Bleeding is the most common complaint of patients with hemorrhoids, and sometimes the only one. Prolonged bleeding from hemorrhoids can lead to anemia. Therefore, patients have to systematically use hemostatic suppositories, which are especially popular in the treatment of bleeding hemorrhoids.
Patients have to systematically use hemostatic suppositories, which are especially popular in the treatment of bleeding hemorrhoids.
The most effective suppositories for hemorrhoids, doctor's reviews
External remedies for hemorrhoids help to quickly and effectively get rid of discomfort and other manifestations of the disease. The most popular of them are suppositories. Reviews from patients and doctors for the most part do not coincide about which suppositories for hemorrhoids are best. You can verify this if you go to any proctologist forum. When choosing drugs, doctors rely on their ability to eliminate the cause of the pathology, while patients tend to choose drugs that quickly reduce symptoms.
How to choose suppositories for bleeding hemorrhoids
Although many people are knowledgeable in medicine, a professional proctologist should help you choose effective hemostatic suppositories for hemorrhoids. He will make a diagnosis, competently examine and prescribe medications. If you do not want to see a doctor, the patient himself can try to choose rectal suppositories: for minor bleeding without pain, Relief is suitable, for pain relief - Proctosan, for a complex effect, choose products with propolis and sea buckthorn oil. If there is excessive bleeding, consult a doctor immediately - self-medication can cause problems.
In addition to selecting candles, it is important to learn how to use them correctly. Before insertion, empty your bowels - go to the toilet or give an enema. The latter option should be used with caution to avoid damaging the hemorrhoids, especially with the plastic enema tip. After defecation, clean the area around the anus with soap and pat dry with a soft paper towel. Remove the suppository from the packaging and insert quickly but carefully. Do not hold suppositories in your hands for a long time - they will melt. It is best to place candles before bedtime for rapid and complete absorption of the active ingredients.
What are suppositories for hemorrhoids - types and purpose
Rectal suppositories are a special dosage form that is usually used to eliminate inflammation of hemorrhoids. What distinguishes them from other pharmacological forms is:
- impact directly on the affected areas of the mucous membrane and blood vessels;
- rapid relief of symptoms;
- lack of influence on other organs and systems;
- minimal number of contraindications and side effects.
There are several types of drugs of this type, and sometimes reviews cannot name the most effective suppositories for hemorrhoids, if only because they have fundamentally different effects:
- Symptomatic - with analgesics and antispasmodics, decongestants.
- Therapeutic - containing anti-inflammatory, decongestant, hemostatic components, as well as anticoagulants, venoprotectors and venotonics.
Most topical medications for hemorrhoids contain a complex of compounds that can improve the condition of altered nodes and reduce symptoms.
Treatment of hemorrhoids during pregnancy
Every second woman suffering from inflammation of hemorrhoids developed this disease during the most wonderful period of her life - during pregnancy.
Developing in the mother's womb, the fetus affects blood circulation and intestinal function, causing various problems, including hemorrhoids. The disease may appear in the last months of pregnancy or after childbirth.
Factors that can trigger the appearance of hemorrhoids during pregnancy:
- weakness of the rectal muscles;
- tendency to constipation;
- abuse of fatty and spicy foods;
- increased physical activity.
To prevent the occurrence of hemorrhoids during pregnancy, three conditions must be met - avoidance of spicy foods, a minimum of physical activity and normalization of stool.
For mild hemorrhoidal inflammation, ointments, creams and suppositories are used, paying attention to their composition: the drugs should not have a toxic effect on the fetus.
The best option are candles:
- suppositories can be bought at any pharmacy without a prescription;
- suppositories have a complex effect - they not only relieve pain, but also help eliminate constipation and flatulence, eliminate unpleasant obsessive itching in the anus;
- are easy to use and allow a woman to take care of herself independently, even in the last months of pregnancy, when medical procedures are complicated by a protruding belly.
When do doctors recommend suppositories for hemorrhoids?
In what situation is which suppository for hemorrhoids is better, the reviews of experts actually do not differ. Doctors claim that this dosage form copes well with the task assigned to them in the initial stages of internal hemorrhoids. In this case, you do not need to use oral dosage forms and injections at all.
