In modern proctology, the treatment of suppository hemorrhoids is one of the most effective methods of conservative therapy, which avoids surgical intervention. Without the use of local action, it is impossible to stop the irreversible pathological process, which is accompanied by inflammation of the cavernous corpuscles of the rectum. The main reason for the development of this condition is a failure in the regulation of the outflow and blood flow to them, as a result of which hemorrhoidal nodes are formed. In parallel with the formation of hemorrhoids, the Parks ligament and the longitudinal muscles of the rectum are weakened - it is their fibers that hold the cavernous bodies, preventing them from falling out.
What triggers the disease
As you know, any disease is easier to prevent than to treat. Knowing the factors that can cause this problem, it is necessary to eliminate them in a timely manner and adhere to simple medical recommendations in order to minimize the risk of this problem. The causes of hemorrhoids in adults in most cases are:
- bad habits, especially alcohol abuse;
- tendency to constipation associated with prolonged straining when trying to defecate;
- alternating diarrhea and constipation;
- pregnancy and childbirth;
- lack of motor activity;
- passive lifestyle;
- increased physical activity;
- weight lifting.
Therefore, by adjusting the diet and lifestyle, you can improve the condition, minimize the frequency of relapses and ease the course of the disease.
Despite the fact that the bulk of drugs (suppositories) for the treatment of hemorrhoids and cracks are dispensed in an over-the-counter form, you should always consult a proctologist before buying rectal suppositories. The specialist, taking into account the severity of the disease, will help you choose the most effective remedy.
What are rectal suppositories?
The choice of suppositories and ointments for the treatment of hemorrhoids (their prices will be indicated later, at the end of the description of each drug) depends on the prevailing symptom, that is, on what manifestations of the disease the patient is concerned about - bleeding, pain, itching, inflammation of the epidermis around the anus and etc. So, for example:
- In the normal uncomplicated form of the disease, patients are recommended anticoagulants that destroy the formed blood clots and prevent blood clots (drugs with heparin in the composition).
- In case of intense pain, anesthetic suppositories are used (suppositories for the treatment of internal hemorrhoids with active substances such as lidocaine, neomycin, benzocaine).
- In case of bleeding, vasoconstrictive, decongestant, tonic and hemostatic agents are used.
- With a pronounced inflammatory process around the anus, drugs from the group of non-steroidal anti-inflammatory drugs are recommended.
- To eliminate severe itching, hormone-containing suppositories are used to heal tissues.
Many patients, referring to the lack of free time to visit the clinic, decide on the use of drugs without the consent of specialists. With this disease, you can’t arbitrarily select drugs, but still try to answer the question of which candles for the treatment of hemorrhoids most often prescribed by doctors. The list below is not limited to the preparations described. However, they are most often included in the ratings-reviews of effective suppositories for the treatment of hemorrhoids.
Hepatrombin G
The basis of this inexpensive but effective drug is the active substance heparin. Suppositories have anticoagulant properties, contributing to the resorption of hemorrhoids. In addition to heparin, the composition of the candles "Hepatrombin G" includes:
- prednisone - a steroid component that relieves inflammation and swelling of tissues, minimizes the secretion of exudate, eliminates itching;
- lauromacrogol is an anesthetic compound that has an analgesic and vasoconstrictive effect.
The average course of therapy with Hepatrombin G is one week. The interval of use of suppositories depends on the severity of the patient's condition. As a rule, no more than 1-2 candles are used per day. For the treatment of hemorrhoids effective "Hepatrombin G" is not suitable in the case of:
- heavy bleeding;
- tuberculosis
- syphilis, occurring with a defeat of the gastrointestinal tract;
- infectious and inflammatory diseases of the anus;
- a malignant tumor of the digestive system;
- first trimester of pregnancy;
- individual intolerance to the components.
The average cost of suppositories "Hepatrombin G" is 170-220 rubles.
