

Candles Viferon. An effective drug - a representative of interferons, is used as part of complex therapy. Suppresses the replication of RNA- and DNA-containing viruses, stimulates the body's defenses.

Homemade suppositories from natural ingredients

Folk recipes are an auxiliary therapy for hemorrhoidal disease. Not a single home-made herbal suppository can compete with a complex scheme individually drawn up by a doctor. However, if natural components are closer to your heart, after consultation with your doctor, you can use several safe ones. folk recipes time-tested:

1. Aloe leaf suppositories. The agave leaf is freed from the hard peel, a candle of the desired size is cut out of it, which is cooled in the refrigerator and inserted into the rectum overnight. Such a rectal insert is removed in the morning on its own, naturally.
2. Raw potato suppositories. A candle is cut out of the tuber, the size of the middle finger of the hand. Carefully polished from any burrs, inserted into the rectum, but not deep: a couple of centimeters. The liner is removed on its own, it does not make sense to detain it. Standard 15 minutes is enough.
3. Candles with propolis. 80 g of vaseline, 15 g of lanolin, 10 g of propolis are heated in a water bath, preventing the mixture from boiling. Everything is thoroughly mixed, poured into molds for ice, frozen. Then, apply as usual suppositories.
4. Sea buckthorn suppositories. Juice is squeezed out of clean dried berries. The rest of the mass is poured vegetable oil: half a liter of oil for three cups of cake. Insist in the dark for a week. Filter. To increase the concentration, the procedure is repeated. In this case, the cake is poured with already squeezed sea buckthorn oil. The product is stored in a glass container for a year. The role of a candle is performed by a cotton swab dipped in the resulting solution. It is introduced into the rectum. It is removed on its own.
5. Honey suppositories. A rectal suppository is made from candied honey, frozen, then injected into the rectum until completely dissolved. Carry out intimate hygiene. Better before bed. The effect is the healing of cracks, curing inflammation. In addition, honey is a natural antiseptic.

Like homeopathy, they are based on the placebo effect. Trust me, it helps a lot.

Combined treatment of hemorrhoids

In the treatment of hemorrhoids, monotherapy is unacceptable, as it can be dangerous. Hemorrhoidal disease is a vascular pathology, it is treated only in a complex way. One remedy will never cope with the disease, no matter what it will be: a pill, ointment, suppositories. Monotherapy will only relieve the clinical symptoms of the disease, but will not make a person healthy.

That is why doctors always offer an individual complex therapy regimen for the treatment of hemorrhoidal disease, which includes:

• suppositories used at any stage of the disease, with external and internal nodes;
• ointments (gels) that complement external therapy with candles;
• tablets - phlebotonics, hepatoprotectors (Venarus, Detralex, Troxevasin).

Hemorrhoids are an irreversibly progressive pathological condition of the cavernous bodies of the rectum. Due to the violation of the regulation of the outflow and inflow of blood to them, they overflow and develop hemorrhoids. This also develops weakness of the Parks ligament and the longitudinal muscle of the rectum, which hold the cavernous bodies in place - as a result, the nodes fall out (see). Since it is a chronic pathology - the best remedy from hemorrhoids, its prevention and reduction of provoking factors are considered:

• alcohol abuse (including beer)
• tendency to constipation, prolonged sitting in the toilet and straining during bowel movements, as well as alternating diarrhea and constipation
• pregnancy and childbirth are a strong provocateur of the development of hemorrhoids in women
• both a lack of motor activity (sitting positions) and excessive physical overexertion (especially weight lifting)

Thus, if you adjust the diet and lifestyle, you can improve the condition, reduce the frequency of exacerbations and alleviate the course of the disease:

• Give up strong coffee and tea, and drink more plain non-carbonated water, limit confectionery, pastries, eat complex carbohydrates - grain bakery products, vegetables, fruits (see), limit alcohol.
• Do Kegel exercises and train the muscles of the press and buttocks.
• Get rid of the bad habit of sitting on the toilet for a long time, observe the hygiene of the anorectal area (the rising bidet shower is very useful).
• Swimming and walking have a positive effect, but cycling, horseback riding, weightlifting are contraindicated.
• In case of exacerbation, do not sit, but take a supine position, do cool compresses with a weak solution of potassium permanganate, warm baths with chamomile decoction (anti-inflammatory effect), use candles for hemorrhoids on the recommendation of the attending physician.

