Hemorrhoids are a disease accompanied by inflammation, thrombosis (formation of blood clots inside the vessels), and pathological expansion of hemorrhoidal veins that form nodes around the rectum. According to statistics, the disease occurs in 80% of people. But there are those who hide the problem, do not consult a doctor and select medications at the pharmacy on their own. On the pharmaceutical market, drugs for hemorrhoids are presented in a wide range. We hope our rating will help you find out the features of the drugs and choose inexpensive and effective remedies for hemorrhoids.
Treatment of hemorrhoids should be carried out comprehensively. Only in this case will you be able to forget about discomfort, pain and bleeding from the rectum for a long time. An integrated approach involves the use of local remedies and the use of systemic medications (tablets, capsules). Local remedies for the treatment of hemorrhoids are represented by single-component or combined rectal suppositories, gel ointments.
The best remedies for hemorrhoids in suppository form
Suppositories for hemorrhoids are presented in a wide range, due to their diverse effects. The composition of the drugs may include anti-inflammatory, hemostatic, astringent, angioprotective and anesthetic components.
For uncomplicated hemorrhoids, the drugs of choice are heparin-based suppositories, which stop thrombus formation and resolve existing blood clots. In cases of severe pain, it is advisable to use suppositories with anesthetics (lidocaine, benzocaine, neomycin, anesthesin). In case of bleeding, it is optimal to use agents with hemostatic and venotonic, vasoconstrictor and anti-edematous effects. Suppositories with hormonal components help stop inflammatory processes and reduce itching. The most effective are multicomponent drugs that have a complex effect.
Advantages
The active components quickly penetrate the skin and mucous membranes, reducing pain and inflammation. Usually used for exacerbation of chronic hemorrhoids, as they help quickly relieve the unpleasant symptoms of the disease. Suppositories are the most convenient dosage form for the treatment of internal hemorrhoids.
Flaws
Suppositories are medicines for hemorrhoids in women and men, however, representatives of the stronger sex experience severe discomfort and awkwardness when using them, some flatly refuse this method of treatment.
What is LPG massage?
LPG massage is a new generation hardware massage, successfully used in cosmetology.
It allows you to permanently eliminate stretch marks, fat deposits, and significantly improve skin tone. Using LPG massage, swelling is eliminated, scars and stretch marks disappear. The advantage of hardware massage, or rather its neurosensory effect, is that thanks to its effects, not only a person’s appearance improves, but also coordination of movements and posture.
LPG massage is not a simple device, but a real controlled computerized complex. The cosmetologist has the opportunity to set certain parameters of the effect, taking into account the individual characteristics of the patient’s skin and subcutaneous fat.
It is this approach that promotes increased efficiency.
Rating of the best remedies for hemorrhoids in suppository form
Rating | #1 | #2 | #3 |
Name | Gepatrombin G | Proctosan | Procto-glivenol |
Betiol
Suppositories based on belladonna and ichthyol leaf extract are a popular medicine for hemorrhoids, which have a pronounced analgesic and anti-inflammatory effect. However, the drug cannot be used for prostate adenoma, glaucoma, intolerance to components, and for people under the age of 18, during pregnancy and breastfeeding.
pros
- The drug helps eliminate pain and discomfort in 5 days, completely stops bleeding in 10 days.
- Low price – 60–90 rubles (10 candles per package).
Minuses
- In severe cases of the disease, Betiol alone cannot be used.
- There are many contraindications and side effects; it is better not to use it without a doctor’s prescription.
- May cause nausea and flatulence.
- Strictly prohibited for pregnant women - belladonna extract can cause premature birth.
Olestesin
An effective medicine for hemorrhoids for women and men based on sea buckthorn oil, sulphaethidol and benzocaine, which have, respectively, a regenerating and hemostatic, antimicrobial and analgesic effect. The product helps with hemorrhoids and heals cracks.
pros
- The pain is relieved within 10 minutes after administration; within 5–7 days of treatment, the unpleasant manifestations of hemorrhoids are completely eliminated, and cracks are healed.
- Can be used by pregnant and lactating women.