Hepazolone
This drug is largely similar in composition to Hepatrombin G. “Hepazolone" - another suppository for the treatment of hemorrhoids combined action, which can be used in combination with other drugs. Experts believe that the main advantage of these suppositories is the possibility of use in the presence of already formed blood clots in the rectum. Hepazolone, like the previous drug, contains prednisone and heparin, but lidocaine acts as an anesthetic here.
The course of treatment should not exceed two weeks - this is the manufacturer's recommendation, however, only a doctor in each individual case can correctly determine the duration of therapy. Hepazolone has the same contraindications for use as Hepatrombin.
Judging by the reviews, these rectal suppositories have no side effects, so they are well tolerated by patients. Estimated price for packing suppositories is 220-280 rubles.
Relief
The treatment of hemorrhoids with candles often includes hemostatic suppositories. Most commercially available have anti-inflammatory and vasoconstrictive effects. One such drug is Relief. Such candles can be used not only in the treatment of hemorrhoids, but also with the aim of healing small cracks, microtraumas and erosive damage to the anus. Often, "Relief" is prescribed for increased bleeding from the anus.
The composition of this drug includes:
- phenylephrine - restores the elasticity of small blood vessels, helps to reduce their lumen, stimulates the outflow of blood from inflamed hemorrhoids;
- shark liver oil - has hemostatic properties, restores the mucous membrane, relieves inflammation.
Apply Relif suppositories after each bowel movement, but not more than four times a day. It is unacceptable to use these suppositories in the treatment of hemorrhoids if the patient has a reduced number of granulocytes in the blood and thromboembolism occurs. In the absence of contraindications, suppositories are used with caution, since an overdose can provoke an increase in blood coagulability. The cost of the drug in pharmacies in Russia does not exceed 450 rubles.
Natalsid
This natural medicine belongs to the local hemostatic. The main role here belongs to sodium alginate - a substance that stops the blood, heals wounds, relieves pain and inflammation. In addition, Natalsid helps stabilize the lower intestine.
Compared with previous candles for the treatment of bleeding hemorrhoids, these suppositories can not be used for children under 14 years of age. At the same time, patients in their reviews are almost unanimous: suppositories are easily tolerated and only in isolated cases cause mild irritation in the rectum. The price of Natalsida varies between 350-450 rubles.
Ultraproct
Next, let's talk about the treatment of hemorrhoids with candles and ointments with hormonal components. "Ultraproct" is one of the most affordable drugs in the corticosteroid group for rectal use. This tool quickly relieves itching and inflammation, minimizes swelling and pain due to the cinchocaine, a substance that anesthetizes by suppressing passing nerve impulses through depolarization of sodium channels.
With uncomplicated hemorrhoids, candle treatment is carried out for a week. Suppositories are used as intended 2-3 times a day. For the treatment of severe hemorrhoids, accompanied by thrombosis of blood vessels, the duration of the course can be increased by a doctor. Meanwhile, it must be remembered that any glucocorticosteroid drugs with constant use can be addictive and side effects.
Contraindications for the use of Ultraproct include:
- infectious (tuberculosis and syphilis) lesions of the rectum;
- gestation period;
- hypersensitivity to active and auxiliary substances;
- age to 18 years.
The drug belongs to the segment of expensive drugs, since its price exceeds 700 rubles.
Relief Ultra
About the treatment of hemorrhoids suppositories "Relief" was said earlier. However, the composition of Relief Ultra is significantly different from the hemostatic described above. Here, in addition to shark liver oil , which acts as the main component, it contains hydrocortisone and zinc sulfate. The first substance is a synthetic analogue of the human hormone produced by the adrenal cortex. It helps relieve inflammation, narrow vessels and capillaries, eliminate burning and itching in the anus. Zinc sulfate accelerates the healing process and tissue repair, heals cracks and stops erosion processes.
