Hemorrhoidal disease is a common pathology that is formed due to the weakness of the venous walls. With this disease, the rectal area suffers. Simultaneously with hemorrhoids, varicose veins, anemia, and heart disease can develop. Among these diseases, hemorrhoids are one of the "lesser evils". Modern pharmacology offers an effective treatment - ointments for external hemorrhoids. The article provides a description of the best and most effective remedies.
Symptoms of external hemorrhoids
Proctology classifies the disease depending on the place of deployment into external, internal and combined.
- External is characterized by the prolapse of hemorrhoids and the inability to insert them back. As a rule, this occurs already in the second or third stage of the disease. Effective ointments from the externalhemorrhoids stop pain, itching and burning, which inevitably accompany the disease. There are many modern means, using which at the initial stage of external manifestations, you can get rid of possible complications, the worst of which is thrombosis.
- Internal hemorrhoids are most often characteristic of the initial stages of the disease. The knots do not yet fall out, and if they do, you can easily set them inward. The patient feels pain and slight discomfort after the act of defecation. At the same time, after going to the toilet, the remains of blood remain on the toilet paper. This is a completely natural process: during bowel movements, the nodes become inflamed, and the smallest of them burst. Hence the traces of blood. In the later stages, when large nodes burst, quite serious bleeding can develop.
- The combined type of the disease is typical for the last stages of the disease. The nodes are located both inside the rectum and outside. In this case, most often you can not do without surgical treatment. Ointments from external hemorrhoids at this stage are already powerless. The maximum that can be expected from their use is a slight relief of symptoms.
Causes of disease development
The disease is provoked by an unhe althy lifestyle, as well as a hereditary tendency to thin the venous walls.
- Improper nutrition, which provokes constant constipation and pathology of the digestive tract, is not at all as harmless as it seems at first glance. Daily diet should include raw vegetables andfruits - this will get rid of constipation and minimize the possibility of complications of hemorrhoidal disease. For people who regularly eat right, ointments for external hemorrhoids are useless.
- Sedentary lifestyle is problem number two. Even if the patient is forced to lead a sedentary existence, one should get up once an hour and do a light warm-up for ten minutes so that the blood drains from the pelvic organs and the veins get a rest. It is very important to accelerate blood circulation in this way as often as possible.
- Serious physical activity is possible both in specific work (builders, loaders) and in unauthorized weightlifting. Regular weight lifting provokes tension in the rectum - this leads to tension in the veins, they overflow with blood. As a result, the walls become thinner and hemorrhoids begin to form.
- Hereditary predisposition to cardiovascular diseases often causes the development of not only hemorrhoids, but also varicose veins. As a result, a person is a regular patient of a phlebologist. Knowing your tendency to vascular diseases, you should regularly (several times a year) drink a course of venotonic drugs. This will help thin the blood and improve its composition, as well as help strengthen the venous walls. In some cases, such prophylaxis is enough for external hemorrhoids to recede.
Types of pharmacological agents by type of action
Treating external hemorrhoids with ointment is a simple and effective way to alleviate the discomfort of the disease. All abundancepharmacological preparations for external local action can be classified according to the type of action:
- anticoagulants;
- hemostatics;
- angioprotectors;
- venotonics;
- steroid drugs;
- ointments for external hemorrhoids with astringent action;
- immunomodulating drugs.
Depending on the stage and symptoms, this or that remedy will be more effective. It is optimal if the patient visits a proctologist. The professional will assess how far the disease has gone, and, depending on this, prescribe ointments that are best suited in a particular case.
Proctology involves a complex action for hemorrhoids:
- drug;
- mini-invasive;
- surgery.
Rectal suppositories, tablets and ointments are medical treatments. They are effective in the first and second stages, while hemorrhoids have not yet become combined.
Minimally invasive methods are sclerotherapy, exposure to liquid nitrogen and other methods of local exposure with modern hardware.
Surgical intervention is required in the late stages of the disease, when all other methods are no longer effective. Hemorrhoids can reach a size of up to four centimeters in diameter - the patient experiences excruciating pain and agrees to perform the operation even without anesthesia, just to get rid of the manifestations of the disease. Operations today are carried out under local anesthesia - but the postoperative period is rather complicated and brings patients a lot of suffering. So it's easieruse effective ointments for external hemorrhoids and avoid serious complications.
