Hemorrhoids, both external and internal, tend to become inflamed and painful, causing great discomfort to their owner. Pain-relieving suppositories for hemorrhoids will provide temporary relief. The analgesic effect of suppositories can be supplemented and enhanced with tablets, ointments, injections of drugs that reduce the inflammatory reaction, strengthen blood vessels, and relieve swelling.
Rectal suppositories with local anesthetic
A wide group of drugs used as pain relief for hemorrhoids are suppositories with a local anesthetic. As a rule, the formulation of suppositories for hemorrhoids with an analgesic effect is enhanced by other components. Suppositories are used after bowel movements and perineal hygiene. The candle is pushed shallowly into the anus. Afterwards you need to lie down for half an hour.
Relief line candles
Names of pain-relieving suppositories for hemorrhoids, combined in the Relief line - Advance, Pro. Suppositories of this brand, according to reviews from proctologist patients, are leaders in their segment, despite the high cost.
Relief Advance has the main active ingredient benzocaine in its composition. The formative element of the suppositories, cocoa butter, will soften the mucous membrane and ensure a uniform supply of the anesthetic to the nerve endings. Pain relief occurs 5 minutes after application. Use Relief Advance suppositories, painkillers for hemorrhoids, up to 4 times a day.
In addition to the anesthetic lidocaine, Relief Pro contains the corticosteroid hormone fluocortolone. Belongs to the class of painkillers for hemorrhoids and anal fissures. Suppresses itching, inflammation of hemorrhoids, cracks. Suppositories are administered in the morning and evening; treatment for longer than 2 weeks is not advisable.
Hepazolon
Gepazolon suppositories are successfully used for rectal anesthesia. They include the anesthetic lidocaine, the anti-inflammatory hormone prednisolone, and sodium heparin. The heparin component has the ability to dissolve blood clots in hemorrhoids. Gepazolon not only relieves pain, but reduces swelling and prevents blockage of the hemorrhoids by a blood clot.
During an exacerbation, you can use 3 suppositories per day, gradually reducing the dose of painkiller to a single dose. Continue treatment for up to 15 days.
Anestezol
Anestezol suppositories with benzocaine, menthol, bismuth and zinc salts will help relieve pain from hemorrhoids. Anestezol is indispensable when you need to quickly anesthetize, dry, and disinfect the mucous membranes of the rectum, using 1-2 pieces per day. Anestezol is an inexpensive and effective domestically produced remedy for hemorrhoids. A package of 10 suppositories can be purchased for 70-100 rubles.
Procto-Glyvenol
Procto-Glivenol suppositories will be an effective assistant for hemorrhoids at home. The combination of lidocaine with tribenoside has an analgesic effect. Lidocaine will eliminate pain. Tribenoside will strengthen blood vessels and reduce swelling of rectal tissue. The duration of treatment of hemorrhoids with Procto-Glivenol suppositories is 7-10 days, 1-2 suppositories per day.
Proctosedyl
An anesthetic for hemorrhoids, Proctosedil suppositories have a multicomponent formulation:
- anesthetics benzocaine and butamben;
- hydrocortisone;
- antibiotic framycetin;
- plant antioxidant esculoside.
Relieves the symptoms of hemorrhoids - pain, itching in the anus, swelling of the perineum. Esculoside or, as it is also called, escusan, is used to improve vascular tone and relieve hyperemia. Aescusan will calm skin irritation in a few minutes. Use Proctosedyl for a week in the morning and evening.
Doloproct
Doloproct suppositories repeat the composition of the Relief Pro suppository - lidocaine plus fluocortolone. The drug relieves pain and fights inflammation of the tissues in the anal area. Use 2 suppositories per day for acute hemorrhoids and one for chronic ones. Long-term treatment is not recommended due to the hormonal drug component.
Nigepan
Nigepan suppositories are considered one of the best pain relievers for hemorrhoids. Benzocaine and sodium heparin in the Nigepan formulation allow you to relieve pain and eliminate existing thrombosis in the initial stage of development. Nigepan is administered morning and evening, continuing treatment for up to 2 weeks.
Fissario
Fissario suppositories consist of lidocaine and nifedipine. Lidocaine relieves pain, nifedipine relieves vasospasm, eliminating congestion in the anal area. To treat hemorrhoids and anal fissure, use Fissario in the morning and evening as prescribed by a doctor.
Suppositories with lidocaine, benzocaine, and hormonal components cannot be used for a long time due to side effects such as thinning of the mucosa, addiction and withdrawal effects. Anesthetics and hormones are contraindicated for pregnant women, especially in the first trimester, nursing women and children under 12 years of age.
Causes of pain
Why does pain occur with hemorrhoids?