- Affordable price – 110–120 rubles (10 candles per package).
Minuses
- If it gets on clothing, it stains the fabric.
- The packaging is difficult to open.
- For some, it causes intestinal spasms, discomfort, and burning.
Procto-glivenol
A good remedy for hemorrhoids eliminates blood stagnation in the veins, reduces inflammation and swelling of tissues (due to the active component tribenoside), and has a strong analgesic effect (thanks to the lidocaine included in the composition).
pros
- In a few days it eliminates burning, itching and pain.
- Heals cracks.
- Candles don't melt in your hands.
Minuses
- Doesn't always help.
- Causes pain during use.
- In some patients it provokes local adverse reactions (burning, itching).
- May cause diarrhea.
- Candles are difficult to remove from packaging.
- High price – 370–470 rubles.
Natalsid
A remedy for hemorrhoids based on sodium alginate (a natural polysaccharide obtained from sea brown algae) reduces bleeding, activates tissue regeneration processes, and relieves inflammatory processes. It is used for chronic hemorrhoids accompanied by bleeding, in the treatment of anal fissures and colitis, to reduce inflammation after surgery.
pros
- Efficiency - relieves pain, helps with bleeding hemorrhoids, heals cracks.
- Quick action - relief comes after the first use.
- Safety – the drug has virtually no contraindications.
- Can be used by pregnant and lactating women.
- Reasonable price - about 350 rubles.
Minuses
- The packaging is difficult to open and the candle may break.
- Pain during use due to the sharp edges of the candle.
- In some patients, it relieves symptoms, but does not eliminate them completely.
Proctosan
The suppositories contain bufexamak (anti-inflammatory component), titanium and bismuth compounds (exhibit astringent properties, dry, accelerate healing), lidocaine (anesthetic). The combined composition makes it possible to effectively use suppositories in the treatment of hemorrhoids, anal fissures, proctitis and other diseases of the rectum.
pros
- It alleviates the condition after using the first suppository, and after 4-5 days of treatment it completely removes unpleasant symptoms - itching, pain, bleeding.
- Usually, for a positive result, 1 suppository per day is enough; the package is enough for the entire course.
- They help achieve stable remission - after a treatment course, hemorrhoids do not worsen for six months or longer.
- Acceptable price – 340–370 rubles.
Minuses
- Cannot be used by pregnant and lactating women.
- Doesn't heal cracks well.
- Causes loose stools.
Gepatrombin G
The combination of heparin and prednisolone provides anti-inflammatory, anti-edematous, antipruritic, and antithrombotic effects. The polidocanol contained in the composition effectively eliminates pain.
Suppositories are used for various forms of hemorrhoids, thrombophlebitis of the anal veins, and anal fissures. Infectious and oncological diseases of the skin, tuberculosis and syphilis, tendency to bleeding, intolerance to the components of the drug are contraindications for use.
Do not use the product in the first trimester of pregnancy, in the later stages - only as prescribed by a doctor. During treatment, local allergic reactions may occur.
pros
- An effective remedy - quickly relieves burning, itching, pain, stops bleeding, heals cracks.
- The package is enough for a course of treatment.
- The shape of the candle is not pointed and does not cause discomfort when inserted.
- Convenient to use - just once or twice a day.
- Acceptable price – 175–220 rubles.
Minuses
- Contains a hormonal component, there are contraindications.
- Some patients noted the lack of a positive result after using suppositories.
Relief
Relief candles are available in three versions, differing in composition. Relief suppositories contain phenylephrine, which has a pronounced vasoconstrictor and moderate anti-inflammatory effect.
Relief Ultra is a suppository based on hydrocortisone (a hormonal component) and zinc sulfate. The components of the drug exhibit a pronounced anti-inflammatory effect, reduce itching, and promote tissue healing.
Relief Advance suppositories contain benzocaine as the main component, which has an anesthetic, healing, anti-inflammatory effect. In addition, all three types of suppositories contain shark liver oil, the main effects of which are tissue healing and reduction of inflammation, and an immunomodulatory effect.
