Often painful hemorrhoids interfere with work, rest, and living fully. Anesthetic ointment for hemorrhoids will temporarily “turn off” the transmission of pain impulses from the source of inflammation. Ointments with an analgesic effect are used when you need to quickly relieve pain from inflamed hemorrhoids. Pain relief medications do not affect the cause of the disease and are not monotherapy.
How to relieve pain from hemorrhoids with ointment
Ointment is a dosage form for external use. The ointment recipe includes one or more active substances, a structural base of petroleum jelly and color- and odor-correcting additives. Anesthetic ointment for hemorrhoids contains a local anesthetic as an active ingredient, which is combined with anti-inflammatory, emollient, and healing agents.
An ointment remedy for the external type of disease is applied in a thin layer to the skin around the anus. For the internal form of the disease, the medicine is applied inside the anal canal with a special applicator attached to the tube. Cheap products do not come with an applicator. Instead, at home, they use an insulin syringe without a needle - take 2 ml of ointment and inject it into the anus.
Aurobin
Complex pain-relieving ointment for hemorrhoids Aurobin acts in several ways:
- lidocaine is an anesthetic that can quickly relieve pain from hemorrhoids;
- prednisolone is a hormonal anti-inflammatory drug;
- dexpanthenol – has a healing effect on cracks.
Aurobin helps at stages 2-3 of the disease. Aurobin is indicated for diseases of any form - both external and internal.
Proctosedyl
Ointment for hemorrhoids Proctosedil exhibits analgesic properties due to the combination of anesthetics benzocaine and butamben. Hydrocortisone gives the medicine a strong anti-inflammatory effect. The composition is supplemented with the antibiotic framycetin to eliminate bacterial contamination.
Horse chestnut extract esculoside strengthens the walls of blood vessels, improves venous outflow, thereby reducing congestion.
Relief
Ointments from the Relief line have a high anesthetic potential. Relief Advance is ideal for relieving pain from hemorrhoids. The anesthetic benzocaine, when applied topically, blocks nerve sensitivity. The effect of the ointment begins 2-4 minutes after application. Eliminates itching and burning of the anal area. Ointments and suppositories from the Relief line are recommended for use in acute cases to relieve severe pain.
Proctosan
Ointment for rectal or external use Proctosan consists of anesthetic components - lidocaine and bufexomac, drying agents - complex compounds of titanium and bismuth. Proctosan relieves pain, fights inflammation, burning, and itching. Anal fissures heal quickly when using the drug Proctosan. The action of the ointment is aimed at relieving pain, itching, and swelling.
How to treat hemorrhoids
For various reasons, this disease causes dilation of the veins located in the rectum. Hemorrhoids appear, and there are sensations of extraneous discomfort in the anus. When constipation occurs during bowel movements, the integrity of the blood vessels is compromised and bleeding may begin. Goal of treatment:
- relieve inflammation;
- reduce swelling;
- stop burning, itching;
- stop the bleeding;
- numb.
Drugs for the treatment of hemorrhoids solve all these problems. Often one remedy copes with several problems, for example, it is an analgesic and anti-inflammatory. Medicine for hemorrhoids can be in the form of:
- tablets for internal use;
- suppositories, which are used when there is inflammation inside the anus;
- ointments for the treatment of external manifestations of the disease.
What creams will numb hemorrhoids?
Creams have a more delicate and less greasy texture compared to ointments. They adhere well to the skin and rectal mucosa. The creams are suitable for the treatment of external and internal hemorrhoids.
Procto-Glyvenol
Anesthetic cream Procto-Glivenol consists of tribenozide, lidocaine. Tribenoside increases vascular tone, eliminating swelling of the anal area. Lidocaine is used to anesthetize inflamed nodes. Procto-Glyvenol is well absorbed from the skin and mucous membranes, quickly relieves pain during congestive processes. The cream is recommended for treating hemorrhoids at home.
Emla cream
Emla cream has no direct indications for use in hemorrhoids. Acriol Pro cream has a similar composition and mechanism of action. The products contain a combination of local anesthetics lidocaine and prilocaine. Doctors use Emla or Acriol Pro for pain relief during minimally invasive interventions. The drugs are very strong and are used as a last resort. Before using on external or internal nodes, you should consult your doctor.
List of remedies for hemorrhoids
Today there are many drugs that help get rid of the problem and have an analgesic effect. They differ in composition and the way they affect the body. But it is quite difficult to single out one most effective remedy. Therefore, it is worth briefly considering the most popular drugs.
All the remedies described below can be used only after consulting a doctor!
Heparin ointment
Contains heparin as an active substance. The product helps not only eliminate pain from hemorrhoids, but also removes swelling, eliminates itching, and protects against the development of inflammatory processes. The drug has no contraindications and is approved even during pregnancy.
Proctosan
The active substance of Proctosan is bismuth. The product relieves pain, relieves burning and itching, and can stop bleeding. The drug can be prescribed after surgical removal of hemorrhoids.
Vishnevsky ointment
The remedy is very popular and is used to treat many diseases. Hemorrhoids were no exception. The drug reduces pain by normalizing blood circulation in the pelvic organs and preventing congestion.
Troxevasin
The drug has a fairly wide spectrum of action and can be prescribed to reduce pain, relieve swelling, prevent the formation of blood clots, and tone the venous system.
The drug is effective for hemorrhoids of any stage and form. Troxevasin is often used after surgery to remove hemorrhoids.
