Treatment of hemorrhoids: surgical treatment, suppositories, cheap ointment for hemorrhoids

List of the best ointments for hemorrhoids: top 10 most effective. Reviews and prices

Hemorrhoids are varicose veins located in and around the anus. If irritated and swollen, it can lead to pain and even bleeding. The most common signs of the disease themselves disappear spontaneously after a week or two. However, frequent and painful relapses are possible.

Today's medicine offers many treatment strategies that have enormous potential - from home remedies to instrumental methods.

The assortment of pharmacies offers various proctological drugs, for example, ointments, gels, tablets, suppositories, creams. They fight burning, itching, act as an analgesic, decongestant, and anti-inflammatory agent.

Advantages and disadvantages

Products for external application in the form of ointments have both advantages and disadvantages. The positive side includes accessibility, ease of use, quick effect, elimination of harmful effects on the stomach and liver. Long-term use helps relieve symptoms of hemorrhoids, strengthen the walls of blood vessels, and reduce nodes. Many drugs are approved for use in pregnant women and during lactation. Ointments rarely cause addiction or withdrawal symptoms.

Disadvantages include greasy marks on clothing and bedding after using ointments, and the need to combine ointments with oral medications, since they are not always effective as independent therapy.

Use during pregnancy and lactation

The use of the capsule form during pregnancy in the first 3 months is prohibited. In the 2nd and 3rd trimester, it is allowed to prescribe medication if the benefit to the woman outweighs the possible risks to the embryo. When breastfeeding, taking the capsule form is possible if the danger from the disease for the mother is higher than for the baby.

The gel form of the drug can be used both during breastfeeding and during pregnancy. The drug does not penetrate the systemic bloodstream and does not affect the baby’s body.

During pregnancy, the drug can be used to eliminate severe symptoms of hemorrhoids, venous insufficiency, and ulcerative defects (for varicose veins). Both local and systemic forms are used. The patient is monitored during therapy.

How to choose the right ointment?

To treat hemorrhoids, the following therapeutic regimens are used depending on the type and severity of the disease:

1. To relieve pain, the following pain-relieving ointments for hemorrhoids, containing lidocaine and anesthesin, will be effective: Procto-Glivenol, Relief Advance, Proctazan, Emla, Irobin and others;
2. You can overcome the relatively mild initial degree of hemorrhoids with the help of heparin ointments, as well as rectal suppositories containing benzocaine and heparin, for example, Nigepan;
3. If the inflammatory process from hemorrhoids has spread to nearby tissues, antimicrobial and antibacterial agents are prescribed, such as Vishnevsky Ointment, Levomikol, Ichthyol (ichthyol ointment), Mafenide acetate;
4. When the disease progresses rapidly, doctors typically prescribe nonsteroidal anti-inflammatory drugs (NSAIDs for short), such as Diclofenac, Piroxecam, and Ibuprofen;
5. For rectal bleeding, combined medications (hemostatics) are used, which contain both anti-inflammatory and vasoconstrictor components, as well as anesthetic and venotonic substances, for example, Adroxon in the form of a solution, as well as Procto-Glivenol and Relief.

Below we will move on to a more detailed consideration of inexpensive and effective ointments for hemorrhoids.

Features of the disease

Ointment is a good form of medicine for the treatment of hemorrhoids

Translated from Latin, the word “hemorrhoids” is translated as “bleeding.” Bleeding from hemorrhoids is indeed not uncommon. The bumps themselves or an anal fissure can break through. Through open wounds and injuries, infection can enter and inflammation occurs.

Lack of physical activity, constipation and poor diet, as well as abuse of laxatives and cleansing enemas, lead to prolapse of nodules and dilation of veins. This disease occurs very often in people who are overweight. Pregnancy, childbirth, and even overly careful hygiene of the anus can also lead to hemorrhoids.

It is impossible to calculate exactly how many people suffer from hemorrhoids, since most of them prefer to hide this delicate problem and treat it at home, which can be dangerous. It is not always possible to cure a disease using folk remedies alone. It is not recommended to buy the first candles you come across at the pharmacy. Cheap ointment for hemorrhoids can only be effective if selected correctly. Hemorrhoids have many forms, types and nuances.

What is suitable for treating internal hemorrhoids is not always suitable for external hemorrhoids. Modern medicine offers a huge number of remedies to combat hemorrhoids. Most of them are painless and very effective if applied on time, at the initial stage of the disease.

