Review of the 17 best ointments for hemorrhoids: advantages, applications and prices

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.

4 Aurobin

Aurobin

An ideal remedy for the treatment of advanced hemorrhoids. If the patient does not start treatment in the early stages of the disease, then the doctor usually prescribes this very expensive drug. The ointment is considered by people with the third stage of the disease. However, it may be suitable even when the first symptoms of the disease appear, however, it will not be as effective, and rather even unnecessary. The product is used to treat external hemorrhoids. Panthenol in the composition will promote rapid healing of mucosal cracks, and lidocaine will relieve pain. For the exact dosage and number of daily applications, the manufacturer recommends consulting a proctologist.

Reviews after using the medicine are mostly positive. If the drug is not suitable for the patient, it is solely due to individual intolerance to the components. In some cases, it results in the appearance of even more cracks. Therefore, you cannot “prescribe” Aurobin ointment for yourself.

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.

1 Proctosan

Proctosan

One of the most famous remedies for the treatment of hemorrhoids was also included in the ranking of the best. The consistency of the product is quite liquid, more like a cream. This means that Proctosan is quickly absorbed and begins to act from the first minutes of use. The drug can be used to treat both external and internal ailments. In the latter case, the manufacturer recommends using a tampon soaked in medication. The ointment begins to act quickly enough, so its independent use after 10 days of applying bandages is pointless and even dangerous. If the illness does not subside, you should immediately consult a doctor.

Reviews confirm the effectiveness of the best inexpensive remedy for hemorrhoids. The product is well tolerated even by allergy sufferers, despite the likelihood of urticaria and other skin diseases.

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.

Which candles are the most effective?

Here are the drugs with the best reviews for use in the first stage of hemorrhoids. We will tell you which suppositories for hemorrhoids are the most effective for women and men, their names, and also which suppositories are best for children.

1. Methyluracil. This drug has a good anti-inflammatory effect. Almost all patients who used this drug noted remission. The drug accelerates healing and promotes tissue regeneration. Also, which is very important, these suppositories for hemorrhoids are inexpensive, costing less than a hundred rubles.
2. Nigepan. These suppositories have an analgesic and anti-inflammatory effect, and also promote the lysis of blood clots. Their cost is slightly higher, but the drug is no less accessible.
3. Proctosan. Candles have a natural composition. They have an analgesic, anti-inflammatory effect, reduce itching, eliminate bleeding from the veins of the hemorrhoid, and promote rapid healing.

Candles for severe pain syndrome

If painkillers are still ineffective, doctors advise using the following medications:

1. Proctosedyl M. A drug with an analgesic, anti-inflammatory effect, has a hormonal component and antibacterial properties. Thanks to the active components in the composition, all symptoms characteristic of hemorrhoids are eliminated in the shortest possible time.
2. Procto-glivenol. Eliminates pain and also relieves patients from itching. The drug helps improve blood flow in the hemorrhoidal node and eliminates swelling.
3. Relief Advance. Suppositories for hemorrhoids with vegetable oils that eliminate pain and have an anti-inflammatory effect.
4. Relief Ultra. In addition to pain-relieving components, it contains hormonal components, which makes it possible to more effectively combat the manifestations of hemorrhoids. The cost of this drug is higher, but justified.
5. Hepatrombin G. The effect of the drug occurs very quickly. Within a minute it eliminates itching and pain in the anal area. It contains the hormonal drug Prednisolone. The drug is symptomatic, so its effect is not long-lasting.

inexpensive suppositories for hemorrhoids

Suppositories for hemorrhoids complicated by bleeding

Suppositories for hemorrhoids are inexpensive and effective in stopping bleeding. These include:

1. Relief. One of the most effective drugs. In addition to having a hemostatic effect, it also has an anti-inflammatory effect.
2. Anestezol. Stops bleeding and relieves pain. Its advantage is its low price.

Inexpensive suppositories against hemorrhoids

Often, suppositories for hemorrhoids are the most effective for men, the names above are expensive. Is it possible to find cheaper analogues? Yes! And we will definitely tell you about them further.

