In what cases are suppositories used for hemorrhoids? Features and precautions for use

Hemorrhoids are treated not only with systemic remedies (tablets), but also with local remedies, such as ointments, in the case of external hemorrhoids, and suppositories, in the case of internal ones. Rectal suppositories are quite effective, especially in the early stages.

In this article we will look at the most effective suppositories for hemorrhoids, tell you how this or that drug differs from another, what are its benefits, price and contraindications

Regardless of what caused hemorrhoids, prevention of this disease is very important. And the most effective in prevention are suppositories, which in turn are divided into:

• Anti-inflammatory.
• Painkillers.
• Venotonic.
• Anticoagulants.

Which drug to choose specifically for you depends on the symptoms that prevail in you personally! The main directions of suppositories are listed below.

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.

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.

Variety of choices

Male or female hemorrhoids can be treated with suppositories. They refer to drugs that exhibit their activity at the site of the lesion. After resorption in the rectum, the suppositories begin to act quickly. The pain goes away, the inflammatory process subsides, the burning and itching disappear. To give the correct answer to the question of which suppositories are best for hemorrhoids, you need to get acquainted with their types.

Rectal suppositories differ from hemorrhoids:

• according to their medicinal composition (multicomponent, single-component, based on hormonal substances, antibiotics or natural ingredients);
• by force of influence (quick or cumulative action);
• by duration of use (the administration of some suppositories for hemorrhoids is allowed for up to 7 days, others for up to a month).

There are three types of hemorrhoids: external (located under the skin of the external anus), internal (located under the mucous surface of the final section of the rectum) and combined. Therapeutic suppositories are mainly used to treat hemorrhoids that are located inside.

But you can use suppositories for hemorrhoidal cones located outside. All of them are designed to alleviate the patient’s condition: stop or reduce bleeding, pain and irritation.

There are several types of suppositories for the treatment of hemorrhoids:

• Painkillers. This type of suppository contains antispasmodics and analgesics, for example, benzocaine or lidocaine.
• Drugs that cope with irritation and inflammation. Such suppositories may contain, in addition to the usual anti-inflammatory components, hormonal components, such as prednisolone.
• Suppositories with hemostatic properties. Hemostatic agents included in medications, such as Vicasol, quickly control bleeding.
• With hemorrhoids, blood vessels and capillaries become thinner and weaker. To give them strength and elasticity, suppositories must be prescribed that contain a venotonic, for example, glivenol. Treatment for hemorrhoids with suppositories of this type will eliminate the root cause.
• Anticoagulants, by thinning the blood, prevent the formation of thrombosis.
• Glycerin suppositories may be prescribed. They are needed to soften stool and facilitate bowel movements.
• Absorbable suppositories are able to regenerate the walls of veins, promote wound healing, relieve itching, relieve pain and soothe.

Is it possible to cure hemorrhoids with suppositories alone? It is possible, but only if the disease is treated at the first and second degrees of severity. For advanced forms, treatment with minimally invasive and surgical methods is indicated.

It must be remembered that improper treatment can lead to complications: paraproctitis, necrosis, thrombosis and other unpleasant consequences.

With severe pain syndrome

This rating contains drugs with strong active substances, including hormones, which are aimed at relieving pain, itching, and burning as quickly and effectively as possible.

1 Proctosedyl M

• Powerful hormonal suppositories.

Price: 320 rub.

Proctosedyl M is prescribed for severe forms of hemorrhoids with severe pain.

It contains 4 active substances:

• Framycetin is an antibiotic that fights gram-positive and gram-negative microorganisms.
• Hydrocortisone is a hormone from the group of glucocorticosteroids that significantly reduces pain, inflammation, swelling and itching, and reduces the volume of exudate and serous secretions.
• Esculoside is a compound that restores vascular flexibility and permeability. That is, it fights the cause of hemorrhoids!
• Benzocaine and butamen are painkillers that relieve itching and spasms.

Contraindications: lesions of the perianal area due to tuberculosis, viral or fungal infection, neoplasms in the intestines, pregnancy,

2 Procto-glivenol

• Quickly eliminates pain, burning and itching.

Price: 440 rub.

Procto-glivenol is used as a venotonic, analgesic and anti-inflammatory agent. Relieves intense pain, itching, regulates skin tone.

Tribenoside - improves blood circulation in hemorrhoids, improves their tone, relieves swelling and inflammation in the perianal area.

Lidocaine - acts as a local anesthetic and reduces itching.

