Suppositories for Hemorrhoids: Options for Relief

Suppositories for Hemorrhoids: Options for Relief

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Medically reviewed by Dena Westphalen, Pharm. D. — By Kimberly Holland — Updated on April 2, 2019

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Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
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Was this helpful?

Suppositories and hemorrhoids

Hemorrhoids are swollen blood vessels in and around the anus and rectum. They can become enlarged and irritated, causing pain and discomfort.

Suppositories are a solid preparation of medicine meant to be inserted into the rectum, where they dissolve and are absorbed through the lining of the rectum. They’re most commonly a combination of an oil or cream and a medicine.

Over-the-counter (OTC) suppositories work best for mild hemorrhoid pain. Several types of suppositories exist, each has different medications for different results.

Some hemorrhoid suppositories can relieve swelling and burning. Others may relieve constipation that can worsen hemorrhoids. Prescription-strength versions of many OTC suppositories are also available.

Homemade hemorrhoid suppositories are an option, too. Herbal remedies, like witch hazel and coconut oil, can provide some relief for hemorrhoids. However, these suppositories won’t contain active medication to treat the swelling and pain.

Internal hemorrhoids occur inside the rectum, while external hemorrhoids occur under the skin around the anus.

External hemorrhoids frequently cause itching, irritation, and pain. Internal hemorrhoids can cause pain, too. However, they may not be as irritating or painful as external ones because the tissue lining the internal rectum has fewer nerve endings.

Creams, ointments, and pastes are commonly applied to external hemorrhoids for temporary relief. These OTC and prescription treatments can ease burning, itching, or mild pain.

Suppositories are better for internal hemorrhoids. The medicine is absorbed by the rectal tissue and can help all discomfort and pain caused by hemorrhoids. They can sometimes soothe the symptoms caused by external hemorrhoids as well.

Suppositories are typically used two to four times per day for a week. It’s better if you insert after a bowel movement so the effect can last longer.

External creams and ointments can be applied whenever you need relief. However, the relief isn’t as long-lasting as that of a suppository. That’s because a suppository breaks down more slowly, releasing medication over a longer period of time.

Both topicals and suppositories should only be used for a limited time to prevent possible complications.

Minor bleeding is common with hemorrhoids. If you’re seeing small amounts of bright red blood on tissue paper or on stool, that’s normal. It’s still safe to use a suppository. If, however, your stool is black, or you notice large amounts of blood in your stool, call your doctor.

It’s possible to insert a suppository on your own. You may also ask a family member for help until you get used to doing it.

To start, you will need the suppository and the applicator that comes with it, if one is available. You’ll also want to have soap and a sink nearby. Some people prefer to use a lubricating jelly to make inserting the medicine easier.

First, check that the suppository is firm. If the medicine is too warm, you may want to chill it in the fridge for a few minutes before inserting it. The cooling effect will also provide relief.

Empty your bowels if you can. The longer the medicine remains in place without being pushed out, the better.

Step 1

When you’re ready, remove lower garments, and tear off any wrappings on the suppository. Apply a bit of lubricating jelly to the end of the suppository. Don’t use a petroleum jelly-based option like Vaseline. It may prevent the suppository from melting.

Step 2

Stand beside a chair with one foot propped up. Or lie down on one side with your bottom leg straight and your top leg tucked toward your stomach. Relax your buttocks and take a deep breath.

Step 3

Insert the suppository into your rectum, the narrowed end going in first. Gently, but firmly, push the suppository into your body, making sure it’s at least one inch past the anal sphincter.

Step 4

Sit down or remaining lying down for at least 15 minutes. This allows the body’s heat to melt the suppository and the absorption process to begin.

Step 5

After 15 minutes has lapsed, dress, then throw away any wrappings. Wash your hands.

Tips for use

Try to avoid using the bathroom for at least an hour. This gives the medicine more time to work before it may be washed or wiped away by urine or a bowel movement.

If you’re using a suppository with a gauze insert, you will want to leave the gauze in place for at least an hour. After an hour, you can tug on the string to remove it from the rectum.

Several types of suppositories exist with different active ingredients. Here’s a table of OTC suppositories for comparison:

Shop for OTC suppository options online.

Most OTC suppositories are designed to be used for a brief period of time. If the treatments don’t ease or eliminate symptoms after one week, stop using the medicine and contact your doctor.

