Laxatives for hemorrhoids must necessarily be included in the standard treatment regimen of the aforementioned ailment. This is due primarily to the fact that it is constipation that contributes to the appearance of inflamed nodes. Using laxatives, the patient not only softens feces in order to eliminate discomfort during the act of defecation, but also significantly speeds up the healing process, and also prevents exacerbation and complication of the disease.
general information
Laxative for hemorrhoids should be used for those who regularly suffer from constipation. However, it must be remembered that not all drugs with a laxative effect are light and safe. Experts say that some medications can be addictive, while others can provoke diarrhea, which, incidentally, is just as harmful as constipation. In this regard, the administration of a laxative (for hemorrhoids and fissures) should be carried out only after consultation with a narrow specialist - proctologist, and strictly according to its purpose.
Types of drugs
Can a laxative for hemorrhoids be used to prevent constipation? Doctors do not recommend the use of such medicines without urgent need. To normalize the stool, they advise resorting to an appropriate diet. If proper nutrition does not help to soften feces, then the use of laxatives should be strictly dosed, otherwise you can get the opposite effect.
All modern laxative drugs are divided into drugs of natural and synthetic origin. In turn, they have several subcategories, which differ in the mechanism of action on the gastrointestinal tract, and more precisely on the lower intestine.
Annoying medication
Irritating laxatives with hemorrhoids affect the nerve endings located in the intestinal membrane. As a result of this, the peristalsis of the said organ is enhanced.
The therapeutic effect of taking such a medication depends on the active components and the therapeutic form of the drug. For example, rectal suppositories act faster than oral drops or tablets.
Most often, drugs of this category are taken before bedtime. By morning, the patient’s intestines are completely empty.
Osmotic drugs
The therapeutic effect of such drugs is to retain water in the intestine, which, in turn, allows you to increase and also soften the stool. The action of osmotic laxatives with hemorrhoids is very fast. In this regard, such drugs are prescribed to patients if it is necessary to get rid of fecal plugs as soon as possible.
Prebiotics
Such funds are the safest, and therefore the best laxatives for hemorrhoids. They include active elements that not only increase the osmotic pressure in the intestine, but also populate it with beneficial flora. A huge plus of prebiotics is that they can be used in childhood, as well as for people after surgery or for debilitated patients.
Intestinal fillers
This group of laxatives includes natural products. Their active substances are able to absorb liquid and increase in size. Most often, flaxseeds, cellulose, bran, etc. are used as the main components of intestinal excipients.
It should be remembered that a necessary increase in the volume of medicines requires a plentiful drink.
What is the best and safest laxative for hemorrhoids?
It is extremely undesirable to choose a laxative drug on your own in the presence of inflamed hemorrhoidal nodes. Otherwise, the patient's condition may worsen.
Below are the most popular and safe laxatives for hemorrhoids.
Syrup "Dufalac"
The main substance of this drug is lactulose. Her intake contributes to the active growth of lactobacilli, which improves intestinal motility and increases acidity in the digestive tract. In addition, this substance increases the volume of feces and causes their liquefaction. This effect allows you to achieve a laxative effect without the participation of muscle and mucous tissue of the colon.
It should be remembered that Duphalac syrup does not become addictive and does not affect the absorption of mineral and vitamin substances.
Contraindications of this drug include increased patient sensitivity to the components of the drug, as well as a lack of lactase, bleeding from rectum, inflammation of the appendix, poor lactose tolerance, bowel obstruction.
The drug "Forlax"
What laxatives are possible for hemorrhoids if the patient has lactulose intolerance? The drug “Forlax” contains such an active substance as macrogol 4000. It is available in powder form for the preparation of an oral solution. After getting into the gastrointestinal tract, the drug attracts fluid and increases in volume. This allows the feces to come into contact with the intestinal membrane and act on its nerve endings.
Contraindications of such a medicine are:
- hypersensitivity to constituent components;
- Crohn's disease;
- exacerbation of gastrointestinal diseases;
- intestinal obstruction;
- gastrointestinal ulcer;
- stomach ache;
- fructose intolerance;
- age up to 8 years.
The standard dosage of the drug in question is 1-2 packets per day. The duration of treatment is set individually.