According to many patients, procto-glivenol is the best suppository for hemorrhoids.

Contraindications: liver failure.

3 Relief Advance

• Formula with analgesic effect.

Price: from 470 rub.

Relief Advance contains shark liver oil and benzocaine. Shark oil stops bleeding, regenerates tissue, and effectively relieves inflammation. Benzocaine has an analgesic effect.

The basis of the suppository is cocoa butter; this component has a softening effect on hemorrhoids and the inflamed skin around them.

Contraindications: acute blockage of blood vessels by blood clots, reduced content of granulocytes in the blood.

4 Relief Ultra

• Enhanced with steroid hormone.

Price: 500 rub.

Relief Ultra contains shark liver oil, like all formulas of this brand. Shark oil is quite effective in relieving inflammation and has a regenerating effect.

It also contains zinc sulfate monohydrate, which additionally accelerates tissue regeneration and fights anal fissures and erosions.

In addition, this formula is enhanced with the corticosteroid hormone hydrocortisone, which quickly relieves pain, inflammation, itching and burning.

Contraindications: Absolute contraindications are neoplasms and infections of any etiology in the anorectal area, Itsenko-Cushing syndrome, tuberculosis, hypernatremia, severe diabetes mellitus, pregnancy and breastfeeding; individual intolerance.

Relative contraindications (under medical supervision) include severe hypertension, HIV, tachycardia or arrhythmia, osteoporosis.

5 Gepatrombin G

• Eliminates pain, burning and itching in a minute.

Price: 240 rub.

Hepatrombin G is an extremely effective remedy due to the content of the hormone prednisolone. Within the first minutes, pain, itching, burning goes away, the remedy is effective even for severe pain.

In addition to prednisolone, the composition includes heparin (an anticoagulant with anti-exudative and regenerating effects) and lauromacrogol 600 (an anesthetic with an anti-sclerosing effect).

Hepatrombin G does not affect the cause, it only eliminates the symptoms. Therefore, additional treatment is required.

According to reviews, discomfort is felt during the first 20 minutes. The course of treatment should not exceed 7 days due to the content of prednisolone and other potent substances.

Analogue: hepazolone, with a cost of 325 rubles. Instead of lauromacrogol, regular lidocaine is used.

Contraindications: infection of the anus, syphilis affecting the intestines, pregnancy in the 1st trimester, tuberculosis, gastrointestinal tumor, individual intolerance, tendency to bleeding.

How to choose good suppositories for hemorrhoids

The medication for the treatment of hemorrhoids is selected by a doctor, who takes into account the degree of the disease, as well as the individual characteristics of the woman’s body. The choice of suppositories is made taking into account the main symptom: itching, bleeding, inflammation of the skin in the anal area, pain. How is the drug selected based on these data:

• for painful syndrome, suppositories with anesthetics such as Relief, Emla, Proctosedyl A, Nigepan, etc. are prescribed.
• at the initial stage of hemorrhoids, the use of anticoagulants that dissolve blood clots is indicated: heparin suppositories/ointment, Nigepan, Hepatrombin G;
• in case of bleeding, it is necessary to use anti-edema, hemostatic agents, for example, Procto-Glivenol, Phenylephrine, Relief;
• for external inflammation, treatment with ichthyol suppositories, Levomikol, etc. is indicated;
• to eliminate itching, corticosteroids and suppositories with the hormones hydrocortisone, prednisolone are prescribed: Gepatrombin G, Proctosedyl, Ultraproct, etc.

When bleeding

This rating shows suppositories that primarily have a hemostatic and vasoconstrictor effect.

1 Relief

• Leader among buyers.

Price: 420 rub.

Relief suppositories are anti-inflammatory and vasoconstrictor rectal suppositories. They contain shark liver oil, which has a hemostatic, regenerating and anti-inflammatory effect, and phenylephrine, which has a vasoconstrictor effect.

The basis of the suppository is cocoa butter; this component has a softening effect on hemorrhoids and the inflamed skin around them.

Contraindications: children under 12 years of age, history of thromboembolism and granulocytopenia. Use with caution in cases of arterial hypertension, high blood sugar, pregnancy, and increased thyroid function.

Read more: Relief candles - instructions for use ➤

2 Anestezol

• Antiseptic and analgesic effect..

Price: 100 rub.