As for the 2nd and later stages of the disease, even good suppositories can only be used in combination with tablets, injections and other means and methods for eliminating internal hemorrhoids. Their use relieves the symptoms of hemorrhoids, exacerbation of the disease - acute thrombosis of hemorrhoids, bleeding, inflammation of the nodes.
At the 4th stage of internal hemorrhoids, when the nodes are constantly in a prolapsed state, suppositories are useless. But they can be used to relieve hemorrhoid symptoms and exacerbation.
Suppositories are used in preparation for surgical treatment of internal hemorrhoids, as well as during recovery after it. The choice of medicines is the prerogative of the doctor, since only he knows the characteristics of the course of the disease and can review the accompanying problems in the patient.
It is necessary to understand that completely solving the problem of hemorrhoids, i.e. It is impossible to radically eliminate the disease using suppositories. This remark is relevant in that often advertised remedies guarantee complete relief from the problem, while miracle cures are often quite expensive. Therefore, when choosing them, first of all, consultation with a specialist is necessary.
Price of suppositories for hemorrhoids
Suppositories can be bought in the online store or ordered through the pharmacy department using the catalog. The cost of the medicine depends on the manufacturer and the content of active ingredients. Popular inexpensive suppositories for hemorrhoids are Propolis DN for 160 rubles (six pieces per pack) and Adonis with sea buckthorn oil (250 rubles for 10 pieces). Approximate prices in rubles for other drugs are shown in the table:
Name, pieces per package | Pieces per package | Price in pharmacy | Price on the Internet |
Proctosan | 10 | 250 | 240 |
Natalsid | 10 | 320 | 311 |
Relief | 12 | 429 | 400 |
Hemo-Pro | 10 | 365 | 270 |
Prostopin | 15 | 570 | 550 |
Nova Vita | 10 | 320 | 300 |
Hepatrombin | 10 | 219 | 200 |
Gemoprost | 10 | 270 | 240 |
What suppositories are the most effective for hemorrhoids?
There are many drugs in the form of suppositories designed to treat hemorrhoids. Reviews from doctors cannot clearly name the best suppositories for hemorrhoids, since there are many indicators of their effectiveness. For some, rapid pain relief is important, and for others, a long-lasting therapeutic effect is important.
Suppositories that doctors recommend most often:
Doctors' opinions on effectiveness
Anti-inflammatory, immunostimulating, regenerating, antimicrobial and analgesic.
Highly effective, especially when used in the early stages of internal hemorrhoids.
Decongestant, anti-inflammatory, analgesic, anticoagulant.
A very good remedy, especially if there is a risk of blood clots in hemorrhoids. Indicated for use before surgery at any stage of the disease.
Anesthetic, anti-inflammatory, healing and decongestant.
Very good suppositories for the treatment of 2nd and 3rd degree internal hemorrhoids.
Anti-inflammatory, analgesic, astringent.
These suppositories are good for exacerbation of chronic internal hemorrhoids, especially if there is an inflammatory process.
Antiallergic, anti-inflammatory, decongestant, antiseptic.
The drug copes well with the manifestations of internal hemorrhoids, but has many side effects. Can only be used under the supervision of a specialist.
Regenerating, hemostatic, anti-inflammatory.
Effective, virtually harmless candles. Can be used to eliminate hemorrhoids in pregnant women.
Analgesic, anti-inflammatory, venotonic.
Efficiency is high and tolerability is good in most patients. Particularly useful for chronic hemorrhoids, as well as during exacerbations.
Anti-inflammatory, antipruritic, anesthetic.
The drug is highly effective, but has a number of side effects and contraindications. Can only be used with a doctor's prescription.
The drug is effective only for exacerbation of hemorrhoids.
Anti-inflammatory, decongestant, antipruritic, analgesic.
Good suppositories to eliminate the main symptoms of hemorrhoids.
Venotonic, anti-inflammatory, antipruritic, analgesic.
A classic drug that is effective only in the initial stages of the disease.
Venotonic, venoprotective, anti-inflammatory.
A very effective remedy that helps eliminate the cause of hemorrhoids, but does not cope with the symptoms quickly enough.
An effective remedy that is used mainly after surgery for internal hemorrhoids.