Internal hemorrhoids are more difficult to treat because the bumps are located internally. They can be injured during defecation, so bleeding and pain with this form of hemorrhoids are much more common even in the initial stages. Removing internal hemorrhoids is more difficult, and not all non-invasive treatment methods may be suitable.

How to use it correctly?

Features of the use of ointments in the treatment of hemorrhoids:

1. Before using the product, you need to wash the area around the anus without soap and pat the skin dry with a napkin;
2. Apply the product around the anus and inside the anus, using special nozzles and applicators;
3. The usual frequency of use is 2-3 times a day and after each bowel movement; in the remission stage, a single application is possible;
4. Ointments and gels with hormonal components are used with extreme caution, in minimal portions, and, if possible, for a short period, their withdrawal occurs gradually;
5. The course of treatment with ointments takes on average from 5 to 7 days, therapy with heparin ointment can last up to 2 weeks.

Mode of application

In the initial stages of external hemorrhoids, the nodes are located on the surface - under the skin around the sphincter. If this disease is not treated in time, hemorrhoids can fall out of the anus (some of them cannot be set back). It is in such cases that ointments for hemorrhoids will be the best help.

After bowel movements, it is necessary to carry out hygiene procedures. Use dry wipes; ointment or gel should not be used on wet skin.

Before applying the gel, it is necessary to carry out hygiene procedures for the anus without using soap, and then wipe the area with a dry cloth (since the ointment is applied to a dry surface). The product should be applied around the anorectal area (outside), as well as inside the anal canal (for convenience, the tubes are equipped with the necessary attachments for rectal insertion).

You should be especially careful when using ointments containing hormonal components. You should consult your healthcare provider to determine how much to apply to the affected area or hemorrhoid. Stopping the use of the drug occurs gradually.

The standard course of treatment does not exceed 5-7 days, treatment with heparin ointment lasts about 2 weeks.

At the moment, the choice of ointments for hemorrhoids is very large, and it is not recommended to choose them yourself. Sometimes applying the gel to the sphincter can cause side effects, often due to the individual characteristics of the body (for example, intolerance to any component in the composition); if they occur, you should immediately consult with your doctor. Only a specialist will be able to make the necessary adjustments in the treatment of hemorrhoids, and on your own you can aggravate an already difficult situation.

List of ointments for the treatment of hemorrhoids

Currently, there are many medications that will help solve such a delicate problem as hemorrhoids. You just need to make the right choice in favor of the most appropriate comprehensive treatment for this disease. To do this, it is best to seek help from a proctologist, who will conduct a full examination and prescribe a therapy that is suitable for you.

According to reviews, the top 10 most common ointments for the treatment of hemorrhoids are presented below:

• Proctosan - 290 rubles
• Aurobin - 270 rubles
• Levomekol - 100 rubles
• Proctosedyl - 320 rubles
• Relief - 330 rubles
• Gepatrombin G - 220 rubles
• Posterizan - 340 rubles
• Heparin ointment - from 40 rubles.
• Troxevasin - 180 rubles.
• Fleming's ointment - 290 rubles

In addition to the ointments listed above (the best drugs according to reviews), other medications are also used in the treatment of hemorrhoids, for example, Glinkor Fort or Proctonis capsules, Venarus tablets, Adroxon hemostatic suppositories or Dexpanthenol healing ointment. The active compounds included in the drug Glinkor Fort strengthen blood vessels and thus relieve swelling of hemorrhoids and adjacent tissues.

What are hemorrhoidal cones?

Typically, this disease causes hemorrhoidal bumps. In the veins that are located in the lower part of the rectum, blood circulation is disrupted for various reasons, and as a result, hemorrhoids increase in size and become inflamed. They can remain inside or fall out. Such inflamed bumps bring a lot of suffering to the patient.

Hemorrhoids are a disease that brings a lot of unpleasant and often painful sensations

When treating pathology, the following local medications are most often used:

• suppositories and ointments for hemorrhoids;
• oral tablets and drops.

Troxevasin

Troxevasin ointment relieves the symptoms of hemorrhoids. In addition, it is a local anesthetic, astringent and anti-inflammatory agent. The drug combines troxerutin and magnesium stearate and is used externally:

• to relieve burning, itching around the anus;
• with inflammation of hemorrhoids;
• anal thrombophlebitis;
• inflammation of the rectum.