Anestezol is one of the cheapest suppositories of natural origin for hemorrhoids. Consists of benzocaine (pain reliever), bismuth (constricts blood vessels, increases blood coagulation), zinc (anti-inflammatory effect), menthol (antiseptic, constricts blood vessels). They have a slight laxative effect.

Buyers respond quite well to these suppositories; price plays an important role. Treatment must be combined with other medications, since after stopping the course, the pain returns.

Contraindications: age under 12 years, intolerance to the main substances of the drug.

3 Procto-glivenol

• Quickly eliminates all symptoms and affects the cause of their appearance.

Price: 440 rub.

Description of the drug and contraindications are described above ↑.

Traditional methods of fighting the disease

At home, you can make your own candles from natural ingredients. There are many recipes.

• Candles cut from the middle of potatoes will help eliminate the inflammatory process and pain. The size should be no more than half the little finger, the diameter should be about 1.5 cm. You can lubricate the tip of the candle with Vaseline or oil to facilitate the insertion process. The exacerbation passes within two days, but it is worth continuing the course for up to 10 days.
• Honey has anti-inflammatory, antimicrobial and antiseptic effects. You can form a suppository from a candied product that is at least a year old. A similar remedy helps with the bumps that are inside.
• An effective homemade remedy for hemorrhoids is ice suppositories. They narrow and strengthen blood vessels, which stops bleeding and reduces swelling. You need to prepare a decoction, for example, of calendula or chamomile (for 35 g of dry raw materials you need to take 200 ml of boiling water). Leave for about 40 minutes. The resulting broth should be poured into prepared molds, for example, you can use a fingertip. Place in the freezer. Can be used every other day. After two months, unpleasant symptoms will no longer bother you.
• Garlic suppositories have antimicrobial, wound-healing, and anti-inflammatory effects. For the procedure, a large clove of garlic is useful, which is lubricated with Vaseline. Administer every day before bedtime.
• At home, you can make aloe candles, which promote rapid healing of abrasions and cracks, increase local immunity, relieve inflammation and fight pathogenic bacteria. The fleshy leaf of the plant is removed from roughness, cut lengthwise and turned inside out with the skin. You can put these candles every day at night.

Folk remedies made at home can only help when the first signs of hemorrhoids appear. If the disease occurs with acute symptoms, a combination with drug therapy is necessary.

Treatment of hemorrhoids should not be carried out only with rectal suppositories. The complex of therapeutic measures should include changing the rhythm and lifestyle, you need to give up bad habits, eat properly and rationally.

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The most inexpensive

This rating includes products that cost less than 100 rubles per package.

1 belladonna extract

• The best herbal candles with the lowest price.

Price: 60 rub.

“Belladonna extract” is the cheapest on the domestic market, but at the same time, one of the best. Belladonna, also known as belladonna, relieves spasms, including in the intestines, reduces sensitivity to pain at the level of nerve impulses. However, these suppositories do not solve the problem of hemorrhoids, but they will help temporarily relieve the pain. The result will be visible after the first use.

A side effect is a slight laxative effect of belladonna, which can cause flatulence. In addition, there may be a burning sensation after insertion and discomfort. Apply them 2-3 times a day for a week.

Contraindications: pregnancy and lactation, prostate hypertrophy, glaucoma, colitis and intestinal atony, individual intolerance.

Side effects: tachycardia, thirst, dry mouth, diarrhea, visual disturbances (accommodation, paresis, pupil dilation).

2 Methyluracil

• Doctors' recommendation.

Price: 75 rub.

Description of the drug and contraindications are described above ↑.

3 Betiol

• Herbal candles.

Price: 85 rub.

Betiol, unlike belladonna extract, also contains ichthyol, which has an antispasmodic effect. Belladonna is a good herbal pain reliever.

Contraindications: angle-closure glaucoma, prostate enlargement, childhood.

4 Ichthyol

• They have no contraindications.

Price: 95 rub.

The composition includes only one active substance - ichthyol (ichthammol). It has anti-inflammatory properties, eliminates pain, and has a keratolytic and antiseptic effect.

In addition, ichthyol increases blood circulation in the pelvic organs, as a result of which they help with inflammation of the prostate in men and inflammation of the uterus and ovaries in women.

Contraindications: individual intolerance.

Medicines based on bismuth

What inexpensive suppositories are there for hemorrhoids? How effective are they and do they have absorbable properties?

There are also the cheapest suppositories for hemorrhoids on sale, which are based on bismuth. Their advantage is that they are inexpensive and have a complex effect on the body.

