Hemorrhoids (haimorrhois) in translation from Greek means bleeding. In this case, the bleeding is associated with rupture of blood vessels located in the rectum.
This is a delicate disease, unpleasant, specific, with which not everyone will turn to a specialist, experiencing considerable embarrassment. Men are also more susceptible to it, but most women turn to specialists.
Shyness or frivolity invariably leads to a chronic course of the disease, which turns into an acute stage.
That is why it is necessary to get to know him better in order to understand well the causes, symptoms and medicines offered by the modern pharmacological industry. The editors of the site "Ya Nashla" have prepared for you an overview of the best remedies for hemorrhoids for 2020.
Content
Description of the "uncomfortable" disease
Like any other, this disease refers to a specific organ. In the case of diagnosing hemorrhoids, the "diseased" organ is the large intestine, or rather, its end.
In this area, it is equipped with a hemorrhoidal venous plexus, which is responsible for hematopoiesis, protection of the anus, and control of defecation. The walls of the veins differ from the walls of the arteries in less strength and greater vulnerability, susceptibility to stretching and loss of tightness in some parts.
With their expansion (varicose veins), with the frequent presence of thrombophlebitis, the formation, swelling, inflammation of hemorrhoids with micro- and macro-ruptures of the walls, bleeding, due to the high permeability of the walls occurs.
Causes and development, risk groups
The identified causes of the development of the disease are genetic disposition, deficiency of plant foods in the diet, congenital weakening of connective tissues and venous walls, impaired outflow in the veins.
The risk group includes people:
- preferring spicy food;
- abusers of alcoholic beverages;
- subject to physical inactivity (with a low level of physical activity);
- lifting significant weights;
- in violation of the process of defecation (constipation, diarrhea);
- with a "sedentary" nature of work;
- who have undergone pregnancy and childbirth.
Varieties
There are only a few types of hemorrhoids, these are:
- internal - the location of hemorrhoids on the inner walls of the rectum, invisible from the outside;
- external - the location of "bumps" outside, which can fall out and set back. A rare type that occurs in only 10% of cases.
- Combined - combines both options. It affects up to 50% of all patients.
Stages
According to the frequency and intensity of bleeding, accompanying complications, its reduction or impossibility, pinching, there are 4 stages of disease progression:
- 1st stage
Initial - at this stage, hemorrhoids are difficult to identify on their own.
It is accompanied by internal swelling of the nodes, intermittent blood in the stool, sensation of a foreign body in the anus, blood on toilet paper, itching and burning of the anus.
- Stage 2
Average, characterized by an increase in hemorrhoids, their loss during attempts due to constipation and self-reduction.
Blood can appear without defecation, on underwear, when lifting weights. Painful sensations when sitting.
- Stage 3
Chronic - goes into the external stage, the loss of nodes already without the possibility of reduction. Needs a specialist examination and treatment.
- Stage 4
Acute - an advanced stage of the disease, accompanied by the loss of nodes without straining or lifting weights, are felt by the patient.
It is characterized by the development of concomitant diseases, constant bleeding. Requires operable intervention.
The development of the disease occurs gradually, with alternating periods of exacerbation and a decrease or even temporary disappearance of symptoms, taking from several months to several years.
By itself, hemorrhoids do not pose a threat to human health, but they cause anemia due to frequent blood loss and complications in the form of anal fissures, sepsis, paraproctitis (purulent inflammation of the tissues surrounding the rectum).
In addition, in patients with hemorrhoids, the development of nervous disorders and depressive conditions associated with a fear of defecation (due to painful sensations) and anxiety about the state of their body is observed.
If you experience any of the above symptoms, you should see a doctor.
Self-medication without a correct diagnosis is dangerous because similar symptoms can accompany a number of other diseases, incl. and rectal cancer.
Prevention
Following common knowledge
"The disease is easier to prevent than to cure",
recommendations for the prevention of hemorrhoids should be taken into account:
- proper nutrition;
- hygiene of the anal area (rinsing with cool water after a bowel movement);
- attentiveness to constipation and loose stools, any bowel disorders;
- reducing or eliminating alcohol use;
- proper nutrition with the exception of sour, salty and spicy foods;
- exclusion of heavy lifting;
- playing sports and special physical exercises aimed at strengthening the muscle tissues of the anus.