Your doctor may prescribe another treatment, including a prescription-strength suppository:

In addition to OTC and prescription medicated suppositories, you can make and use alternative suppositories. These are designed to provide comfort and relief, but they don’t have active ingredients to reduce swelling, irritation, and pain.

Coconut oil suppositories can be used with hemorrhoids. These are formed by freezing coconut oil in small cylinders. When you’re ready to insert the suppository, you can remove one and quickly insert it into the rectum.

The cooled oil provides instant relief. Coconut oil may also provide prolonged relief due to potential anti-inflammatory properties.

You can also make your own laxative suppositories. Combine mineral oil and a solid oil, such as coconut oil or cocoa butter. Freeze into cylinders, and remove one when you’re ready to insert.

Mineral oil is absorbed by the body and can help ease stool through your intestines.

Don’t use OTC hemorrhoid medication for more than one week without a doctor’s permission. The medicines in the suppositories and other medicines can irritate the delicate tissues in and around the rectum. They can also cause inflammation, skin rash, and skin thinning.

Don’t use prescription hemorrhoid medication more frequently than your doctor prescribed. If the medicine isn’t providing enough relief, talk with your doctor about other options.

Suppositories are one treatment option for hemorrhoids. They can best provide relief from discomfort and pain caused by internal hemorrhoids. They’re a good option when ointments, creams, or medicated wipes don’t provide enough relief.

OTC suppositories should only be used for a short period of time. They can cause side effects like irritation and rash if used too frequently.

Talk with your doctor if OTC options don’t provide relief and you need to consider another option.

Last medically reviewed on April 1, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Elmore LK, et al. (2014). Treatment of dermal infections with topical coconut oil.
  naturalmedicinejournal.com/journal/2014-05/treatment-dermal-infections-topical-coconut-oil
• Enlarged hemorrhoids: How can you relieve the symptoms yourself? InformedHealth.org. (2017).
  ncbi.nlm.nih.gov/pubmedhealth/PMH0072650/
• Hernandez-Bernal F, et al. (2013). Recombinant streptokinase suppositories in the treatment of acute haemorrhoidal disease. Multicentre randomized double-blind placebo-controlled trial (THERESA-2). DOI:
  10.1111/codi.12327
• Lohsiriwat V. (2015). Treatment of hemorrhoids: A coloproctologist’s view. DOI:
  10.3748/wjg.v21.i31.9245
• Treatment for constipation. (2018).
  niddk.nih.gov/health-information/digestive-diseases/constipation/treatment
• Treatment of hemorrhoids. (2016).
  niddk.nih.gov/health-information/digestive-diseases/hemorrhoids/treatment
• Understanding minor rectal bleeding. (n.d.).
  asge.org/home/for-patients/patient-information/understanding-minor-rectal-bleeding

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Apr 2, 2019

Written By

Kimberly Holland

Edited By

Elizabeth Donovan

Apr 1, 2019

Medically Reviewed By

Dena Westphalen, PharmD

Share this article

Medically reviewed by Dena Westphalen, Pharm.D. — By Kimberly Holland — Updated on April 2, 2019

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• Hemorrhoids: Treatment, Recovery, and More

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  Are you experiencing the itching or painful sensation that comes along with having a hemorrhoid? Hemorrhoids are incredibly common, so you may be…

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• External Hemorrhoids: Causes, Symptoms, Treatment, and More

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Suppositories for Hemorrhoids: Options for Relief

Suppositories for Hemorrhoids: Options for Relief

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Medically reviewed by Dena Westphalen, Pharm. D. — By Kimberly Holland — Updated on April 2, 2019

We include products we think are useful for our readers. If you buy through links on this page, we may earn a small commission Here’s our process.

Healthline only shows you brands and products that we stand behind.

Our team thoroughly researches and evaluates the recommendations we make on our site. To establish that the product manufacturers addressed safety and efficacy standards, we:

• Evaluate ingredients and composition: Do they have the potential to cause harm?
• Fact-check all health claims: Do they align with the current body of scientific evidence?
• Assess the brand: Does it operate with integrity and adhere to industry best practices?

We do the research so you can find trusted products for your health and wellness.

Read more about our vetting process.

Was this helpful?