1. Belladonna extract. This drug contains only herbal ingredients. It has a good anti-inflammatory and analgesic effect, but with more severe symptoms the drug is ineffective.
2. Betiol. These suppositories have an antispasmodic and analgesic effect. They can also be purchased at an affordable cost.
3. Ichthyol. A drug with an analgesic and antiseptic effect. Cheap and effective.

Attention! Suppositories for hemorrhoids for children, pregnant and lactating women, people prone to allergies, and nervous disorders are used strictly as prescribed by a doctor and under his direct supervision.

Suppositories for hemorrhoids for pregnant women and lactation

Most suppositories for hemorrhoids are contraindicated for pregnant women and during breastfeeding. After preliminary consultation with a doctor, Posterisan, Betinol, Olestezin and Neo-Anuzol can be used in the first trimester of pregnancy. In the second trimester of pregnancy, with extreme caution, doctors prescribe Relief Advance and Gepatrombin G.

Candles for treating children

Pediatricians in children recommend using only inexpensive suppositories for hemorrhoids with natural oil ingredients, especially sea buckthorn oil. They have an anti-inflammatory effect and promote healing and tissue renewal. Such candles have one drawback - an orange color, which stains underwear and bedding. It is not easy to wash, almost impossible.

Suppositories after surgical removal of hemorrhoids

At more advanced stages, surgical treatment is prescribed - hemorrhoidectomy, which consists of surgically removing the hemorrhoid followed by suturing. Treatment after surgery should be multicomponent. First of all, after surgery it is necessary to eliminate pain, inflammation, prevent postoperative bleeding and other complications.

One of the most recommended drugs in the postoperative period is suppositories for prolapsed nodes Methyluracil. The drug has minimal side effects, is very safe and effective. Promotes a speedy recovery and rapid tissue regeneration due to the fact that it has the following properties: anti-inflammatory, anabolic, regenerative and leukopoietic, and there is also an immunomodulator effect to some extent.

Also, after surgical treatment, doctors prescribe the most effective suppositories for hemorrhoids for women and men: Ultraproct, Posterisan Forte, Natalsid, Relief, Gepatrombin G.

From a series of drugs with natural ingredients, Sea Buckthorn Suppositories and Propolis have analgesic and anti-inflammatory properties.

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.

Non-surgical treatment of acute and chronic hemorrhoids

G

Emorrhoids are one of the most common human diseases.
Although there are no exact statistics on this matter, there is every reason to believe that up to 80% of the adult population suffers from hemorrhoids
. Patients with this disease often seek help not only from coloproctologists, but also from specialists related to the treatment of diseases of the gastrointestinal tract, i.e. internists and gastroenterologists. The ability to correctly diagnose and choose adequate treatment tactics is the main task of a doctor.

Etiology

In the light of modern concepts, hemorrhoids are based on the pathology of cavernous vascular plexuses that arise during normal embryogenesis in the submucosal layer of the distal part of the rectum. There are two theories explaining the development of hemorrhoids: “mechanical” and “hemodynamic”.

According to the “mechanical” theory, hemorrhoids are formed as a result of distal movement of the anal ridges. The latter are a normal anatomical structure and play an important role in retaining the contents of the rectum. The venous plexuses, contained in their submucosal layer, are normally fixed by connective tissue fibers of the longitudinal muscle, and below by the ligament of Parks. As intra-abdominal pressure increases, the ridges move distally. With prolonged straining and other unfavorable conditions, accelerated natural wear of the fixing apparatus occurs. Fiber rupture, degenerative and dystrophic changes are observed. Hemorrhoids increase in size and fall out of the anal canal. According to the “hemodynamic” theory, the formation of nodes is facilitated by stagnation of venous blood, which occurs as a result of mechanical obstacles (hard feces, its constant presence in the ampulla of the rectum) and the lack of relaxation of the internal sphincter during defecation. The reverse flow of venous blood is aggravated by the opening of arteriovenous shunts and spasm of precapillary arterioles. Apparently, both mechanisms are equally involved in the genesis of hemorrhoids. However, venous congestion more often causes thrombosis of nodes, and increased arterial blood flow and the opening of shunts lead to bleeding, varicose veins and inflammatory changes in the rectal mucosa. Predisposing or resolving factors include insufficient dietary fiber, constipation and straining during bowel movements, sedentary lifestyle, hot baths, heavy lifting, pregnancy and childbirth. Loose stools, abuse of laxatives, enemas, excessive anal hygiene, and spicy foods also have a negative impact.

