Which is better, ointment or suppositories for hemorrhoids: inexpensive and effective drugs for external hemorrhoids with blood in women, how to treat, what helps better, names

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Metaphysical reasons are the reluctance to part with old grievances, anger, and outdated habits.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.

Combined suppositories

Combination medications in the form of suppositories have become widely known among the population. They contain several active ingredients that help eliminate various manifestations of the disease at the same time. Next we will look at some of them.

1. Posterized. These suppositories can be prescribed not only for external hemorrhoids, when the hemorrhoid may fall out, but also for internal ones. Their action helps:

strengthen local defenses at the cellular level, thereby suppressing bacteria that cause the development of the disease;
increase leukocyte activity and the level of resistance of the skin around the anus;
restore the stability of the intestinal mucosa and the tone of the vessels located in it;
eliminate soft tissue damage.

2. Gepatrombin G. This drug contains such active ingredients as:

allantoin - allows you to quickly overcome the inflammatory process of tissues, improve proliferation at the cellular level and stimulate processes aimed at regeneration;
dexpanthenol increases the rate of formation and growth of new epithelial cells;
heparin prevents the formation of blood clots, improves blood circulation in the intestines, contributing to the disappearance of edematous manifestations.

3. Suppositories Anuzol or Neo-Anuzol. It was these suppositories that were distinguished by their quick and effective therapeutic effect on external hemorrhoids. They have a wide spectrum of action. They are best used for hemorrhoids with bleeding and mucous discharge from the rectum. Due to their use, the following therapeutic effect is observed:

elimination of pain;
elimination of manifestations of inflammation;
reduction in the amount of mucus discharge.

4. Relief. It is considered a medicine that has proven its effectiveness and safety in practice. This drug is made on the basis of:

shark liver oil - it eliminates the manifestations of inflammation, helps stop bleeding and heal wounds;
Phenylephrine hydrochloride, which helps to constrict blood vessels, eliminating burning, itching and swelling in the anal area.

Treatment

More than half of patients try to treat bumps with unconventional methods. We are talking about herbal medicine, hirudotherapy, acupuncture. In Asia, followers of Ayurvedic traditions treat hemorrhoids with the blood of a hedgehog. In South America, coca leaves. In Slavic traditions, warm herbal baths with the addition of milk, onions, and plantain were widely used. As a rule, these methods and procedures provide only temporary relief.

In 60% of patients, after using conservative treatment methods, relapse recurred after 3–5 years. Therefore, the “gold standard” is surgical treatment. Back in 1930, hemorrhoidectomy was performed for the first time. The operation takes place within 15–30 minutes and does not require a long hospital stay.

Self-medication leads to serious consequences. Fistulas, fissures, breakthrough bleeding, proctitis are complications that can be avoided by consulting a doctor in a timely manner. However, the initial stages respond well to conservative treatment. To alleviate the patient's condition, suppositories, ointments, and creams are prescribed.

How to choose the right product?

Today there are many ways to treat this disease. Therapy is selected by a proctologist; it can be medicinal or surgical. At any stage of the disease, suppositories, tablets and creams are used. Let's consider which ointments or suppositories for hemorrhoids are best to choose and why.

Hemorrhoids are a problem that is not customary to talk about out loud

As a rule, for internal hemorrhoids, doctors recommend rectal suppositories. They go directly to the source of inflammation, effectively removing swelling and itching. If ointments are used, it is only by insertion into the rectum. To do this, many manufacturers put a special applicator in the package. Ointments can also be administered using soaked gauze swabs.

Suppositories for external hemorrhoids

Suppositories are one of the most successful dosage forms for treating this delicate problem. The medicinal substances included in their composition easily and quickly reach the place of application. They do not enter the systemic circulation and thus bypass the liver, that is, they are not destroyed.

Antihemorrhoidal suppositories will help prevent complications: blood clots, congestion in the veins
. Conventionally, all suppositories can be divided according to their composition into the following groups:

preparations with zinc oxide;
suppositories with glucocorticosteroids;
suppositories with anticoagulants;
preparations containing substances of animal origin;
substances of plant origin;
suppositories with vasoconstrictor substances;
combined means.

By purpose:

healing;
anti-inflammatory;
preventive, immunostimulating.

Suppositories or ointments?

Only a doctor familiar with your specific situation will tell you what is better for hemorrhoids - ointment or suppositories. After all, this is decided based on a number of factors:

type of pathology;
stages of hemorrhoids;
patient preferences;
age of the patient.

There are 4 stages of hemorrhoids

It is worth remembering that effective ointments and suppositories for hemorrhoids are those that are used on time and as prescribed by a doctor. Even the best drug will not help if you do not follow the course of treatment.

Features of application

The choice of drugs is large, but preference should be given to one group or another depending on the stage of the disease. To treat hemorrhoids without complications, you should pay attention to anticoagulants. They will prevent the formation of blood clots, which cause complications. Helps improve the contractile properties of vascular walls. For example, suppositories with heparin.