Following these tips will help to relieve pain during an exacerbation of the disease.
How to cure
Conservative treatment consists in the use of medicines of various dosage forms:
- external use
- ointments - topical preparations that do not affect other organs;
- gels - for external use, the transparent consistency is convenient, because does not get dirty.
- internal use
- pills;
- capsules;
- suspensions;
- lozenges.
- rectal administration
candles - one-component or combined rectal suppositories, which have a therapeutic effect after it is placed inside the anus and resorbed.
For ease of use, one type of agent can be presented in different dosage forms.
At the first stage of the development of the disease, you can use special drugs, the action of which will be aimed at:
- elimination of the inflammatory process;
- cessation of pain;
- stopping bleeding;
- relaxation of the walls of the rectum;
- strengthening the venous walls;
- normalization of blood circulation in the node.
Traditional medicine in the treatment of hemorrhoids
It is also possible to use phytotherapeutic treatment (medicinal herbs). There are a sufficient number of folk recipes used to treat hemorrhoids.
Their advantages include:
- the ability to cope with the disease at its initial stages;
- lack of side effects;
- indication for use by pregnant and lactating mothers;
- recipes have been tested by more than one generation and by different patients.
The negative factors of folk recipes include:
- inability to cure the disease at an advanced stage;
- the medicinal effect of herbs is not fully understood and not confirmed;
- a negative effect is possible when applied, especially orally.
Folk remedies of herbal origin include:
- herbal infusions, decoctions of plants, juices for internal use and in the form of compresses and lotions;
- sedentary baths from fees, relieving pain with external hemorrhoids. They can be cold, warm, steamy.
- Microclysters from herbal decoctions, vegetable oils for internal administration to the colon.
- Compresses for external hemorrhoids in the form of lotions from napkins dipped in decoctions of plants, raw vegetables, berry purees.
- Homemade ointments based on honey, wax, vegetable oil with the addition of additional ingredients.
- Vegetable candles made from potatoes, carrots, beets, aloe vera, honey.
They can be divided into several groups:
- relieving pain and inflammation;
- stopping blood flow;
- relieving swelling of hemorrhoids;
- restoring damaged mucous membranes;
- contributing to the softness of bowel movements.
Treatment in pregnant and lactating women
The period of bearing a baby and the first months of his life are associated with responsibility for the future health of the child and the maximum exclusion of the use of drugs during this period.
That is why folk remedies are the best way out in a situation of hemorrhoids in pregnant and lactating mothers.
The clear exceptions are the use of cold and hot baths, the internal use of herbal infusions, in most of which can increase the uterine tone and lead to miscarriage or have other negative effects on the body.
Approved methods include compresses, lotions, rectal suppositories, and plant-based ointments that are topical medications.
Any type of therapeutic intervention can be used only after examination and appointment by a specialist in order to exclude the development of pathology and negative consequences.
Male and female hemorrhoids
By gender, the disease is divided according to the root causes of its occurrence.
In addition to general reasons related to both sexes - a sedentary lifestyle or work, lifting weights, unhealthy diet with a predominance of fatty and heavy foods, alcohol consumption, there are directly related only to women, these are:
- pregnancy, accompanied by active blood circulation in the vessels;
- childbirth, during which blood flow is disturbed under pressure from the uterus on the pelvic organs.
Rating of the best manufacturers
Pharmaceutical brands that produce quality medicines for hemorrhoids include:
- Nizhpharm (Russia);
- Novartis Pharma (Switzerland);
- Bayer (Germany);
- Pharmstandard (Russia);
- Hemofarm (Serbia), etc.
How much does a hemorrhoid remedy cost
The cost of medicines is different and depends on the composition, form of release, manufacturer:
- from 69 rub. for herbal tea No. 33 for hemorrhoids, 20 f / p * 1.5gr, CPT;
- up to 1550 rubles. for natural venotonic Circu Vein, in vegetable capsules, 60 pcs., made in Canada.