All three types of suppositories are used in the treatment of acute and chronic hemorrhoids and anal fissures. Relief Advance is also used as a local anesthetic during diagnostic procedures and surgical interventions.
pros
- Suppositories are available in three versions; you can choose the optimal drug taking into account the predominant symptom (pain, bleeding, itching).
- It relieves pain well and quickly, stops bleeding.
Minuses
- It does not help with severe forms of hemorrhoids.
- The therapeutic effect does not last long - a couple of weeks after the end of using the suppositories, the problem reappears.
- It needs to be used up to 4 times a day, which is inconvenient.
- Cannot be used by pregnant and lactating women.
- High price - depending on the specific type, the cost varies between 350–500 rubles for 12 candles per package. If used according to instructions 4 times a day, the package lasts only 3 days. But this course is not always enough.
Contraindications
Massage may be useful, but it also has a number of contraindications. For this reason, before you decide to have it, be sure to consult your doctor. Massage should be avoided if:
- Increased body temperature, which is observed during viral infections. Massage should be postponed until complete recovery, so as not to overload the body during illness.
- Acute inflammatory process provoked by injury.
- Any type of bleeding. These include menstruation.
- Lymphadenitis.
- Nausea.
- Allergic reactions on the skin.
- Taking analgesics belonging to the narcotic group.
If you have at least one contraindication, you should refuse massage, since it can lead to an increase in the symptoms of the disease, as well as cause very sad consequences.
Is it possible to massage your legs if you have varicose veins? There are a number of diseases for which massage procedures are not recommended:
- advanced hypertensive conditions;
- inflammation of the lining of the heart and myocardium in acute form;
- frequent cases of angina pectoris and coronary insufficiency;
- thrombophlebitis and phlebitis;
- arrhythmia;
- vascular aneurysm;
- insufficient blood circulation in the later stages.
Experts do not recommend massage at elevated temperatures (more than 37.5). This can trigger the development of the disease. It is also contraindicated to massage the legs during various infectious diseases (flu), so that they do not progress to the acute stage. The procedure is also avoided in case of inflammatory processes or mechanical damage (fractures, dislocations, sprains).
Massage procedures should be approached as responsibly as possible. First of all, you should take blood clotting tests and study the condition of the circulatory system as a whole. Secondly, it is imperative to obtain the advice of a medical specialist to rule out the presence of contraindications and make a conclusion as to whether massage for varicose veins is possible in a particular situation.
In most cases, restrictions are associated with certain pathologies of the cardiovascular system, but there are other reasons why stimulating rubbing is not recommended.
So, the main contraindications include:
- Heart disease in the stage of decompensation;
- Inflammatory pathologies of the myocardium and membranes of the heart in the acute phase;
- Coronary insufficiency;
- The third stage of hypertension;
- Phlebitis and thrombophlebitis;
- High degree of circulatory impairment;
- Sinus rhythm disturbance;
- Atherosclerotic signs, a tendency to impair blood circulation in the brain;
- Development of gangrene;
- Vascular aneurysm;
- Allergic vasculitis;
- Increased body temperature;
- The presence of allergic or other skin rashes.
Remember, all massage manipulations are aimed at stimulating blood flow and cardiac activity. And only a correctly conducted session, taking into account all the doctor’s recommendations, will not cause harm.
Massage for varicose veins of the lower extremities has the following contraindications:
- 3 and subsequent stages of the disease;
- decompensation of the disease;
- deep veins in the legs are affected;
- the presence of phlebitis, blood clots, thrombophlebitis;
- the presence of trophic ulcers.
Before starting a course of procedures, it is necessary to perform a blood clotting test.
In addition to the reasons directly related to varicose veins, contraindications for it are heart or pulmonary failure, hypertension, and acute inflammatory diseases.
Massage for varicose veins. You cannot do a classic massage, especially in the later stages. This will provoke the formation of blood clots, and the condition of the capillary vessels will worsen. You can massage healthy limbs for preventive purposes.
The best remedies for hemorrhoids in the form of ointments and gels
Soft-based products are used to treat external, and less commonly, internal hemorrhoids. The ointment is applied to hemorrhoids with a special applicator, and extensions are used for internal use. Ointments and creams, like suppositories, differ in composition and are selected depending on the main symptom of the disease.