Clinic

Characteristic manifestations of hemorrhoids are bleeding from the anus and prolapse of hemorrhoids.

.
The blood is bright red, without clots. The patient notices its presence most often in the toilet. It is released in drops or streams during bowel movements. Blood is never mixed with feces, as is the case with inflammatory diseases of the colon, and is absent from toilet paper, which is typical for an anal fissure. When hemorrhoids prolapse, blood may stain your underwear. Very rarely, the blood may become dark in color and appear in clots. This occurs due to the accumulation of blood in the ampulla of the rectum and its release during subsequent bowel movements. Pain and discomfort are usually associated with thrombosis of nodes or anal fissure. Anal itching
is a symptom that occurs for many reasons.
These include insufficient hygiene after defecation, fecal contamination of linen, prolapse of nodes with or without mucous discharge. Typically, such a patient complains that after defecation he has to repeatedly use toilet paper in order to properly clean the anus. Sometimes the patient experiences perianal edema due to the filling of the external venous plexus with blood or thrombosis of the external hemorrhoids. Since internal hemorrhoids are covered with columnar epithelium, trauma leads to inflammation and copious secretion of mucus
. The predominance of certain symptoms in the clinical picture of the disease will dictate the choice of appropriate drugs for local treatment.

Clinically, hemorrhoids manifest themselves in two main syndromes:

chronic and acute. These syndromes are phases of the same process. For the first stage of chronic hemorrhoids, a characteristic sign is the discharge of blood from the anal canal without prolapse of hemorrhoids. The second stage is accompanied by the loss of nodes, which are independently retracted into the anal canal. A distinctive feature of the third stage is the need for their manual reduction. Prolapse of nodes occurs not only during bowel movements, but also during heavy lifting and coughing. The fourth stage is characterized by constant loss of nodes and the impossibility of their reduction into the anal canal. With each stage, the symptoms become more diverse. By this time, the connective tissue frame of the anal ridges is significantly damaged and cannot be restored. This classification makes it possible in practice to select a treatment method. The basis for the development of an acute process is thrombosis of hemorrhoids - internal or external.

Treatment

Indications for conservative treatment are the initial stages of chronic hemorrhoids and the acute uncomplicated course of the disease. At the first stage, preference is given to drug treatment or infrared photocoagulation. In the second stage, drug treatment is still acceptable, but ligation with latex rings is considered an alternative. It is also acceptable in the third stage, but in the fourth stage the only adequate treatment method is hemorrhoidectomy. It should be noted that currently minimally invasive methods of treating hemorrhoids have become widespread. They provide a positive effect in 88% of cases, are associated with a low risk of complications, are painless and can be performed on an outpatient basis without loss of ability to work.

Conservative treatment of hemorrhoids

Includes general measures in the form of diet, careful personal hygiene, physical activity, taking analgesics, non-steroidal anti-inflammatory drugs, systemic venotonics, as well as local treatment with combination drugs.

Regardless of the type of hemorrhoids, special attention should be paid to simple hygiene practices

. These include refusing to use toilet paper, using baths or showers at a comfortable temperature with washing both the perianal skin and the anal canal itself with plain water without soap or other detergents. Eliminating fecal contamination reduces inflammation and itching, and warm water relieves pain associated with sphincter spasm.

Some types of exercise

that help eliminate venous stasis, for example, swimming or gymnastics.