Glycerin suppositories
Such laxative suppositories for hemorrhoids are used very often. Their therapeutic effect consists in the fact that after rectal administration, the active substance of the drug (glycerol), in contact with the intestinal membrane, irritates its nerve joints, resulting in increased peristalsis.
It can not be said that glycerin suppositories help soften the food lump, which is expressed in a decrease in pain during a bowel movement.
Contraindications of such a medicine include hypersensitivity, exacerbated hemorrhoids, inflammation of the rectum, tears of rectal tissues and the presence of formations in the rectum.
The drug "Microlax"
On sale such a drug comes in the form of a rectal solution (microclysters). The main substances of the medication are: sorbitol, sodium lauryl sulfoacetate, sodium citrate. The last component has the ability to displace the liquid contained in fecal matter, and the first two - dilute the digestive lump.
The medication in question acts very quickly. The laxative effect can be observed already 25 minutes after using the medicine.
In some cases, the micro-enema "Microlax" causes such adverse reactions as pain in the abdomen, diarrhea, discomfort in the anus, and allergic reactions.
The drug "Guttalax"
You can buy such a laxative for hemorrhoids in the form of tablets and drops. The main component of this medication is sodium picosulfate monohydrate.
After administration, the active substance "Guttalax" helps to stimulate the mucosa of the large intestine, enhances its contractile activity and the accumulation of fluid. As a result of such exposure, feces are softened, and the act of defecation is accelerated.
Contraindications to this medication include:
- hypersensitivity to the drug;
- bowel obstruction;
- dehydration of the body;
- bowel obstruction;
- exacerbation of inflammatory diseases of the gastrointestinal tract;
- inflammation of the appendix;
- fructose intolerance.
The medicine "Bisacodyl"
Such a drug is available in the form of rectal suppositories and oral tablets. After getting into the gastrointestinal tract, the active substance of the agent (bisacodyl) is transformed and affects the shell of the colon in an irritating manner. As a result of this, peristalsis is enhanced.
Contraindications of the medication in question are:
- hypersensitivity to drug substances;
- bleeding in the digestive tract;
- peritonitis;
- bowel obstruction;
- constipation due to cramping;
- strangulated hernia;
- uterine bleeding;
- exacerbation of hemorrhoids;
- inflammation of the rectum;
- cystitis.
Experts do not recommend using Bisacodyl for a long time.
Syrup "Normase"
The main component of this tool is lactulose. The laxative effect of the drug is associated with an increase in the number of lactobacilli in the large intestine, as well as with accelerated growth of bifidobacteria. In addition, lactulose in the composition of Normase syrup is able to increase the volume and soften feces, as a result of which the intestine is emptied quickly and painlessly.
Against the background of the use of the drug in question, some patients experienced increased gas formation and vomiting. In some cases, the use of "Normase" provoked excessive liquefaction of fecal matter.
With prolonged use of the drug, it is necessary to control the amount of chlorine and potassium compounds in the blood.
Senade Pills
Such a drug is of natural origin and contains an extract of senna leaves. The laxative effect of this medication is due to the action of its active substance on the nerve fibers that are in the mucous membrane of the colon.
Sometimes taking Senade tablets causes intestinal colic, prolonged diarrhea, gas, seizures, gagging, skin rashes, and problems with urination.
Drug Reviews
Can I drink a laxative for hemorrhoids? This question is of interest to many people who have encountered this problem. Experts argue that taking laxatives in the presence of inflamed nodes is possible, but only after consulting a proctologist.
What do patients say about the laxatives discussed above? People who use drugs with lactulose (in order to soften feces during hemorrhoids) respond to them exclusively on the good side. They argue that such drugs act quickly and gently. The main advantage of such funds is that they can be given even to small children. As for the shortcomings, they include the development of side effects such as migraine, dizziness, epigastric pain, allergic manifestations, increased gas formation.
Many patients also praise rectal suppositories with glycerin. In their opinion, such a tool is the most effective and fastest. The same applies to Bisacodyl candles and Mikrolaks microclysters.
The largest number of negative reviews of patients collected tablets Senade. This is due, first of all, to the fact that in order to achieve the necessary therapeutic effect, the patient needs from 8 to 12 hours. It is after such an amount of time that the drug begins its laxative effect. Also in negative reviews, it is reported that taking Senade tablets causes severe gas formation and abdominal pain.