One of the symptoms of acute hemorrhoids is bleeding. To stop it, use rectal hemostatic suppositories for hemorrhoids. They quickly act on inflamed nodes.
The active components of the suppository are quickly absorbed into the blood, which provides a hemostatic effect.
Rectal suppositories also have an effective local effect - this medicine relieves pain and promotes the regeneration of injured tissue.
In most cases, suppositories contain adrenaline, propolis, vikasol, methyluracil or other ingredients with a vasoconstrictor effect, and various astringents.
But suppositories to stop bleeding will not help get rid of the very cause of the disease. They only make it easier.
Therefore, in the fight against hemorrhoids, you should not limit yourself to hemostatic suppositories. Treatment must be comprehensive.
Do candles help?
In some cases, it is thanks to suppositories that hemorrhoids are completely cured. These drugs perfectly disinfect, relieve inflammation and swelling. They act locally on the hemorrhoid and facilitate rapid penetration of the drug.
The use of suppositories for external hemorrhoids should be carried out in courses of 10 days. After this they take a break.
If the suppositories have not had the desired effect for several weeks, surgery is performed or another treatment regimen is selected, which may include tablets, ointments and baths.
External hemorrhoids - what kind of disease?
Regarding the formation of hemorrhoids, two types of pathology are distinguished. One of them is external hemorrhoids, which are characterized by their location around the anus. In a healthy body they are located under the skin of the anus. In the external form of the disease there is no bleeding, but during exacerbation painful sensations appear. It is important to distinguish this pathology from advanced internal hemorrhoids.
In medicine, there are several areas in the treatment of hemorrhoids:
- reducing the likelihood of blood clots;
- normalization of blood circulation;
- reduction of pain symptoms;
- tissue regeneration;
- facilitating the process of defecation;
- increased tone of the venous walls;
- restoration of microflora.
Choice of drug
At the moment, there is a large list of drugs that are effective against external hemorrhoids. All of them have contraindications and are selected individually after examining the patient.
Name | Description | price, rub. |
Sea buckthorn candles | The most affordable and safe suppositories for external hemorrhoids. They have softening, disinfectant and anti-edematous properties. Can be used during pregnancy and children. | 100-150 |
Relief candles | The best suppositories for external hemorrhoids based on shark liver oil. Relieves inflammation, swelling, stops bleeding and promotes wound healing. | 330-560 |
Natalsid | Natalsid suppositories are widely used during pregnancy and lactation. They are made from brown seaweed, but are fast and effective. Promote the healing of wounds and cracks, relieve swelling and irritation. | 350-400 |
Proctosan | Proctosan suppositories are a combination drug whose action is directed against hemorrhoids and anal fissures. Suppositories for external hemorrhoids relieve pain, swelling, irritation and promote healing. | 400-450 |
Ultraproct | A fairly effective drug for external hemorrhoids with lumps. Effectively relieves swelling and inflammation, itching and irritation. Use one suppository per day. Ultraproct suppositories are not prescribed to pregnant women. | 710-800 |
Methyluracil | Prescribed in cases where external hemorrhoids are complicated by anal fissures. This treatment promotes wound healing and effectively disinfects. | 50-120 |
Anuzol | These suppositories for external and internal hemorrhoids allow you to achieve a positive result in a short time. They relieve itching, swelling, anesthetize and dry. Can be used for anal fissures. | 80-100 |
The best suppositories for hemorrhoids
Each medication used in proctology in the treatment of hemorrhoids and fissures has its own principles of impact on the disease. They can have a wound-healing effect, tone veins, relieve inflammation and reduce pain. In addition, most rectal suppositories prevent the formation of thrombosis, bleeding and prevent the disease from moving into a permanent stage. Only a doctor can decide which suppositories for hemorrhoids are best. However, the principle of action of each drug is worth knowing if you decide to self-medicate.
With anesthesin
Anestezin is a local antiseptic whose active substance is benzocaine. Often such suppositories also contain some additional substances as auxiliary components, for example: sea buckthorn oil, shark oil, menthol, zinc oxide, sodium heparin. The peculiarity of anesthesin is that it has an increased analgesic effect, penetrating into soft tissues within a minute and temporarily reducing the sensitivity of nerve endings. The duration of anesthesia from such suppositories lasts up to half an hour. This category of drugs includes:
- Nigepan;
- Olestesin;
- Anestezol;
- Relief Advance;
- Anestezol.
Anti-inflammatory
Antihemorrhoidal suppositories with an anti-inflammatory effect are of two types: those created on the basis of herbal ingredients and those with artificial antiseptics. In the first case, the medicines contain natural herbs or plant extracts: sea buckthorn oil, calendula, chestnut, chamomile, propolis. These suppositories are available without a prescription and have minimal side effects.