It is very important to regulate stool consistency and frequency

. Diarrhea and constipation are equally unacceptable. In case of stool retention and strained bowel movements, irritating laxatives should be avoided. Patients are recommended to increase their intake of plant fiber (vegetables, fruits) and fluids. Additionally, wheat bran, microcrystalline cellulose or other hydrophilic colloids are included - seaweed, flaxseed. It is recommended to take preparations from plantain seeds or macrogol 4000. The choice is quite individual. These drugs are useful both during exacerbation of hemorrhoids, and in preparation for surgery, and in the postoperative period. In controlled studies, plantain seeds - Plantago ovata - have been shown to effectively reduce the incidence of bleeding and other symptoms of stage 1 and 2 hemorrhoids, but have no significant effect on the size and blood supply of hemorrhoids (Perez-Miranda et al., 1996). Patients with diarrhea are prescribed astringents, loperamide, hydrophilic colloids in combination with oral hydration. Drinking alcohol, spicy food, tea or coffee is prohibited.

An important element of the treatment program is the use of phlebotropic drugs

. This should include preparations from horse chestnut fruits, troxerutin, rutoside, escin and others. Purified micronized diosmin has been better tested in clinical trials, which effectively reduces the clinical manifestations of acute and chronic hemorrhoids, and also prevents its exacerbations (Godegere, 1994; Meyer, 1994). Drugs in this group increase the tone of the veins and the speed of lymph flow, improve microcirculation, and reduce capillary permeability caused by ischemia and inflammatory mediators. It should be noted that micronized diosmin can be safely used for acute hemorrhoids in pregnant women (Buckshee et al., 1997), in whom outpatient surgical treatment is contraindicated. The drug is prescribed 4-6 capsules for 7 days, but treatment can be prolonged - 2 capsules per day for many months.

multicomponent ointments and suppositories are widely used.

. Almost all of them include anti-inflammatory, antimicrobial, sclerosing, anticoagulant agents, anesthetics, venotonics and reparants in various combinations. The optimal composition of agents for topical treatment of hemorrhoids has not been precisely established. It remains not entirely clear whether the presence of anticoagulants, antibiotics or anesthetics in the composition has a significant impact on the therapeutic effectiveness, whether they potentiate each other, whether they are necessary and, therefore, mandatory components of therapeutic drugs. In our study (unpublished data), we compared the therapeutic effectiveness of well-known antihemorrhoidal ointments - aurobin, proctosedyl and Hepatrombin G in identical groups of patients with acute hemorrhoids of the first and second stages. The choice of these drugs was determined by the fact that each of them contained a different component. Thus, Hepatrombin G and proctosedyl contained heparin, proctosedyl and aurobin contained an antimicrobial agent, Hepatrombin G and aurobin contained an anesthetic. Thus, Hepatrombin G should be used for conditions such as:

- external and internal hemorrhoids;

— thrombophlebitis of hemorrhoidal veins of the anus;

- fistulas, eczema and itching in the anus;

- anal fissures;

— preparation for surgical intervention in the anorectal area;

- as part of combination therapy for thrombosed and operated hemorrhoids.

The ointment can be applied to the affected areas or inserted into the rectum using a screw-on tip.

When using the drug in recommended doses, no toxic effects are observed.

As the results of the study showed, Hepatrombin G reduced the frequency of bleeding from 80% to 5% within a week.

. Pain and inflammatory manifestations in the nodes and anal canal quickly subsided, and thrombosis of the nodes decreased. Excellent and good results according to the survey of doctors and patients were 90% and 85%, respectively.

If we evaluate the efficiency and cost indicators

, then
undeniable advantages were on the side of Gepatrombin
G.

