Using suppositories for pain relief and treatment of hemorrhoids

Review of suppositories for hemorrhoids: top 10 most effective

Treatment of hemorrhoids must be carried out immediately after the first signs of the disease appear. The most effective remedy for hemorrhoids in the early stages is suppositories. They quickly soothe pain, relieve itching and burning. The inserted suppository melts, resulting in an active effect of its components on inflammation.

But before you begin treatment for hemorrhoids, you need to come for an examination by a proctologist and get a recommendation on the use of certain suppositories. Let's look at the most inexpensive and effective suppositories for hemorrhoids in detail: with prices, reviews, recommendations for use.

How to choose the best product?

Treatment is prescribed by a doctor taking into account the severity of the disease. The choice of suppositories and ointments for hemorrhoids depends on the predominant symptom - bleeding, pain, itching, inflammation of the skin around the anus:

1. Preparations for oral administration. Excellent results in the treatment of hemorrhoids are achieved by combination therapy, combining symptomatic drugs to relieve local discomfort and drugs for oral use. These are medicines in the price category of up to 200 rubles, such as Troxevasin (an analogue of Troxerutin), from 400 to 500 rubles - Venarus, Venadiol, Ginkor Forte in capsules or gel form. Drugs in the price category from 650 to 850 rubles have similar properties - Diosmin (analogous to Vazoket), Phlebodia, Hesperidin + Diosmin (analogous to Detralex).
2. For severe pain syndrome, suppositories and ointments for hemorrhoids with anesthetics are indicated - lidocaine, neomycin, anesthesin, benzocaine, Cinchocaine, Lauromacrogol - these are pain-relieving suppositories Relief Advance, Emla (Lidocaine + Prilocaine cream), Proctosedyl M, Olestesin, Nigepan.
3. When there is an inflammatory process around the anus on the skin, Ichthyol (ichthyols), Levomikol, as well as NSAIDs (non-steroidal anti-inflammatory drugs, see ointments for pain) are indicated, the most popular among them are Diclofenac and Ibuprofen suppositories. If inflammation is accompanied by itching and there are no contraindications to the use of corticosteroids, then you can use suppositories with hormonal agents - Proctosedyl, Gepotrombin G, Ultroproct, Aurobin ointment.
4. Bleeding - drugs that stop bleeding are used, venotonics to strengthen the walls of blood vessels, vasoconstrictor drugs to relieve swelling (adrenaline, tribenosyl, phenylephrine hydrochloride) - Relief, Procto-glivenol.
5. For uncomplicated hemorrhoids, anticoagulants are indicated that dissolve formed blood clots and stop thrombus formation - suppositories with heparin (Hepatrombin G, Nigepan), heparin ointment.

Diagnosis of the disease

The severity of symptoms simplifies the process of making a diagnosis for thrombosis of internal or external nodal elements. Experts use three main research methods:

• visual – you can observe the presence of formations and determine the degree of pathology, taking into account the color of the node;
• finger - palpation allows you to determine the structure of the lump, but can be performed with anesthesia if palpation increases acute pain;
• instrumental is the most effective (a rectal speculum is used), but also requires anesthesia in case of severe pain.

Often, patients' assumptions about the presence of typical hemorrhoids lead to the detection of thrombosis of hemorrhoidal nodes during examination.

How to use suppositories correctly?

Much in the treatment of hemorrhoids depends on how correctly suppositories are used. Before using candles, carefully read the instructions supplied with them. Among the general recommendations are:

1. Bowel movement. You can do this with an enema. It is necessary to have a bowel movement so that the intestinal walls are cleared of feces and the effect of all active substances is complete.
2. Necessary water procedures. After washing, you need to dry yourself well with a towel. Do not rub the inflamed area of ​​skin, but make several blotting movements.
3. Correct administration of the suppository. Insert the candle into the anus, lying on your side and tucking your knees towards you. Inject shallowly. After administration, turn over on your back and lie for thirty minutes.

You also need:

• try to avoid constipation. To do this, you can use laxatives;
• It should be applied in the morning and evening once or twice a day. Period of use – one or two weeks;
• If the condition worsens or symptoms appear that are not associated with hemorrhoids, you need to clarify the diagnosis again.

You should also know that it is best to do the procedure immediately before bed.

Methods for treating hemorrhoids without surgery

Conservative treatment of painfully enlarged hemorrhoids should be carried out comprehensively, affecting all factors contributing to the development of the disease. It is necessary to normalize the stool, because constipation and diarrhea equally seriously injure the inflamed node.