Suppositories and hemorrhoids

Hemorrhoids are swollen blood vessels in and around the anus and rectum. They can become enlarged and irritated, causing pain and discomfort.

Suppositories are a solid preparation of medicine meant to be inserted into the rectum, where they dissolve and are absorbed through the lining of the rectum. They’re most commonly a combination of an oil or cream and a medicine.

Over-the-counter (OTC) suppositories work best for mild hemorrhoid pain. Several types of suppositories exist, each has different medications for different results.

Some hemorrhoid suppositories can relieve swelling and burning. Others may relieve constipation that can worsen hemorrhoids. Prescription-strength versions of many OTC suppositories are also available.

Homemade hemorrhoid suppositories are an option, too. Herbal remedies, like witch hazel and coconut oil, can provide some relief for hemorrhoids. However, these suppositories won’t contain active medication to treat the swelling and pain.

Internal hemorrhoids occur inside the rectum, while external hemorrhoids occur under the skin around the anus.

External hemorrhoids frequently cause itching, irritation, and pain. Internal hemorrhoids can cause pain, too. However, they may not be as irritating or painful as external ones because the tissue lining the internal rectum has fewer nerve endings.

Creams, ointments, and pastes are commonly applied to external hemorrhoids for temporary relief. These OTC and prescription treatments can ease burning, itching, or mild pain.

Suppositories are better for internal hemorrhoids. The medicine is absorbed by the rectal tissue and can help all discomfort and pain caused by hemorrhoids. They can sometimes soothe the symptoms caused by external hemorrhoids as well.

Suppositories are typically used two to four times per day for a week. It’s better if you insert after a bowel movement so the effect can last longer.

External creams and ointments can be applied whenever you need relief. However, the relief isn’t as long-lasting as that of a suppository. That’s because a suppository breaks down more slowly, releasing medication over a longer period of time.

Both topicals and suppositories should only be used for a limited time to prevent possible complications.

Minor bleeding is common with hemorrhoids. If you’re seeing small amounts of bright red blood on tissue paper or on stool, that’s normal. It’s still safe to use a suppository. If, however, your stool is black, or you notice large amounts of blood in your stool, call your doctor.

It’s possible to insert a suppository on your own. You may also ask a family member for help until you get used to doing it.

To start, you will need the suppository and the applicator that comes with it, if one is available. You’ll also want to have soap and a sink nearby. Some people prefer to use a lubricating jelly to make inserting the medicine easier.

First, check that the suppository is firm. If the medicine is too warm, you may want to chill it in the fridge for a few minutes before inserting it. The cooling effect will also provide relief.

Empty your bowels if you can. The longer the medicine remains in place without being pushed out, the better.

Step 1

When you’re ready, remove lower garments, and tear off any wrappings on the suppository. Apply a bit of lubricating jelly to the end of the suppository. Don’t use a petroleum jelly-based option like Vaseline. It may prevent the suppository from melting.

Step 2

Stand beside a chair with one foot propped up. Or lie down on one side with your bottom leg straight and your top leg tucked toward your stomach. Relax your buttocks and take a deep breath.

Step 3

Insert the suppository into your rectum, the narrowed end going in first. Gently, but firmly, push the suppository into your body, making sure it’s at least one inch past the anal sphincter.

Step 4

Sit down or remaining lying down for at least 15 minutes. This allows the body’s heat to melt the suppository and the absorption process to begin.

Step 5

After 15 minutes has lapsed, dress, then throw away any wrappings. Wash your hands.

Tips for use

Try to avoid using the bathroom for at least an hour. This gives the medicine more time to work before it may be washed or wiped away by urine or a bowel movement.

If you’re using a suppository with a gauze insert, you will want to leave the gauze in place for at least an hour. After an hour, you can tug on the string to remove it from the rectum.

Several types of suppositories exist with different active ingredients. Here’s a table of OTC suppositories for comparison:

Shop for OTC suppository options online.

Most OTC suppositories are designed to be used for a brief period of time. If the treatments don’t ease or eliminate symptoms after one week, stop using the medicine and contact your doctor.

Your doctor may prescribe another treatment, including a prescription-strength suppository:

In addition to OTC and prescription medicated suppositories, you can make and use alternative suppositories. These are designed to provide comfort and relief, but they don’t have active ingredients to reduce swelling, irritation, and pain.

