Hemorrhoids are a proctologic disease that is nothing but varicose veins of the rectum. The internal venous nodes of the rectum become inflamed, increase in size and fall out. This process is accompanied by pain, bleeding and constant discomfort.
Anyone can become a victim of this disease. The undisputed leaders in the risk group are people leading a sedentary, sedentary lifestyle. Athletes involved in heavy sports associated with excessive exertion are also susceptible to this disease.
In addition, people whose diet is dominated by smoked foods, spicy, salty and spicy foods, those suffering from chronic constipation, those who are overweight, also risk earning their own hemorrhoids. There is no gender difference, with the same probability it can be diagnosed in both women and men.
Symptoms and types of hemorrhoids
The delicacy of the area that suffers from hemorrhoids causes many people to close their eyes to an existing problem. This often leads to the fact that a person is seeking specialized help already in a very neglected state of the disease, by the time the adequate therapy starts, the disease has time to go into the chronic stage, which, of course, complicates its treatment.
It is important to know the symptoms of hemorrhoids, so that at the first signs you can seek medical help:
- Bleeding upon stool.
- Loss of hemorrhoids from the anus.
- Feeling of gravity and foreign body.
- Burning and itching of the anus.
- Pain when walking, stool, and in a sitting position.
- Pain on contact with hemorrhoids.
Hemorrhoids are divided into congenital and acquired. Acquired is divided into primary (hemorrhoids acts as a self-arising disease) and secondary (when hemorrhoids are a consequence of any other disease or its symptom). Secondary hemorrhoids can be observed in patients suffering from prostate adenoma or cirrhosis of the liver.
Depending on the location of the hemorrhoids can be divided into external (that is, under the skin), internal (located under the mucosa) and combined. The disease may be chronic or acute.
How to choose the best tool
For the treatment of hemorrhoids in modern medical practice using several dosage forms: tablets, gels, ointments, creams, suppositories, capsules and aerosols. The most effective is a comprehensive treatment that works in several directions at once.
It is difficult to say which drug will be most effective, since in each case of the disease the clinical picture, symptoms and the course of the disease are individual.
It is for this reason that you should not engage in self-treatment, but you should contact a specialist. Your doctor will prescribe therapy based on all the symptoms and the individual characteristics of the patient.
However, most often for the treatment of all forms of hemorrhoids use drugs in the form of candles and ointments. According to the spectrum of action of drugs for hemorrhoids can be divided into the following groups:
- anticoagulants;
- coagulants, hemostatics;
- venotonic and venoprotective drugs;
- immunomodulators;
- antispasmodics;
- anti-inflammatory, anesthetic and antimicrobial agents.
Candles for hemorrhoids during pregnancy and breastfeeding
The difficulty in treating hemorrhoids in pregnant and lactating women lies in the fact that during this period, the use of most drugs is undesirable, if not strictly forbidden, because it can adversely affect the course of pregnancy or the baby. For this reason, in diagnosing the first stage of hemorrhoids, the doctor's prescriptions are exclusively prophylactic. In the case of the development of the second and third stages of the disease, a drug treatment is prescribed, but only local.
The most effective have such drugs:
- Ultraprokt (used in the form of candles and ointments). Quickly and pronouncedly relieves pain, reduces inflammation.
- Nefluan (gel). It has antiseptic, anti-inflammatory and antibacterial effect.
- Relief Advance (ointment and candles). Shows hemostatic, healing and anti-inflammatory activity.
- Sea buckthorn candles. This drug reduces inflammation and has a pronounced wound-healing effect. In addition, he has no contraindications.
- Ginkor Procto. Venotonic, antipruritic and analgesic effect.
- Hepathotrombin G (suppository). Relieves pain, reduces inflammation, prevents the formation of blood clots.
The absolute contraindication to use during pregnancy and lactation is the use of candles, which include the belladonna extract, due to the high risk of miscarriage.
How to apply candles and ointments
When hemorrhoids go beyond the anus or are outside, around the anus under the skin, the most rational will be the use of hemorrhoids ointments. 2-3 times a day (preferably after defecation), after having carried out hygienic measures, ointment applications are applied to the anus area.
But the ointment can be used not only with the external form of the disease. In case of internal hemorrhoids in its initial stages, the ointment can be applied to the finger and inserted into the anal canal. Or you can use a gauze pad, pre-saturated with ointment, which is then introduced into the anus. In addition, the ointment can be administered rectally using a special device.