If the cause of hemorrhoids is an attack of diarrhea, every effort is made to cure the disease that caused the stool disorder. Constipation is fought with a diet that includes a large amount of dietary fiber (prunes, dried apricots, oranges, apples). For persistent constipation, mild laxatives (Duphalac) are prescribed.

In order not to irritate the intestines, spices, salt, vinegar, smoked foods, as well as carbonated drinks and alcohol are excluded from the diet.

The pain increases the spasm of the internal sphincter, which contributes to stagnation of blood in the veins. To relieve pain and spasms, use warm baths with potassium permanganate or herbal decoctions.

Painkillers, antispasmodics, blood thinners, and medications that promote tissue regeneration are prescribed as drug therapy. Preference is given to “local” therapy: ointments are used for external nodes, and suppositories for internal nodes.

Attention! The prescription of drugs depends on the location of the hemorrhoid, the stage of development of the disease, the phase of the process, the presence of concomitant diseases and the general condition of the body. Therefore, we recommend not to self-medicate, but to consult a doctor in a timely manner.

What are they?

Classification of candles:

Painkillers:	based on components with a pronounced analgesic and calming effect. Includes anesthesin, benzocaine, lidocaine, belladonna extract, propolis and other active substances. These remedies are used to relieve pain in the anus.
Hemostatic:	designed to relieve bleeding, a common symptom of hemorrhoids. There are candles that contain adrenaline or ice.
Disinfectants:	used in case of infection of wounds due to hemorrhoids. These medications include antibiotics that eliminate most pathogens.
Anti-inflammatory:	They relieve the inflammatory process of the disease well and have a partial analgesic effect.
Venotonic:	restore blood vessels and capillaries, strengthen their walls, and prevent fragility. Thanks to this, hemorrhoids decrease in size, reducing the likelihood of developing new lumps.
Healing:	used for the appearance of anal fissures, they have a regenerating, restorative effect.
Combined:	have several effects at once, combining antiseptic, anti-inflammatory, analgesic effects.

For each patient, suppositories are selected depending on which symptom of the disease predominates. This may be itching, bleeding, swelling, pain, inflammation and other manifestations.

What are external hemorrhoids? A little anatomy

External hemorrhoids (plexuses) are formations located under the skin on the border of the anal canal and perianal (around the anus) skin. They are venous plexuses (Fig. 3). Usually they do not manifest themselves in any way, are not visible and cannot be detected by touch. As the condition worsens chronically

changes occur in internal hemorrhoids and in external hemorrhoids, leading to their enlargement and loss of connection with the muscular ring of the anal canal. However, the most significant changes in the external nodes occur when a blood clot occurs in them.

Rice. 3. Diagram of the anal canal, at the exit of which the external hemorrhoids are located (number 7 in the diagram).

Benefits of candles

Most patients suffering from damage to the veins of the rectum prefer suppositories against hemorrhoids for the treatment of pathology. This dosage form has many advantages:

• achieving a therapeutic effect immediately after administration of the suppository;
• availability of drugs. Many suppositories are relatively inexpensive, but at the same time have good effectiveness;
• ease of use. Inserting a suppository does not require special knowledge or skills;
• possibility of use among all patient groups, including children and pregnant women;
• no negative effect on the gastric mucosa and liver;
• a small number of undesirable effects.

Rectal suppositories for hemorrhoids are used more often for the internal form of the disease, but even for the external form of the disease, suppositories have a good therapeutic effect.

Suppositories for hemorrhoids during pregnancy and breastfeeding

In the group of drugs for the treatment of hemorrhoids in the form of suppositories, practically nothing is recommended for use during lactation and pregnancy, especially during its 1st trimester, when the formation of organs and systems of the fetus occurs.

However, there is a group of suppositories for which these conditions are not an absolute contraindication - Natalsid, suppositories with belladonna extract. Posterizan, glycerin suppositories for hemorrhoids, Olestezin, Nigepan, suppositories with sea buckthorn oil, Betiol, Neo-Anuzol.

Used to a limited extent (in the 2nd and 3rd trimesters, as well as during breastfeeding) are suppositories Relief and Relief Advance, Ultraproct, Gepatrombin G. When using them, you need to analyze the effect of their use and the possible risk to the child’s health.

