Treatment of proctitis with suppositories: a list of effective suppositories

Proctitis is an inflammation of the inner lining of the rectum. It captures individual segments or spreads higher to the sigmoid region, passes through the wall and causes paraproctitis. Suppositories for proctitis produce an effect in different locations and types of disease. At the same time, they help get rid of the causes of damage (infections, parasites, perineal diseases, consequences of anal sex, foreign bodies, injuries). Radiation proctitis, which develops against the background of exposure to radioactive agents and low immunity, requires special attention.

What is proctitis?

The causes of the disease are:

1. Poor nutrition and frequent consumption of spicy and fried foods lead to irritation of the mucous membrane. There is an increased secretion of mucus, which contributes to inflammation.
2. Traumatic mechanical effects on the intestinal walls. May be caused by constipation or inaccurate medical procedures.
3. Various infectious diseases.
4. The presence of parasites in the body. Parasitic infestations provoke inflammation.
5. Impaired blood supply to the intestinal walls, which is a consequence of various diseases.
6. Radiation therapy prescribed for malignant tumors.
7. Various diseases of the digestive system, which are characterized by incomplete digestion of food. Undigested particles injure the mucous membrane, which causes inflammation. Some gastrointestinal diseases are accompanied by excessive secretion of enzymes. It also negatively affects the surface of the rectum.
8. Benign and malignant neoplasms of the rectum and pelvic organs.
9. Intoxication of the body caused by alcohol, nicotine, medications, chemicals.

Symptoms and treatment of proctitis with suppositories (and which ones the doctor will prescribe) are determined after the cause is discovered and eliminated.

Causes of the disease

The main group of reasons leading to the development of proctitis:

• intestinal infections;
• presence of syphilis;
• the appearance of parasitic diseases;
• the appearance of nonspecific inflammation;
• the presence of various disorders in the rectum;
• eating foods that are low in nutrients;
• gonorrheal proctitis - during this disease in women, bacterial cells penetrate the rectum from the vagina;
• the appearance of tuberculosis - bacterial cells enter the rectum along with the bloodstream, as well as through wounds, and a person develops ulcers and fistulas.

In addition, the development of proctitis is provoked by some diseases:

• the presence of cancerous tumors in the rectum;
• long-term radiation exposure and the effects of toxic substances;
• presence of autoimmune diseases;
• diseases localized in the gastrointestinal tract are hepatitis, as well as cirrhosis, cholecystitis, pancreatitis, the development of gastritis, peptic ulcers, dysbacteriosis;
• diseases of the circulatory system - the development of hemorrhoids, varicose veins, as well as thrombophlebitis, cardiac and venous insufficiency.

Symptoms

Symptoms of the disease:

1. Discharge from the anus of blood and mucus. In severe cases, there may be purulent discharge.
2. Constipation. May be caused by psychological problems. The patient, fearing pain, puts off going to the toilet. This leads to constipation.
3. Diarrhea.
4. False urge to stool.
5. Itching and burning in the anal area.
6. Pulling pain that spreads to the lower back, lower abdomen, and perineum. Sometimes it is difficult to determine the location of the pain.
7. Sharp pain that occurs during defecation.
8. Increased body temperature.
9. Paleness of the skin.
10. General weakness, fatigue.

As soon as the symptoms and treatment of proctitis with suppositories (effective and inexpensive) are determined, they begin to directly use the drugs.

Prevention

Primary prevention of proctitis includes following a healthy, balanced diet. It is strongly recommended not to abuse alcohol, as well as fried and spicy foods, various spices and herbs. It is equally important to strictly observe the hygiene of the genitals and anal area. When having sexual intercourse, it is mandatory to use barrier contraception. At the first signs of inflammatory diseases in the pelvic area, you should consult a doctor as soon as possible.

If competent therapy has been carried out and remission has been achieved, proper personal hygiene and a healthy lifestyle in general will also help to avoid further exacerbations. Persons with an increased risk of developing the disease in question need to monitor bowel function and stool, as well as the condition of the genitourinary system.

