External remedies for hemorrhoids help to quickly and effectively get rid of discomfort and other manifestations of the disease. The most popular of them are suppositories. Reviews from patients and doctors for the most part do not coincide about which suppositories for hemorrhoids are best. You can verify this if you go to any proctologist forum. When choosing drugs, doctors rely on their ability to eliminate the cause of the pathology, while patients tend to choose drugs that quickly reduce symptoms.
What are suppositories for hemorrhoids - types and purpose
Rectal suppositories are a special dosage form that is usually used to eliminate inflammation of hemorrhoids. What distinguishes them from other pharmacological forms is:
- impact directly on the affected areas of the mucous membrane and blood vessels;
- rapid relief of symptoms;
- lack of influence on other organs and systems;
- minimal number of contraindications and side effects.
There are several types of drugs of this type, and sometimes reviews cannot name the most effective suppositories for hemorrhoids, if only because they have fundamentally different effects:
- Symptomatic - with analgesics and antispasmodics, decongestants.
- Therapeutic - containing anti-inflammatory, decongestant, hemostatic components, as well as anticoagulants, venoprotectors and venotonics.
Most topical medications for hemorrhoids contain a complex of compounds that can improve the condition of altered nodes and reduce symptoms.
Gepatrombin G
Hepatrombin suppositories are a combination drug with prednisolone, which produces an antithrombotic, venosclerosing, anti-inflammatory effect.
Prednisolone relieves inflammation and provides an antiallergic effect. Heparin is an anticoagulant that has antithrombotic, anti-inflammatory, antiexudative effects, ensures regeneration of connective tissue in hemorrhoids, and prevents blood coagulation. Lauromacrogol – produces a local anesthetic, sclerosing effect.
Hepatrombin suppositories are contraindicated for syphilis, tuberculosis, skin tumors, high sensitivity, tendency to bleeding, skin lesions of a viral, bacterial, fungal nature, as well as in the first months of pregnancy. You can use such suppositories for no more than one week, 1-2 supp. in a day,
When using, allergies and redness of the skin may occur. If the drug is used frequently and for a long time, systemic side effects are likely to develop.
Price – from 170 rub.
When do doctors recommend suppositories for hemorrhoids?
In what situation is which suppository for hemorrhoids is better, the reviews of experts actually do not differ. Doctors claim that this dosage form copes well with the task assigned to them in the initial stages of internal hemorrhoids. In this case, you do not need to use oral dosage forms and injections at all.
As for the 2nd and later stages of the disease, even good suppositories can only be used in combination with tablets, injections and other means and methods for eliminating internal hemorrhoids. Their use relieves the symptoms of hemorrhoids, exacerbation of the disease - acute thrombosis of hemorrhoids, bleeding, inflammation of the nodes.
At the 4th stage of internal hemorrhoids, when the nodes are constantly in a prolapsed state, suppositories are useless. But they can be used to relieve hemorrhoid symptoms and exacerbation.
Suppositories are used in preparation for surgical treatment of internal hemorrhoids, as well as during recovery after it. The choice of medicines is the prerogative of the doctor, since only he knows the characteristics of the course of the disease and can review the accompanying problems in the patient.
It is necessary to understand that completely solving the problem of hemorrhoids, i.e. It is impossible to radically eliminate the disease using suppositories. This remark is relevant in that often advertised remedies guarantee complete relief from the problem, while miracle cures are often quite expensive. Therefore, when choosing them, first of all, consultation with a specialist is necessary.
How to use suppositories correctly?
Much in the treatment of hemorrhoids depends on how correctly suppositories are used. Before using candles, carefully read the instructions supplied with them. Among the general recommendations are:
- Bowel movement. You can do this with an enema. It is necessary to have a bowel movement so that the intestinal walls are cleared of feces and the effect of all active substances is complete.
- Necessary water procedures. After washing, you need to dry yourself well with a towel. Do not rub the inflamed area of skin, but make several blotting movements.
- Correct administration of the suppository. Insert the candle into the anus, lying on your side and tucking your knees towards you. Inject shallowly. After administration, turn over on your back and lie for thirty minutes.