The conducted study emphasizes the need for a conscious choice of certain agents for local therapy, taking into account their composition and clinical manifestations in a particular patient. In case of thrombosis of external nodes and prolapse of internal nodes, preference should be given to ointments. Suppositories are indicated only for hemorrhoids in the initial stages. They should not be pushed into the ampulla of the rectum, but held by hand until they melt completely into the anal canal. For pain, drugs with lidocaine are prescribed, for predominant inflammatory changes - with corticosteroids (Hepatrombin G, aurobin), for thrombosis - with heparin (Proctosedyl, Hepatrombin G), for swelling and enlargement of nodes - with venotonics. In patients with erosive sphincteritis and anal itching, in order to accelerate reparative processes, drugs that have an immunostimulating effect and improve tissue regeneration are used. Adverse reactions occur rarely. However, you should refrain from long-term use of corticosteroid ointments due to the dryness and microcracks they cause in the anal canal, with infectious diseases of the perianal skin, and during pregnancy. Ointments and suppositories are administered 4-6 times a day during the acute period of the disease for 2-3 weeks.

Two days before surgery and for 2 weeks after it, lactulose is prescribed (20 ml twice a day); administer suppositories with diclofenac 50 mg 3 times a day, as well as 0.2% nitroglycerin ointment; prescribe metronidazole 400 mg 3 times a day for a week; paracetamol and dehydrocodeine as indicated (Carapeti & Phillips, 2000).

Thus, the choice of treatment method for hemorrhoids is determined by the stage of the disease, the severity and nature of the symptoms.
Treatment is carried out as a complex of general measures of medicinal and non-medicinal nature. In this case, the option of modern therapy must necessarily include a combination of systemic venotonics, for example, micronized diosmin, and local treatment agents, for example, Hepatrombin G. The same measures are acceptable before preparing for ligation of nodes with latex rings and hemorrhoidectomy. It is necessary to realistically imagine the purpose and possibilities of conservative treatment, and not try to treat conservatively when the only way to relieve the patient from suffering is surgery. References:
1. Buckshee K., Takkar D., Aggarwal N. Micronized flavonoid therapy in internal hemorrhoids of pregnancy. Int J Gynaecol Obstet, 1997, 57, 145-151.

2. Carapeti EA, Phillips RKS Treatment of hemorrhoids. In: J.Beynon, NDCarr (eds): Recent advances in coloproctology, Springer-Verlag London Limited, 2000, 155-166.

3. Godegere P. Daflon 500 mg in the treatment of hemorrhoidal disease: a demonstrated efficacy in comparison with placebo. Angiology, 1994, 45, 574-578.

4. Meyer OC Safety and safety of Daflon 500 mg in venous insufficiency and in hemorrhoidal disease. Angiology, 1994, 45, 579-584.

5. Orkin B., Schwartz AM, Orkin M. Hemorrhoids: what the dermatologist knows. J Am Acad Dermatol 1999, 41, 449-456.

6. Perez-Miranda M., Gomez-Cenelilla A., Lean-Colombo T. et al. Effect of fiber supplements of internal bleeding hemorrhoids. Hepato-Gastroenterology, 1996, 43, 1504-1507.

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.

Treatment methods for hemorrhoids and anal fissures

To eliminate the causes that caused the formation of hemorrhoids and anal fissures, an integrated approach is required. Of primary importance in this case is the normalization of nutrition and the prevention of constipation, which consists of enriching the diet with fiber, increasing the volume of fluid entering the body and improving intestinal motility. It is also recommended to start drug treatment starting from the first stage of the disease.

By taking drugs with local and systemic effects, it is possible to eliminate the causes of hemorrhoids and anal fissures, mitigate the consequences of their negative impact on the vessels and tissues of the rectum, and eliminate the symptoms of the disease.

Preparations for oral administration

Tablets for hemorrhoids and anal fissures are divided into several groups, each of which has a specific area of ​​influence:

• drugs that strengthen vascular walls and make them less permeable - Detralex, Ginkor forte, Phlebodia 600, Venarus, Troxevasin;
• medications that stimulate mucosal regeneration - Litovit B;
• painkillers and anti-inflammatory drugs - Diclofenac, Ketoprofen, Indomethacin;
• drugs that stop bleeding (hemostatics) - Vikasol, Dicynon, Etamzilat;
• laxatives - Lactulose, Duphalac, Macrogol 4000 and others.