A local drug as an anti-inflammatory, decongestant. Troxerutin has a protective effect on veins, reduces the permeability of capillary walls, reduces swelling and exudation.

The gel should not be used if you have an individual intolerance to active substances or fillers, or an allergy to troxerutin. Like all medicines, Troxevasin ointment can cause side effects, such as hypersensitivity reactions and local skin irritation. Skin reactions may occur - rash, redness. However, the expected benefits are greater than the harm associated with the occurrence of undesirable effects.

Information on how to use the drug is in the instructions. The ointment is applied with uniform and gentle massage movements in a thin layer (approximately 2.5 g or half a teaspoon) twice a day (morning and evening) until completely absorbed. It is advisable to reapply to the affected area of ​​skin after defecation.

Relief and Relief Advance

Relief ointment. Contains: shark liver oil, which has anti-inflammatory, immunomodulatory and wound-healing properties; Phenylephrine hydrochloride is a vasoconstrictor.

When applied topically, it reduces the lumen of blood vessels, reduces swelling, serous discharge and exudative phenomena in hemorrhoids and diseases of the anorectal area. Application: Using the supplied applicator, apply a small amount of ointment inside the anus or on the affected areas around it. Dosage: up to 4 times a day (morning, evening and after each bowel movement).

Contraindications: granulocytopenia, increased blood clotting, individual hypersensitivity to the components of the drug.

Relief Advance ointment will help relieve pain and discomfort due to the presence of an anesthetic in the composition. Use after hygiene procedures. Squeeze out a small amount to lubricate the applicator. Apply the ointment carefully through the applicator to the affected areas outside or inside the anus up to 4 times a day in the morning, evening and after each bowel movement.

Contraindications: allergic reactions to local anesthetics, hypersensitivity to the components of the drug.

Classification of local drugs

Pharmaceutical companies produce several large groups of medications that are intended to suppress the symptoms of external hemorrhoids. Each type has its own spectrum of action. The list is presented:

1. Venotonics - active ingredients increase the density of vascular walls, normalize capillary permeability. Due to them, there is an increase in the tone of the muscle tissue of the veins, and blood circulation is stabilized.
2. Anticoagulants – medications used to treat blood clots. The active components are responsible for reducing the rate of blood clotting and preventing the formation of new blood clots.
3. Hemostatics and coagulants - medications accelerate the process of blood clotting. Used to quickly stop bleeding from damaged tissues.
4. Antispasmodics – relieve the symptoms of muscle spasms that provoke pain. They are used in the early stages of the pathological process; suppositories are a common form of release.
5. Immunomodulators - due to active components, the functioning of the immune system improves. As a result, the body resists pathogenic microflora and easily suppresses outbreaks of infection and inflammation.

Complex therapy involves the use of several additional medications that do not affect hemorrhoidal disease. Anti-inflammatory drugs stop inflammation, antimicrobial drugs reduce the risk of secondary infection. Painkillers are used to suppress severe pain.

Hepatrombin

Includes sodium heparin, which has an antithrombotic effect and the ability to relieve swelling and pain. The regenerative properties of the drug are ensured thanks to allontoin, a component that stimulates tissue healing and increases cellular metabolism. Prednisolone acetate allows you to treat inflammation, has an antiallergic effect, and reduces the release of fluid during inflammation (exudate).

Apply Hepatrombin to previously cleansed skin in a thin layer with light massaging movements. The course of therapy is from 7 to 10 days. It is prohibited to use the drug in patients who are allergic to the components of the product, in case of bleeding or during infection of wounds. The ointment is contraindicated for children under 5 years of age.

Restrictions on use, interaction

Do not use the medicine if you are allergic to its components. The medication is not indicated for children under 15 years of age (gel), 18 years of age (capsules), since it has not been studied in patients under 15 years of age. The capsule form should not be prescribed to patients with lactase deficiency or malabsorption syndrome.

According to the instructions, with the simultaneous use of troxerutin and ascorbic acid, the effectiveness of treatment increases. No data on interactions with other drugs have been identified.