You also need:
- try to avoid constipation. To do this, you can use laxatives;
- It should be applied in the morning and evening once or twice a day. Period of use – one or two weeks;
- If the condition worsens or symptoms appear that are not associated with hemorrhoids, you need to clarify the diagnosis again.
You should also know that it is best to do the procedure immediately before bed.
What suppositories are the most effective for hemorrhoids?
There are many drugs in the form of suppositories designed to treat hemorrhoids. Reviews from doctors cannot clearly name the best suppositories for hemorrhoids, since there are many indicators of their effectiveness. For some, rapid pain relief is important, and for others, a long-lasting therapeutic effect is important.
Suppositories that doctors recommend most often:
| Name of the drug | Action provided | Doctors' opinions on effectiveness |
| Relief | Anti-inflammatory, immunostimulating, regenerating, antimicrobial and analgesic. | Highly effective, especially when used in the early stages of internal hemorrhoids. |
| Gepatrombin G | Decongestant, anti-inflammatory, analgesic, anticoagulant. | A very good remedy, especially if there is a risk of blood clots in hemorrhoids. Indicated for use before surgery at any stage of the disease. |
| Proctosan | Anesthetic, anti-inflammatory, healing and decongestant. | Very good suppositories for the treatment of 2nd and 3rd degree internal hemorrhoids. |
| Anuzol | Anti-inflammatory, analgesic, astringent. | These suppositories are good for exacerbation of chronic internal hemorrhoids, especially if there is an inflammatory process. |
| Aurobin | Antiallergic, anti-inflammatory, decongestant, antiseptic. | The drug copes well with the manifestations of internal hemorrhoids, but has many side effects. Can only be used under the supervision of a specialist. |
| Natalsid | Regenerating, hemostatic, anti-inflammatory. | Effective, virtually harmless candles. Can be used to eliminate hemorrhoids in pregnant women. |
| Proctoglivenol | Analgesic, anti-inflammatory, venotonic. | Efficiency is high and tolerability is good in most patients. Particularly useful for chronic hemorrhoids, as well as during exacerbations. |
| Proctosedyl | Anti-inflammatory, antipruritic, anesthetic. | The drug is highly effective, but has a number of side effects and contraindications. Can only be used with a doctor's prescription. |
| Anestezol | Antiseptic, analgesic. | The drug is effective only for exacerbation of hemorrhoids. |
| Ultraproct | Anti-inflammatory, decongestant, antipruritic, analgesic. | Good suppositories to eliminate the main symptoms of hemorrhoids. |
| Ichthyol | Venotonic, anti-inflammatory, antipruritic, analgesic. | A classic drug that is effective only in the initial stages of the disease. |
| Ginkor Procto | Venotonic, venoprotective, anti-inflammatory. | A very effective remedy that helps eliminate the cause of hemorrhoids, but does not cope with the symptoms quickly enough. |
| Methyluracil | Antibacterial, hemostatic. | An effective remedy that is used mainly after surgery for internal hemorrhoids. |
In addition to the listed drugs, doctors' reviews rate suppositories with propolis, sea buckthorn oil and heparin quite well.
The most inexpensive
This rating includes products that cost less than 100 rubles per package.
1 belladonna extract
- The best herbal candles with the lowest price.
Price: 60 rub.
“Belladonna extract” is the cheapest on the domestic market, but at the same time, one of the best. Belladonna, also known as belladonna, relieves spasms, including in the intestines, reduces sensitivity to pain at the level of nerve impulses. However, these suppositories do not solve the problem of hemorrhoids, but they will help temporarily relieve the pain. The result will be visible after the first use.
A side effect is a slight laxative effect of belladonna, which can cause flatulence. In addition, there may be a burning sensation after insertion and discomfort. Apply them 2-3 times a day for a week.
Contraindications: pregnancy and lactation, prostate hypertrophy, glaucoma, colitis and intestinal atony, individual intolerance.
Side effects: tachycardia, thirst, dry mouth, diarrhea, visual disturbances (accommodation, paresis, pupil dilation).
2 Methyluracil
- Doctors' recommendation.
Price: 75 rub.
Description of the drug and contraindications are described above ↑.
3 Betiol
- Herbal candles.
Price: 85 rub.
Betiol, unlike belladonna extract, also contains ichthyol, which has an antispasmodic effect. Belladonna is a good herbal pain reliever.