Rating of high-quality pharmacy products
"Relief"
- Manufacturer: Russia;
- Dosage form: ointment;
- Average price: 484 rubles;
- Reviews: Average rating 4.1 out of 5.
Antihemorrhoidal ointment for external and rectal use from the BAYER AO brand.
The active ingredient is phenylephrine. It also includes additional components:
- beeswax;
- thyme vegetable oil;
- corn oil;
- mineral oil;
- petrolatum;
- lanolin;
- paraffin;
- glycerol;
- vitamin E, etc.
The mass of the tube is 28.4 grams, which is enough for a treatment course with 3 times daily use.
The ointment has an antipruritic, vasoconstrictor effect, relieves tissue swelling.
Designed for children from 12 years old and adults.
It is contraindicated for use in case of hypersensitivity to the constituent components, with thromboembolism, granulocytopenia, in children under 12 years of age.
Use with caution in: diabetes mellitus; hyperthyroidism; hypertension; urinary retention, during pregnancy, breastfeeding. A specialist consultation is required.
Ointment is dispensed without a prescription. After using the drug for 7 days and there is no positive effect or worsening of the condition, it is necessary to stop treatment and consult a doctor.
Advantages:
- economical consumption;
- price;
- complete with an applicator;
- efficiency.
Disadvantages:
- faint smell;
- possible allergy to components.
"Hemorole"
- Manufacturer: Poland;
- Release form: candles;
- Average price: 500 rubles;
- Reviews: rating 5 out of 5.
Suppositories have an antispasmodic, bactericidal, astringent, anti-inflammatory effect.
Included in the composition:
- horse chestnut;
- chamomile extract;
- belladonna;
- cinquefoil, etc.
have anesthetic, venotonic, angioprotective effect.
Contraindications for use include oncological diseases, periods of pregnancy and lactation, individual intolerance to the components.
In general, the drug is safe and has no side effects.
Advantages:
- suitable for prevention;
- efficiency;
- vegetable composition;
- quick action;
- no side effects.
Disadvantages:
- there are contraindications;
- not freely available.
"Proctosan"
- Manufacturer: Germany;
- Release form: ointment;
- Average price: 413 rubles;
- Reviews: Average rating 4.5 out of 5.
Medicinal product weighing 20 grams. has a therapeutic effect when:
- hemorrhoids 1 and 2 degrees;
- the formation of cracks in the anus;
- anal eczema;
- inflammatory processes of the colon.
Contraindications to the use of the drug are:
- period of childbearing and breastfeeding;
- some inflammations, for example syphilis, tuberculosis;
- children;
- individual intolerance to the components.
The composition of the ointment is based on:
- bufeksamake - anti-inflammatory agent;
- bismuth subgallate and titanium dioxide - binders and drying agents;
- lidocaine - anesthetic action.
Advantages:
- quick elimination of symptoms;
- resorption of nodes;
- prevention of recurrence;
- without smell;
- does not get dirty;
- cost-efficiency;
- disappearance of itching;
- pain relieves.
Disadvantages:
- possible allergy to the constituent components.
"Natalsid"
- Manufacturer: Russia;
- Release form: candles;
- Average price: 333 rubles;
- Reviews: 88% of users recommend.
Suppositories from the Russian brand AO Nizhpharm have a therapeutic effect when:
- cracks in the anus of a chronic nature;
- chronic stage of hemorrhoids with bleeding;
- proctosigmoiditis - inflammation of the sigmoid colon;
- inflammation of the rectum in the postoperative period.
The composition includes:
- sodium alginate;
- solid fat;
- supposir - a fatty base for suppositories.
The drug is indicated for use by pregnant and lactating women.
The drug is not used in children under 14 years of age and with hypersensitivity to the constituent components.
Advantages:
- fast-acting;
- use during pregnancy and lactation;
- result after the first application;
- effective;
- safe;
- ease of use;
- without smell;
- do not get dirty;
- affordable cost.
Disadvantages:
- not found.