For the treatment of internal hemorrhoids use medications in the form of candles. They are used both in the acute period and at the stage of the chronic course of the disease. First of all, you need to make sure that the suppositories were stored at the correct temperature conditions, since it would be impossible to insert a melting candle.
Before introducing rectal suppository, it is necessary to take hygienic measures. It is advisable to introduce a candle after a bowel movement, because it can provoke a desire to empty the intestines. In this case, the medical procedure will be ineffective.
Do not inject the candle too deep into the rectum. It is better to hold it in the anus until completely dissolved (holding the candle with a napkin), thus the maximum effect will be achieved. In the case of a single use of the candle, it should be administered at night, before bedtime. If the recommended 2-fold introduction, then the first candle should be applied in the morning, remaining in the supine position 30 minutes after its introduction.
Technique of the introduction of candles from hemorrhoids:
- The most convenient posture for inserting a candle is lying on its side, with your knees slightly bent towards the chest.
- After removing the candle from the protective film, do not hold it in your hands for too long to prevent it from melting.
- With one hand you need to take a candle, and the second - push the buttocks apart. It is not necessary to insert the candle too deep; it is best to place it a little further from the sphincter.
- In case of a pronounced pain symptom, in order to facilitate the introduction of the suppository, its end can be smeared with vaseline oil or baby cream.
- To prevent the candle from leaking out, you should remain in the supine position for at least 30 minutes after insertion.
Candles and Hemorrhoid Ointments
Inexpensive
| № | Tradename | Composition | Release form | Indications for use | Dosing and Administration | Average cost, rub. |
|---|---|---|---|---|---|---|
| 1 | Heparin ointment | Heparin, benzocaine, benzonicotinic acid | Ointment | Hemorrhoidal Vein Thrombosis | Ointment is applied under the bandage, or injected into the rectum with a swab. Course 1-3 weeks | 40 |
| 2 | Levomekol | Chloramphenicol, methyluracil | Ointment | Purulent wounds, trophic ulcers, burns (the official instructions do not indicate that this drug is used in the treatment of hemorrhoids, however, proctologists prescribe it for the treatment of inflamed hemorrhoids) | Used for compresses or injected into the rectum with a gauze pad. Duration of treatment is determined by the attending physician. | from 80 |
| 3 | Anesthesol | Menthol, benzocaine, zinc, bismuth subgallate, zinc oxide | Rectal suppositories | Anal fissures | 1 candle 2 times a day: in the morning and in the evening. Duration of treatment is determined by the attending physician. | 80 |
| 4 | Anuzole | Bismuth tribromphenolate, belladonna extract, zinc sulfate, distilled glycerin | Rectal suppositories | Cracks and damage to the anus, burning and itching in the anus | 1 candle 2-3 times a day. Duration of treatment is determined by the attending physician. | from 100 |
| 5 | Methyluracil | Methyluracil | Rectal suppositories | Cracks and damage to rectal tissue | 1-2 candles 3-4 times a day. The course of treatment from one week to several months. | 90 |
List of effective drugs: Relief and others
| № | Tradename | Composition | Release form | Indications for use | Dosing and Administration | Average cost, rub. |
|---|---|---|---|---|---|---|
| 1 | Relief Advance | Ointment: benzocaine, light mineral oil, paraffin, propylene glycol, methyl alcohol, sorbitan stearate, propyl paraben. Candles: benzocaine, corn starch, cocoa butter, methyl hydroxybenzoate, propyl parahydroxybenzoate | Rectal suppositories, ointment | Internal and external hemorrhoids of various stages, cracks and erosion, pronounced pain syndrome, itching and burning in the anal region, the postoperative period, as well as for pain relief during diagnostic manipulations. | Candles - enter one candle 4 times a day. Ointment - using an applicator applied to the affected area or directly into the anus, up to 4 times a day. Duration of treatment is 7 days. | 400 |
| 2 | Proktozan | Bufeksamak, bismuth subgallate, titanium dioxide, lidocaine hydrochloride monohydrate, excipients | Rectal suppositories, ointment | Hemorrhoids of different stages, anal fissures, proctitis, anal eczema | Apply ointment outwardly 2 times a day, apply lightly to the affected area with light massage movements, first rinse the skin with warm water, without using cosmetics or soap, and blot dry with a napkin. Enter into the rectum or anus with an applicator, 2 times a day. Candles are administered 2 times a day, 1 candle. Duration of treatment is 7 days. | 400 |