The list of contraindications for the use of Relief Ultra is almost identical to the restrictions that Relief has. If you believe the reviews of those who have tried these suppositories, hemorrhoids after treatment cease to bother if you follow a diet and a healthy lifestyle. The cost of suppositories is in the range of 500-650 rubles.
"Methyluracil"
These suppositories belong to the group of angioprotectors. The names of the active substance and the drug itself completely coincide. Many experts consider “Methyluracil” to be the best suppository for the treatment of hemorrhoids in the early stages, since the active component is able to optimize regenerative processes at the cellular level through various immune mechanisms.
Unlike other suppositories, Methyluracil does not promise quick results. To remove the inflammation of hemorrhoidal nodes, it will take several months to apply the drug. In the instructions, the manufacturer indicates 3-4 months (the maximum possible duration of the course). Suppositories cannot be used in case of:
- blood cancer and lymphatic system;
- malignant bone marrow damage.
Candles are well tolerated. According to reviews, some patients remain unsatisfied with the frequency of use of this drug: suppositories "Methyluracil" must be injected into the anus every 6-8 hours, 2 candles. Others consider the affordable cost of this domestic preparation to be a benefit - the price of suppositories does not exceed 100 rubles.
Procto-Glivenol
Another angioprotective drug that is prescribed by proctologists to improve blood circulation, protect vascular walls and provide additional pain relief. To the question of which candles are better in treating internal hemorrhoids, many without hesitation answer - "Procto-Glivenol". The composition of this drug contains the following components:
- tribenoside - a substance that increases the tone of cell membranes;
- lidocaine.
The optimal frequency of use is no more than twice a day. In the anus, the suppository is administered in the morning or in the evening, but always after visiting the toilet. When the condition normalizes, they switch to a single use of the drug. Treatment of hemorrhoids with Procto-Glivenol suppositories is not allowed in childhood, as well as with:
- an allergic reaction to the active substance;
- diseases of the liver and biliary tract;
- the first three months of pregnancy.
The estimated price of suppositories is from 430 to 480 rubles.
Proctis-M
One of the most expensive drugs, the manufacturer of which is an Italian pharmaceutical company. Suppositories "Proctis-M" are prescribed not only for the treatment of hemorrhoids, but also for other pathologies of the rectum. The main ingredient is hyaluronic acid, which improves trophism and elasticity of the vascular walls.
There are no restrictions on the duration of the treatment course of this drug. Intolerance to the components of suppositories is extremely rare.
Candles are used once a day. In this case, the doctor may recommend an increase in the frequency of use in the presence of complications of the disease and the severity of pain. The only drawback of these suppositories is their cost, which in some pharmacies reaches 1000 rubles. for packing.
"Posterisan"
Judging by the reviews, many patients underwent Posterisan suppository treatment for hemorrhoids. This drug belongs to the group of local immunomodulators. It contains inactivated colonies of “beneficial” microorganisms that increase the immunity of the intestinal mucosa to pathogenic bacteria. The ultimate goal of the treatment course of this drug is to strengthen the immunity of the large intestine.
Posterisan suppositories are used, as a rule, as part of the complex therapy of pathologies of the rectum and anus, including inflammation of the hemorrhoidal nodes. The average duration of treatment, with a normal course of hemorrhoids, is about 3 weeks. You need to use the drug 3-4 times a day. Complaints from patients about the occurring side effects, allergic reactions are absent. The price of candles (in the treatment of hemorrhoids requires the purchase of several packages - this must be taken into account when calculating the total amount) varies from 370-400 rubles.
The most inexpensive drugs
Special attention should be paid to the category of cheap suppositories and pills for hemorrhoids. Treatment of pathology is carried out comprehensively, combining the use of suppositories with oral agents. They well restore the injured and irritated mucous membrane of the rectal region. Most of them contain natural ingredients, but despite the fact that suppositories have a local effect, they may have contraindications and side effects. The list of suppositories for the treatment of hemorrhoids in women and men, which have an acceptable cost, include several drugs. Briefly about each of them further.