Top 10: short list

A short list of drugs and prices for the most effective suppositories for hemorrhoids:

• Relief - price of the drug - from 280 rubles.
• Gepatrombin G - price of suppositories - from 105 rubles.
• Proctosan - average price - from 230 rubles.
• Anuzol - price - from 45 rubles.
• Natalsid - cost - from 240 rubles.
• Aurobin - price - from 220 rubles.
• Proctosedyl - average cost - from 320 rubles.
• Proctoglivenol - price - from 400 rubles.
• Ultraproct - the price of the drug is from 450 rubles.
• Candles with sea buckthorn - price from 50 rubles.

Trying to determine which suppositories are best for hemorrhoids, many patients act by trial and error. However, only a doctor can determine and prescribe the best drugs on an individual basis.

Indeed, sometimes, when taking cheap suppositories for hemorrhoids, the patient does not notice any improvement. In order for suppositories for internal hemorrhoids to be effective, it is important to take into account all manifestations of the disease and the individual characteristics of the patient’s health.

Gepatrombin G

Hepatrombin suppositories are a combination drug with prednisolone, which produces an antithrombotic, venosclerosing, anti-inflammatory effect.

Prednisolone relieves inflammation and provides an antiallergic effect. Heparin is an anticoagulant that has antithrombotic, anti-inflammatory, antiexudative effects, ensures regeneration of connective tissue in hemorrhoids, and prevents blood coagulation. Lauromacrogol – produces a local anesthetic, sclerosing effect.

Hepatrombin suppositories are contraindicated for syphilis, tuberculosis, skin tumors, high sensitivity, tendency to bleeding, skin lesions of a viral, bacterial, fungal nature, as well as in the first months of pregnancy. You can use such suppositories for no more than one week, 1-2 supp. in a day,

When using, allergies and redness of the skin may occur. If the drug is used frequently and for a long time, systemic side effects are likely to develop.

Price – from 170 rub.

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.

Relief candles

Relief suppositories are a popular medicinal product that has gained the trust of consumers due to its effectiveness. There are two types of this medicine, which have different effects:

1. Relief ultra. This product contains hydrocortisone acetate, zinc sulfate, shark liver oil. Ultra Relief constricts blood vessels, gives an antiallergic effect, reduces itching, heals wounds and erosions, and has an immunomodulatory effect. Contraindications: bacterial, viral, fungal infections in the anal area, neoplasms, tuberculosis, severe diabetes, hypernatremia, hypersensitivity. Do not take during pregnancy and lactation.
2. Relief advance. The main active ingredients are shark liver oil and benzocaine. Relief Advance relieves pain, inflammation, itching, irritation, heals wounds, and has an immunomodulatory effect. Contraindications: thromboembolism, granulocytopenia, hypersensitivity to the components. Use with caution during pregnancy and lactation.

What to do if you have undergone a course of conservative treatment for thrombosis

The abundance of means for the conservative treatment of thrombosis and often the doctor’s disposition to use this technique leads to the fact that most thromboses are treated conservatively. Patients come to our Clinic at different stages of the course of conservative therapy. Often this is a situation where, immediately after the occurrence of a blood clot, conservative therapy was started, some relief of the condition occurred, the pain syndrome decreased, but a “bump” remains in the anus and some pain. Sometimes completely healthy people come in who experienced an episode of acute thrombosis several months or years ago and are now concerned about the presence of skin “fringes,” excess skin in the anus that remain after the acute condition has resolved. They can interfere with the proper hygiene of this area and affect intimate life. What to do in this situation? And again, the main thing for the doctors of our Clinic will be the patient’s opinion. If you want to get rid of the manifestation of acute thrombosis, even if conservative treatment has already been carried out, a lot of time has passed - this can be done surgically.

Sea buckthorn candles

Sea buckthorn suppositories are a hypoallergenic remedy that is suitable for every patient with hemorrhoids.

Even pregnant women are prescribed this drug by doctors. The effect of this medicine is quite mild. You need to place 1 suppository rectally before going to bed every day. Improvement will come after a week or two. Children are not recommended to use more than 1 candle per day. In adults, the dosage can be increased to 2 suppositories. In this case, the course of treatment should last at least 10 days.

Reviews from patients who used sea buckthorn suppositories to treat hemorrhoids confirm the effectiveness of the product. Sea buckthorn suppositories are completely safe. They are prescribed to patients of all ages (even the elderly). They will not affect the development of the fetus during pregnancy at any stage.

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.

Natalsid

A natural medicine whose effect is due to a natural ingredient – ​​sodium alginate. This substance stops bleeding, heals wounds, relieves pain, and relieves inflammation. In addition, intestinal function is further normalized.

Contraindications include the following conditions:

• intolerance to components;
• age restrictions (prohibited under 14 years old).