Suppositories based on synthetic antiseptics contain bismuth, inactivated microbial cells, hydrocortisone, prednisolone. They have a very wide range of contraindications for use, a number of side effects and should be used only as prescribed by a doctor. Anti-inflammatory rectal suppositories of both groups include:
- Diclofenac;
- Procto-glivenol;
- Neo-anuzole;
- Calendula DN;
- Propolis DN;
- Posterized.
With hydrocortisone
Suppositories with hydrocortisone are used in proctology as an effective anti-inflammatory, antiallergic, vasoconstrictor and antipruritic agent. They quickly help heal anal fissures, relieve irritation, relieve swelling, pain and itching. The only rectal suppository with hydrocortisone registered in Russia is Relief Ultra. These suppositories are sold in pharmacies without a prescription, but are not recommended for the treatment of hemorrhoids during pregnancy and for people with blood disorders.
With prednisolone rectal
Synthetic glucocorticosteroid suppositories with prednisolone are used as an anti-inflammatory antiallergic agent that quickly relieves itching in the anus, relieves swelling and redness. In pharmacies, the selection of similar drugs is very limited. The only well-proven remedy is considered to be Hepatrombin G suppositories for hemorrhoids and fissures. They are available without a prescription, but have many side effects.
With lidocaine
The local anesthetic lidocaine helps to quickly and permanently relieve pain from inflammation of hemorrhoids and the appearance of anal fissures. The mechanism of action of such suppositories is based on temporarily blocking nerve channels and reducing the sensitivity of soft tissues. It is worth noting that such anesthetic suppositories can only alleviate the patient’s condition, but have no effect on inflammation or help in the treatment of hemorrhoids. These candles include:
- Proctosan;
- Cinchocaine;
- Anestezol;
- Hemoproct.
Wound healing
The mechanism of action of healing suppositories for hemorrhoids and fissures is aimed at accelerating the regeneration of soft tissues, wounds or fissures of the anus. They are also able to relieve inflammation, swelling, eliminate pain in hemorrhoids, and facilitate bowel movements. Compared to similar ointments and tablets, wound healing suppositories have a quick effect and promote better absorption of active substances.
The composition of healing rectal suppositories includes: fluocortolone, hydrocortisone, seaweed extracts, zinc sulfate, sodium hydrochloride, titanium dioxide. The best suppositories for hemorrhoids and fissures are:
- Proctosan;
- Salofalk;
- Natalsid;
- Posterisan;
- Ultraproct.
Which candles are better?
During complications of external hemorrhoids, a person begins to experience pain, bleeding and severe irritation of the anal area may appear. Hemorrhoids can be felt independently.
Treatment at home is aimed at relieving the symptoms of the disease and reducing the nodes. For severe pain, painkillers are prescribed, for example, suppositories with lidocaine or Relief. Uncomplicated hemorrhoids can be treated with Natalsid or sea buckthorn suppositories.
Suppositories for external hemorrhoids complicated by an inflammatory process - Proctosil or Ultraproct. If the inflammation spreads to surrounding tissues, the use of Levomekol ointment may be required. In difficult situations, antibiotics are prescribed.
If hemorrhoids are complicated by bleeding, venotonic and vasoconstrictor drugs are prescribed. They should have anti-inflammatory properties and promote wound healing.
The most effective suppositories for external hemorrhoids in this case are Relief, Procto-glivenol.
Types of rectal suppositories
The form of rectal suppositories is convenient for home use and provides rapid local action. The candles contain chemicals, hormones and plant components, and bioactive agents. They may contain one or more drugs with different directions of action. All varieties can be divided according to their mechanism of action into 5 groups of candles:
- anti-inflammatory action - contain agents to relieve inflammation, steroid hormones, plant extracts;
- painkillers and sphincter spasm relievers - contain antispasmodic drugs, analgesics (anesthesin, lidocaine, benzocaine, novocaine);
- prevent bleeding - the composition contains hemostatic drugs (vicasol, thrombin);
- preventing the formation of blood clots - anticoagulants that thin the blood in the venous nodes (heparin) must be included;
- affecting the venous wall - venotonic and venoprotector medications protect the walls of venous vessels, tighten valves (glivenol, suppositories with chestnut extract).
A conditional division was made because most often the best candles have several types of action at once. In complex therapy, it is important to simultaneously have an anti-inflammatory effect to help in scarring of the vascular wall, while achieving pain relief.
For a particular patient, the doctor selects the best suppositories, knowing the effect of the constituent medicinal components of the drug.
How to insert candles?