In addition to the listed drugs, doctors' reviews rate suppositories with propolis, sea buckthorn oil and heparin quite well.
What to do if candles don't help
If the disease progresses rapidly, it is not advisable to use suppositories. They can eliminate symptoms, but pathological processes persist. The result of treatment with suppositories can only bring temporary relief.
To prevent complications such as bleeding, fistula formation or inflammation, it is important to consult a doctor in time. A specialist who treats hemorrhoids is a coloproctologist (proctologist). You can also consult a therapist, and if unpleasant symptoms bother a pregnant woman, consult a gynecologist. These specialists, if necessary, can refer the patient for additional examination and an appointment with a proctologist.
Candles Natalsid
Ingredients: sodium alginate.
Sodium alginate is a substance that is made from sea brown algae.
This drug can not only stop bleeding, but also relieve inflammation and reduce pain in the anus.
Suppositories are best used for internal or combined hemorrhoids, anal fissures and the postoperative period for the purpose of recovery.
Natalsid suppositories for hemorrhoids are not prescribed to persons with hypersensitivity to their components and children under 14 years of age.
The drug can be used by pregnant and lactating women.
This drug can not only stop bleeding, but also relieve inflammation and reduce pain in the anus.
When treated with Natalsid, an allergic reaction may occur in the form of urticaria, Quincke's edema, and dermatitis.
Cost of Natalsid candles: 300-400 rubles. for 10 suppositories.
List of effective drugs
Common remedies for hemorrhoids are divided according to their effect in suppressing symptoms, active ingredients and cost. The list of popular medications is presented:
Relief
Medicine with anti-inflammatory, vasoconstrictive and regenerative spectrum of action. By reducing the lumen of blood vessels, the burning sensation and itching are reduced, and tissue restoration begins. The ointment stops bleeding and reduces the level of inflammation. The medicine is recommended for use for fissures in the anal area.
patients under 12 years of age;
Particular caution is needed when used by patients with diabetes mellitus, prostate hypertrophy, hyperthyroidism, a history of hypertension, during pregnancy or breastfeeding.
Bezornilom
The medicine has an analgesic effect and can be used to prevent the development of swelling and inflammation. The composition of the drug is presented:
musk; zinc compounds.
The medication is prescribed to patients with hemorrhoids, anal wounds after surgery, fissures and eczema of the anus. It is considered an effective remedy with an improvement in the general condition of the patient on the second day from the start of therapy.
The drug is not prescribed for individual intolerance to individual components.
Proctosan
A non-hormonal agent with the effect of suppressing inflammation and the active component bufexamac. The vismus contained in the composition stops local bleeding and has an astringent effect, and titanium accelerates the regeneration of cracked tissues.
Lidocaine relieves pain, burning and itching. The drug is not recommended for children, pregnant and lactating women, patients with syphilis, pelvic tuberculosis.
Heparin ointment
Each of the components of the drug has an individual spectrum of action:
antithrombic effect with a decrease in the inflammatory process - with heparin;
anesthetic - benzocaine;
vasodilator - benzyl nicotinate.
The medication is prohibited for use in cases of skin necrosis and damage, a tendency to spontaneous bleeding, and decreased blood clotting.
Troxevasin
The medicine reduces capillary fragility, has an anti-edematous and anti-inflammatory effect. The ointment accelerates regeneration processes at the cellular level. Hypoallergenic, does not provoke pronounced adverse reactions to the component composition. The drug is contraindicated in people with a tendency to bleeding, with a reduced rate of blood clotting and damage to the skin.
Suppositories with adrenaline for hemorrhoids
Suppositories containing adrenaline (adrenal hormone) are the most effective against bleeding hemorrhoids. Adrenaline has a pronounced vasoconstrictor effect.
Due to this, it quickly stops bleeding even in the later stages of hemorrhoids. The drug also activates the immune system, blood clotting, and recovery processes in the body.
The name of the suppositories that are used for bleeding from the anus may vary, but they always contain adrenaline and/or thrombin.
Before using suppositories with adrenaline, you should consult with your doctor, who may prescribe an examination of the cardiovascular and endocrine systems to prevent unwanted effects.
Adrenaline in the form of suppositories is the drug of choice for stopping bleeding from the anus with fissures and hemorrhoids.