How to choose the best tool?

Treatment is prescribed by a doctor, taking into account the severity of the disease. The choice of suppositories depends on the predominant symptom - bleeding, pain, itching, inflammation of the skin around the anus:

• For uncomplicated hemorrhoids anticoagulants are shown that dissolve formed blood clots and stop thrombosis - suppositories with heparin (Gepatrombin G, Nigepan), heparin ointment.
• With severe pain syndrome suppositories are also shown with anesthetics - lidocaine, neomycin, anesthesin, benzocaine, Tsinhokain, Lauromacrogol - these are analgesic suppositories Relief Advance, Emla (Lidocaine + Prilocaine cream), Proctosedyl M, Olestezin, Nigepan.
  
• When bleeding- it is advisable to use vasoconstrictor (relieve swelling), venotonic, hemostatic drugs - Phenylephrine hydrochloride, adrenaline, tribenoside (Relief, Procto-glivenol).
• With the addition of an inflammatory process around the anus on the skin shows Ichthyol (ichthyol), Levomikol, as well as NSAIDs (non-steroidal anti-inflammatory drugs, see), the most popular candles among them,. If the inflammation is accompanied by itching and there are no contraindications to the use of corticosteroids, then you can use suppositories with hormonal agents - Proctosedil, Gepotrombin G, Ultroprokt, Aurobin ointment.
• Taking medications by mouth the most correct and effective treatment- this is a combination therapy using both local remedies in the form of ointments and suppositories, and taking drugs orally - these are Troxevasin (Troxerutin), Diosmin (Vazoket 650-800 rubles, Phlebodia 650-820 rubles), Hesperidin + Diosmin (700-800 rub, Venarus 400-450 rub, Venadiol 420 rub). The course of treatment is not less than a week. And also Ginkor Fort (30 caps. 400-500 rubles or gel) is combination drug, with ginkgo biloba extract, troxerutin, heptaminol.

Candles for hemorrhoids during pregnancy and breastfeeding

• Most suppositories are contraindicated during pregnancy, especially in the 1st trimester, but the following suppositories are approved for use in hemorrhoids during pregnancy and lactation - Natalsid, Olestezin, Betiol, Belleweed Extract, Nigepan, Neo-Anuzol, Posterisan, suppositories with sea buckthorn oil, glycerin suppositories .
• Contraindicated in the 1st trimester of pregnancy, but in 2-3 and during lactation, use is possible according to indications (weighing the risks and benefits) - Relief, Relief Advance, Hepatrombin G, Ultraprokt.

How to use suppositories?

• When using candles, carefully observe the hygiene of the anal area.
• Avoid constipation - Lactulose preparations can be taken in small doses, see all.
• Usually suppositories are used 1-2 r / day (morning and evening) after a bowel movement for 7-14 days.
• If unusual symptoms appear during treatment or the condition does not improve, the diagnosis should be reassessed.

List of effective candles

Ingredients: tribenoside + lidocaine Candles have analgesic, anti-inflammatory, venotonic effect, reduce pain, itching, skin tension in hemorrhoids. Contraindications: 1 trimester of pregnancy (in 2-3, weighing the risks and benefits), . Usage: 1 suppository in the evening and in the morning until the symptoms disappear, after the acute period has passed, perhaps 1 time / day. Side effect: increased intestinal motility, slight burning sensation, allergic reactions. price: 350 -400 rubles.