The main feature of drugs for oral administration is the complex restoration of processes occurring in the body and the possibility of adverse reactions. They are good for eliminating the underlying causes of the disease and relieve symptoms not very actively. Their use requires a doctor's approval.

Rectal suppositories

Rectal suppositories are topical preparations. Their use for hemorrhoids and anal fissures helps relieve symptoms of the disease, improve the condition of the hemorrhoidal plexuses, as well as reduce inflammation and accelerate tissue regeneration.

The following suppositories are considered the most popular and effective:

• Proctosan;
• Posterisan;
• Poctosedyl;
• Natalsid.

The main advantage of rectal suppositories is the absence of a systemic effect on the body. In most cases, they do not affect the condition of internal organs in any way. Another advantage of suppositories is ease of use. To improve the condition, they are used before bed once a day, rarely - twice a day.

Ointments for hemorrhoids and fissures

Using ointment for hemorrhoids and fissures is much more convenient than, for example, suppositories. In terms of the strength of their effect on the vessels and mucous membrane of the rectum and anus, they are not inferior to oral drugs, but differ from them in the absence of a systemic effect on the body.

Pharmaceutical companies produce several dozen ointments for hemorrhoids and fissures, among which the following drugs are considered the most effective:

Any ointment for hemorrhoids and fissures is prescribed by a doctor, since the drugs listed in the table have contraindications and indications that must be taken into account when prescribing them to an individual patient.

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.

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).

What ointment is allowed during pregnancy and after childbirth?

Pregnancy is an absolute contraindication for the use of most remedies for hemorrhoids. You can read more about this in the annotation to the drug. However, there are medications for topical use that are approved during pregnancy and after childbirth; they are listed in the table. These drugs should be selected together with a proctologist. A brief description of medicines and features of use are provided.

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.

What are hemorrhoids and anal fissure

Hemorrhoids are varicose veins of the hemorrhoidal plexuses located under the mucous membrane of the rectum. The localization of nodes can be internal or external, depending on which vessels have undergone changes. Anal fissure is a common companion to hemorrhoids. Occurs on the mucous membrane of the rectum, mainly on the back of the anal sphincter.

Symptoms of the disease include acute pain during defecation, bleeding, itching and burning in the rectum (at the initial stage - after defecation, at stages 3-4 - at any time, including at rest).

An anal fissure is characterized by pain in the anus after defecation, which can persist for a long time - from a few minutes to 12 hours or longer. In addition, anal fissure is characterized by scanty bleeding during bowel movements and small traces of blood on toilet paper. Severe bleeding is extremely rare.

Externally, internal hemorrhoids look like protrusions of a red or bright pink color, external hemorrhoids look like round, elastic-soft formations near the anus, which become bluish in color when thrombosis occurs. An anal fissure is a rupture of the mucous membrane of the anal canal, in most cases it is located along the posterior surface, the rupture of the mucous membrane has the shape of a triangle with the base outward.

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.

Pros and cons of ointments

The main advantages of ointments are:

1. Thanks to the medicinal components included in the ointment, pain, itching, burning in the anal area are quickly relieved, bleeding stops, and the regeneration of anal fissures is also accelerated.
2. Most ointments for hemorrhoids are made with petroleum jelly and lanolin. There can be several active substances, which expands their spectrum of action.
3. When treating hemorrhoids, ointments differ from other medications in their simplicity and ease of use.
4. In addition, ointments have a local effect, and not a systemic effect, as in the case of treatment with tablets, which means that there will be significantly fewer side effects from use. For this reason, ointments are most often chosen when treating hemorrhoids in women during pregnancy or breastfeeding.

The disadvantages include:

1. The most common drawback of all ointments is their high fat content, due to which the ointment takes a long time to be absorbed into the anal tissue and leaves greasy stains on clothes.
2. Please note that treatment with ointments alone will only eliminate the symptoms and not the cause of hemorrhoids. Therefore, treatment must be comprehensive!