"Proctosan"

Proctitis can be treated with inexpensive suppositories using Proctosan. This is a drug for the treatment of proctitis and other diseases of the excretory system, which has an anti-inflammatory, antimicrobial effect and eliminates anal itching. Its use is permissible only under the supervision of a proctologist in a strictly prescribed dosage. Excessive or uncontrolled use of rectal suppositories, ointments (other medications) can lead to a worsening of the condition and the development of other related diseases of the gastrointestinal tract.

Due to the active components that make up Proctazan, it is capable of:

• eliminate swelling, reduce inflammation, relieve redness;
• restore the natural barrier of the skin and intestinal mucous membranes;
• activate the natural process of resistance to harmful viruses and bacteria;
• create a protective barrier that prevents complications and the development of ulcers.

Contraindications

The most important contraindications for use are allergic reactions to one or more components of the drug and the presence of sexually transmitted infections.

In the first case, instead of getting rid of pain and discomfort, the patient will receive a bunch of additional symptomatic complications in the form of burning, unbearable itching, and cracks in the skin.

In the second, dangerous manifestations of diseases such as syphilis or gonorrhea will not be detected in time, which will entail the development of foci of pathology.

Surgery

In some cases, surgery is indicated. It is resorted to in case of complications: in cases where proctitis turns into paraproctitis, that is, the inflammatory process spreads to fatty tissue.

Surgical intervention is performed when the lumen of the rectum narrows, the appearance of neoplasms, or nonspecific ulcerative colitis. Surgical methods are also used if the inflammation cannot be eliminated with medication for a long time.

"Natalsid"

Which suppositories to choose for the treatment of proctitis at the initial stage? For advanced stages, you can use domestic rectal suppositories “Natalsid”, which are considered the safest and most effective remedy. The safety and effectiveness of suppositories is due to the fact that they contain brown algae extracts, which not only reduce the inflammatory process, but also accelerate the healing of wounds, and almost immediately stop bleeding.

Due to their natural composition, these rectal suppositories do not have any negative effects on the body, so even older people and pregnant women can use Natalsid.

Treatment of a disease at an advanced stage with Natalsid suppositories will be more effective only if the doctor prescribes individual treatment, and the entire treatment course can last one or two weeks. It should be noted that in some cases, to relieve all symptoms of proctitis, a longer period of therapy may be required, which should be monitored by a doctor.

For successful treatment of proctitis, reduction of the inflammatory process and complete elimination of unpleasant symptoms, it is very important to use two rectal suppositories daily and only after bowel movements.

With advanced proctitis, treatment with rectal suppositories alone may be ineffective, so the doctor will most likely include some additional medications in the treatment course.

Folk remedies

For inflammation of the rectum, remedies from the arsenal of traditional medicine have proven themselves to be effective:

1. Sitz baths - pour half a glass of horsetail herb into a liter of boiling water, leave for ten minutes, strain and pour into the bath. Take for thirty minutes.
2. Microclysters from a tablespoon of a three percent solution of boric acid and a tablespoon of calendula infusion. The procedure is performed before bed every day.
3. Use calendula decoction two tablespoons three times a day. To prepare it, pour two tablespoons of flowers with boiled water and heat for fifteen minutes in a water bath. You can perform microenemas with this product by diluting a teaspoon of infusion in a quarter glass of water.

"Methyluracil"

Drug therapy for proctitis is aimed primarily at relieving the anti-inflammatory process, restoration and accelerated regeneration of damaged anal tissue. To eliminate the above-described pathological processes characteristic of proctitis, it is recommended to use the drug “Methyluracil”, which stimulates the production of leukocytes and strengthens the immune system, relieves inflammation well and heals cracks in the anus.

Contraindications to the use of Methyluracil are tumors, cancer, and individual intolerance. Also, the drug is not prescribed for the treatment of children under three years of age.

"Methyluracil" is available in the form of suppositories, ointments and gels. When using the product for proctitis, there are some features, namely:

• before using suppositories, it is necessary to empty the intestines and rinse the anus with cool water;
• to avoid contraction of the anus during insertion of the suppository, this should be done with wet fingers;
• After inserting the suppository, you need to stay in a horizontal position for at least half an hour.

For proctitis, the following dosage is recommended: 1 or two suppositories 3 or 4 times a day; for children over three years old, the dosage is halved.