When diagnosed with internal hemorrhoids, treatment is carried out for 1-2 weeks, the frequency of use is 1 suppository 2 times a day. Customer reviews confirm that suppositories are well tolerated, only in some situations allergic reactions may occur.

Forecasting and preventive measures

It is worth repeating that there are certain chances of cure if the disease is only in the 1st stage. However, contacting a medical specialist is necessary in any case, even if the main symptoms disappear after some time. The prognosis for cure will also be favorable if all the previously mentioned symptoms were noticed in a timely manner. It is unacceptable to start the disease by transferring it to the 3rd critical stage of development.

Preventive measures to avoid acute thrombosis:

• proper nutrition (avoiding spicy and salty foods);
• stabilization of the gastrointestinal tract (it is extremely important to prevent the formation of constipation and physical complications during bowel movements);
• avoiding hypothermia;
• increasing physical activity (mobility) as a permanent way of life.

It is extremely important to follow all the recommendations in order to restore your usual way of life and not feel discomfort when being in society.

Proctosan

Proctosan is an effective suppository for hemorrhoids for men and women. The medicine has a positive effect on the rectal mucosa, relieves itching, burning, pain, and inflammation. Bufexamak as part of suppositories reduces swelling and local hyperemia in the disease. Lidocaine is a good pain reliever, its effect is felt immediately after insertion of the suppository. Titanium dioxide prevents bleeding and has an astringent effect. Thanks to bismuth subgalate, a film is formed on the surface of the rectum, protecting inflamed areas from pathogenic bacteria.

Suppositories are used 2 times a day. To achieve optimal effect, it is recommended to give a cleansing enema before the procedure. After this, you need to insert a candle into the anus. Course – 8–10 days.

Price 350 rubles.

The most effective

This rating includes candles that quickly relieve pain and eliminate burning and itching. At the same time, the price of the drug is taken into account [6], [7], [8], [9], [10], [11].

1 Methyluracil

• Doctors' recommendation.

Price: 75 rub.

Methyluracil is the main active ingredient. The excipient is vitepsol. The drug has anabolic activity, has an anti-inflammatory and immunostimulating effect. It accelerates the wound healing process by promoting the maturation of healthy epithelium.

According to reviews from doctors, the effectiveness of the drug is really high - relief occurs in almost 90% of patients. However, additional treatment is required because the drug does not treat the cause of the symptoms.

Can be used during pregnancy, subject to consultation with your doctor. For children, half the dosage is recommended.

Contraindications: cancer of the blood, bone marrow or lymphatic system, age under 8 years.

2 Nigepan

• The best suppositories for stage 1 hemorrhoids.

Price: 230 rub.

Nigepan differs from all previous ones in the presence of heparin, a substance that resolves blood clots, and benzocaine, a pain reliever. Prescription drug!

According to customer reviews, nigepan relieves pain well and prevents the formation of blood clots.

Contraindications: bleeding from the anus, individual intolerance.

3 Proctosan

• Anti-inflammatory effect.

Price: 415 rub.

Proctosan is a natural remedy with a unique formula of active substances, thanks to which it is often ranked among the best. These include bufexamak, an anti-inflammatory agent, bismuth subgallate, a disinfectant that reduces bleeding, lidocaine, a local analgesic that relieves pain, itching and burning, and titanium dioxide, which has a regenerating and drying effect.

Buyers confirm the rapid relief of symptoms when using these suppositories.

Contraindications: childhood, pregnancy and breastfeeding, syphilis, tuberculosis.

Procto-Glyvenol

This medicine contains lidocaine and tribendide. Lidocaine has a local analgesic effect on the anal area, and tribendide reduces capillary permeability, improves microcirculation of the muscular and mucous layer of the rectum, and also has an effective anti-inflammatory effect. An improvement in the condition and a significant reduction in pain occurs 1.5-2 hours after the administration of the Procto-Glivenol suppository into the rectum. Swelling and inflammation of the mucous membrane are also significantly reduced.

1. This drug is used with extreme caution if there is a history of any allergic reactions, especially to local anesthetic drugs or other components included in the Procto-Glivenol suppositories; it is also necessary to notify the attending proctologist about this, since this fact is an absolute contraindication to use of the drug "Procto-Glivenol".
2. This medicine is not prescribed to children under 12 years of age and to pregnant women in the early stages (in the first trimester of pregnancy). With extreme caution and under the constant dynamic supervision of a physician, this drug is prescribed to patients with liver and kidney diseases.