Indicated for chronic hemorrhoids, relieves all main symptoms and has a minimum of contraindications

To treat hemorrhoids with acute pain, suppositories with anesthetics are used. They will ease the condition and relieve swelling. There are no anesthetic substances in suppositories in their pure form; they are found in combination preparations: Relief, Advance, Olestezin, Nigepan, Emla.

For bleeding, drugs with adrenaline and phenylephrine are used. These substances constrict blood vessels, reduce swelling and bleeding of tissues. "Relief" and "Procto-glivenol" contain vasoconstrictor substances. To treat inflammation, suppositories with corticosteroids, in particular prednisolone, are used. "Gepatrombin G", "Ultraproct", "Proctosedyl" contain prednisolone or its derivatives. They relieve inflammation, itching, and pain.

Reviews

Yulia, 39 years old, my mother suffered from hemorrhoids. For many years I suffered from constipation, and last year, when I saw a hemorrhoidal lump, I realized that I had hemorrhoids. My mother highly recommended Proctosan suppositories, so I decided to buy them. I administered the suppository once a day before bed after performing hygiene procedures. I took a ten-day course and forgot about the disease. The very next day the pain, swelling and burning became much less. There were no side effects, I am satisfied with the result.

Tatyana, 46 years old I have been suffering from hemorrhoids for a very long time. Despite the use of various drugs, recently exacerbations have appeared frequently. The problem is that I am allergic and cannot tolerate all products. The doctor advised me to take Natalsid suppositories. I was treated for a week, no allergic reactions occurred. The drug has a natural composition and a mild effect. The very next day the pain and itching were almost gone.

Evgenia, 38 years old After the birth of my daughter, I developed hemorrhoids. The doctor advised me to buy Relief suppositories. When I read the instructions, I was impressed by the composition of these suppositories. The active components are carefully selected, so they have a comprehensive effect on the problem. I was treated for one week, taking suppositories twice a day. On the third day, the symptoms disappeared completely, but I was treated to the end.

So, external hemorrhoids are not a death sentence. Rectal suppositories will help not only get rid of unpleasant symptoms, but also eliminate the very cause of the disease. The pharmaceutical industry offers a wide range of different products. Rely on your doctor's recommendations. Self-medication is dangerous to health. Be sure to get tested. Remember, in order to completely get rid of hemorrhoids, you need to change your lifestyle, including diet and physical activity.

Common drugs

Suppositories for external hemorrhoids must have the specified properties. It is imperative to prevent the formation of blood clots and relieve the inflammatory process.

Are used:

"Procto-glivenol." Contains lidocaine with tribenoside. Anti-inflammatory, venotonic effect, relieve itching and irritation.
"Anuzol". It contains belladonna extract, zinc oxide and bismuth sulfate. Has antispasmodic and antiseptic effects.
"Proctosedyl M". Contains framycetin, benzocaine, hydrocortisone. Thanks to their unique composition, suppositories have a powerful antibacterial, analgesic and anti-inflammatory effect. Relief comes quickly, within a few minutes. However, it requires gradual withdrawal and a long course of treatment. An effective remedy that not only relieves pain, but also inflammation
"Ultraproct". Contains cinchocaine and fluocortolone. Fluocortolone is a synthetic derivative of prednisolone. Has a strong anti-inflammatory effect. Cinchocaine is a local anesthetic.
"Olesthesin." Contains sulfaethidol, sea buckthorn oil and benzocaine. The combination of drugs in the composition is indicated to relieve inflammation and provide an antimicrobial effect.
"Proctosan." Contains lidocaine, bismuth and titanium dioxide, bufexomac. A drug with a combined action – anesthetizes, dries, relieves inflammation.
"Hepatrombin G". Active ingredients: heparin and prednisolone. Particularly effective in the development of inflammation in the nodes.
"Nigepan." Contains heparin and benzocaine. It will relieve pain and improve the condition of prolapsed hemorrhoids.
"Relief Advance". Contains shark liver oil and benzocaine. It will gently relieve pain, relieve inflammation and improve the regenerating properties of the epithelium. The composition, in addition to shark oil, includes phenylephrine. Their action is aimed at relieving swelling and reducing bleeding.

Points to pay attention to when selecting candles

To select the correct drug, it is better to consult a doctor. To make the correct diagnosis and prescribe adequate treatment, he assesses the patient’s condition and symptoms of the disease.

The following points must be taken into account.

In case of severe pain syndrome, suppositories should contain anesthetics (anesthesin, benzocaine, lidocaine) and have an analgesic effect.
When the disease progresses without complications, drugs that belong to the group of anticoagulants (heparin suppositories) are prescribed.
If there is a tendency to develop complications, it is necessary to use drugs from the group of non-steroidal anti-inflammatory drugs, which contain ibuprofen.
When blood appears in the stool and on paper, as well as when hemorrhoids prolapse, it is recommended to use combined suppositories with versatile effects (for example, Relief, Androxon).
Another group of drugs that are effective are glucocorstoids, which are made on the basis of hormones (prednisolone, hydrocortisone). They have an excellent therapeutic effect on inflammation processes.