Using anticoagulants for hemorrhoids
Hemorrhoid ointments, the main active ingredient of which is an anticoagulant (most often sodium heparin), have proven themselves in the treatment in the initial stages. Heparin sodium reduces blood viscosity, prevents clogging of hemorrhoids and thrombosis of cavernous formations.
In addition, heparin improves the fibrinolytic qualities of the blood, due to which already existing blood clots in the veins dissolve. In combination, anticoagulant drugs have a positive effect on blood vessels, increasing their elasticity and tone.
- Heparin ointment is the most popular anticoagulant. It is cheap - depending on the manufacturer, the cost of a tube varies from fifty to one hundred and fifty rubles. In some cases, heparin ointment is released, enriched with additional healing and anesthetic substances. The ointment prevents the appearance of blood clots, relieves pain and itching from hemorrhoids. Heparin ointment from external hemorrhoids helps to relieve inflammation and has a local anesthetic effect. It should be applied in a thin layer on the anus three to four times a day.
- Ointment for external hemorrhoids "Hepatrombin B" contains heparin, prednisolone, lauromacrogol 600 as active ingredients. This remedy would have acted similarly to conventional heparin ointment, if not for a richer composition. Prednisone, which is a glucocorticosteroid,relieves inflammation, reduces the volume of exudate, reduces the severity of allergic reactions, itching and pain in the anorectal region. Unfortunately, this component can be addictive. As long as the patient uses this inexpensive and effective ointment for external hemorrhoids, pain and discomfort recede, the nodes can disappear almost completely. But when you stop using the symptomatology returns with a vengeance. Therefore, it is often not recommended to use "Hepatrombin B", it is better to combine it in a day or two with other means.
Treatment of external hemorrhoids with hemostatics
The purpose of using these ointments for internal and external hemorrhoids is to prevent and stop bleeding. In the presence of large hemorrhoids, heavy bleeding is not uncommon. Hemostatics contribute to the narrowing and healing of blood vessels, and also have a slight effect of accelerating local blood circulation.
- "Relief" is the best ointment for external hemorrhoids, reviews of which are almost all positive. The active ingredients of this remedy are phenylephrine hydrochloride, shark liver oil. These components stop bleeding, relieve pain in a burst node, and contribute to vasoconstriction. shark liver oil has a moisturizing and anti-inflammatory effect. "Relief" is available in the form of an ointment for external hemorrhoids and in the form of rectal suppositories for the internal type of the disease. Bleeding can develop with both types of ailment. If the patient is sufferingfor combined hemorrhoids, he must always have both forms of the remedy at home.
- "Relief Advance" is another ointment for external hemorrhoid nodes. Unlike the usual "Relief", this product also contains benzocaine. It is a fairly powerful local anesthetic. Proctologists recommend using "Relief Advance" if the pain syndrome is very strong and causes severe discomfort. It is also the best ointment for external hemorrhoids, if it is complicated by constant constipation. digestive disorders very often cause the need to push during the act of defecation, which provokes very strong pain. Also, "Relief Advance" proctologists recommend using after surgical removal of nodes.
Therapy of external hemorrhoids with angioprotectors and venotonics
The therapeutic effect of angioprotectors and venotonics is aimed at restoring the "performance" of the vascular channels: increasing the tone, improving the ability of capillaries and veins to withstand blood pressure, reducing the permeability and fragility of the walls.
Restored capillary and venous vessels prevent the exit of exudate into the rectal cavity, due to which swelling disappears, the inflammatory process stops, damaged tissues heal faster due to the normalization of blood circulation.
- "Troxevasin" - the best ointment for external hemorrhoids with a venotonic effect. the main active ingredient is troxerutin. It is a popular venotonic for externalapplications. Few people know that "Troxevasin" is a cheap analogue called "Troxerutin", which allows you to achieve exactly the same effect in the treatment of external hemorrhoids. If "Troxevasin" costs about three hundred rubles, then "Troxerutin" - only about a hundred.
- "Procto-Glivenol" is an inexpensive and effective ointment for external hemorrhoids. The cost of one tube is about two hundred rubles. The main active ingredient of the drug is tribenoside. When applied to the anus, it has an anesthetic and decongestant effect. Apply the ointment in a thin layer several times a day. It is optimal to alternate the use of "Procto-Glivenol" with ointments based on sodium heparin.
The effect of steroid drugs for external hemorrhoids
The composition of steroid drugs includes analogues of hormonal substances (hydrocortisone, prednisolone, etc.). They more effectively and quickly cope with inflammatory processes in the anorectal region.