List of effective suppositories for the treatment of proctitis and rules for their use

In candle therapy, you need to know the rules of administration. The best effect is expected after cleansing the intestines, sitz baths with antiseptic solutions, herbal decoctions, and washing. Since the rectal mucosa is extremely vulnerable, you need to insert the candle with washed hands and gradually push it into the depth by 2/3 of a finger.

After the procedure, it is recommended to lie down for 20-30 minutes at rest so that the drug is absorbed into the tissue. The most convenient time is before bed. The doctor will select the best option and frequency. Only in extremely severe cases are strong drugs immediately prescribed.

Candles with sea buckthorn oil

Suppositories for proctitis with sea buckthorn oil contain active biological elements to fight inflammation and stimulate local immunity. Their antitumor properties have been proven, which is important in chronic diseases to prevent complications. Includes:

• vitamin complex of K, E, D, F, C, A;
• unsaturated fatty acids;
• tannins;
• tocopherols;
• magnesium;
• glycerides.

Inflammation is eliminated by the destruction of mediators (cytokine, histamine, prostaglandin). Vitamin K restores blood clotting, Vitamin C strengthens capillary walls.

Sea buckthorn oil is used to treat hemorrhoids and minor erosions.

Important! The components of sea buckthorn suppress the DNA synthesis of pathogenic microorganisms, therefore stopping the proliferation of infection in the outbreak.

For ulcerative and radiation proctitis, they are prescribed for 15 days twice a day. In the case of catarrhal form, relief of symptoms occurs after a week.

Relief

For proctitis, suppositories for treatment from the Relief series are correctly prescribed only by a doctor. Relief, Relief Advance and Ultra have the same base - shark liver oil, but different additional components, therefore they differ in indications.

Unique healing substances have been discovered in shark fat:

• amino acids - restore destroyed proteins of tissues and blood vessels;
• Omega-3 polyunsaturated acid - regulates lipid metabolism in cells;
• a combination of fat-soluble vitamins and microelements ensures the process of energy formation;
• squalene is a complex biochemical compound that provides fish with the opportunity to obtain oxygen under water; when applied topically, it stimulates healing, delays cell aging (atrophy), produces a good antioxidant effect, and kills bacteria.

The composition of Relief is supplemented with phenylephrine hydrochloride. It is an α-adrenergic agonist that contracts small vessels. Therefore, the effects of shark oil include a hemostatic effect, pain relief, and improved outflow from the veins of the rectum. The property is useful for erosive and ulcerative proctitis with a tendency to bleeding.

Important! Rapid absorption helps to achieve results within 5 minutes after administration and lasts about two hours. Spasm of coronary vessels is excluded. Candles are prescribed 1-2 times a day. The course of treatment is chosen by the doctor. Exceeding the dose contributes to dangerous manifestations: increased pressure (arterial and intraocular), decreased pulse.

First of all, patients with proctitis and concomitant diseases may suffer:

• thyrotoxicosis and tumors of the endocrine glands;
• hypertension;
• severe atherosclerosis;
• glaucoma.

When prescribing the drug, the proctologist explains the negative properties to patients and suggests sticking to the exact dosage.

For widespread proctosigmoiditis, intense pain, postoperative inflammation of the intestine, suspected paraproctitis, fissures, stronger suppositories are indicated - Relief Advance (with benzocaine) and Relief Ultra (with cortisone acetate and zinc sulfate). Their course use is limited to a week. For long-term treatment, the doctor recommends switching to Relief.

Salofalk

The active ingredient in Salofalk suppositories is mesalazine. The substance produces a local anti-inflammatory effect by normalizing phagocytosis, blocking the synthesis of inflammatory stimulants due to its antioxidant effect.

Suppositories are used to treat ulcerative colitis and proctitis. In addition to suppositories, rectal suspension and foam for microenemas are produced.

The drug is contraindicated in the following diseases:

• renal and hepatic failure (caution is required in case of respiratory dysfunction);
• exacerbation of peptic ulcer;
• tendency to bleed;
• treatment of children under 2 years of age.

Adults are prescribed three suppositories of 500 mg and 2 suppositories of 250 mg three times a day. The course of therapy is 4–6 weeks. Due to the possibility of negative effects, a blood test is checked for formula (helps suppress all types of hematopoiesis), protein content (causes hypoproteinemia). Blood, protein, and salt crystals may appear in the urine. In case of overdose, the patient experiences tachycardia, fluctuations in blood pressure, pain in muscles and joints.