Contraindications: angle-closure glaucoma, prostate enlargement, childhood.
4 Ichthyol
- They have no contraindications.
Price: 95 rub.
The composition includes only one active substance - ichthyol (ichthammol). It has anti-inflammatory properties, eliminates pain, and has a keratolytic and antiseptic effect.
In addition, ichthyol increases blood circulation in the pelvic organs, as a result of which they help with inflammation of the prostate in men and inflammation of the uterus and ovaries in women.
Contraindications: individual intolerance.
Suppositories for hemorrhoids - expensive and cheap drugs
Among consumers, there is a special system for evaluating drugs, in which their cost plays a major role in the choice. Reviews often call the best suppositories for hemorrhoids those that combine high efficiency and relatively low cost.
Experts note that inexpensive remedies may be more effective than expensive ones due to their influence on the cause of the pathology - deterioration of tone and blood circulation in the rectum.
| Price category/efficiency level | Cheap | Average in cost | Expensive |
| High efficiency | Gepatrombin G (100-110 rubles) | Relief (280 RUR) Proctosan (200-215 rubles) Aurobin (220-260 rubles) | Proctosedyl (320-360 rubles) Ginkor Procto (340-360 rubles) |
| Average efficiency | Anuzol (up to 60 rubles) Methyluracil (49-55 rubles) Anestezol (70-80 rubles) Betiol (60-67 rubles) Ichthyol (30-50 rubles) | Natalsid (190-220 rubles) Nigepan (140-160 rubles) | Proctoglivenol (400-420 rubles) Ultraproct (410-470 rubles) |
| Efficiency below average | Sea buckthorn candles (up to 50 rubles) | — | — |
The most effective drugs are those that can not only eliminate symptoms, but also restore normal blood circulation in the rectum.
Natalsid
A natural medicine whose effect is due to a natural ingredient – sodium alginate. This substance stops bleeding, heals wounds, relieves pain, and relieves inflammation. In addition, intestinal function is further normalized.
Contraindications include the following conditions:
- intolerance to components;
- age restrictions (prohibited under 14 years old).
When diagnosed with internal hemorrhoids, treatment is carried out for 1-2 weeks, the frequency of use is 1 suppository 2 times a day. Customer reviews confirm that suppositories are well tolerated, only in some situations allergic reactions may occur.
What to do if candles don't help
If the disease progresses rapidly, it is not advisable to use suppositories. They can eliminate symptoms, but pathological processes persist. The result of treatment with suppositories can only bring temporary relief.
To prevent complications such as bleeding, fistula formation or inflammation, it is important to consult a doctor in time. A specialist who treats hemorrhoids is a coloproctologist (proctologist). You can also consult a therapist, and if unpleasant symptoms bother a pregnant woman, consult a gynecologist. These specialists, if necessary, can refer the patient for additional examination and an appointment with a proctologist.
How to choose the best product?
Treatment is prescribed by a doctor taking into account the severity of the disease. The choice of suppositories and ointments for hemorrhoids depends on the predominant symptom - bleeding, pain, itching, inflammation of the skin around the anus:
- Preparations for oral administration. Excellent results in the treatment of hemorrhoids are achieved by combination therapy, combining symptomatic drugs to relieve local discomfort and drugs for oral use. These are medicines in the price category of up to 200 rubles, such as Troxevasin (an analogue of Troxerutin), from 400 to 500 rubles - Venarus, Venadiol, Ginkor Forte in capsules or gel form. Drugs in the price category from 650 to 850 rubles have similar properties - Diosmin (analogous to Vazoket), Phlebodia, Hesperidin + Diosmin (analogous to Detralex).
- For severe pain syndrome, suppositories and ointments for hemorrhoids with anesthetics are indicated - lidocaine, neomycin, anesthesin, benzocaine, Cinchocaine, Lauromacrogol - these are pain-relieving suppositories Relief Advance, Emla (Lidocaine + Prilocaine cream), Proctosedyl M, Olestesin, Nigepan.
- When there is an inflammatory process around the anus on the skin, Ichthyol (ichthyols), Levomikol, as well as NSAIDs (non-steroidal anti-inflammatory drugs, see ointments for pain) are indicated, the most popular among them are Diclofenac and Ibuprofen suppositories. If inflammation is accompanied by itching and there are no contraindications to the use of corticosteroids, then you can use suppositories with hormonal agents - Proctosedyl, Gepotrombin G, Ultroproct, Aurobin ointment.