Alas, the hormonal effect persists as long as the patient uses the ointment. After withdrawal, the symptoms most often return with a vengeance. You should take this into account and use steroid ointments for external hemorrhoids with crawling nodes in a day or two with other means.
- The main active ingredients of Proctosedil are sodium heparin, framycetin sulfate, esculoside, benzocaine. The manufacturer recommends applying the product in a thin layer on the inflamedhemorrhoids two or three times a day. "Proctosedil" is not the best ointment for external hemorrhoids during pregnancy. The instructions in the list of contraindications are quite an impressive list: you should carefully read it before you start using the remedy.
- "Ultraprokt" - another ointment with steroid hormones in the composition. The main active ingredients are fluocortolone hexonate and fluocortolone pivalate. Effectively relieves itching within five to ten minutes after application. also has a local anesthetic effect. To prevent addiction to steroid ointment, proctologists recommend alternating its use with other means. If hemorrhoids do not bring severe pain and itching, it is better to opt for another remedy, since "Ultraproject" has quite a few contraindications.
Immunomodulating drugs in complex therapy
Reviews of ointments from external hemorrhoids with immunomodulatory effects are different. There are quite a few patients who were dissatisfied with the effect of these funds.
- "Posterisan" is an ointment based on inactivated bacteria analogs of Escherichia coli. It has a local immunomodulatory and anti-inflammatory effect. Reviews about this ointment are not all positive. Patients who have tried "Troxevasin" or "Relief Advance" know that these drugs are more effective in coping with the symptoms of hemorrhoids.
- "Posterizan Forte" - almost a complete analogue of the ointment"Posterisan", only the composition also includes hydrocortisone. The presence of this component can relieve itching and burning. Hydrocortisone also has a decongestant effect. Indications for use - perianal dermatitis, rectal fissures and itching, inflamed hemorrhoids.
Astringent ointments
Drying and astringent components in ointments for external hemorrhoids for men and women are especially effective for weeping nodes. This is a rather rare type of pathology in which pus and ichor seeps through microcracks. Such nodes often cause severe inflammation. In some cases, urgent surgical intervention is required. But if weeping nodes with external hemorrhoids do not cause excessive discomfort, you can try to treat them at home. What ointment is better for external hemorrhoids if it is weeping? You should pay attention to products with borneol, bezoar.
- "Bezornil" is the optimal ointment for weeping knots. The composition includes amber, borneol, artificial musk, artificial bezoar. There is also a special component - amber metabolite. It has properties to accelerate tissue regeneration. Indications for use - rectal fissures, external hemorrhoids, eczema and dermatitis of the anus. "Bezornil" differs from other ointments from external hemorrhoids with a minimum number of contraindications. It can be used during pregnancy (you should be careful - an allergic reaction to the active components of Bezornil is still possible).
- "Proctosan" is an ointment that compares favorably in composition with others. True, patient reviews about her are far from all positive. People note that Troxevasin and Relief Advance act much faster during an exacerbation of hemorrhoidal disease. The composition of "Proctosan" includes lidocaine hydrochloride, but in too meager amounts. Often, during an exacerbation, the action of this amount of lidocaine is simply not enough, as a result, patients are forced to resort to the help of other ointments for external hemorrhoids. Patients are dissatisfied with the forced expenses and the lack of a sufficient therapeutic effect.
Antiseptics and anti-inflammatory drugs for hemorrhoids
Hemorrhoid ointments with antiseptic action are well known to anyone in our country.
They are also used for the treatment of furunculosis, dermatitis, eczema and other dermatological diseases.
- Vishnevsky's ointment is produced by many pharmaceutical plants. But there are several components that are permanent in the composition - these are birch tar, xeroform and castor bean oil. These components provide an excellent local antiseptic effect. But do not expect too pronounced anti-edematous or analgesic action from them. Xeroform is able to completely exterminate pathogenic microflora in a short time, has pronounced astringent properties. Castor bean oil has a nourishing and moisturizing effect on the rectal mucosa. Birch tar is famous for its antiseptic, bactericidal properties. Tar is also able to activate blood flow in the tissues, which contributes to some reduction in hemorrhoids.
- "Levomekol" contains chloramphenicol, which has pronounced antibacterial properties. This is one of the cheapest and most effective remedies for external hemorrhoids. The cost of one jar is about forty rubles. The composition also includes methyluracil - a component that has a decongestant effect, reduces itching in the area of hemorrhoids.
