If cracks appear during hemorrhoids, then this pathology causes pain not only during bowel movements, but also when walking or sitting. Due to the fact that the internal wound is bleeding, blood stains are noticeable, which are constantly released from the anus. Without treatment for rectal hemorrhoids, cracks become a permanent symptom and are difficult to treat. External and internal cracks that appear as a result of hemorrhoids require complex treatment.
Causes and symptoms of the problem
The reasons for the appearance of cracks in the anus are simple:
- chronic constipation;
- damage to the rectum during defecation or “love fun”;
- during childbirth, with strong attempts;
- lack of personal hygiene;
- inflammatory processes in the rectum.
The larger the crack, the greater the pain. Initially, a person experiences pain when going to the toilet. If measures are not taken, then over time inflammatory processes begin and pain symptoms become permanent. The patient experiences discomfort, constipation is common, and itching is also observed. With a deep crack, blood is released. Cracks in the anus have the following character of pain:
- pressing;
- pulling;
- barbed;
- burning;
- pinching.
Bepanten during pregnancy
During pregnancy and subsequent childbirth, the risk of hemorrhoids increases. This is due to increased pressure on the pelvic area. In addition, during pregnancy, women often suffer from constipation because they lead an inactive lifestyle.
Hemorrhoidal cones cause a woman severe pain, discomfort, itching and burning. It is difficult for the patient to remain in a lying or standing position, and her sleep is disturbed. Not all medications can be used for treatment, as some of them can harm the baby. Therefore, before starting treatment, you should definitely consult your doctor.
Bepanten is a drug that is prescribed in any trimester of pregnancy, as well as after childbirth. The drug has several advantages:
- quickly eliminates inflammation;
- activates blood supply;
- relieves pain and discomfort.
Bepanthen is indispensable for the treatment of cracks in the mammary glands that may appear when feeding a child. Thanks to vitamin B5, it is often prescribed for prevention - to eliminate stretch marks after childbirth.
What ointments are used?
The classification of ointments against rectal fissures is presented in the table:
Group | Description | Example |
Anticoagulants | Inhibits blood clotting | Heparin ointment |
Resists puffiness | ||
Hemostatics | Increase blood clotting | ointment "Relief" |
Used for external hemorrhoids | ||
Venotonics | Strengthens capillaries | "Troxevasin" |
Promote regeneration | ||
Anti-inflammatory | Prevent inflammation | "Doloproct" |
Relieves itching and swelling | ||
Immunomodulatory | Stimulates immunity in the rectum | "Posterizan" |
Homeopathic | Contains natural ingredients with multifunctional effects | "Esculus" |
Combined | Multicomponent inexpensive external agents with disinfectant and anti-inflammatory effects | "Levomekol" |
Antispasmodics | Relieves attacks of pain | Belladonna extract |
Diagnostics
For diagnostic purposes, the patient is prescribed sigmoidoscopy.
Before starting treatment for hemorrhoids and fissures using a universal remedy, you should consult a doctor and undergo a set of diagnostic measures. Only after an examination and other procedures will the doctor be able to prescribe the best remedy that is most suitable for the patient. Diagnostics consists of the following procedures:
- Anamnesis collection. The doctor is interested in the duration of the manifestations and their features.
- Inspect the affected area. The manipulation is mandatory for men and women and is carried out on a gynecological chair.
- Finger examination. The doctor examines how much the anoderm has changed and whether there is sphincter tone.
- Anoscopy, colonoscopy, sigmoidoscopy. Instrumental examinations to determine the stage of deviation of the rectum and anus.
List of ointments for anal fissures
Before purchasing a medicine, it is better to visit a proctologist.
Ointment for anal fissures is not suitable for everyone. For men, stronger medications with antimicrobial and analgesic effects are needed. During pregnancy and for children, safety in use is important. Various medications are used against internal and external rectal fissures. Therefore, a consultation with a proctologist is necessary. Below is a list of the most popular and effective drugs for healing microcracks.
"Methyluracil"
Used to treat fissures in the anus. Accelerates regeneration processes. Leukopoiesis is stimulated. Methyluracil ointment is prescribed for long-term non-healing of wounds externally. The ointment is applied to the opening of the anus; for external use, it is applied as a compress before bedtime. If ulcers are observed, suppositories may be prescribed.
Syntomycin ointment
Thanks to the ingredients, the product is quite effective. In the early stages, it is recommended to apply ointment for anal fissures as a bandage. The drug consists of the following components:
- novocaine - acts as a pain reliever;
- chloramphenicol - has an antimicrobial effect;
- castor oil - softens, eliminates inflammatory processes, promotes tissue regeneration.
Heparin ointment
Heparin ointment is the most effective remedy for hemorrhoidal disease.
The best ointment for inflammation of hemorrhoids. It is possible to insert a tampon into the anal canal. Heparin ointment for anal fissure is applied in a thin layer to a gauze bandage and applied to the sore spot. Contraindicated in severe ulcerative pathologies. The medicine is safe and can be used by both adults and children.
"Solcoseryl"
Medicines from the Solcoseryl series have wound-healing effects in the treatment of anal fissures. Very often, the attending physician prescribes complex therapy using ointment (externally) or jelly (internally). Solcoseryl also improves metabolic processes, which promotes rapid recovery. Well tolerated, sometimes a burning sensation is possible.