"Hepatrombin G"
- Manufacturer: Serbia;
- Release form: ointment;
- Average cost: 185 rubles;
- Reviews: rating 4.7 out of 5, 95% recommended for use.
A budgetary product for external and rectal use from Serbian pr-la, in a tube weighing 20 grams.
Helps with:
- internal and external hemorrhoids;
- thrombophlebitis of the posterior opening;
- fistulas, eczema of the anus;
- the presence of cracks in the anus.
It includes:
- sodium heparin - for tissue regeneration;
- prednisolone - reducing pain, allergic reactions;
- lauromakrogol - has a local anesthetic effect;
- solid and liquid paraffin;
- lanolin;
- silica.
Not recommended for use when:
- first trimester of pregnancy;
- skin diseases and its tumors;
- syphilis;
- tuberculosis.
Advantages:
- efficiency;
- low cost;
- availability;
- relieving pain;
- convenient packaging;
- free vacation;
- eliminates itching.
Disadvantages:
- there are contraindications.
"Procto-Glivenol"
- Manufacturer: Ireland;
- Release form: candles;
- Average price: 431 rubles;
- Reviews: Average rating 4.4 out of 5.
Candles for rectal use for hemorrhoids include substances:
- lidocaine - for pain relief;
- tribenosine improves vascular tone, reducing their permeability;
- witepsol.
Quantity in the package 10 pcs., Weighing 40 g. With the appointment of 1 suppository per day, the packaging will be enough for the course of treatment. In more severe forms of the disease, when 2 suppositories are prescribed, 2 packages will be needed to achieve the result. And then the cost of treatment will become tangible.
In general, the drug relieves symptoms:
- skin tension;
- itching;
- pain.
Helps with the external and internal form of the course of the disease.
May be used during pregnancy and lactation with caution, after the permission of the doctor, taking into account the possible threat to the fetus.
Not used in the 1st semester of pregnancy, with liver failure, hypersensitivity to the constituent components.
Advantages:
- without smell;
- easy to clean;
- fast analgesic effect;
- helps with anal fissures;
- candles do not flow;
- suitable for grade 2 disease;
- long-acting;
- justify the cost.
Disadvantages:
- the candles themselves are in uncomfortable packaging.
"Anusol"
- Manufacturer: Russia;
- Release form: candles;
- Average price: 51 rubles;
- Reviews: average rating 4.3 out of 5; 83% recommend it.
The effectiveness of the rectal preparation is based on the action of the substances:
- zinc sulfate;
- bismuth;
- xeroform;
- belladonna plants;
- extract of belladonna.
The components included in the composition remove:
- cramping;
- inflammation.
Provide:
- antimicrobial;
- pain reliever;
- astringent;
- drying action.
Treatment can be accompanied by a number of side effects expressed by the body:
- allergies;
- burning sensation;
- dryness in the mouth;
- headache;
- drowsiness, etc.
Has a drug and a number of contraindications for use by some groups of patients, such as:
- with heart failure;
- tachyarrhythmia;
- myasthenia gravis;
- intestinal atony;
- glaucoma;
- problematic outflow of urine.
A medicine is not prescribed during the period of gestation and the period of breastfeeding.
The vacation is non-prescription.
Advantages:
- effect after the first application;
- low price;
- availability;
- quality;
- help with cracks in the anus;
- comfortable;
- with a slight laxative effect.
Disadvantages:
- presence of smell;
- possible side effects.
"Proctosedil"
- Manufacturer: India;
- Release form: ointment;
- Average price: 311 rubles;
- Reviews: average rating 4.7 out of 5; 93% recommend it.
Ointment from the Indian brand SANOFI INDIA Limited is available in a 10 g tube with a nozzle cap for ease of use.
The healing effect of proctosedil is based on the action:
- hydrocortisone - relieves inflammation;
- framycetin sulfate - bactericidal action;
- hepatrin sodium - to prevent complications of blood clots;
- esculoside - to increase capillary elasticity;
- benzocaine, butamben - antispasmodic action.
Help is evident within minutes after application.
