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

Hemorrhoids are lesions in the veins of the rectum that lead to painful lumps. The disease is more susceptible to people who are forced to sit for a long time or be in one position. In women, the risk of hemorrhoids is higher, since this is facilitated by the anatomical structure of their genitourinary organs.

It is customary to call hemorrhoids 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 mucous membrane or submucosa of the rectum, closer to the anus.

The main provocateurs of the disease:

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

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

1. Expansion of veins, trauma to the walls of the mucous membrane with difficult bowel movements. At the same time, a person feels a slight burning sensation and tingling sensation; blood may not even be noticeable.
2. The 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. The 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 are no longer possible to correct, they swell strongly, 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 cones, a finger examination of the anus, if necessary, diagnostics are supplemented by anoscopy, endoscopy and irrigoscopy.

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

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

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

List of effective 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 their mechanism of action, are divided into several groups.

Hemorrhoid suppositories

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, during the 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 that are more susceptible to hemorrhoids than others should be careful in choosing remedies for treatment. You can use only those suppositories that are prescribed by a specialist.

List of popular and effective drugs

An article by a specialist proctologist tells about how to carry out the treatment correctly, which drugs, including suppositories, are considered as safe as possible.

In order for the answer to be as detailed as possible, it is necessary to consider the main varieties of these medicines. Suppositories are divided according to composition, strength therapeutic action and the duration of use.

They are united by one point - all medicines are designed to maximize the relief of the symptoms of the disease: relieve pain and inflammation, reduce itching and swelling, heal damaged tissues, stop bleeding and further increase 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 indispensable. They are used at almost any stage of the disease, they are used directly for the treatment of the disease, for prophylactic purposes and in a comprehensive recovery course after the removal of hemorrhoids.

Suppositories 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, in minimal quantities enter the systemic circulation, and are eliminated 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 an injection method of 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 product.
• Rectal suppositories from internal hemorrhoids most often have a complex effect due to their multicomponent composition. They are able to relieve pain, bleeding, swelling and other negative symptoms.
• In addition, the ease of storage should be noted. Antihemorrhoid suppositories have a long shelf life - up to 5 years. The opened packaging is stored in the lower section of the refrigerating chamber, and the sealed blisters retain their quality even at room temperature.

Despite the numerous advantages, suppositories are not able to replace complex conservative treatment. Rectal suppositories should be used together with systemic agents 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 roughly divided into several large categories.

1. Anticoagulants. This group includes funds in which heparin is one of the leading ingredients. Such suppositories prevent the occurrence of blood clots, improve blood circulation by reducing blood clotting, and additionally increase venous tone.
2. Hemostatics. These drugs fight bleeding from hemorrhoids by narrowing the vascular channels, restoring the affected epithelial layer, relieving inflammatory processes (for more details about suppositories, read our author's article).
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 drugs are considered more effective and efficient. They are prescribed for severe pain syndrome, itching, and inflammatory processes. At the same time, they differ in a large number of contraindications.
5. Venotonics and angioprotectors. Such drugs help to improve microcirculation and blood flow in vessels, increase venous tone, reduce the permeability of capillary and venous walls, promote healing and regenerative processes.
6. Immunomodulators. They increase the quality of local immunity, as a result of which the damaged areas of the mucous membrane become more resistant to pathogens and begin to recover.
7. Astringents. Bismuth and zinc compounds allow drying, disinfecting the affected areas, as well as creating a special film on the surface of the mucous membrane that prevents infection.
8. Homeopathic candles. Not the most effective drugs, however, among the benefits can be noted the mildness of the effect, the almost complete absence of contraindications and undesirable consequences.