Coconut oil suppositories can be used with hemorrhoids. These are formed by freezing coconut oil in small cylinders. When you’re ready to insert the suppository, you can remove one and quickly insert it into the rectum.

The cooled oil provides instant relief. Coconut oil may also provide prolonged relief due to potential anti-inflammatory properties.

You can also make your own laxative suppositories. Combine mineral oil and a solid oil, such as coconut oil or cocoa butter. Freeze into cylinders, and remove one when you’re ready to insert.

Mineral oil is absorbed by the body and can help ease stool through your intestines.

Don’t use OTC hemorrhoid medication for more than one week without a doctor’s permission. The medicines in the suppositories and other medicines can irritate the delicate tissues in and around the rectum. They can also cause inflammation, skin rash, and skin thinning.

Don’t use prescription hemorrhoid medication more frequently than your doctor prescribed. If the medicine isn’t providing enough relief, talk with your doctor about other options.

Suppositories are one treatment option for hemorrhoids. They can best provide relief from discomfort and pain caused by internal hemorrhoids. They’re a good option when ointments, creams, or medicated wipes don’t provide enough relief.

OTC suppositories should only be used for a short period of time. They can cause side effects like irritation and rash if used too frequently.

Talk with your doctor if OTC options don’t provide relief and you need to consider another option.

Last medically reviewed on April 1, 2019

How we reviewed this article:

Healthline has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations. We avoid using tertiary references. You can learn more about how we ensure our content is accurate and current by reading our editorial policy.

• Elmore LK, et al. (2014). Treatment of dermal infections with topical coconut oil.
  naturalmedicinejournal.com/journal/2014-05/treatment-dermal-infections-topical-coconut-oil
• Enlarged hemorrhoids: How can you relieve the symptoms yourself? InformedHealth.org. (2017).
  ncbi.nlm.nih.gov/pubmedhealth/PMH0072650/
• Hernandez-Bernal F, et al. (2013). Recombinant streptokinase suppositories in the treatment of acute haemorrhoidal disease. Multicentre randomized double-blind placebo-controlled trial (THERESA-2). DOI:
  10.1111/codi.12327
• Lohsiriwat V. (2015). Treatment of hemorrhoids: A coloproctologist’s view. DOI:
  10.3748/wjg.v21.i31.9245
• Treatment for constipation. (2018).
  niddk.nih.gov/health-information/digestive-diseases/constipation/treatment
• Treatment of hemorrhoids. (2016).
  niddk.nih.gov/health-information/digestive-diseases/hemorrhoids/treatment
• Understanding minor rectal bleeding. (n.d.).
  asge.org/home/for-patients/patient-information/understanding-minor-rectal-bleeding

Our experts continually monitor the health and wellness space, and we update our articles when new information becomes available.

Current Version

Apr 2, 2019

Written By

Kimberly Holland

Edited By

Elizabeth Donovan

Apr 1, 2019

Medically Reviewed By

Dena Westphalen, PharmD

Share this article

Medically reviewed by Dena Westphalen, Pharm.D. — By Kimberly Holland — Updated on April 2, 2019

Read this next

• Hemorrhoids: Treatment, Recovery, and More

  Medically reviewed by Graham Rogers, M.D.

  Are you experiencing the itching or painful sensation that comes along with having a hemorrhoid? Hemorrhoids are incredibly common, so you may be…

  READ MORE

• Coconut Oil for Hemorrhoids

  Medically reviewed by Debra Rose Wilson, Ph.D., MSN, R.N., IBCLC, AHN-BC, CHT

  Learn the benefits of coconut oil for hemorrhoids and how to use it.

  READ MORE

• External Hemorrhoids: Causes, Symptoms, Treatment, and More

  Medically reviewed by Jenneh Rishe, RN

  External hemorrhoids are painful lumps that occur under the skin around the anus. They often go away on their own, but sometimes need medical…

  READ MORE

• Causes of Hemorrhoids and Tips for Prevention

  Medically reviewed by Lauren Castiello, MS, AGNP-C

  Hemorrhoids, also known as piles, are swollen veins located around the anus or in the lower rectum.

  READ MORE

• How to Manage Bleeding Hemorrhoids

  Medically reviewed by Angelica Balingit, MD

  Think you have a bleeding hemorrhoid? Learn why this happens and what you can do to stop the bleeding at home.