- Bleeding - drugs that stop bleeding are used, venotonics to strengthen the walls of blood vessels, vasoconstrictor drugs to relieve swelling (adrenaline, tribenosyl, phenylephrine hydrochloride) - Relief, Procto-glivenol.
- For uncomplicated hemorrhoids, anticoagulants are indicated that dissolve formed blood clots and stop thrombus formation - suppositories with heparin (Hepatrombin G, Nigepan), heparin ointment.
Reasons for the development of hemorrhoids in women
Chronic hemorrhoids in women, as a rule, develop after 30 years of age; with age, the risk of developing the disease increases. Women suffer from dilated hemorrhoidal veins four times less often than men. However, the risk increases in the presence of permissive factors: • chronic constipation; • prolonged sitting on the toilet; • obesity; • sedentary work, sedentary lifestyle; • diseases occurring with chronic cough; • diseases of the pelvic organs.
A typical cause of acute hemorrhoids in women is pregnancy or childbirth. In such cases, adequate conservative treatment leads to the disappearance of the problem. However, if therapy was untimely or careless, the disease becomes chronic.
What do specialist proctologists do?
Doctors at 7th Heaven do everything necessary to solve problems associated with anal diseases before they go too far.
We in no way replace our activities with the work of proctology departments of hospitals! The diseases of many patients who did not receive timely treatment can only be cured in a hospital bed in the proctology department of a hospital. Not only does each disease have a specific treatment, but each stage of the disease must have its own treatment method!
There are no universal treatment methods! But the treatment method should not be more severe than the disease itself.
Let us dwell on some specific issues that concern our patients.
Proctosedyl
This drug contains several active ingredients - hydrocortisone, the antibiotic framycetin, heparin, etc. It has a bactericidal, anti-inflammatory effect, helps prevent blood clots, relieves itching and irritation. Well tolerated by patients.
Contraindications: individual intolerance to components, fungal, viral, tuberculous lesions of the anus, arterial hypertension, heart failure. It is forbidden to prescribe to women during pregnancy, as well as during lactation, and children under 12 years of age.
Symptoms of the acute form of the disease
Symptoms of acute hemorrhoids in young women are most often associated with pregnancy or childbirth. The appearance of an enlarged hemorrhoid constipation characteristic of this period .
Acute dilatation of hemorrhoidal veins manifests itself with sharp pain , which becomes unbearable during bowel movements. In addition, the pain syndrome can intensify while walking, as well as with increased intra-abdominal pressure during straining, coughing, laughing, and hiccups.
Another characteristic sign of the acute form of the disease is bleeding from the dilated veins of the rectum. This symptom manifests itself as fresh blood on the surface of the stool.
Often hemorrhoids in women are combined with anal fissure. In such cases, blood stains on toilet paper and underwear appear even more often after defecation.
Stop bleeding
"Neo Anuzol" - up to 150 rubles.
The astringent effect of the candle is largely due to tannin, a natural component of phenolic origin that forms stable bonds with proteins and polysaccharides. Therefore, suppositories are used for bleeding hemorrhoids or anal fissures.
The antibacterial effect of the drug is realized thanks to the combination of methylene blue and iodine in the suppositories. Together with resorcinol, these components produce an antiseptic treatment of damage to the mucous membrane during hemorrhoids, preventing the development of complications. In addition, resorcinol has a dermatoprotective effect.
The general effect of the drug is hemostatic, anti-inflammatory and local anesthetic.
"Neo Anuzol" helps against itching, burning, bleeding, skin irritation, fights infection
Ultraproct
The composition includes Ultraprocta cinchocaine and fluocortolone.
Fluocortolone is a hormonal component that acts quickly and for a long time. Cinchocaine - acts as a local anesthetic.
Cannot be used for tuberculosis and syphilis in the anorectal area and for hypersensitivity. The drug is not prescribed to children, adolescents, and early pregnant women.
Use once a day, after bowel movement. It must be administered rectally, deeply. If the disease is severe, up to 3 suppositories can be used on the first day.
Price – from 640 rub.