This variety of medications is another argument for a thoughtful approach to hemorrhoid 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 suppositories for hemorrhoids

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

Anticoagulants

Hemostatics

Anesthetics

Hormonal suppositories

Venotonics and angioprotectors

Suppositories for the treatment of hemorrhoids are the most popular drug used in the fight against pathology. Suppositories are topical preparations: their active substances are rapidly 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. Pain relievers. The composition of such suppositories includes active substances with anesthetic effect: novocaine, benzocaine, lidocaine. These medicines help relieve pain: this symptom always accompanies hemorrhoids.
2. Hemostatic. The doctor prescribes these drugs for 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. Venotonic. These candles have a tonic effect. Their use improves blood circulation and prevents blood clots. 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 medicines prevent blood from clotting and clotting. Suppositories regenerate tissue at the site of use. These suppositories contain heparin.
7. Emollients. These drugs work to heal wounds and fissures in the anus. Emollient suppositories prevent constipation.
8. Regenerating. The drugs of this group contribute to the fastest recovery of damaged tissues.

Many candles offered in pharmacies have a complex effect. Combined suppositories can relieve the patient of several symptoms of pathology.

Homeopathic suppositories are also used in the treatment of hemorrhoids. These products are made on the basis of natural ingredients. Such suppositories act mildly and are considered effective in combating disease.

Application features

The use of antihemorrhoidal suppositories requires adherence to several 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 before bedtime, but if the use of the agent 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 the lactation period.

Effective rectal suppositories for hemorrhoids

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

They all have a number of advantages and disadvantages. The following drugs are considered to be the most effective in treating the disease.

Natalsid

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

Natalsid candles contain sodium alginate - an extract from brown seaweed.

Propolis DN

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

Ichthyol candles

Medicines with ichthyol are antiseptics. Ichthyol suppositories also have an analgesic effect. They are prescribed together with NSAIDs when the 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. Suppositories with sea buckthorn relieve several symptoms of hemorrhoids, including itching and irritation. Sea buckthorn promotes anal fissure healing.

Anusole

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

Posterisan

The composition of Posterisan includes antigens and metabolites of E. coli. Penetrating into the mucous membrane of the rectum, these substances increase the resistance of tissues to the effects of harmful microorganisms. Posterisan is a good hemorrhoid remedy for men and women. It is prescribed for anal itching and burning, with discharge in the anal area 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, has a venotonic effect. It acts as an anti-inflammatory, decongestant and pain reliever. Has a number of side effects, therefore, its use must be agreed with the doctor.

Proctosan

The composition of the suppositories includes several components: bufexamak 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 it is better to agree with your doctor about its use.

Hepatrombin G

The composition of the suppositories includes: prednisolone, heparin, lauromacrogol. Hepatrombin G has a venosclerosing, antimicrobial, anti-inflammatory effect. 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 that are used to get rid of the symptoms of the disease and from hemorrhoidal cones. 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 antiallergic, anti-inflammatory agent.

Olestezin

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

An allergic reaction is possible, so it should be applied 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 existing blood clots from growing.

Candles with propolis

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

Proctosedil M

The composition of the medicinal product 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 pain relievers.

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

Neo-Anusole

Neo-Anusole has several effects, since it is a combined drug. It is prescribed for deep anal fissures. Being in the rectum, the candle acts for a long time, relieving pain and irritation. Neo-Anusol prevents the reproduction of pathogenic microflora. The doctor will help you choose the correct dosage. It is used not only for treatment, but also as a prophylaxis.

Ultraproject

Suppositories Ultraproct relieve pain, relieve itching, reduce inflammation. The preparation contains fluocortolone and cinchocaine. The excipient is castor oil. It is a hormonal agent, so it is prescribed with caution.

Suppositories Ultraproct 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 of different groups, features of the use of suppositories, indications, contraindications, side effects.

Why are hemorrhoids treated with suppositories

For the treatment of both internal and external hemorrhoids, rectal suppositories are most often used. The medicine 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 for the combined treatment of the disease after the removal of hemorrhoids, during the rehabilitation period.

Doctors confidently call the benefits of rectal suppositories:

• local effect on hemorrhoids without irritation of the gastrointestinal tract mucosa;
• minimal penetration into the circulatory system;
• short periods 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 pills;
• ease of use;
• complex effect 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 complex of conservative or surgical measures. The main requirement for the treatment of hemorrhoidal disease is an accurate diagnosis of the cause and stage of the pathology. When the nodes fall out of the anus, the candles are practically useless, since they are only able to temporarily remove that disturb the patient.