Heparin ointment

Heparin ointment has been on the pharmacological market for quite some time and is used not only for the treatment of varicose veins of the rectum. The effect of the medicine is much broader: varicose veins of the lower extremities with and without complications, thrombophlebitis, lymphangitis, trophic ulcers, etc. At the same time, heparin ointment has all the advantages of a medicinal product designed to reduce the severity of hemorrhoid symptoms:

1. The analgesic effect of the drug is provided by the local anesthetic present in the ointment - benzocaine.
2. Due to the main active ingredient - the direct anticoagulant heparin, an antithrombotic and anticoagulant effect is achieved (heparin prevents the formation of blood clots and promotes the resorption of existing ones);
3. Due to the vasodilating properties of benzonicotinic acid, which is part of the heparin ointment, heparin is absorbed more quickly to its destination;
4. The anti-inflammatory effect is also based on the action of heparin supplied to the site of inflammation.

Heparin ointment is used for external and internal uncomplicated and complicated hemorrhoids. It is also indicated in case of thrombosis of the hemorrhoidal plexus. However, damage to the integrity of the skin and bleeding are the main contraindications to the use of this medication. Heparin ointment is prescribed with extreme caution if the patient has a history of pathology of the hemostatic system, accompanied by a decrease in blood clotting and a tendency to bleeding, as well as during pregnancy and lactation (although data on the penetration of heparin into human milk have not yet been obtained).

Similar medications

Troxevasin has its own analogues, which are not inferior to it in effectiveness. Similar drugs:

• Phlebodia 600 - the active component is diosmin; the effect of the medicine is similar, it is produced in the same forms;
• Detralex - contains diosmin and flavonoids; Sold as tablets and oral suspension; is not inferior in efficiency;
• Indovazin - contains indomethacin and troxerutin; Available in gel form;
• Lyoton - the drug belongs to the group of anticoagulants; produced only in the form of a gel; does not have a systematic form.

Aurobin

Ointment for hemorrhoids "Aurobin" is a combination preparation based on corticosteroids - hormones of the adrenal cortex, which are distinguished by their immunosuppressive effect. Thanks to this, the drug has its antiallergic and anti-inflammatory effect.

It also contains lidocaine, which has a local analgesic (pain-relieving) effect and relieves itching and burning sensation in the perineal area. Triclosan, which is part of Aurobin, is a broad-spectrum antiseptic and protects the affected perianal area from fungi and bacteria, and dexpanthenol promotes the regeneration of the affected epithelium and mucous membrane of the rectum. The components of the drug effectively complement each other, which helps to successfully combat the unpleasant symptoms of hemorrhoids.

It is worth noting that the drug has a number of contraindications, including:

• age up to 1 year;
• taking lidocaine for other purposes (excessive concentration in the body is fraught with bradycardia);
• skin infections (in this case, corticosteroids are not used);
• hypersensitivity to individual components of the drug.

It is important! Due to the corticosteroids contained in Aurobin, long-term use of the drug by children of any age is prohibited due to the possibility of adrenal insufficiency.

Hemorrhoidal thrombosis - symptoms and treatment

Acute hemorrhoids is a disease, with adequate treatment of which, in 98 - 100% of cases, complete relief from the manifestations of thrombophlebitis is possible.* With conservative management of an exacerbation after the signs of inflammation subside, the disappearance of edema, further treatment of hemorrhoidal disease is indicated using numerous methods (minimally invasive: latex ligation, sclerotherapy, laser vaporization or classic hemorrhoidectomy). Correcting changes in chronic hemorrhoidal disease is necessary, among other things, to exclude relapses of thrombophlebitis of the nodes and improve the quality of life.

The choice of method for removing pathologically altered cavernous plexuses in chronic headache depends on their location, size, degree of dystrophic changes in the underlying tissues (stage of the disease), the availability of modern medical equipment in the medical institution and the surgeon’s preferences.

Prevention of the disease consists of eliminating factors that provoke exacerbation of hemorrhoidal disease:

• Normalization of stool;
• Drinking enough fluids throughout the day;
• Increasing physical activity**, combating physical inactivity;
• Nutrition correction - increasing the diet of plant fiber, vegetables and fruits, fermented milk products***;
• Limiting the intake of strong alcohol and spicy foods;
• Treatment of chronic inflammatory processes in the perianal area (proctosigmoiditis, chronic hemorrhoids);
• Reducing body weight to optimal parameters (BMI 20-23);
• Treatment of concomitant diseases - arterial hypertension, diseases of the gastrointestinal tract.

*if in complex therapy surgical aids with coagulation of the vessels feeding the node were used.