The most common concerns are itching and burning
Almost every person, sooner or later, can experience all the symptoms of acute hemorrhoidal disease. Prolonged daily work in a sitting position, heavy physical activity, a hereditary predisposition to varicose veins, poor diet and some other factors contribute to the development of hemorrhoids. The pathological process involves the venous system of the rectum, deformations of the vessel walls are formed, and blood stagnates in enlarged areas. Thus, hemorrhoids are formed.
Hemorrhoids are external (at the exit from the rectum) and internal (in the cavity). Internal nodes do not cause pain, but external ones are often accompanied by pain.
Since the area of skin around the anus is very well innervated, when the external node falls out or forms, sharp painful sensations and a burning sensation occur. Pain also accompanies blockage of the hemorrhoid (thrombosis). Pain can occur when walking and sitting, which significantly reduces the patient’s quality of life.
Anti-inflammatory rectal suppositories
Anti-inflammatory rectal suppositories are produced on the basis of non-steroidal anti-inflammatory drugs (NSAIDs) and glucocorticoid hormones. Each group of drugs has different application features.
Nonsteroidal anti-inflammatory drugs
Painkillers and anti-inflammatory suppositories for hemorrhoids based on NSAIDs are represented by Ketonal and Indomethacin Sopharma.
Ketonal and Indomethacin suppositories exhibit good analgesic properties when administered rectally. However, they must be used with extreme caution for hemorrhoids, especially in the acute phase of the process with bleeding. Suppositories of this type are intended for general analgesia. They are not used for hemorrhoids and are used only as prescribed by a doctor.
Glucocorticoid drugs
Relief Ultra suppositories contain hydrocortisone and zinc sulfate. Hydrocortisone relieves itching and burning in inflamed hemorrhoids. Zinc sulfate dries out anal discharge, which irritates the skin of the perineum. Dosage of Relief Ultra anti-inflammatory suppositories – one up to 4 times a day.
Ultraproct acts as an analgesic due to cinchocaine. Two types of hormones provide a rapid onset of action and prolongation of the anti-inflammatory effect. In case of severe pain reaction, 3 suppositories are inserted per day. After three days, the dose is reduced to 1 suppository per day, maintaining it for a week. Then apply a suppository every other day, continuing treatment for another week.
Suppositories with glucocorticoids are contraindicated in pregnant and lactating women. They should not be used in case of infectious or fungal skin lesions.
Contraindications
It is necessary to limit the use of suppositories for pain in the back and lower back when determined in the anamnesis
patient with the following conditions:
- individual intolerance to the components of the main or auxiliary composition,
- bleeding from the lower parts of the digestive tract,
- ulcerative lesions in the stomach,
- diseases associated with damage to the brain and spinal cord, peripheral nerve trunks and ganglia (meningitis, encephalitis, Parkinson's disease, ischemic/hemorrhagic stroke),
- mental disorders.
Caution in prescribing rectal suppositories requires childhood, breastfeeding, and pregnancy.
Reference. It must be remembered that during complex treatment, taking medications with the same active compounds, but in different dosage forms, increases the risk of overdose. In order to prevent side effects, it is necessary to control the daily dose of the administered drug.
Rectal astringent suppositories
Painkillers for hemorrhoids contain not only anesthetics, but also drying and disinfecting substances. Anuzol has an astringent effect due to zinc sulfate. Xeroform fights microbes. Belladonna extract relieves painful spasms and relaxes the muscles of the rectum.
Neo-Anuzol has drying components, antiseptic, and painkillers. A good inexpensive medicine for inflamed hemorrhoids, accompanied by itching, burning, and painful nodes. Anuzol and Neo-Anuzol insert 1 suppository three times a day, continuing treatment for up to 10-12 days.
Basic rules of application
There is a general algorithm of actions on how to use rectal suppositories:
- It is first necessary to empty the rectum by natural removal of feces or by performing a cleansing enema.
- After defecation, use warm water or a herbal decoction to clean the external genitalia and anorectal area from contamination, blot with a napkin or towel.
Take the correct comfortable position: lying on your left side, bend your knees, pull them towards your chest, relax as much as possible. In this position, intra-abdominal pressure decreases, and accordingly, the risk of damaging the mucous membrane is minimized.
- Rectal suppositories are allowed to be inserted in a standing position, resting on both arms and legs, and squatting.
- With clean, dry hands, remove the suppositories from the packaging. Do not hold candles in your hands for a long time, so that they do not begin to melt due to body temperature.
- Slightly spread the gluteal muscles, treat the anus with Vaseline or moisten the suppository with cold water, which will facilitate its insertion. Using your index finger, insert the candle into the anal fissure with the sharp end. Movements should be soft but decisive, preventing painful sensations. The safe depth of insertion of the suppository is 2-3 cm, in children - 1.5-2 cm.