"Troxevasin"
This is the most suitable gel for bleeding and swelling in the anus, as it eliminates pathological processes in the body. After application, Troxevasin begins to act 30 minutes later. The duration of use and dosage is determined by the proctologist. Contraindicated only in case of personal intolerance to the components. Also, before use, pregnant women and children need to consult a doctor.
"Levomekol"
Levomekol relieves inflammation well and stimulates the immune system.
"Levomekol" for anal fissures is the best inexpensive medicine. It contains the antibiotic chloramphenicol and the immunostimulant methyluracil. They say antimicrobial effects. The ointment should be spread on a sterile napkin, then folded in half and applied to the sore spot. It is best to adjust it overnight. Possible increased itching, which will quickly subside.
Cream "Relief"
You can cure the anal passage if you first remove the symptoms that cause discomfort. Rectal ointment is effective for swelling, improper blood flow and itching. Before use, hygiene procedures must be carried out. After using the applicator, inject the medicine onto the affected areas, perform manipulations up to 4 times a day. Be sure to wash the instruments after the procedure.
"Bezornil"
Antihemorrhoidal medication is used in the treatment of anal fissure. It has an analgesic and healing effect on microcracks. "Bezornil" is safe for children, pregnant and lactating women. For internal nodes, it is administered using an applicator; external ones must be smeared twice a day, as well as after bowel movements. At night it is recommended to use it as a compress through a gauze bandage.
Ichthyol and Vishnevsky ointment
The drug can eliminate all the unpleasant symptoms of the disease.
Inexpensive and effective wound-healing ichthyol ointment for anal fissures improves blood flow, has an antiseptic effect, eliminates suppuration and relieves pain. You need to lubricate the tampon and insert it into the rectum, or treat the affected areas and apply a napkin for greater effect. Vishnevsky's universal ointment has long-lasting properties. Acts as an antibacterial and anti-inflammatory drug. Cream for anal fissures has a warming effect, preventing cell death. Lubricate the affected area as recommended by a doctor.
Other creams and methods
Anal fissure is treated with the following medications:
- "Boro Plus";
- "Nigepan";
- zinc ointment;
- "Aurobin";
- ointment "Stellanin";
- "Proctosedyl";
- nitroglycerin ointment;
- balm “Rescuer”;
- Proctosan ointment;
- Detralex cream and tablets;
- "Ultraproct";
- "Olesthesin."
General principles of treatment
Treatment of hemorrhoids from a fissure involves a set of measures - conservative, surgical. Other activities include traditional methods of disposal.
A mandatory condition for treating anal fissure with hemorrhoids is following a diet. Products that can cause constipation and irritation of the mucous membrane of the digestive tract are excluded from the diet. The following dishes are contraindicated for hemorrhoids:
- Hot spices, seasonings.
- Spices, pickles.
- Fried, smoked dishes.
- Fatty food.
- Flour, sweets.
- Strong coffee, alcohol, sweet carbonated drinks.
The diet of a patient with hemorrhoids consists of plant foods and fermented milk products. It will allow you to normalize the intestinal microflora, prevent the development of dysbacteriosis and constipation - factors that provoke exacerbation of hemorrhoids. Vegetables and fruits contain plant fiber. Will allow you to regulate intestinal motility. Fermented milk products contain many beneficial lactic acid bacteria that help normal intestinal function.
The first stage of treatment will be the healing of the resulting cracks. Afterwards, it is permissible to completely eliminate the disease.
Chronic form and necessary remedies
Venoruton helps eliminate blood stagnation in hemorrhoids.
For chronic hemorrhoids, you need to treat the digestive system and improve your trips to the toilet. You will have to eat right and stick to a diet. "Levomekol" for anal fissures will relieve inflammatory processes. Phlebotropic medications (“Venoruton”) counteract congestion. "Posterizan" will relieve inflammation and pain symptoms. For thrombosis, anticoagulants are used, for example, Hepatrombin. Androxon can stop the bleeding. These medications cannot be prescribed independently, only with the permission of the attending physician.
What is safe for children?
When treating children, it is important to adhere to the dosage and doctor’s recommendations, because the treatment of anal fissures in them is slightly different from the treatment of adults.
Unfortunately, little ones also face diseases such as hemorrhoids. The reason for this is frequent constipation, prolonged sitting on the potty and inactivity. But there are no medications specifically for children, so the attending physician selects the most appropriate therapy. Before use, you should read the instructions. Most often, suppositories are prescribed, less often other dosage forms. It is allowed to use such suppositories as “Relief”, “Anti-K”, “Immuntil”, sea buckthorn oil and “Adonis”.
Side effects
Among the negative reactions to the drug, allergies can be noted. It occurs when there is an individual intolerance to the medicine or when it is used incorrectly. Most often it can be severe itching and irritation. If alarming symptoms appear, the drug should be discontinued.
Bepanten is often used for hemorrhoids, especially when it is necessary to heal the wounds that appear in a short time. But in each case, you need to consult a specialist - sometimes it is not advisable to use it, since there will be no effect.