  READ MORE

• Can a Hemorrhoid Burst?

  Medically reviewed by Judith Marcin, M.D.

  Feel like your hemorrhoid burst? We’ll go over what happens when a hemorrhoid bursts and how long you can expect the bleeding to last. Learn what you…

  READ MORE

• What’s the Difference Between Hemorrhoids and Rectal Varices?

  Medically reviewed by Saurabh Sethi, M. D., MPH

  The terms “hemorrhoids” and “rectal varices” are often used interchangeably, but they’re separate conditions with different causes and treatments.

  READ MORE

• Can Thong Underwear Give You Hemorrhoids?

  Medically reviewed by Meredith Goodwin, MD, FAAFP

  Wondering whether your favorite no-show underwear might increase risk of UTIs, hemorrhoids, or yeast infections? Get the details here.

  READ MORE

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Home treatment for hemorrhoids

Do ointments, creams and other medicines help with hemorrhoids?

Many people, faced with such a delicate disease as hemorrhoids, experience a sense of shame and fear, they are afraid to go to a proctologist and prefer to use ointments, creams, suppositories, gels and other drugs that they need to get rid of the disease. advised by acquaintances, pharmacists in a pharmacy or who advertise Mass Media.

The effects of these drugs are usually short-lived. But such treatment does not solve the main problem: the causes of hemorrhoids do not disappear, but only disguised.

Moreover, the focus of the disease, while the external symptoms are removed, progresses. A common remedy at home in the treatment of hemorrhoids are suppositories, ointments and gels. They are inexpensive, and at first glance effectively cope with the manifestations of hemorrhoids.

Ointment and cream differ in base. The ointment is made on the basis of 100% fat. The basis of the cream is an aqueous emulsion containing about 50% fat. The cream is quickly absorbed, quickly relieves the unpleasant symptoms of hemorrhoids.

Gel is a water-based dosage form that does not contain fat, is easily absorbed and dries. The activity of gels and creams is higher than the activity of ointments. Gels are more physiological, absorb faster, have a drying and bactericidal effect. They are more suitable for the treatment of weeping wounds, ointments – for softening scaly wounds.

Advantages of ointments, creams and gels in the treatment of hemorrhoids:

• drugs reduce inflammation fairly quickly
• ointments, creams or gels to relieve swelling and congestion
• thanks to medicines, the elasticity of the walls of blood vessels is restored and the tone of the rectum is restored
• cosmetic effect
• anal fissures are softened

All the advantages of drugs listed above in the treatment of hemorrhoids at home – remove the external manifestations of hemorrhoids without eliminating the cause and do not diagnose the factors leading to hemorrhoids. Meanwhile, the causes of the appearance and development of hemorrhoids can be very different – up to oncological formations in the rectum. Therefore, at the first discomfort in the rectum, it is necessary to contact a professional proctologist at Only Clinic in order to conduct a complete proctological examination and proceed to the treatment prescribed by the doctor.

Treatment of hemorrhoids at home

How are hemorrhoid ointments, gels and creams treated?

All ointments and creams are composed of many ingredients; a positive effect in the treatment of hemorrhoids is achieved by a combination of several components that enhance the action of each other. Remedies for hemorrhoids are effective and inexpensive.

Currently, there is a huge variety of inexpensive remedies for hemorrhoids that can provide first aid to a sick person at home, relieve pain, remove swelling, and produce a healing and regenerating effect.

Even if you used one of the remedies for hemorrhoids and felt relief, we strongly recommend that you make an appointment with a proctologist at Only Clinic and get qualified help from a professional doctor and get rid of an unpleasant illness forever.

• Heparin ointment for hemorrhoids. The ointment not only effectively eliminates and prevents thrombosis of hemorrhoids due to its liquefying action

• Cream Wax Healthy. Zdorov wax cream is a new drug for fast and effective treatment of hemorrhoids. It contains only natural natural ingredients

• Ointment for hemorrhoids – Levomekol. The main active substance in the ointment is the antibiotic chloramphenicol. It eliminates pathogens, bacteria that provoke the development of hemorrhoids. External application relieves the body of the toxic effect of the antibiotic on the whole body

• Ointment for hemorrhoids – Posterizan Forte. The ointment is a combined agent that combines hydrocortisone and bacteria