Suppositories with propolis

Propolis DN suppositories based on a beekeeping product have natural anti-inflammatory properties for proctitis due to:

• destruction of pathogenic bacteria, fungi, viruses without affecting beneficial microflora;
• reducing pain sensitivity;
• removal of toxins;
• enhancing the effect of antibiotics (if prescribed simultaneously);
• activation of phagocytosis;
• accelerated healing of cracks, ulcers, erosions with the formation of elastic scars.

Important! Suppositories have a hemostatic and antitumor effect, relieve allergic swelling of the mucous membrane. Each candle contains 0.5 g of pure propolis. Courses of 10 days are used with administration three times a day. Apart from individual intolerance, no negative effects are noted.

Proctosan

Proctosan contains 3 active substances:

• bufexamac - blocks the production of prostaglandins (inflammatory mediators);
• bismuth and titanium salts - astringent, promote the healing of erosions and ulcers on the surface of the mucosa;
• lidocaine is an anesthetic.

Suppositories are contraindicated for women during pregnancy and breastfeeding, children at any age, and with individual sensitivity. It is recommended to administer 1 dose twice a day for up to 10 days.

Natalsid

In Natalsid suppositories, the active ingredient is sodium alginate, obtained from sea brown algae, so the drug is classified as natural. Used as an anti-inflammatory, hemostatic and healing agent in the local treatment of proctosigmoiditis, hemorrhoids, fissures. Prescribed as a suppository twice a day for 1-2 weeks.

Other less popular candles

To treat proctitis, various suppositories with an anti-inflammatory effect are used.

Methyluracil suppositories - the chemical component is an intense stimulator of epithelial growth. In the catarrhal form of proctitis they are not needed. Indicated in cases of damage to the mucous membrane. Accelerate the process of overgrowth of ulcers with granulation tissue. The product activates metabolism and immunity at the intestinal level.

Important! Methyluracil suppositories are especially effective for radiation proctitis against the background of suppressed hematopoiesis and immunity. Do not use for concomitant lymphogranulomatosis and leukemia. Recommended dosage: one suppository 3-4 times a day, the course lasts up to four months.

Ultraproct - contains a combination of fluocortolone and cinchocaine. Prescribed in severe cases, 1-2 suppositories per day for a week. With proctitis, caution is required, since it is possible to suppress not only the infiltration process, but also the growth of granulations in the tissues. It is more indicated for the treatment of hemorrhoids and rectal fissures, conditions after surgery. Do not use in the first trimester of pregnancy if the components are intolerant.

Hemo-Pro is a homeopathic remedy made from bioactive natural ingredients (sea buckthorn oil, propolis, mud extract from Lake Tambukan, comfrey, St. John's wort, rue). Benefits for proctitis are provided by local anesthesia, antimicrobial and antifungal activity, elimination of inflammation, acceleration of mucosal regeneration and ulcers. It is prescribed at night for a course of 10-30 days.

Ichthyol candles are made from peat deposits and contain sulfur compounds. Effectively eliminate pain, dry out tissue exudation, and relieve inflammation.

Calendula DN suppositories include healing plant extract. The drug helps well with the initial symptoms, catarrhal form of proctitis, and eliminates spastic muscle contractions.

Contraindications and side effects

The main contraindications are: chronic kidney disease, liver disease, polyps, neurological disorders and problems with the central nervous system. A number of components indicated in the composition can provoke an exacerbation of complex polyvalent diseases and cause irreparable harm to the body.

Pregnancy and breastfeeding also exclude the use of hormone-containing substances. They, easily penetrating the placental barrier, cause multiple changes in the development of the fetus or poison the newborn baby.

"Proctosedyl"

“Proctosedyl” is one of the most effective drugs for proctitis, since it has a complex anti-inflammatory, antibacterial, analgesic effect, which significantly alleviates the symptoms of the disease.

Contraindications for the use of Proctosedyl are tuberculosis, pregnancy and breastfeeding; it is not used for therapy in children. Release form: ointment and gel for external and internal rectal use.