| 3 | Ultraprokt | Fluocortolone pivalate, flucortolone caproate, cinchocain hydrochloride, excipients | Rectal suppositories, ointment | Proctitis, anal fissures, internal and external hemorrhoids | Ointment - 2 times a day (the first day of therapy up to 4 times, to accelerate the effect). Suppositories - 1 candle per day. Duration of treatment is 7 days. | candles - 600 ointment - 450 |
| 4 | Procto-glevenol | Tribenozid, lidocaine hydrochloride, excipients | Rectal suppositories, cream | Topical treatment of internal and external hemorrhoids | Cream - application of ointment 2 times a day, in the morning and in the evening (in an acute condition) and 1 time a day, for the night, with further therapy. Candles - 1 piece, 2 times a day, in the morning and in the evening (in acute condition) and 1 time per day, at night, with further therapy. The duration of treatment is determined by the attending physician. | candles - 400 cream -250 |
| 5 | Troxevasin | Troxerutin, excipients | Gel | Comprehensive hemorrhoid treatment | Apply to the affected area with a uniform thin layer. The duration of treatment is determined by the attending physician. | 220 |
Candles with sea buckthorn, propolis
| № | Tradename | Composition | Release form | Indications for use | Dosing and Administration | Average cost, rub. |
|---|---|---|---|---|---|---|
| 1 | Sea buckthorn suppositories | Sea buckthorn oil concentrate, solid fat | Rectal suppositories | Chronic hemorrhoids | 1 candle 1-3 times a day. Duration of treatment is 7-10 days. | 125 |
| 2 | Propolis DN | Propolis, essential oils, wax, amino acids, vitamins A, C, E | Rectal suppositories | Comprehensive hemorrhoid treatment | 1 candle 3 times a day. Duration of treatment is 10 days. | 315 |
| 3 | Condoms extract | Thick extract of belladonna leaves, excipients | Rectal suppositories | Hemorrhoids, anal fissures | 1 candle 2-3 times a day. Duration of treatment is 5-7 days. | 40 |
| 4 | Nova Vita | Propolis, sea buckthorn oil, homeopathic ginseng essence, extract (concentrate) from the mud of Lake Tambukan, cocoa butter saturated with propolis | Rectal suppositories | Hemorrhoids, ulcers and fissures, paraproctitis | On 1 candle 1 time per day, for the night. Duration of treatment is 10-30 days, depending on the severity of the disease. | 350 |
Preventive measures
Despite the huge selection of drugs for the treatment of hemorrhoids, do not forget that the disease is always easier to prevent than to cure. To protect yourself from such an unpleasant disease as hemorrhoids, you should follow simple recommendations:
- Eat right and balanced: avoid, spicy, fatty, smoked food, fast food. Drink mineral water without gas, at least 2 liters per day.
- Lead an active lifestyle: ignore the elevator, walk more and do not forget to take warm-up breaks during the working day.
- To observe personal hygiene: certainly, not always and not everywhere there is an opportunity to use a bidet, but in this case it is worth using sanitary wet wipes.
- To give up bad habits: nicotine and alcohol adversely affect the entire human body. In addition, they can aggravate the symptoms of hemorrhoids.
At the first signs of hemorrhoids should immediately contact a specialist. Self-treatment can lead to the fact that the disease becomes chronic and it will be much more difficult to fight it.
Reviews
He began to suffer hemorrhoids, as he changed jobs. I used to physically strain myself and there were no health problems. And then for half a year I switched to sitting work and the problems started. There is nothing to do, went to surrender to the proctologist. He advised candles "Sea buckthorn oil." 3 times a day it was impossible to do, as they said. But in the morning and in the evening he set, as it should be. It helped a lot. It only gets dirty a lot, if the pain is acute, then it is not relieved a little, you had to endure it a little.
Anton, 38 years old, Voronezh
She suffered, like many women, with postpartum hemorrhoids. My daughter is restless, because of this, she really couldn't get to the doctor. Although it was impossible to live: not to sit down, but in the evening it hurt even more. In the end, still got to the doctor. She wrote Relief Advance. The analgesic effect is colossal! Yes heals well. Used twice a day, as expected. Maybe I was lucky, but there were no side effects either.
Regina, 27 years old, Ryazan