Adverse reactions are observed extremely rarely, mainly when doses and contraindications are ignored. But with long-term use of Procto-Glivenol rectal suppositories, discomfort, irritation, minor pain, itching and burning sensation in the rectum, as well as intestinal disorders in the form of constipation or diarrhea may occur. If you have any of the symptoms, you should immediately stop using this type of suppository and consult a doctor.

Reasons for the development of hemorrhoids in women

Chronic hemorrhoids in women, as a rule, develop after 30 years of age; with age, the risk of developing the disease increases. Women suffer from dilated hemorrhoidal veins four times less often than men. However, the risk increases in the presence of permissive factors: • chronic constipation; • prolonged sitting on the toilet; • obesity; • sedentary work, sedentary lifestyle; • diseases occurring with chronic cough; • diseases of the pelvic organs.

A typical cause of acute hemorrhoids in women is pregnancy or childbirth. In such cases, adequate conservative treatment leads to the disappearance of the problem. However, if therapy was untimely or careless, the disease becomes chronic.

Anuzol

The composition includes zinc sulfate, bismuth tribromophenolate, bismuth oxide complex, belladonna leaf extract. When used, suppositories with belladonna anesthetize, dry, and have an antispasmodic, astringent, anti-inflammatory, and antiseptic effect.

It should be taken into account that this drug is contraindicated in breastfeeding and pregnancy, high sensitivity, heart failure, intestinal atony, prostate adenoma, angle-closure glaucoma, myasthenia gravis, tachyarrhythmia.

Antihemorrhoidal suppositories with belladonna should be administered 1-2 times a day, 1 pc. To relieve pain, you should not take more than 7 supp. per day. against hemorrhoids. These medications for hemorrhoids can cause allergic reactions, dry mouth, burning in the anal area, diarrhea, constipation, palpitations, visual disturbances, drowsiness, insomnia, dizziness, and headaches.

If an overdose occurs, nausea, vomiting, convulsions, urinary retention, agitation, and decreased sweating may develop.

Rectal suppositories are cheap - from 60 rubles.

Proctosedyl

This drug contains several active ingredients - hydrocortisone, the antibiotic framycetin, heparin, etc. It has a bactericidal, anti-inflammatory effect, helps prevent blood clots, relieves itching and irritation. Well tolerated by patients.

Contraindications: individual intolerance to components, fungal, viral, tuberculous lesions of the anus, arterial hypertension, heart failure. It is forbidden to prescribe to women during pregnancy, as well as during lactation, and children under 12 years of age.

Surgical intervention

Thrombosis in the most acute forms requires immediate surgical elimination. There are the following types of surgical effects on nodes:

• Thrombectomy. The thrombosed lump is opened to remove the blood clot. There is a risk of recurrence, since the cut is perceived by the body as a reason for the formation of new clots.
• Hemorrhoidectomy. The node is removed along with the clot. This form of surgery is more effective and there is no risk of relapse.

Attention! Surgical intervention is relevant not only for acute forms of pathology, but also in cases where medications and active ingredients of ointments are incompatible with the patient’s body.

Only a specialized specialist who has carefully examined the patient and determined the main characteristics of painful formations can determine the most appropriate method of dealing with nodes, or the optimal treatment course for eliminating hemorrhoids.

Ultraproct

The composition includes Ultraprocta cinchocaine and fluocortolone.

Fluocortolone is a hormonal component that acts quickly and for a long time. Cinchocaine - acts as a local anesthetic.

Cannot be used for tuberculosis and syphilis in the anorectal area and for hypersensitivity. The drug is not prescribed to children, adolescents, and early pregnant women.

Use once a day, after bowel movement. It must be administered rectally, deeply. If the disease is severe, up to 3 suppositories can be used on the first day.

Price – from 640 rub.

Propolis based suppositories

To make propolis suppositories at home, you need to purchase propolis, cocoa butter and lanolin, as well as 2 ml syringes at the pharmacy.

1. Take 2 ml syringes without needles and cut off the lower narrow part. Leave several syringes intact.
2. Pull the pistons 3 cm and place all syringes horizontally in the jar. The cut part should face up.
3. Place propolis in the refrigerator for 10 minutes, then chop.
4. Combine lanolin and cocoa in a mug and put on low heat.
5. Add crushed propolis and mix everything.
6. Do not allow the mixture to boil by turning the stove on and off.
7. Keep on fire for half an hour.
8. Fill the cut forms with a whole syringe and place in the refrigerator to harden.

Be sure to store candles in the refrigerator. The course of treatment is 2 weeks.