The drug is contraindicated in patients with hypertension, diabetes mellitus, systemic vascular atherosclerosis, pregnant and nursing mothers, as well as persons with cardiac arrhythmias and aortic aneurysm.
When using suppositories with adrenaline, the following adverse reactions may occur:
- allergy;
- increased heart rate;
- increased blood pressure;
- nausea, vomiting, abdominal pain;
- headache.
In severe cases, the use of adrenaline can lead to acute coronary syndrome, hypertensive crisis, hyperglycemic coma, and cardiac arrhythmias.
Suppositories with adrenaline are prepared by a pharmacist in a pharmacy according to a doctor's prescription.
Choosing an ointment based on symptoms and active ingredients
Effective drugs are selected in accordance with the clinical signs of the pathology:
in case of mild disease, preference is given to heparin ointment;
acute pain - Relief Advance, Procto-glivenol, Aurobin, Proctosan, Emla;
exacerbation and inflammatory process - Hepatrombin G, Proctosedyl or drugs with NSAIDs: Proctosan, Diclofenac, Piroxekam, Ibuprofen;
inflammation of the subcutaneous tissue - Vishnevsky's liniment, Mafenide acetate, ichthyol ointment, Levomekol.
The list of effective ointments is presented:
Venotonics – designed to increase venous tone. In the process, the veins narrow and the volume of hemorrhoids decreases. The medicine affects the cause of the development of the pathology, rather than stopping the clinical signs. Venotonics are represented by Troxevasin, Procto-Glivenol.
Hormonal agents - intended to relieve signs of inflammation, swelling, pain and burning. Due to the active components, the restoration of damaged anal mucosa is accelerated. The presence of hormonal substances in the composition provides for therapy for 7 days. The medicine does not affect the source of the disease and can be used in an integrated approach to pathology. The main drugs are represented by Aurobin (for healing and pain relief), Gepatrombin (anticoagulant), Proxedil (pain reliever, prevents accelerated blood clotting, destroys microbes).
Bleeding from hemorrhoids
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Hemorrhoids are varicose veins in the anus. The main manifestation of the pathology is drip or stream bleeding from the anus. This symptom bothers 80% of patients. Bleeding occurs after defecation. Every tenth patient has chronic anemia or anemia. At the initial stage of the pathology, the size of hemorrhoids is small, the tumors do not fall out, and itching and burning do not bother the person.
The venous system of the rectum is regularly destroyed. Hemorrhoids begin to bleed. Blood loss indicates the onset of the inflammatory process. To determine the cause of the disease, various intestinal pathologies should be excluded. A qualified proctologist must choose an examination method that will not injure the thinned intestinal vessels. Surgery may be performed with an endoscopic procedure.
Hemorrhoids form because blood flow in the veins of the final intestine is disrupted. The caverns overflow and pressure builds up. Hemorrhoidal structures are destroyed, after which nodes are formed, which increase in size over time. There are the following types of hemorrhoids:
- External nodes - formed subcutaneously in the anus.
- Internal nodes - appear in the lower part of the rectal canal; treatment of this type will be lengthy.
Cytokines are released on the wall of the hemorrhoid, which contribute to the inflammatory process in the soft tissues. The walls of the nodes stretch and become thinner. Over time, the vessels become thinner, lose tone and elasticity. Changes are observed in both large cavities and small capillaries. The patient's condition worsens, the fragile capillary network ruptures.
Large diameter veins and nodes are damaged. The neoplasms become filled with blood, after which profuse bleeding occurs. Even the passage of stool in the intestines can trigger bleeding. The volume of bleeding depends on the size of the burst vessels and the patient’s blood clotting ability.
Treatment of hemorrhoids accompanied by slight bleeding
To cope with the disease, it is important to find the right method of dealing with it. Some people benefit from diets and suppositories, while others need surgery.
At the first manifestations of the disease, you must adhere to simple rules of nutrition and hygienic care.
Diet food
Review your diet by eliminating everything fatty, fried, spicy, pickled, as well as desserts, coffee and alcohol.
The daily diet should include cereals (with the exception of semolina, rice and corn), soups with a mucous consistency, stale or dried bread, lean meat or dietary fish, steamed, drinking plenty of fluids (decoctions of berries and herbs, non-acidic natural juices).