Hemostatic or hemostatics

Hemostatic suppositories for hemorrhoids, in parallel, drugs relieve inflammation, regenerate the affected membrane of the node. It contains dicinone, propolis extract, ethamsylate, adrenaline, calcium chloride, vicasol, phenylephrine and other components (Natalsid, Relif, Prostopin).

Candles Natalsid. An inexpensive drug is a natural hemostatic that stops hemorrhoids bleeding, and is additionally capable of normalizing intestinal motility. Feature - a 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, show a local hemostatic effect due to the components of propolis and other beekeeping products.

Anti-inflammatory

Suppositories for hemorrhoids exhibit bactericidal properties, suppress inflammation, are able to stimulate regenerative processes (Aurobin, Ultraproct, 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 Ultraproct. A powerful anti-inflammatory drug due to hormonal supplementation with the effect of local anesthesia.

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

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

Venotonics and angioprotectors

Suppositories from hemorrhoids of the phlebotonics and angioprotectors group 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 node thrombosis, reduce the size of the formations (RektAktiv, Hamamelis, Ginkor Prokto, Proktis-M).

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

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

Candles Proctis-M. Rectal venotonic, the action of the medication 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 (a feature is a large number of restrictions on use) - Relief Ultra, Relief PRO, candles with adrenaline, Posterisan forte.

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

Relief ABM candles occupy a special place in the Relief line. By its intended purpose, it is a local anesthetic with enhanced anti-inflammatory properties, which quickly relieves pain and tissue pastiness.

Adrenaline candles

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

Posterisan forte

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

Antiseptics

Suppositories 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).

Betiol candles. 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 to stop the severity of the process, relieve swelling. Candles have a cumulative effect. Ichthyol regenerates healthy cells, while removing those affected from the surface of the dermis.

Sea buckthorn candles

Suppositories Sea buckthorn oil. The effectiveness of suppositories for 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 is an antiseptic.

Calendula candles

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 the plant flowers of the desired concentration is added.

Anticoagulants

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

Suppositories Hepatrombin G. One of the most effective medicines, it dissolves already formed blood clots, prevents the formation of new ones.

Suppositories Hepazolone. Cheap, antithrombotic, anti-inflammatory, pain reliever.

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

Healing (regenerating)

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

Glycerin candles

Suppositories Glycerin. The funds soften the rectum mucosa, facilitate bowel movements, which is important for hemorrhoids.

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

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

Astringents

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

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

Suppositories Anestezol. Anesthetic suppositories, an astringent anesthetic, are inexpensive.

Candles Anusol. An inexpensive drug with astringent, anti-inflammatory and analgesic effects.

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

Homeopathic

Suppositories from hemorrhoids based on microdoses of natural ingredients are considered in official medicine 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, Fitomax).

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

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

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

Suppositories Hemoprost-T. Homeopathic medicine regenerates tissues, relieves inflammation, has antimicrobial effect

Phytomax

Candles Fitomax PRO. Homeopathic remedies from hemorrhoids and other inflammatory diseases of the pelvic organs.

Immunomodulators

A group of suppositories for hemorrhoids, which stimulate local immunity, resist pathogenic microbes, 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. The drug is from the interferon group.

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

Homemade suppositories from natural ingredients

Folk recipes are an auxiliary therapy for hemorrhoidal disease. Not a single homemade herbal suppository can compete with a comprehensive scheme individually compiled by a doctor. However, if natural ingredients are closer to your heart, after consultation with your doctor, you can use several safe folk recipes time-tested:

1. Aloe leaf suppositories. The leaf of the agave is freed from the hard peel, a candle of the required 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, in a natural way.
2. Raw potato suppositories. A candle is cut out of the tuber, the size of the middle finger of the hand. It is carefully sanded to remove any burrs, inserted into the rectum, but not deeply: a couple of centimeters. The liner is removed on its own, it makes no sense to detain it. The standard 15 minutes is enough.
3. Candles with propolis. 80 g of petroleum jelly, 15 g of lanolin, 10 g of propolis are heated in a water bath, not allowing the mixture to boil. Everything is thoroughly mixed, poured into ice molds, frozen. Then, it is used as a conventional suppository.
4. Sea buckthorn suppositories. Juice is squeezed out of pure dried berries. The remaining mass is poured vegetable oil: half a liter of oil for three cups of cake. Insist in the dark for a week. Filtered. 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 candle is made from candied honey, it is frozen, then injected into the rectum until it is completely dissolved. Intimate hygiene is carried out. Better before bed. Effect - healing of cracks, control of inflammation. Besides, honey is a natural antiseptic.

Like homeopathy, they are based on the placebo effect. Believe it - it helps perfectly.

Combined Hemorrhoid Treatment

When treating hemorrhoids, monotherapy is unacceptable because it can be dangerous. Hemorrhoidal disease is a vascular pathology, it is treated only in a comprehensive manner. One remedy will never cope with the disease, no matter what it is: a pill, ointment, suppositories. Monotherapy will remove only 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 suppository therapy;
• tablets - phlebotonics, hepatoprotectors (Venarus, Detralex, Troxevasin).

Hemorrhoids are an irreversibly progressive pathological condition of the cavernous bodies of the rectum. Due to a violation of the regulation of the outflow and blood flow to them, their overflow and the development of hemorrhoids occur. At the same time, weakness of the Parks ligament and the longitudinal muscle of the rectum develops, which hold the cavernous bodies in place - as a result, the nodes fall outward (see). Since this 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, long 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 lack of physical activity (sitting position) and excessive physical exertion (especially weight lifting)

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

• Refuse strong coffee and tea, and drink more plain non-carbonated water, limit confectionery, baked goods, eat complex carbohydrates - grain bakery products, vegetables, fruits (see), limit alcohol.
• Do Kegel gymnastics and train the muscles of the abs and buttocks.
• Get rid of the bad habit of sitting on the toilet for a long time, observe the hygiene of the anorectal region (an ascending bidet shower is very useful).
• Swimming and walking are beneficial, but cycling, horse riding, and weightlifting are contraindicated.
• In case of an exacerbation, do not sit, but take a lying position, make cool compresses with a weak solution of potassium permanganate, warm baths with a decoction of chamomile (anti-inflammatory effect), use suppositories for hemorrhoids as recommended by the attending physician.

How to choose the best product?

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 thrombus formation - suppositories with heparin (Gepatrombin G, Nigepan), heparin ointment.
• With severe pain syndrome candles are shown and with anesthetics - lidocaine, neomycin, anesthesin, benzocaine, Tsinhocaine, Lauromacrogol - these are anesthetic suppositories Relief Advance, Emla (Lidocaine + Prilocaine cream), Proctosedil M, Olestezin, Nigepan.
  
• With bleeding- it is advisable to use vasoconstrictor (relieve edema), venotonic, hemostatic drugs - Phenylephrine hydrochloride, adrenaline, tribenoside (Relief, Proctoglyvenol).
• When joining the inflammatory process around the anus on the skin, Ichthyol (ichthyol), Levomikol are shown, as well as NSAIDs (non-steroidal anti-inflammatory drugs, see), the most popular among them are suppositories,. If the inflammation is accompanied by itching and there are no contraindications to the use of corticosteroids, then suppositories with hormonal agents can be used - Proctosedil, Hepotrombin G, Ultraproct, Aurobin ointment.
• Taking medications inside- 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 - this is Troxevasin (Troxerutin), Diosmin (Vazoket 650-820 rubles, Phlebodia 650-820 rubles), Hesperidin + Diosmin (700-800 RUB, Venarus 400-450 RUB, Venadiol 420 RUB). The course of treatment is at least a week. And also Ginkor Fort (30 caps. 400-500 rubles or gel) is combination drug, with ginkgo biloba extract, troxerutin, heptaminol.