• Hemorrhoid ointment – Esculus. Homeopathic ointment based on horse chestnut fruit extract. Has a regenerating and anti-inflammatory effect

• Ointment for hemorrhoids – Heparoid Treatment. White emulsion with a characteristic odor, which contains the active substance heparinoid. It has an anti-inflammatory effect and counteracts thrombosis and accelerates resorption

• Ointment for hemorrhoids – Hirudoproct. Gel based on horse chestnut extract, medical leech extract, sea buckthorn and methyluracil. The drug relieves inflammation, strengthens blood vessels, increases local immunity

• Hemorrhoid ointment – Ultraproct. The ointment includes components – fluocortolone and cinchocaine, which mutually enhance the therapeutic effect, have an anesthetic effect and prevent bleeding

• Hemorrhoid ointment – ​​Relief. Relatively inexpensive and effective ointment, which contains shark liver oil and auxiliary elements that provide a good anti-inflammatory and regenerating effect

• Ointment for hemorrhoids – Hepatrombin. The composition of the ointment includes active ingredients – heparin and prednisolone, as well as excipients – paraffin, lanolin, silicon dioxide

• Ointment for hemorrhoids – Proctosan. Ointment based on lidocaine and bufexamac gives a good result in the treatment of hemorrhoids, as it provides pain relief and anti-inflammatory therapy

• Ointment for hemorrhoids – Proctosedyl. Has anti-inflammatory, analgesic, regenerating properties. Relieves swelling, itching, burning, discomfort and irritation

• Fleming’s ointment. Homeopathic remedy based on calendula, witch hazel, horse chestnut, menthol, zinc oxide. Has an antiseptic and drying effect

• Ointment for hemorrhoids – Troxevasin. The agent is an analgesic, venoprotector and an effective antiseptic. Reduces swelling, itching, burning, prevents the spread of bacteria

• Ointments for the treatment of hemorrhoids during pregnancy. For pregnant women, it is recommended to use such ointments as Fleming’s ointment, Posterisan, Troxevasin ointment, Heparin ointment. In addition, you can use sea buckthorn oil and Vishnevsky ointment. The drugs are not only effective, but also safe for the mother and unborn child.

How to use hemorrhoids

As a rule, ointments, creams and other hemorrhoids are supplied with an applicator that allows you to conveniently apply the drug to the sore spot and hemorrhoids. Means are used 3-4 times a day: after morning hygiene procedures, in the evening before bedtime, and also after each bowel movement.

It is desirable to inject the drug as deeply as possible. Since each hemorrhoid remedy has its own characteristics, special properties and side effects, it is better to consult a doctor . The proctologist will prescribe the right medicine.

Take care of your health, don’t start the disease. Call or leave a request below. Use the phone number +7 (831) 266-77-60 for an appointment. We are always ready to help you!

How is it really correct to treat hemorrhoids with medication?

The author of the article is Klyuchnikov Dmitry Gennadievich, proctologist, head of the Department of Proctology.

“Questions about how to properly use suppositories, ointments and tablets against hemorrhoids are very popular. I will try to talk about complex medical concepts in simple words and as clearly as possible.”

Warning: This article is for informational purposes only and should in no case be used for self-diagnosis and self-treatment. Any drugs should be used only as directed and under the supervision of your doctor.

Summary for those who do not have time to read the entire article

A person suffering from hemorrhoids has two ways:

The first way (preferred)

always, removing the hemorrhoid with a minimally invasive ( bloodless) method.

As a rule, only one procedure is enough – under local anesthesia, without hospitalization, without surgery, without loss of working capacity. More information can be found in the section of the website “Hemorrhoid Treatment”.

To avoid recurrences after removal, it will be enough to follow a few simple recommendations from the proctologist.

Second way

At each new aggravation, use suppositories or ointments that will dull the symptoms for a while. Do this until you get tired of enduring regular exacerbations, or until the drugs stop working.

If the medicines stop helping, this indicates that the 4th stage of hemorrhoids has come or some complicating factors have joined (blood clots, fissures, purulent inflammation, tissue necrosis, oncological changes and other troubles).

Unfortunately, in advanced cases, often the only way out is a complex surgical operation under general anesthesia – for example, open radical hemorrhoidectomy.

Do not wait for the condition to worsen and do not self-medicate.