Taking cool baths
As a bath, it is best to use decoctions of herbs with anti-inflammatory or astringent effects - chamomile, calendula, oak bark.
The decoction for each procedure must be freshly prepared and sufficiently cooled. You need to sit in it every day for 10-15 minutes. As an alternative to baths, wiping the anus with a piece of ice is used.
Replacing toilet paper by flushing
Since the main reason for non-healing of erosion in the anus is the entry of feces into the wound, they must be disposed of after each act of defecation by regular washing.
Use of topical medications
Ointments and suppositories will not cure on their own if the disease is advanced and progresses. But if used regularly at the initial stage, they can help.
A good remedy for bleeding hemorrhoids is suppositories with sea buckthorn oil.
Factors that influence the development of the disease
What factors influence the opening of bleeding in hemorrhoids? The following provoking factors are identified:
- regular anal sex;
- excessive physical activity, standing work, heavy lifting;
- playing sports, as intra-abdominal pressure increases sharply;
- menopause in women;
- problems with bowel movements during pregnancy;
- hormonal changes;
- attempts during labor;
- chronic constipation or diarrhea;
- infectious bowel disease;
- lack of enzymes;
- increased bleeding of blood vessels;
- deficiency of vitamins and minerals;
- liver cirrhosis and secondary hemorrhoids;
- presence of anal fissures;
Reduced immunity may also be a factor.
Signs
Bleeding from hemorrhoids is accompanied by a number of other symptoms. These include fever, intense pain in the intestines, flatulence, and copious mucous and purulent discharge from the anus. The sphincter begins to swell and turn red. The patient has no appetite. After eating there is nausea and vomiting, belching. The following complications are identified in the absence of treatment for hemorrhoids:
- formation of rectal fissures;
- formation of a fistula tract from the rectum;
- paraproctitis;
- ulcerative colitis;
- benign and malignant neoplasms of the large intestine;
- diverticulosis;
- Crohn's disease.
To confirm the diagnosis, the proctologist examines external hemorrhoidal cones, the anus and the soft tissue around. Using palpation, the condition of internal hemorrhoids is assessed.
What are hemorrhoids
In medical practice, hemorrhoids are understood as a disease of the anus and rectum, in which, due to stagnation of blood, blood vessels grow, forming cavernous bodies. They lead to pain during bowel movements, the creation of nodes and their prolapse from the rectum. The main causes of hemorrhoids:
- constipation - leads to injury to the nodes with dense feces as they pass through the rectum;
- thinning of the vascular wall, erosion, anal fissures;
- sedentary lifestyle, lack of physical activity;
- pregnancy and childbirth;
- prolonged diarrhea;
- prolonged bowel movements, too strong pushing.
The first symptom of hemorrhoids is the appearance of blood during bowel movements - in the stool, on toilet paper, underwear. If complications occur, you may notice pain, prolonged and heavy bleeding. If you do not start treating the second or third stages of hemorrhoids, you can get:
- anemia - daily blood loss threatens low hemoglobin levels, pale skin, decreased blood pressure, dizziness;
- persistent decrease in immunity, exacerbation of chronic and infectious diseases;
- thrombosis of hemorrhoids;
- rectal fissures, fistulas, paraproctitis.
In the initial stages, anti-hemorrhoidal suppositories prescribed by a proctologist will help cope with the symptoms of bleeding. If complaints appear, you need a doctor to diagnose, examine the body and identify the cause of the disease. Suppository therapy is carried out in a course, after which the patient is examined again to confirm a positive result.
Diagnostics
When diagnosing hemorrhoids, instrumental techniques are most often used:
- Anoscopy - during the study, internal hemorrhoids are examined, as well as the intestinal mucosa at a distance of up to ten centimeters from the external entrance. The attending physician records the location where bleeding is observed.
- Sigmoidoscopy is a more detailed study. The doctor analyzes the condition of the rectal canal and the exit from the sigmoid colon;
- Colonoscopy - examines the initial and middle sections of the intestine. A colonoscope is used to examine internal organs. At the same time, electrocoagulation of bleeding vessels is carried out, further development of bleeding is prevented.