Relief, Relief ultra, Relief Advance Shark liver oil has immunomodulatory, anti-inflammatory, wound-healing effect. Phenylephrine hydrochloride- has a vasoconstrictor property, which relieves itching and swelling with hemorrhoids. Benzocaine is an anesthetic. Hydrocortisone acetate- hormone of the adrenal cortex, has antiallergic, antipruritic, anti-inflammatory action. Zinc sulfate - helps the rapid healing of erosions and wounds. The basis of candles is cocoa butter, which has a softening effect in addition to the active ingredients. Contraindications: children under 12 years old, granulocytopenia, thromboembolic disease, with caution in diabetes mellitus, pregnancy, arterial hypertension, hyperthyroidism. For Relief Ultra additionally (due to the presence of a steroid hormone): tuberculosis, local fungal, bacterial or viral infection, pregnancy, lactation, neoplasms of the anorectal zone, etc. Usage: one suppository 4 times / day. morning, evening and after each bowel movement. price: Relief 250-300 rubles, Relief Advance 350 rubles, Relief Ultra 330-380 rubles.

Ingredients: Bismuth subnitrate + Iodine + Tannin + Methylene blue + Zinc oxide + Resorcinol It is a combination drug with antiseptic, local anti-inflammatory, antispasmodic, astringent, analgesic and antihemorrhoidal action. Contraindications: hypersensitivity Application: Rectally, 2-3 r / day, 1 suppository. price: 100 rub.

Ingredients: Belladonna leaf extract, Zinc sulfate, Bismuth oxide complex and Bismuth tribromophenolate. Anuzole has a drying, analgesic, anti-inflammatory, antispasmodic, antiseptic, astringent effect. Contraindications: pregnancy, lactation, heart failure, hypersensitivity, intestinal atony, tachyarrhythmia, myasthenia gravis, prostate adenoma. Application: 1-2 r / day, 1 suppository, the daily dose is not more than 7 suppositories. Side effect: Possible allergic reactions, burning sensation in the anus, dry mouth, constipation, loose stools, palpitations, dilated pupils, transient visual disturbances (accommodation paresis), headache, dizziness, sleep disturbance, drowsiness. In case of overdose - convulsions, agitation, nausea, vomiting, urinary retention, decreased sweating. price: the cheapest candles 40-60 rubles.

Ingredients: Sodium alginate - a hemostatic agent It is a natural polysaccharide from brown algae, has a pronounced hemostatic, reparative and anti-inflammatory effect. Can be used by pregnant women and during lactation, for children from 6 months to 14 years old, you can use Alginatol - a children's form of the drug. Contraindications: children under 14 years of age, Hypersensitivity to the components of this remedy. Application: 1 suppository 2 r / day after microclysters or spontaneous bowel movements, the course of therapy is 1-2 weeks. price: 250-300 rubles.

Ingredients: Hydrocortisone, Benzocaine, Butamben, Esculoside, Framycetin. Hydrocortisone is a glucocorticosteroid that quickly relieves pain, itching, and swelling. Framycetin is a broad-spectrum antibiotic. Esculoside - similar to vitamin P, reduces increased capillary fragility. Benzocaine, Butamben - local anesthetics and antipruritics, reduce spasm of the anal sphincter. Contraindications: fungal, viral diseases in the anorectal zone, tuberculosis, pregnancy and lactation, infancy, with caution in heart failure and hypertension. Dosage: The effect of the drug occurs a few minutes after use, however, given the hormonal drug included in the composition, the use should be a short course, no more than a week, with a gradual withdrawal of the drug, and not a sharp refusal to use it. In the morning and evening, as well as after emptying, the capsule is inserted as deep as possible into the rectum, after improvement, the number of injections is gradually reduced to 1 per day. Side effect: burning, discomfort, dryness of the mucous membrane in the rectum, allergic reactions, with frequent and prolonged use, the addition of a secondary infection, the occurrence of systemic side effects. price: 20 pcs. 300-350 rub.