Types of hemorrhoid medications

Pharmaceutical companies produce drugs in various dosage forms:

1. For topical use, that is, for application directly to the anus or for injection into the anus. These include suppositories (suppositories), ointments, creams, gels.
2. For oral administration. These are tablets, drops, capsules.

According to the pharmacological action, several main groups can also be distinguished, among which: anti-inflammatory and decongestants,

Consider each variety in more detail.

Suppositories

They are also called rectal suppositories. Designed for the introduction of the drug into the anal canal. The main properties of suppositories:

• relieve pain,
• reduce bleeding,
• relieve inflammation,
• reduce swelling,
• dissolve blood clots,
• improve blood flow,
• facilitate defecation,
• disinfect.

Suppositories have an oil base, so once in the rectum, under the influence of heat, the suppository almost immediately softens and turns into a liquid state. In this form, the active ingredients easily penetrate into the area of ​​inflammation.

Proper storage and insertion of suppositories is essential to obtain the expected results. Basic rules:

1. Store suppositories in the refrigerator, open immediately before insertion into the rectum. Do not use candles that have been out of the refrigerator for a long time. A cold candle, of course, can cause discomfort, however, it is not necessary to warm it up in advance. The higher the temperature, the faster the candle melts, and with a long stay at room temperature, the active substances quickly lose their therapeutic properties.
2. If suppositories are prescribed to you with a frequency of 1 time per day, then before setting it is advisable to cleanse the intestines naturally or with a cleansing enema (water or Microlax) and gently wash the anorectal area with soap or an intimate hygiene product. If 2-3 pieces per day are prescribed, then it is enough to empty the intestines once a day.
3. It is most convenient to administer the suppositories in the supine position. Then you need to lie down in the same position for at least 30 minutes. During this time, the drug is almost completely absorbed into the tissues and into the blood.
4. One of the disadvantages of suppositories is that excess drug can flow from the anus to underwear, and such stains are quite difficult to remove. Therefore, it is recommended to protect the linen from contamination.

Some suppositories are indicated only for the internal form of the disease , for example: 021 Ginkor Procto

Other intended for use for both internal and external nodes , for example:

• Relief
• Relief Ultra
• Procto-Glivenol
• Hepatrombin G

During pregnancy, is more often prescribed suppositories from natural ingredients: sea buckthorn or with propolis.

Different drugs have different pharmacological properties, side effects and contraindications. Buying candles on the advice of relatives, a pharmacist or reading articles on the Internet, you risk harming yourself and aggravating the problem. Use drugs only as prescribed by a doctor!

Suppositories + Ointments

Many drugs are available in two dosage forms at once – rectal suppositories and ointment (or cream). This allows you to use the same drug for combined hemorrhoids, when both external and internal nodes are formed at the same time. These agents include:

• Procto-Glivenol
• Relief Advance
• Relief Pro
• Parembal
• Preparation H
• Ultraproject 9 0022
• Proctosan
• Posterizan

Ointments, creams, gels

These three dosage forms belong to one general group. But they differ from each other in consistency and absorption rate.

The division into three types allows manufacturers to adjust the speed and depth of penetration of the main active ingredient through the skin into the blood and into internal tissues.

Ointments, creams and gels are more often prescribed for external hemorrhoids, hemorrhoidal thrombosis, anal fissures. They are quite easily applied to the outer surface of the perianal area, and, if necessary, to the lowest inner part of the anal canal. Some come with a special applicator for easier application.

Ointments , like suppositories, have an oil (fat) base. They are more convenient than candles – they are absorbed faster and do not leak onto the laundry. But they can leave greasy stains on the skin and clothes. Should be stored in a dark, cool place (refrigerator), subject to the correct temperature conditions, they can retain their pharmacological properties for a long time. They penetrate deep under the skin, and create a protective layer on the surface. Not suitable for the treatment of open wounds and weeping.

Creams are approximately 50% water. They are even easier to use, as they are absorbed very quickly and do not leave greasy marks. They can be used for open and weeping wounds, as they do not create a protective layer under which bacteria can actively multiply.

Gels contain 80% water and are completely fat free. Good for weeping and purulent wounds. They are absorbed instantly, but not deep enough – they have an active effect only on the uppermost layer of the epidermis and on the mucous membranes. They have a significant drawback – they quickly lose their pharmacological properties after opening the package, even with proper storage.