The complex preparation is recommended for:
- acute and chronic forms of the disease;
- prevention of recurrence of symptoms;
- anal eczema;
- proct;
- cracks in the anus of varying severity.
Contraindications include the use of:
- children;
- pregnant women and during breastfeeding;
- patients with various lesions in the anus.
Along with the positive effect, when applied, side effects may appear in the form of:
- feelings of discomfort, dryness, burning of the anus;
- allergies to components;
- parallel development of another infectious process.
Advantages:
- quick help;
- suitable for prevention;
- non-prescription vacation;
- short course of treatment (7 days);
- gives relief;
- relieves itching, puffiness;
- effective for cracks in the anus;
- tones the veins;
- improves well-being;
- good quality.
Disadvantages:
- possible inconvenience of the nozzle;
- hormonal medium;
- side effects.
Systemic drugs that treat the disease from the inside
Detralex
- Manufacturer: France;
- Release form: tablets;
- Average price: 902 rubles / 18 pcs.;
- Reviews: 91% of users recommend it.
Made in tablet form, the medication has a therapeutic effect from the inside, exerting a systemic effect on the root cause of its occurrence.
In the manufacture of tablets used substances such as:
- flavonoids;
- diosmin;
- water;
- magnesium stearate;
- sodium carboxymethyl starch;
- cellulose.
The drug copes with:
- venous congestion;
- a decrease in the penetrating ability of capillaries;
- reduction of venous sprains;
- increased venous tone;
- improvement of general microcirculation.
The optimal ratio of intake and effectiveness is a dose of 1000 mg / day.
In the treatment of acute and chronic hemorrhoids, it also helps with chronic diseases of the veins in the legs.
It will take a long time to achieve the desired result: from several months to a year, with repetition if necessary.
Possible manifestation of side effects in a mild form in the form of: nausea, vomiting, diarrhea, general malaise, headache, dizziness,
Use is limited to patients who cannot tolerate the constituent components; during the period of bearing a child.
In the postpartum period, it is possible to use the drug with the approval of the attending physician.
Advantages:
- relieves swelling;
- restores the work of blood vessels;
- has a positive effect;
- works well in complex therapy;
- fast-acting;
- suitable for prevention;
- inhibits the progression of the disease;
- easy to use.
Disadvantages:
- possible manifestation of side effects in a mild form;
- expensive;
- long course of treatment.
"Ginkor Fort"
- Manufacturer: France;
- Release form: capsules;
- Average price: 404 rubles / 30 pcs.;
- Reviews: rating 5 out of 5.
The medication is used to maintain the healthy state of the veins:
- establishment of the blood circulation process;
- strengthening the capillary walls;
- reduction of pain syndrome;
- reducing the permeability of the vascular walls;
- improvement of the microcirculation process and venous blood flow.
The action of the drug is based on the advantages of the herbal extract of Ginkgo Biloba.
It is worth paying attention to the interaction with some drugs in the form of an increase in blood pressure.
It has a positive effect in the treatment of chronic hemorrhoids without causing side effects.
The medicine is contraindicated:
- suffering from hyperthyroidism (thyroid disease);
- simultaneously with MAO inhibitors (substances that suppress MonoAminoxidase from the destruction of MonoAmines - serotonin, norepinephrine, dopamine, etc.)
For ease of use, the medicine is available in the form of lozenges, tablets, capsules.
Advantages:
- no side effects;
- convenience of reception;
- relief of the condition;
- various dosage forms;
- reception during pregnancy.
Disadvantages:
- individual intolerance to the components;
- reception from 18 years old.
Conclusion
The topic of health has been, is and remains important at all times. In the issue of treating a delicate area of the human body, it is important to "not delay" the process and its solution at the initial stage.
This will save you from surgery and an operable solution.
Attentive attitude to the process of defecation, hygiene at the end of it and comprehensive prevention (healthy lifestyle, PP, sports activities, plant-based diet) give positive results in case of disposition to this disease.
If a specialist correctly determines the degree of development of the disease and the appointment of an effective drug, it will help in more severe cases. If you have experience of using medicines for hemorrhoids described in the rating, or a more interesting drug, share your opinion in the comments.