Suppositories from hemorrhoids during pregnancy and breastfeeding

• Most suppositories are contraindicated during pregnancy, especially in the 1st trimester, but the following suppositories are approved for use for hemorrhoids during pregnancy and breastfeeding - Natalsid, Olestezin, Betiol, Krasavka extract, Nigepan, Neo-Anusol, Posterisan, suppositories with sea buckthorn oil, glycerin suppositories ...
• Contraindicated in the 1st trimester of pregnancy, but at 2-3 and during lactation, use is possible according to indications (weighing the risk and benefit) - Relief, Relief Advance, Hepatrombin G, Ultraproct.

How to use suppositories?

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

List of effective candles

Ingredients: tribenoside + lidocaine Suppositories have anesthetic, anti-inflammatory, venotonic effect, reduce pain, itching, skin tension in hemorrhoids. Contraindications: 1 trimester of pregnancy (at 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, possibly 1 time / day. Side effect: increased intestinal motility, slight burning sensation, allergic reactions. price: 350 -400 rub.

Relief, Relief ultra, Relief Advance Shark Liver Oil has an 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 effect. Zinc sulfate - helps in the rapid healing of erosions and wounds. The base of the candles is cocoa butter, which has an emollient effect in addition to the active ingredients. Contraindications: children under 12 years of age, granulocytopenia, thromboembolic disease, with caution in diabetes mellitus, pregnancy, arterial hypertension, hyperthyroidism. For Relief Ultra, in addition (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. in the 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 combined preparation with antiseptic, local anti-inflammatory, antispasmodic, astringent, analgesic and anti-hemorrhoidal 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 for 1 suppository, 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 impairment (paresis of accommodation), headache, dizziness, sleep disturbance, drowsiness. In case of an overdose - convulsions, agitation, nausea, vomiting, urinary retention, decreased sweating. price: the cheapest candles 40-60 rubles.

Ingredients: Sodium alginate - hemostatic agent It is a natural polysaccharide from brown seaweed that has a pronounced hemostatic, reparative and anti-inflammatory effect. It 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 product. Application: 1 suppository 2 r / day after microclysters or spontaneous bowel movement, the course of therapy is 1-2 weeks. price: 250-300 rubles.

Ingredients: Hydrocortisone, Benzocaine, Butamben, Eskulozide, 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 anesthetic and antipruritic agents, 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 longer than a week, with a gradual withdrawal of the drug, and not a sharp refusal to use it. In the morning and in the evening, as well as after emptying, the capsule is inserted as deep as possible into the rectum, after improvement, the number of injections gradually decreases to 1 per day. Side effect: burning sensation, 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. RUB 300-350

Ingredients: Tsinghocaine, fluocortolone. Fluocortolone is a hormonal agent, it is part of the drug in 2 forms, therefore it quickly begins to act and has a long-lasting effect. Qinghocaine is a local anesthetic. Contraindications: syphilis and tuberculosis in the anorectal region, 1 trimester of pregnancy, children and adolescents, hypersensitivity. Application: after a bowel movement, once a day, inject 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 rub.

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: loose stools, allergic reactions. price: 100-110 rub.

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

Ingredients: bufexamak, 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 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 rub.

Ingredients: Prednisolone, Heparin sodium, lauromacrogol Combined drug with venosclerosing, 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 nodes in hemorrhages. Lauromacrogol - sclerosing, local anesthetic action. Contraindications: tuberculosis, syphilis, 1 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.

Hepazolone Compound: Heparin sodium, lidocaine and prednisolone Considering that they include a hormonal drug, an anesthetic and heparin, all in a complex has a pronounced anti-inflammatory and anesthetic effect. Contraindications: similar to Hepatrombin G Application: With internal hemorrhoids 1-2 r / day, with external, insert the suppositories into the anus incompletely, and for 2-3 minutes hold the anus with a gauze napkin 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 rub.

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

Auxiliaries in complex treatment