The rules for applying rectal ointment, cream or gel are very simple:

1. Pre-clean the anal area with soap or disinfectant wet wipes.
2. Apply carefully and wait until completely absorbed.

The most popular hemorrhoid ointments:

• Relief Advance (ointment)
• Relief Pro (cream)
• Proctosan (ointment)
• Prok tosedil (ointment)
• Procto-Glivenol (cream)
• Levomekol (ointment)
• Posterisan (ointment)
• Hepatrombin G (ointment)
• Heparin (ointment, gel)
• Troxevasin (gel)

Tablets , drops, capsules

means for vascular therapy. They strengthen blood vessels, improve blood circulation, relieve inflammation and tissue swelling. In case of thrombosis of the hemorrhoid, thrombolytics are prescribed – agents that dissolve blood clots and prevent their re-formation.

Among these drugs:

• Detralex
• Venarus
• Phlebodia 600
• Aescusan
• Troxevasin
• Detravenol 900 22
• Angiorus
• Vasoket

Hemorrhoid preparations: Three situations when they help

Situation no. 1. There is no way to get treatment right now, and it is hard to endure the symptoms

What is it about? Sometimes something prevents us from getting a full treatment for hemorrhoids today or tomorrow:

• For example, the appearance of hemorrhoids coincided with the onset of an infectious disease (SARS, influenza, tonsillitis, tuberculosis, helminthiasis, etc.) or with a severe exacerbation of a serious chronic disease.
• Or really difficult life circumstances.
• Or maybe you are a woman who is in early or late pregnancy (1st or 3rd trimester).

What drugs? Rectal suppositories and ointments with analgesic, hemostatic, anti-inflammatory and decongestant properties. Also oral tablets that improve blood circulation and reduce the risk of thrombosis.

What to expect? Provide first aid – temporarily reduce pain, bleeding, swelling, swelling in the anus.

Who appoints? Women in position – an obstetrician-gynecologist who leads the pregnancy. For everyone else – a therapist, surgeon or proctologist at the place of residence or in any consultative and diagnostic center.

Is it possible to recover completely? Medicines provide temporary relief. They alleviate the condition, but, unfortunately, are not able to cure hemorrhoids. At the next exacerbation, do not delay a visit to the proctologist and undergo minimally invasive treatment for hemorrhoids.

Situation No. 2. Your hemorrhoids were removed, but the symptoms remained

What are you talking about? For example, you underwent one of the minimally invasive procedures – laser coagulation, latex ligation, sclerotherapy, desarterization. And especially if a radical hemorrhoidectomy was performed.

In addition: if you have a low pain threshold, if your immunity is reduced, the rate of regeneration is reduced, or if you have had a complex form of hemorrhoids (stage 4, large nodes, etc.).

What drugs? In all these cases, the doctor will prescribe ointments, suppositories, tablets or drops that accelerate healing. For pain – also painkillers, for bleeding – vasoconstrictor, for difficulties with going to the toilet – laxatives.

What to expect? After minimally invasive operations, discomfort is minimal – as a rule, the very next day after removal, all symptoms disappear. But for the full restoration of internal tissues, it may take from 2 to 8 weeks, during which from time to time the patient may feel slight discomfort.

Who appoints? Your attending physician is a proctologist who performed the removal of hemorrhoids. Or the doctor you were referred to for follow-up.

Situation No. 3.

Hemorrhoids have already been cured, but there is a risk of recurrence

What are we talking about? In some people, hemorrhoids may reappear, even after the removal of hemorrhoids (surgical or minimally invasive). For example, if a patient suffers from chronic diseases of the cardiovascular, endocrine systems or gastrointestinal tract, or has a tendency to thrombosis or a genetic predisposition to varicose veins, and so on, there are many options, in each case the doctor assesses the risks individually.

What drugs? Medications for a preventive course are selected depending on why hemorrhoids arose in this person and depending on how much damage the hemorrhoids caused to his body.

What to expect? With proper adherence to the recommendations, the likelihood of relapse is reduced to almost zero.

Who appoints? Specialists of a narrow profile, in which the patient is observed for chronic diseases he has. Some drugs for prevention can also be prescribed by a proctologist who performed the removal of hemorrhoids.