- Squeeze your buttocks tightly for 1-2 minutes. Remain in a horizontal position for 20-30 minutes. This time is necessary for the candle to disintegrate.
Advice. If the introduction of the drug into the anal passage provoked a bowel movement earlier than 30 minutes after the procedure, the steps must be repeated after a quarter of an hour.
It is important to observe the storage conditions for candles (temperature should not exceed 15⁰C). At higher temperatures, the active components decompose, and the therapeutic effect of the drug decreases.
Rectal suppositories against thrombosis
Hemorrhoids are complicated by thrombosis of the venous nodes when they are blocked by a blood clot. Ointments and suppositories called Hepatrombin, among other components, contain the anticoagulant sodium heparin in the formulation. Heparin dissolves blood clots by thinning the blood. Use suppositories with an anticoagulant 1-2 times a day for a week. For external thrombosed nodes, it is better to use Heparin ointment, lubricating inflamed hemorrhoids with it. When using suppositories with sodium heparin, take into account that local allergic reactions are possible in sensitive people.
Combination of drugs for maximum effectiveness
For the fastest possible effect, candles can be combined with each other. For example, painkillers alternate with regenerative or anti-inflammatory drugs.
Before starting treatment, it is better to consult a doctor, as some drugs do not combine well with each other.
It is better to use antibiotics separately, completing a full course and only then starting treatment with other drugs.
The concentration of active substances should also be taken into account. For example, suppositories containing lidocaine cannot be combined with other medications containing the same component. An overdose of anesthetic can cause dizziness, nausea and even convulsions.
Healing rectal suppositories
After proctological operations, the patient suffers from painful sensations due to the healing processes of the rectum. Olestesin and Methyluracil suppositories can speed up healing. Olestesin is a suppository based on sea buckthorn oil, an anti-inflammatory complex and a local anesthetic. A wonderful cure for hemorrhoids at an affordable price. Anesthetizes, heals, activates the regenerative activity of cells.
Methyluracil suppositories stimulate the regeneration of mucous membranes and skin, relieve pain by reducing inflammation and accelerating healing. Use Methyluracil for hemorrhoids and fissures twice a day until the integrity of the mucous membrane is restored.
Natalsid is an enveloping agent for hemorrhoids with sodium alginate. Alginate is a gel-like substance of natural origin, extracted from kelp. Natalsid suppositories soothe the irritated mucous membrane of the anal canal and eliminate the negative effects of feces during constipation. Pregnant and lactating women can use suppositories with sodium alginate for hemorrhoids.
Relief suppositories with the vasoconstrictor substance phenylephrine can stop capillary bleeding. Indications for use Relief for hemorrhoids - traces of blood on toilet paper or underwear. Use vasoconstrictor suppositories up to 3 times a day.
If the bleeding intensifies, the blood flows in a steady stream, you should immediately call a doctor.
Benefits of tablets
The main advantages of pills for hemorrhoids include:
- A wide selection, which makes it possible to select the appropriate product not only according to prescriptions, but also by price;
- The natural base of the drug, which makes the tablets safe for the digestive tract, liver and kidneys;
- Fast cure, which is achieved thanks to the modern formula used in the production of many tablets;
- Comfort when using. The tablet form, in contrast to ointments, is the most optimal for use, since they can easily be used at work and on vacation;
- Certain variations of medications help relieve constipation, which has a beneficial effect on the treatment of the disease;
- The active elements of the tablets make it possible to improve blood flow;
- The tablets perfectly eliminate pain and inflammation;
- An impressive proportion of products are allowed for use by pregnant and elderly people.
The main advantage of the tablets is their complete versatility, since they can be taken by patients who have an initial and permanent form of the disease. In addition, when using tablets, you do not need to perform special hygiene procedures, which are very necessary in other options.
Additional medications for hemorrhoid pain relief
In addition to rectal suppositories, ointments, tablets, and intramuscular injections of analgesics are used for painful hemorrhoids.
Pills
Painkillers for painful manifestations of hemorrhoidal pathology:
- Analgin is a proven remedy with proven effectiveness for various types of pain. You need to drink them during severe attacks, 1-2 pieces, not exceeding the daily dose of 6 tablets;
- Pentalgin is a powerful painkiller tablet. They will relieve pain from hemorrhoids and fissures in half an hour. Take symptomatically, but not more than 4 tablets per day.
- Ibuprofen is a non-steroidal anti-inflammatory drug in tablets. Use Ibuprofen tablets for hemorrhoids and fissures, 1-2 per day. The medicine relieves pain, fever, and fights inflammation.
The advantage of tablets is ease of use at any time and in any environment. Disadvantage: delayed onset of action compared to injections and rectal suppositories, negative impact on the gastrointestinal tract.