When carrying out treatment with Proctosedyl, it is necessary to adhere to certain requirements, namely:

• before using the ointment or gel, the anal area should be washed with warm (not hot) water;
• a small amount of the drug is applied directly to the damaged areas of the anus and the area around it twice a day (usually in the morning and at night);
• in order to apply the product to deeper cracks, a special tip is placed on the tube with the drug (sold complete with the drug);
• the tip is inserted into the anus and the required small amount of “Proctosedyl” is squeezed out;
• In addition, you can apply tampons soaked in the product to the damaged areas (this is mainly done at night).

Treatment of the chronic form

Since chronic proctitis is a disease caused by pathological processes in the body, in its treatment all efforts are directed towards treating the underlying disease. During the period of remission, a number of activities are carried out to support the immune system and relieve inflammation.

• Mud therapy.
• Balneotherapy.
• Massage.
• Physiotherapy.
• Radon baths.
• Spa treatment.

If the cause is an autoimmune disease, treatment involves hormonal therapy. For sexually transmitted infections, antibiotic therapy is carried out in combination with anti-inflammatory drugs. For parasitic diseases, antiparasitic drugs are prescribed, and in the presence of complications, surgical intervention is performed.

"Salofalk"

"Salofalk" is an anti-inflammatory, antiseptic and antitumor drug, which is available in the form of tablets, microenemas, suppositories or ointments. The most effective way to treat the problem is determined by the attending physician, but the patient has the opportunity to choose, since the content of active components in each type of implementation is approximately the same. This type of medicinal substance is used to treat proctitis, Crohn's disease, prolonged diarrhea, intestinal obstruction, and so on.

"Ultraproct"

"Ultraproct" is an effective combination drug for topical use for proctitis. It is available in a dosage form such as suppositories, which are very convenient and effective to use.

The drug is able to instantly provide anti-inflammatory, analgesic, antipruritic and decongestant effects. This helps not only to combat discomfort in the anus, but also to achieve a quick positive result in treatment. An important advantage of the drug is its prolonged effect, which lasts throughout the day. To achieve the desired therapeutic effect, a single administration of suppositories per day is sufficient.

The drug has a combined effect due to the fact that it contains three unique active ingredients, which, enhancing the effects of each other, have an even more powerful therapeutic effect.

"Ultraproct" can not only be used as the only drug in the treatment of proctitis, but also be part of individually selected treatment regimens for patients, since the drug combines well with other drugs.

How to use suppositories for proctitis?

Emptying the intestines is a prerequisite before administering rectal suppositories, so that in the next 30 minutes the drug has time to have a local effect, enter the systemic bloodstream and guarantee its effectiveness. This can be done with a cleansing enema or naturally: drink a glass of water and thereby activate intestinal motility. After bowel movements, perform hygiene measures under warm running water and pat the anus dry with a towel to avoid infection in the anal canal.

After preparing everything you need (a candle in protective packaging, a dry hand napkin), you need to wash your hands and take the appropriate position. The insertion of the suppository should be done strictly on the left side with the legs tucked to the stomach or in the knee-elbow position, which will eliminate discomfort.

Treatment of the disease is often combined with taking an antibiotic. A rectal suppository for the treatment of proctitis must be inserted into the anal canal after removing the protective packaging from it, with the sharp end first. The manipulation is performed carefully so as not to injure the rectal mucosa.

After inserting the suppository, it is recommended to lie on your stomach for 20-30 minutes and under no circumstances get up. Thus, 100% delivery of the drug to its destination will be ensured. Based on the above, it is more advisable to carry out this manipulation before night or daytime sleep.

Diagnostics

In order to correctly diagnose proctitis, you need to undergo a comprehensive examination. The procedure should begin with a routine examination of the perinatal and anal area.

In the presence of acute proctitis or at the time of exacerbation of the chronic form of the pathology, the following changes are present:

• the wall of the anal canal is painted a rich red color. In some cases, cracks are determined visually with the naked eye;
• fistulous openings may be present. They are small protrusions of the skin that are painful on palpation and secrete blood or pus;
• redness of the skin in the perinatal area (around the anus).

Bleeding damage to the anus allows one to suspect the presence of acute proctitis. With a long course of proctitis in adult patients, the appearance of hemorrhoidal nodules, which are dark in color, is quite often observed. Upon examination, they may be located within the rectum or protrude from the organ cavity.