Ingredients: Cinhocaine, fluocortolone. Fluocortolone is a hormonal agent that is part of the drug in 2 forms, so it quickly begins to act and has a lasting effect. Cinhocaine is a local anesthetic. Contraindications: syphilis and tuberculosis in the anorectal region, 1st trimester of pregnancy, children and adolescents, hypersensitivity. Application: after a bowel movement, 1 time per day is injected deep into the rectum, with a severe course of the disease, 2-3 r / day on the first day, then one at a time. price: 400-470 rubles.

Ingredients: sea buckthorn oil + sulfaetidol + benzocaine Combined agent with analgesic, anti-inflammatory and antibacterial action for use in proctology. Indications: anal itching, fissures, hemorrhoids Application: 1 suppository 2 times / day, in severe cases 2-3 suppositories 2 r / day for 5-10 days Side effect: loosening of the stool, allergic reactions. price: 100-110 rubles.

Betiol, belladonna extract (candles) Ingredients: Betiol - ichthyol suppositories with belladonna extract. Candles Demoiselle Extract - contains Belladonna leaf extract (Belladonna) Herbal preparation with antihemorrhoidal effect, has anti-inflammatory (ichthyol) and antispasmodic effect (Belladonna extract). Contraindications: prostatic hypertrophy, angle-closure glaucoma, hypersensitivity. Application: 1-3 r / day, 1 suppository rectally, maximum per day, no more than 10 suppositories. Side effect: heartbeat, thirst, constipation, mydriasis, accommodation paresis,. Special instructions: during therapy, care must be taken when working with mechanisms, engaging in activities that require concentration, clear vision and good reaction. price: 50-70 rubles.

Ingredients: bufexamac, bismuth subgallate, titanium dioxide, lidocaine Bufeksamak - has an anti-inflammatory effect, Titanium dioxide and bismuth subgallate - astringent, drying, wound healing, Lidocaine - a local anesthetic. Contraindications: syphilis, tuberculosis, childhood, lactation, pregnancy. Application: rectally 1-2 r / day after a bowel movement, a course of 8-10 days. Side effect: allergic manifestations - redness of the skin around the anus, swelling, burning, itching. price: 220-270 rubles.

Ingredients: Prednisolone, Heparin Sodium, Lauromacrogol Combined drug with venous sclerosing, antithrombotic, anti-inflammatory action: prednisolone as GCS has antiallergic, anti-inflammatory effect, Heparin is an anticoagulant with antiexudative, antithrombotic action, prevents blood coagulation, promotes regeneration of connective tissue in hemorrhoids. Lauromacrogol - sclerosing, local anesthetic action. Contraindications: tuberculosis, syphilis, 1st trimester of pregnancy, skin tumors, bleeding tendency, hypersensitivity, bacterial, fungal, viral skin lesions. Dosage: for no more than 7 days, 1-2 r / day, administered after defecation, after improvement of the condition, 1 r / day. Side effect: redness of the skin, allergies, with prolonged use, the risk of developing systemic side effects. price: 170 rub.

Hepazolon Composition: Heparin sodium, lidocaine and prednisolone Given that they include a hormonal drug, an anesthetic and heparin, everything in the complex has a pronounced anti-inflammatory and anesthetic effect. Contraindications: similar to Hepatrombin G Application: For internal hemorrhoids 1-2 r / day, for external hemorrhoids, insert suppositories into the anus incompletely, and hold the anus with a gauze cloth for 2-3 minutes until the suppository is completely dissolved. The course of treatment is 7 days, according to indications it can be extended up to 2 weeks. Price: 180 rubles.

Ingredients: Sodium Heparin, Benzocaine A combined drug, heparin prevents the formation of blood clots, stops the progression of already existing blood clots, benzocaine has an analgesic effect. Contraindications: Hypersensitivity. Application: after spontaneous emptying or enema 2 r / day, 1 candle, a course of no more than 10-14 days. price: 170-200 rubles. 10 pieces.

Auxiliary means in complex treatment