Injections
Sometimes the pain syndrome with hemorrhoids and fissures is so strong that neither ointments, nor suppositories, nor tablets can relieve it. Then injectable drugs come to the rescue:
- Diclofenac Akos - pain-relieving injections for hemorrhoids, one ampoule is given twice a day every 12 hours;
- Rofecoxib relieves pain by blocking the synthesis of inflammatory mediators. It is sold in pharmacies under the name Denebol. Use for severe pain no more than once a day;
- Promedol is an opioid analgesic, antispasmodic, indicated as a short-term remedy for excruciating pain;
- Tramadol is a morphine derivative, used intramuscularly as a last resort due to its negative effect on the central nervous system;
- Omnopon is a combined opioid analgesic for unbearable pain;
- Ketorol - used for pain relief, inflammation and fever relief for hemorrhoids;
- Ketonal - painkillers, anesthetic injections are used for painful hemorrhoids, 1 ampoule per day;
- Flamax is a non-steroidal anti-inflammatory drug with the active ingredient ketoprofen. It will relieve pain, eliminate the inflammatory reaction, and reduce the separation of exudate.
All injectable painkillers contain potent substances. They are used only with a doctor's prescription. They do not affect the cause of hemorrhoids, they only temporarily block the transmission of pain impulses from the lesion.
Anesthetic suppositories for hemorrhoids contain local anesthetics, hormones, bismuth and zinc salts, and plant extracts. They are used in the morning and at night after bowel movements and washing the anal area. For pregnant and lactating women, as well as people prone to allergies, there are a number of contraindications and restrictions when treating hemorrhoids with medications.
We recommend: How to distinguish an anal fissure from hemorrhoids
Names and prices
Numerous people prefer to use painkillers in tablet form. For this reason they have become so widespread. They provide a fairly effective effect and are able to contain in their structure both natural (in most situations) and chemical elements. If you start taking pills at the initial stage of hemorrhoid formation, they will be able to relieve the signs of the disease and even help cure the disease.
During an exacerbation of the disease, patients may experience severe pain, which should be eliminated with medications. The following tablets are considered the most effective:
- Detralex. A good pain reliever. The effect can be felt within an hour after use. Tablets can be used to stop bleeding and congestion in the pelvic organs, as they increase the tone of the venous vessels. The average cost at pharmaceutical points is 800 rubles.
- Chemoroidin. It is popular not only due to its excellent pain relief results, but also due to the fact that the tablets have good healing properties. Natural elements of plant extracts strengthen vascular walls, help stop bleeding and inflammation. Using this drug, you can quickly get rid of pain, irritation and itching. You can purchase the herbal medicine at the pharmacy for 520 rubles.
- Phlebodia. This drug can eliminate severe pain and inflammation in the rectum, and in addition, reduce congestion in the pelvis and increase venous tone. A noticeable effect can be noted after the first use of the drug after 5 hours. The average cost of 15 tablets is 550 rubles, 30 tablets - 920 rubles.
- Pylex. A combined drug that eliminates pain and inflammation, providing a disinfectant effect. The structure of the drug contains natural plant elements. For this reason, the tablets are safe and can be recommended for use during pregnancy or lactation. The cost of the product is 560 rubles.
- Litovit B. A treasure trove of natural active ingredients – bran, zeolite, burnet. This combination can quickly and effectively eliminate pain during bowel movements, relieve discomfort, irritation and itching due to hemorrhoids. The drug increases the patient’s overall immune strength, strengthens vascular walls and stops bleeding. The approximate price of tablets is 455 rubles.
Asklezan A. The drug is a dietary supplement that helps to establish normal blood circulation and normalize the tone of the veins, and reduce pain. The drug is widely used to prevent the occurrence of hemorrhoids. At pharmaceutical points the drug costs 210 rubles.
- Ibuklin. An anesthetic drug that helps neutralize pain and has an anti-inflammatory effect. The average cost of the drug is 90 rubles.
- Pentalgin. The drug is a combined analgesic, which consists of 5 active elements aimed at relieving various signs of hemorrhoids. They help eliminate pain for more than 5 hours. However, using them for a long time is not recommended. Price - 140 rubles.
- Nise. An anesthetic drug that helps relieve fever and inflammation. Perfectly relieves even the most severe pain syndrome. The average cost is 190 rubles.
Feedback from our readers
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Andrey:
“After the operation I suffered for another 2 days. While the anesthesia wore off, everything was fine. In the evening, my lower abdomen began to ache, and at night I woke up from terrible pain. The suppositories didn’t help me, I took a Nise pill. The doctor warned me that this could happen, so I bought it in advance. I slept peacefully until the morning. The next day I had to take another pill. On the third day I managed without them.”