What are the names of suppositories for hemorrhoids?

Anuzol

Anuzol is one of the cheap combination drugs for the treatment of hemorrhoids. The basis of the drug is bismuth, belladonna extract and zinc sulfate.

Bismuth is a dermatotropic ingredient with a drying, astringent and antiseptic effect.

Zinc sulfate helps prevent further development of the inflammatory process, and belladonna extract reduces muscle tone of the intestinal tract.

Suppositories can be used up to three to seven times a day, but before use you should consult a doctor, as there are restrictions such as:

• atony of the digestive canal;
• heart failure;
• tachyarrhythmias;
• angle-closure glaucoma;
• weakness in muscle structures;
• stage of gestation and lactation period.

If hemorrhoids are observed, treatment for the lighter type can be carried out with this remedy.

The average cost of Anuzol is in the range of 50-80 rubles.

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, 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.

Video: Maryana Abritsova, a coloproctologist surgeon, will tell you about the intricacies of using suppositories for hemorrhoids during pregnancy:

1 Natalsid

• Eliminate pain from the first suppository.

Price: 375 rub.

Natalsid contains an extract from brown algae - sodium alginate, which is used as a hemostatic and anti-inflammatory agent, stimulates tissue healing. Used during pregnancy and breastfeeding.

Buyers note a good pain-relieving effect, which occurs after the first candle. The drug is completely herbal and has a minimum of contraindications.

Contraindications: individual intolerance, age under 14 years (for children under 14 years of age, it is recommended to use the children's form of suppositories - Alginatol).

2 Olestesin

• Anti-inflammatory effect.

Price: 150 rub.

Olestesin is a combined drug that is used in proctology as an analgesic, anti-inflammatory and antibacterial agent for hemorrhoids, anal itching and rectal fissures.

It consists of three active components: benzocaine (relieves pain and discomfort), sea buckthorn oil (relieves inflammation, stops bleeding, regenerates tissue, tones blood vessels), and sulfaethidol (local antibiotic).

Contraindications: hypersensitivity to the active substances of the drug.

3 Neo-anuzole

• Complex effect.

Price: 80 rub.

A drug with a combined effect, used as an analgesic, antiseptic, antispasmodic, local anti-inflammatory agent, has an astringent and general effect against the manifestations of hemorrhoids.

Neo-anuzole contains: bismuth subnitrate (protects the mucous membrane of the rectal canal), zinc oxide (anti-inflammatory and antibacterial effect), iodine (antiseptic effect), tannin (stops bleeding), as well as resorcinol and methylene blue (antimicrobial effect).

Contraindications: individual intolerance.

4 Posterizan

• Antimicrobial effect.

Price: 350 rub.

Combined suppositories that increase the resistance of the skin of the perianal area and rectal mucosa to pathogenic bacteria. Used during lactation and pregnancy.

Composition: microbial inactivated Escherichia coli cells.

Contraindications: hypersensitivity to phenol.

Treatment of external hemorrhoids

Every person has the opportunity to cure this disease, but the success of therapy largely depends on timely consultation with a doctor. Any remedy for external hemorrhoids will require longer use in the later stages of development of the disease. According to statistics, the disease more often affects women, which is due to anatomical features. The appearance of external anal nodes is often accompanied by the following symptoms:

• traces of blood on toilet paper;
• bump-like nodes around the anus that can be easily felt on your own;
• discomfort, itching in the anal area;
• pain during bowel movements.

Antihemorrhoidal suppositories will help prevent complications: blood clots, congestion in the veins. To relieve the symptoms of external hemorrhoids, as a rule, local therapy is used: applying ointments, creams, and using suppositories. The latter are preferred because they must be inserted directly into the rectum, which allows the drug to immediately penetrate into the blood. This is an important condition for obtaining a quick effect.

Candles for children

1 Candles “Sea buckthorn oil”

• No. 1 in sales.

Price: 90 rub.

Rectal suppositories “sea buckthorn oil” are a safe remedy that combats symptoms well. The drug contains natural sea buckthorn oil, which promotes accelerated tissue regeneration, stimulating the restoration of the skin and mucous membranes. The effect is noticeable after the first candle. It is used in complex therapy, including during pregnancy.

Due to their low cost, these candles receive many positive reviews. Among the disadvantages, one can highlight the bright orange color, which remains on the underwear when leaking, and is difficult to wash off.

Contraindications: allergic reactions to sea buckthorn oil.