External hemorrhoids should be treated with suppositories for 10 days.
- Suppositories are administered after bowel movements and hygiene procedures in the anal area, and it is best to do this at night.
- When introducing a suppository, try to hold it in the anus until completely dissolved. If it enters the rectum, its effect will be minimized.
- If, when treating hemorrhoids without bleeding, suppositories need to be administered several times a day, then try not to get out of bed for about 30 minutes after the procedure.
- For convenience, the suppositories can be held with napkins so that they do not get into the rectum or leak out.
- It is very important to follow hygiene rules to avoid infection of the nodes.
Posterizan - composition and pharmacological action
Posterisan is a medicinal product that is intended for rectal and local use. It is characterized by a pronounced immunostimulating effect . Able to stimulate the healing process of damaged skin and mucous membranes when hemorrhoids occur. It has an analgesic effect, relieves inflammation when hemorrhoidal fissures appear, prevents the possibility of secondary infection and the appearance of superinfection.
Available in the form of ointments and suppositories. One gram of ointment contains a suspension of a standardized bacterial culture of 166.7 milligrams . One suppository of the rectal drug Posterisan contains a suspension of bacteria in the amount of 387.1 milligrams .
When to use
Posterizan is used during the treatment of hemorrhoids. It should be used in monotherapy, in combination with other medications. It is also actively used as the main remedy when undergoing local therapy for the appearance of eczema of the anorectal area and fissures near the anus.
How to use
Posterisan in the form of an ointment, suitable for topical use. Before using it, you need to wash your hands well and carry out hygiene procedures in the anal area. It is recommended to use the ointment after bowel movements. It must be applied in a small layer directly to the affected area of the mucous membrane, slowly rubbing into its surface. The ointment must be used twice in one day. The duration of treatment with ointment is no more than 7 days .
Posterizan suppositories are used rectally during the course of therapy. Before using them, you must wash your hands and perform hygiene procedures in the anorectal area.
Suppositories are recommended to be used after bowel movements. The drug is injected directly into the rectal area, with the oval side facing forward. The treatment period is up to 7 days, twice a day. Further use of this drug and the duration of the course of therapy are prescribed by the attending physician.
Presence of side effects
Posterizan, in most cases, is easily tolerated by patients during the course of treatment. In some cases, if a person has an allergic reaction to one of its components, an allergic reaction may occur. It manifests itself in the form of a rash, itching and redness. Phenol, which is contained in this medicine, can cause skin irritation.
Contraindications and overdose
Posterisan is not recommended for use in patients who have hypersensitivity to one of its components. It should also not be prescribed to people who are sensitive to phenol.
During the use of this drug, no cases of overdose were observed. Accidental ingestion may cause vomiting, pain in the stomach, and nausea. In this case, it is necessary to perform gastric lavage and take enterosorbents to eliminate the symptoms of poisoning.
In what form is it produced and how to store it
Posterisan ointment is available in 25 gram . An applicator is included with the ointment and the tube. Candles are produced in strips made of aluminum foil. There are 5 candles in one strip.
A set of one pack of Posterizana candles consists of two packages of 5 candles each. This medication must be stored at a temperature of 15 to 25 degrees Celsius, regardless of its release form. The shelf life of the drug Posterizan, subject to storage conditions, is no more than three years.
Reviews from patients
Alexander: “I treated external hemorrhoids with Relief suppositories. I used them for 14 days. Within 3 days from the start of treatment I noticed a positive result. In addition, I used sitz baths with chamomile and calendula. A month later, he repeated the course of treatment for preventive purposes.”
Matvey: “What kind of candles have I used for external hemorrhoids - ferula, sea buckthorn, methyluracil and Relief suppositories. At best, there was temporary relief. The last time, the doctor recommended abandoning conservative treatment methods and agreeing to surgery. The pain was severe and I had no choice. It took exactly a week to recover after the node was removed. I regret that I did not agree to the operation earlier.”
Doctor's opinion:
“Suppositories can be part of a treatment regimen, but they do not act as an independent remedy. In addition, patients need to pay great attention to strengthening blood vessels, adhere to a special diet and observe rules of hygiene. If you do not self-medicate and consult a doctor in the early stages of hemorrhoids, recovery may occur after a short course of treatment.”
Popular drugs used in the treatment of hemorrhoids
Most doctors agree that it is necessary to treat a disease such as hemorrhoids comprehensively , using different means. This is necessary in order not only to relieve the acute symptoms of the disease, but also to completely cure it.
Attention! When selecting the means and tactics of the course of therapy, gender does not act as a differential feature. All medications have exactly the same effect on both men and women.