Anuzol
The composition of the drug includes components such as bismuth, zinc, belladonna, thanks to them, the drug has a drying, “astringent” effect, reducing the severity of the inflammatory process. Belladonna extract helps to reduce the muscle tone of the rectum, while increasing the activity of the anal valve.
The duration of the course of use of "Anuzol" is determined by the severity of the disease. An anal suppository is administered several times throughout the day. Contraindications to its use include:
- low gastrointestinal motility;
- pathology of the heart;
- muscle hypotension;
- During pregnancy and breastfeeding;
- sensitivity to individual components;
- prostate adenoma.
An allergic reaction to the drug, constipation or diarrhea is not ruled out. In isolated cases, patients complain of drowsiness, heart palpitations, headache, dry mouth. The average price of the drug is 70-90 rubles.
Neo-Anuzol
A multicomponent agent for insertion into the anus, which relieves inflammation and spasm, produces an astringent and antiseptic effect. Unlike the previous drug, this one has a richer composition and is approved for use during gestation. Suppositories are injected into the rectum several times during the day until the patient's condition improves. Among the side effects that can occur, short-term itching most often occurs. Usually it is not a reason to cancel the treatment of hemorrhoids with candles. According to reviews, their price (80-100 rubles) and natural composition are the main arguments for the patient.
Anestezol
Another domestic product that, in addition to bismuth and zinc, contains menthol and anesthetic. Due to the properties of the active components, the patient quickly passes pain, relieves inflammation, and the vessels narrow.
Put a suppository in the morning and in the evening after the act of defecation and appropriate hygiene procedures. The duration of treatment depends on the severity of the symptoms. The price of packaging the drug is 75-80 rubles.
Proctologists do not recommend the use of "Anestezol" in case of individual intolerance to the components of the drug. , 18 . , «» .
. .
, , , . . .
. 2-3 . . . . 100 .
, . . , ( ) . .
To eliminate pain and relieve inflammation, the drug is injected into the anus twice a day for one week. With prostate adenoma, hypersensitivity to the components of the drug, high blood pressure, it is impossible to be treated with these suppositories. In isolated cases, after the use of suppositories, an allergy develops, drowsiness, mild nausea occurs. The price varies between 40-50 rubles.
Systemic therapy for hemorrhoids
If the patient, in addition to using topical agents, also takes oral medications, the chances of a speedy recovery increase. Combined treatment involves taking oral medications such as:
- "Troxevasin" ("Troxerutin") - about 500 rubles;
- "Diosmin" - an average of 400-450 rubles .;
- "Vazoket" - 600-750 rubles .;
- "Flebodia" - 630-800 rubles.
- "Hesperidin" - 650-770 rubles .;
- Detralex - 700-800 rubles;
- “Venarus” - 400-450 rubles.
The course of treatment with pills for hemorrhoids is at least seven days.
General recommendations of proctologists
The use of antihemorrhoidal drugs, regardless of their type, requires the observance of a number of rules. Doctors recommend that patients adhere to the following tips:
- It is necessary to store suppositories in the refrigerator, since at room temperature the product loses its shape and quickly melts.
- It is necessary to undergo treatment during the period that the doctor will clearly determine. It is important to follow its instructions strictly.
- Before using hemorrhoids, you should definitely read the annotation from the manufacturer. In a predominant number of cases, it is recommended to administer suppositories after bowel movement.
- Also, make sure that the candles do not fail, as they are intended for local action, directly in the anus and lower rectum.
- It is undesirable to select rectal suppositories on their own, especially for pregnant and lactating women. Before use, consult your doctor.
You can’t get an answer to the question about which candles are better, either on the Internet, by reviews, or on any of the forums. Even experienced specialists are not able to determine which drug is ideal for the patient in a particular case. Each organism is individual, therefore suppositories that help one person may be useless for another. At the same time, it is still better to entrust the choice of funds to a professional proctologist who will take into account all the features and prescribe the correct therapeutic program.