**dosed physical activity helps normalize weight, metabolism, and strengthen the pelvic floor muscles. However, they should exclude activities that lead to a sharp increase in intra-abdominal pressure (deadlifts, squats with loads, weightlifting, powerlifting).

***if diet correction is not enough, for persistent constipation, regular use of probiotics and prebiotics, laxatives - lactulose (Lactusan, Duphalac), oval plantain seeds (Mucofalka, Fitomucila) is appropriate. Typically, the side effects of lactulose - bloating, flatulence - are eliminated by reducing carbohydrate intake, which prevents excessive growth of intestinal microflora.

Prevention of acute hemorrhoids in pregnant women

Even at the stage of pregnancy planning, girls need to consult a proctologist, because in the presence of hemorrhoidal disease, stage 1. manifestations may be minimal and unnoticeable to a young woman. However, when carrying a child, all minor problems can become quite painful for the expectant mother, and their effective treatment during pregnancy will be extremely difficult.

Repeated examination of pregnant women is indicated in the 2nd–3rd trimester. Even before the onset of birth, some pregnant women experienced some degree of exacerbation of hypertension, which is associated with impaired venous outflow from the pelvis, an increase in intra-abdominal pressure and changes in blood coagulation parameters. And during natural childbirth, thrombophlebitis occurs in almost half of women in labor due to direct compression of the nodes by the fetal head passing through the birth canal.[13]

For natural delivery, the diagnosis of hemorrhoids is not a contraindication, but the condition requires dynamic monitoring by a specialist and the implementation of certain recommendations.

Levomekol

Levomekol is a combined drug for external use. Among its properties are anti-inflammatory, bactericidal and restorative. Often, exacerbations of hemorrhoids are accompanied by some kind of infection (since the intestines contain various microbes that can penetrate inflamed hemorrhoids, as well as injured tissues, during the process of defecation).

As a result, an infectious process develops, a complication of which can be purulent inflammation. The components contained in the ointment clean the damaged surface, and also accelerate the process of its healing and restoration of the mucous membrane.

Proctosan

The ointment is based on bismuth subgallate and titanium dioxide. Proctosan promotes the healing of cracks, has a local astringent effect and dries out weeping in the anal area. The analgesic function is assigned to lidocaine, and bufexamak relieves inflammation. The ointment is indicated for use for hemorrhoids of any location; for ease of administration, an applicator is provided. The cost of the ointment is 250–300 rubles.

Vishnevsky ointment

Vishnevsky ointment can be used to treat the external form of the disease. The presented medicine helps eliminate various ailments of the human body, but Vishnevsky must be used correctly, strictly following the instructions. Only then will the ointment have the necessary effect.

1. First, you should put lotions on the external nodes with the addition of a solution of potassium permanganate. Such actions must be performed within three days.
2. Then you are allowed to start using Vishnevsky’s composition. The ointment should be added to a compress and applied to the sore spot. Do not remove the compress from Vishnevsky for 12 hours.

Vishnevsky's drug is absolutely safe, so it can be used to treat the disease by pregnant women and nursing mothers. The only negative is its smell, but this is a temporary phenomenon.

Ointment for hemorrhoids during pregnancy

During pregnancy, as well as during lactation, women are prohibited from taking most medications. This is primarily due to the fact that the biologically active compounds included in the chemical composition of the drugs, not only of synthetic but also of natural origin, can harm the health of the child.

It is for this reason that during pregnancy, as well as during breastfeeding, a woman should not self-medicate without the knowledge of her doctor. This rule applies to all medicines without exception. However, the vast majority of pregnant and postpartum women face such an unpleasant problem as hemorrhoids.

Safe ointments are drugs that include natural ingredients that are not capable of causing harm to the body, especially during pregnancy and in young children.

Popular means:

1. Ichthyol ointment is a sulfur-based medicine that has an analgesic, anti-inflammatory, drying, and wound-healing effect on hemorrhoids;
2. Troxerutin - has a similar effect to Troxevain, eliminates swelling, prevents congestion, and restores blood flow.
3. Fleming's ointment is a homeopathic preparation that includes extracts of calendula, witch hazel, and horse chestnut. Natural components in the composition of the medication allow you to quickly and safely eliminate the inflammatory process and pain.

Vishnevsky ointment, Heparin ointment, Levomekol, Troxevasin are allowed during pregnancy.