A blood test is performed to determine the extent of blood loss. Indicators of anemia are determined, namely hemoglobin, iron, red blood cells, color index. Blood incoagulability pathologies are identified. Analyzing the results, the attending physician draws up an individual treatment plan, selects effective remedies that heal wounds and inflamed areas, and eliminate the consequences.
Emergency assistance for bleeding
If heavy bleeding occurs, it should be done promptly and assistance should be provided even at home. Typically, the patient notices bloody discharge after bowel movement. In such a situation, it is necessary to narrow the blood vessels in the anal area, which will reduce blood loss. To do this, make compresses from medicinal herbs or apply ice packs. You can also use water sticks.
Homemade suppositories or lotions are applied mainly to external hemorrhoids. The suppositories are inserted into the anus. Exposure to cold occurs. It is not recommended to keep the lotion for longer than half a minute. Prolonged hypothermia enhances the inflammatory process. You can also make a lotion from frozen nettles, chamomile, and oak bark.
Use medications that stop bleeding in a short period of time. These include Vikasol and Dicynon. Use a hemostatic sponge, which is made of collagen fibers impregnated with furatsilin and boric acid. This product produces a complex effect, constricts blood vessels, and disinfects hemorrhoids.
The patient should take a standing position or lie on his side. A sitting position increases intra-abdominal pressure and negatively affects the condition of blood vessels. If the bleeding does not stop, call an ambulance immediately.
Treatment with medications
To eliminate bleeding, inflammation should be relieved, the vascular wall strengthened and wounds healed. It is recommended to remain in bed, adhere to an individual diet, and avoid physical activity.
Therapy includes methods of general and local influence.
When a complication occurs, the following treatment methods are used:
- taking antibacterial drugs in tablets or injections;
- vitamins (K, E, C) and immunomodulators to activate the immune system and strengthen the vascular wall;
- agents with a hemostatic effect (Dicynon, sodium etamsylate, calcium chloride solution);
- transfusion of red blood cells, plasma in case of heavy bleeding;
- preparations that contain iron;
- painkillers;
- laxatives to normalize stool.
Local preparations such as rectal suppositories and ointments are used. Patients are prescribed anti-inflammatory and vasoconstrictor drugs. The ointment form is used in the presence of external hemorrhoids. The medicine is applied to a napkin and applied to the affected area twice a day.
If we are talking about an advanced case, namely inflammation of the internal nodes, then treatment with suppositories will be required. The suppositories are inserted into the anus, after which the medicine instantly acts on the source of the disease.
It is recommended to start treatment with the following drugs:
- Relief series (Relief Advance) - suppositories and ointment are made from shark oil with the inclusion of phenylephrine to constrict blood vessels. The drug affects the drying of external hemorrhoids.
- Procto-Glyvenol is available in the form of cream and suppositories. It contains an active substance called tribenozide, which reduces bleeding.
- Natalsid in the form of rectal suppositories - contains sodium alginate from seaweed. Stops bleeding, heals wounds, relieves pain.
- Adrenaline suppositories quickly stop bleeding and have a pronounced vasoconstrictor effect.
- Methyluracil - ointment and suppositories are used for chronic inflammation, affect wound healing and restoration of the vascular wall.
In some cases, the patient is prescribed treatment with venotonic drugs. Among the effective drugs are Detralex, Phlebodia 600, Venarus, Troxevasin. The course of treatment lasts on average three months. The vascular wall is strengthened.
ethnoscience
Traditional medicine is used in combination with traditional methods of treatment. Folk remedies are effective in maintaining personal hygiene and relieving inflammatory syndrome. Bleeding is almost impossible to stop with the help of medicinal herbs. It is recommended to carry out sitz baths twice a day, make microenemas from oak bark, calendula, chamomile, yarrow, and blueberries. Inflammation is also relieved with suppositories made from propolis, fir and sea buckthorn oil.
It is imperative to stop drinking alcohol, smoking, and lifting heavy objects. Include sports, exercise, and moderate physical activity in your daily routine. Eliminate fried and smoked foods, strong coffee, and animal fats from your diet. Add fruits and vegetables, berries, cereals and broths, and boiled meat to the menu. Drink at least one and a half liters of water a day.
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