Advantages
Ointments and gels act quickly and are easy to use. The composition and effectiveness of ointments are not inferior to suppositories, and they are suitable for the treatment of external hemorrhoids when suppositories are useless.
Flaws
For internal hemorrhoids, using ointment and gel is not as convenient as products in the form of a suppository. In addition, you need to read the instructions carefully. Some medications are not intended to treat internal hemorrhoids.
Medicines for pregnant and lactating women
Pregnant and lactating women should not take pills or use ointments and suppositories without a doctor's prescription. Pregnancy itself is incompatible with medications, since they harm the fetus in the womb, fatally affect its health and produce a toxic effect. The same can be said about the lactation period.
Important! In order not to fear for the health of the unborn baby, they buy Anuzol (elimination of pain, itching and inflammation), Anestezol (pain relief) or place suppositories with papaverine, which normalize the tone of the veins in the pelvic area. Not all medications that can be taken by pregnant women are listed above. They are safe for health.
Rating of the best remedies for hemorrhoids in the form of ointments and gels
Rating | #1 | #2 | #3 |
Name | Heparin ointment | Aurobin ointment | Gepatrombin gel |
Aurobin ointment
An ointment based on dexpanthenol, prednisolone and lidocaine quickly stops inflammatory processes, reduces swelling, effectively relieves pain, and promotes the healing of damaged tissues. It is used for external and internal hemorrhoids, eczema and dermatitis of the perianal area, cracks, itching.
pros
- Effectively relieves itching, pain and swelling, heals cracks.
- Suitable for the treatment of external and internal hemorrhoids.
Minuses
- Contains a hormonal component, which causes a large number of side effects and contraindications.
- High price – 300–470 rubles.
Trombless plus gel
Another effective multicomponent drug containing heparin, troxerutin, dexpanthenol and benzocaine. It has anticoagulant and decongestant, anti-inflammatory, regenerating and local analgesic effects.
pros
- The composition contains 10 times more heparin than Heparin ointment, which means it acts more effectively on blood vessels.
- Relieves the condition a few days after starting use.
- Has a light texture.
Minuses
- High cost - from 400 to 460 rubles.
Gepatrombin gel
A combined remedy for hemorrhoids, the effect of which is determined by the components included in the composition. Heparin prevents the formation of blood clots and thins the blood, allantoin and dexpanthenol stimulate tissue healing, eliminate inflammation and accelerate the absorption of heparin into tissues.
pros
- It relieves swelling and inflammation well and helps completely eliminate symptoms within a week.
- Possible for pregnant women.
- It is used economically.
- Affordable price – 160–190 rubles.
Minuses
- Severe pain does not completely disappear.
- Does not help with severe, advanced forms of hemorrhoids.
Heparin ointment
A drug based on heparin and benzocaine provides good pain relief and has an anticoagulant effect (thin the blood, eliminate formed blood clots, and prevent their formation). Used for exacerbation of chronic hemorrhoids.
Damage to the skin in the area of application, thrombocytopenia and intolerance to the components of the ointment are contraindications to the use of the product. Prolonged use of the ointment can cause redness of the skin, rash, and itching.
pros
- Helps eliminate unpleasant symptoms within a week.
- Does not cause adverse reactions.
- In consultation with a doctor, it can be used by pregnant women.
- Low price – 55–90 rubles.
Minuses
- Very greasy base, not absorbed.
The best remedies for hemorrhoids for internal use
Along with the use of topical drugs, it is necessary to take systemic venotonics. These are remedies for hemorrhoids in women and men in the form of capsules and tablets for oral administration.
Advantages
Venotonics improve microcirculation, help reduce pain, increase the tone and elasticity of vascular walls, reduce the permeability of veins and capillaries, thereby relieving swelling.
Flaws
Tablets and capsules for hemorrhoids do not act as quickly as local remedies. The first results of treatment are felt after at least 2–3 days. You need to take medications over long periods.