Note! To achieve the best therapeutic effect, an excellent treatment option in parallel with suppositories would be the use of gels and creams.

Treatment rules

Suppositories for external hemorrhoids are placed in compliance with certain rules and procedures. Suppositories are used for 7–14 days; if there is no improvement, you should consult a doctor to adjust the treatment. The use of suppositories requires careful hygiene of the anal area. Place suppositories on hemorrhoids after bowel movements or after a cleansing enema 1-2 times a day. Therefore, laxatives are prescribed in combination.

Before using suppositories, it is recommended to cleanse the intestines. If normal bowel movements are not possible, a warm water enema is given.

Wash your hands and anal area thoroughly, dry with a napkin, take a horizontal body position on your side. Your legs should be slightly bent at the knees. The candle must be freed from protective films and moistened with warm water. Try to relax, then the process will go unnoticed.

The combination of suppositories with drugs to improve the condition of the vascular wall, used orally, is the standard of traditional treatment for hemorrhoids. Drugs such as Detralex, Ginkor Fort, Phlebodia significantly speed up the remission process.

What is best to use and in what cases

Suppositories and ointments can be used as monotherapy only to prevent exacerbation and after surgery. In other cases, complex therapy is recommended along with other drugs and manipulations.

Considering the features of local therapy with suppositories and ointments, some aspects can be highlighted :

ointment is better suited for the treatment of external hemorrhoids;
suppositories are more often used for internal intestinal problems.

With extensive damage, advanced or complicated hemorrhoids, these medications are not enough for complete treatment.

Important! Simultaneous use is possible: first, a suppository is introduced, and then the anus is treated with ointment.

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.

Suppositories based on natural ingredients

Suppositories for external hemorrhoids made from natural ingredients are very popular. This is due to the fact that they consist of natural components that have a beneficial effect on the intestines, which cannot be said about synthetic products. They not only provide a remarkable therapeutic effect, but also have virtually no contraindications or side effects. These drugs belong to the group of homeopathic drugs.

Another positive side is the relatively low price compared to other drugs that are used to treat hemorrhoids.

Homeopathic suppositories include the following.

Products made from sea buckthorn extract. They show an excellent effect in the form of healing wounds and cracks, eliminating discomfort (burning and itching), as well as increasing the overall stability of the body. They differ in that they have no contraindications and have a mild therapeutic effect.
Ginkor Procto. It is made using an extract from a plant such as Ginkgo biloba. These suppositories effectively eliminate inflammation and improve local blood circulation.

So, we have looked at which suppositories can be used for external hemorrhoids. But remember that any treatment should only be prescribed by a qualified doctor.

Immunomodulators

Immunomodulators are used for protracted, indolent disease of the rectum. Indicated in cases where impaired blood flow does not allow the restoration of the mucosal epithelium and the process of exudate release does not end over a long period of time.

This group includes inactivated bacteria that are capable of stimulating the production of antibodies, the action of which is aimed at increasing local immunity to fight the disease.

Among the immunomodulatory suppositories, we note the following:

"Posterizan forte." The product is often used in the postoperative period as a quick-healing agent that can relieve pain and discomfort. Candles are prescribed 2 to 4 times a day. After the accompanying symptoms are removed, the dose is reduced to 1 suppository once a day until complete recovery.
"Methyluracil". This drug has the following effects: anabolic, hematopoietic, immunostimulating, anti-inflammatory, wound healing.

What can be used during pregnancy

Often, the formation of nodes in women occurs during the period of bearing a child and as a consequence of a difficult birth process. Increased intra-abdominal pressure fills the vessels with blood, causing their walls to weaken. As a result, the veins bulge and nodes form.

To prevent harmful components from chemicals from being introduced into the child’s body through mother’s milk, a woman needs to use rectal suppositories with natural ingredients. Such suppositories have a gentle effect, do not have secondary manifestations, and in addition, have fewer contraindications.

During this period, it would be optimal to take glycerin suppositories, which will help eliminate difficulties with emptying the intestinal tract. The selection of other drugs must be carried out under the supervision of the attending physician.

Suppositories with anesthetics

Suppositories with anesthesin are prescribed to patients with severe pain, itching, burning in the anus.

The main component of this group of drugs is lidocaine. It is he who is entrusted with the function of rapid pain relief. The medicine is able to block the synapses of neurons through which pain is transmitted from the site of injury to the organs of the central nervous system. Therefore, all the drugs presented below do not cure, but quickly relieve pain. Some representatives of this group:

"Anestezol". The local anesthetic benzocaine provides analgesia to the rectum, minimizing pain. The effect of the drug is short-lived, so anti-inflammatory and vascular drugs are prescribed in combination with it. For external hemorrhoids, insert the suppository shallowly using the melted end of the suppository and gently rub the external passage of the anus. Anastezol suppositories are a prohibited drug for children under 18 years of age.
"Procto-Glyvenol." It has a combined effect: tones and significantly reduces vascular permeability in the rectal mucosa. Consequently, it is able to quickly and effectively relieve inflammation and pain, alleviating the suffering of the patient. The drug is contraindicated for children and pregnant women.