Many companies operating in the pharmaceutical market are constantly actively developing and releasing new medical products that are intended to treat diseases such as hemorrhoids. Based on the specific features of this disease, they can be produced in the form of:
- Tablets.
- Mazey.
- Crema.
- Candles.
combination therapy during treatment . The same product is suitable for this, but in different forms. For example, when treating this disease, you can use ointment and suppositories.
Hemorrhoids in pregnant women
According to statistics, from 50 to 80% of pregnant women experience symptoms of the disease. The reasons for this phenomenon lie in changes in a woman’s hormonal levels. In her body, the amount of progesterone sharply increases, which reduces the elasticity of blood vessels, relaxes smooth muscle muscles, thereby reducing the ability of the intestines to contract. This is necessary to maintain pregnancy, but has an extremely detrimental effect on the condition of the intestines, causing constipation.
Pregnant women begin to lead a less active lifestyle, dramatically change their diet, are prone to dysbacteriosis and have reduced general immunity. Over time, the growing fetus begins to put pressure on the pelvic organs, thereby causing additional conditions for constipation. Pressure in the abdominal cavity increases, and the appearance of external hemorrhoids becomes more and more likely.
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Pregnant women are primarily treated with topical medications because they do not adversely affect the fetus
The use of any medicine by pregnant women must comply with the rule - whether the benefit outweighs the harm from use. In any case, in the first trimester of pregnancy, any medications are contraindicated and can be prescribed by a doctor only if absolutely necessary.
In the second and third trimester, pregnant women can use the following drugs relatively painlessly:
- "Relief" . It contains shark oil, which will relieve inflammation and stop bleeding. Phenylephrine, which is included in the composition, relieves itching and swelling. This is a vasoconstrictor, so you should consult your doctor before using it.
- Sea buckthorn suppositories. They contain vitamins that help improve microcirculation. The oil envelops the intestinal walls, creating conditions for its normal functioning.
- "Natalsid." A preparation from an extract of brown algae. Relatively safe, excluding patients with a tendency to allergies. Anesthetizes, heals, reduces bleeding.
- Ichthyol suppositories. They contain fossil substances of natural origin. Reduce swelling, improve blood circulation, relieve itching and pain.
Causes and symptoms
The cause of the disease is stagnation of blood in the cavernous vessels of the rectum. They were described at the end of the 18th century. Initially, it was believed that hemorrhoids were a consequence of prolonged constipation. However, it is not. Constipation may be one of the reasons for the development of the disease.
Hemorrhoids are a disease that occurs when blood circulation in the veins of the anus is impaired, which is characterized by the formation of dilated veins and nodes
The following reasons for the development of rectal disease are identified:
- sedentary lifestyle;
- alcohol abuse, smoking;
- constipation;
- physical exercise;
- pregnancy, childbirth;
- stress, emotional overload.
Metaphysical reasons are the reluctance to part with old grievances, anger, and outdated habits.
There is also a genetic predisposition to the development of vascular pathology. With hemorrhoids, the cavernous bodies are filled with blood as a result of a violation of the outflow and inflow of blood. This disorder can develop against the background of thrombus formation in small vessels. Their walls stretch, taking in a large volume of liquid, and they fall out. The so-called external form of the disease develops.
There are external and internal forms. A sign of the external type is the presence of dilated vessels located in the anal area. The patient may feel them as lumps under the skin. When blood stagnates in the pelvic vessels, thrombosis of small vessels and blockage of hemorrhoids with a thrombus can occur. The person begins to experience severe pain. When the skin over the nodes becomes thinner, they may rupture and leak out their contents. After the clot has passed, scarlet blood may appear.
For hemorrhoids, characteristic symptoms are pain in the anus and bleeding during bowel movements.
External symptoms:
- burning, itching in the anus;
- formation of protrusions and “bumps”;
- the appearance of blood during bowel movements;
- acute pain during bowel movements and at rest;
- irritation of the skin around the anus - redness, blueness, soreness.
The internal type is characterized by nodes located in the walls of the rectum. Usually the nodes located in the intestinal walls are painless. This form of the disease can be complicated by thrombosis.
Depending on the stage of development of hemorrhoids, four stages of the disease are determined. The first two are initial and can be treated conservatively, and the last two are predominantly surgical.
- The first stage is itching, burning, discomfort, and light bleeding.
- The second stage is bleeding, prolapse of nodes, which are reduced on their own, itching, mucous discharge.
- The third is the constant loss of nodes that have to be set, bleeding, itching, burning.
- The fourth is severe inflammation, sphincter incontinence, bleeding, burning, itching.
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In the anal area there is often a feeling of discomfort, heaviness, itching, and irritation.