Rating of the best hemorrhoid remedies for internal use
Rating | #1 | #2 | #3 |
Name | Phlebodia | Detralex | Ginkor Fort |
Ginkor Fort
The best medicine for hemorrhoids contains ginkgo biloba extract, troxerutin and heptaminol. The drug reduces the permeability of vascular walls and swelling, improves microcirculation, and helps reduce the intensity of pain.
Used in the treatment of acute and chronic hemorrhoids.
pros
- Alleviates the condition (reduces pain, discomfort) at the initial stage of hemorrhoids.
- Cheaper than Detralex and Phlebodia - 550–630 rubles per pack of 30 capsules.
Minuses
- The pain does not go away completely.
- There is no stable remission after taking it; a couple of weeks after the end of treatment, the disease may worsen again.
- Do not take if you have thyroid dysfunction.
Venoruton
The drug based on rutoside is characterized by a venotonic effect and prevents the formation of blood clots. Prescribed for hemorrhoids accompanied by itching, pain, and bleeding.
pros
- There are 50 capsules in a package, enough for a course of treatment.
- An acceptable cost compared to diosmin-based venotonics is 800–900 rubles.
Minuses
- All patients taking the drug complain of the absence of a noticeable, pronounced effect.
Phlebodia
A one-component drug based on diosmin reduces the distensibility of vein walls, strengthens blood vessels, and normalizes blood circulation. Taking the drug for hemorrhoids helps to quickly eliminate inflammation and swelling and reduce the intensity of pain.
Tablets can be used in the initial stages of the disease and during periods of exacerbation.
pros
- Within a week it helps to get rid of the symptoms of exacerbation of hemorrhoids.
- Ease of use - during an exacerbation, you need to take 3 tablets per day, and not 6 tablets, as when treating with Detralex. For maintenance therapy, 1 tablet per day is sufficient.
Minuses
- Causes diarrhea, nausea, headaches.
- Large tablets, hard to swallow.
- To prevent exacerbation, you need to take it every six months.
- High cost - 1500–1650 rubles per pack of 60 tablets.
Detralex
The most effective remedy for hemorrhoids based on diosmin and hesperidin (flavonoids) has a venoprotective and venotonic effect. The drug increases tone and elasticity, strengthens vascular walls, and reduces capillary permeability.
The drug is used in the complex treatment of an acute attack of hemorrhoids and as maintenance therapy to prevent relapse.
pros
- Quickly, within 3–4 days, it alleviates the condition of acute hemorrhoids.
- The therapeutic effect lasts for a long time - after a two-month course of treatment, unpleasant symptoms no longer recur for six months or longer.
Minuses
- May cause stomach pain, dizziness, and fluctuations in blood pressure.
- High price: a package of 30 tablets costs 700–800 rubles, 60 tablets – 1400–1500 rubles.
conclusions
When choosing the best remedy for hemorrhoids, keep in mind that treatment of hemorrhoids should be carried out comprehensively, including the use of local remedies and systemic drugs. To choose the right medications, you need to contact a proctologist. The doctor will prescribe appropriate remedies, taking into account the causes of the disease, the totality of symptoms and the severity of the pathological process.
In case of bleeding, the doctor recommends agents with a hemostatic effect. Severe pain can be relieved with anesthetic drugs. The addition of a secondary infection will require antibacterial therapy and the use of antiseptics. If the disease is accompanied by constipation, treatment of hemorrhoids is supplemented by taking laxatives. And remember that medications will be effective in the initial stages of the disease. However, in severe advanced forms of pathology, the only option is surgery. To prevent this, contact a specialist in a timely manner.
Causes of the disease
In order to completely cure a disease, it is necessary to completely eliminate the causes that cause its development. The main causes of varicose veins are:
- prolonged standing on your feet associated with work;
- constant lifting of weights;
- physical stress;
- wearing poor-quality and uncomfortable shoes;
- excess weight;
- poor quality nutrition;
- frequent pregnancies;
- walking in high heels;
- bad habits (smoking, drugs, alcohol).
As the disease develops, a person suffers from severe pain, spasms and cramps in the legs, burning and itching of the skin, swelling, and the appearance of spider veins or varicose veins.