Aurobin
The drug contains lidocaine, dexpanthenol and prednisolone. Thanks to the active substances, the product has a powerful analgesic effect and also has a healing effect. But due to the presence of hormones in the composition, it is not recommended to treat with Aurobin for a long period of time.
Relief
The drug can also be produced in the form of gel and suppositories. They all have a similar composition and are equally effective. Relief can be used to eliminate pain, combat inflammatory processes, and also after surgical interventions to remove hemorrhoids.
Nefluan
The drug is available in the form of a gel. It contains lidocaine, hormones and an antibiotic, which means that the product has excellent analgesic and anti-inflammatory effects. The drug is prescribed if the patient has infectious and inflammatory diseases of the rectum.
Gepatrombin G
The drug is used during the treatment of the acute stage of the disease, which may be accompanied by thrombosis of hemorrhoids. The drug reduces pain, relieves swelling, eliminates inflammatory processes. In addition, its active substances prevent the process of blood clot formation.
Levomekol
This drug is most often prescribed in the postoperative period to eliminate inflammation and pain in the anus. The product is low cost and has no restrictions or contraindications for use.
Proctosedyl
The product contains the hormone hydrocortisone, heparin, framycetin, esculoside, as well as ethyl and butylaminobenzoate. Proctosedyl has antipruritic, anti-inflammatory and bactericidal effects, acts as a local anesthetic, prevents the process of platelet accumulation, reduces fragility and increases the elasticity of blood vessels.
Bezornil
Most often used in advanced stages of the disease. The product has excellent analgesic, antiseptic, anti-edematous and hemostatic properties. All this is thanks to the natural composition of the drug.
Ichthyol ointment
The drug is prescribed for use by patients who experience pain during the bowel movement. The drug acts as an antiseptic and quickly heals all wounds and cracks in the mucous membrane.
Posterisan
The drug contains phenol-killed microbial cells of E. coli. It has a local immunomodulatory effect and can be prescribed in the presence of hemorrhoids or anal fissures, as well as for the speedy healing of wounds after operations in the anorectal area.
Gels to combat painful nodes
Pain relieving gels for hemorrhoids are new generation drugs. The structure-forming base of the gels is glycerin. Medicinal substances from gels quickly penetrate to the site of inflammation without creating a fatty film on the treated surface.
Nefluan
A good painkiller for hemorrhoids and fissures is the complex action drug Nefluan. Nefluan gel contains the anesthetic lidocaine, the antifungal antibiotic neomycin and the hormonal component fluocinolone acetonide. This composition provides a rapid anti-inflammatory, analgesic, antimicrobial effect of Nefluan gel.
Gepatrombin gel
Gepatrombin gel is colorless, transparent, easily applied and absorbed. The basis of the Hepatrombin gel formulation is sodium heparin, allantoin, and dexpanthenol. Contains oil of different types of pine trees, lemon oil. After using Gepatrombin gel, blood clots resolve, cracks heal, swelling and inflammation decrease. The gel contains natural, harmless ingredients. Doctors prescribe it to pregnant women if they do not have individual intolerance to the components of the medicinal gel.
Trombless Plus
External gel Trombless Plus is a relatively inexpensive, but effective, domestically produced product. The gel is used for thrombosis and strangulated hemorrhoids. The composition of the gel is reinforced with sodium heparin to dissolve the blood clot, and troxerutin to strengthen the venous wall. The anesthetic benzocaine will numb the pain, dexpanthenol will heal cracks and activate the restoration processes of the rectal mucosa.
Hormonal pain relieving ointments
Pain-relieving ointments can be used both during conservative therapy and after surgery. Hormonal drugs are quite effective in relieving pain, but they have a larger list of contraindications than natural-based ointments. But in some cases, their use cannot be avoided, since the pain is severe.
Among the hormonal ointments that will eliminate acute symptoms of hemorrhoids, it is worth highlighting:
- Proctosedyl is a hormonal drug that has a pronounced antipruritic and anti-inflammatory effect. The substances contained in the composition reduce swelling, help disinfect the inflamed area, increase the elasticity and strength of blood vessels. Pain is reduced due to benzocaine in the medication.
- Aurobin – contains hormonal substances. Therefore, you can use the ointment only after consultation with a specialist. Symptoms decrease within a few minutes after applying the composition to the skin. Due to the lidocaine in the composition, there is a local anesthetic effect.
- Hepatrombin - has an anti-inflammatory effect, prevents the formation of thrombosis, reduces swelling. Thanks to the unique composition, the regeneration process is accelerated, which makes wound healing faster and pain less pronounced.
- Posterisan Forte - contains Escherichia coli cells. Protective properties are activated, local immunity is increased, and the healing process of wounds and cracks in hemorrhoids is stimulated.
- Nefluan is a combination product that contains painkillers and hormonal components, and also contains an antibiotic. It is usually prescribed for an infection of the rectum after examination and diagnosis by a doctor. Do not use for more than two weeks in a row.
- Proctosan - contains lidocaine, which has an analgesic effect and relieves itching and burning. With complex treatment, it helps prevent bleeding that can occur in the third and fourth stages of pathology development. It can also be used in the postoperative period when removing nodes. Therapy lasts up to 10 days.
Spray for pain - quick and easy
One of the new products of modern pharmacology is an anesthetic spray. Sprays are convenient to use, they do not stain your hands and evenly irrigate the treated area.
Spray with lidocaine 10%
Spray 10% with lidocaine is not the drug of choice for pain relief for hemorrhoids. It is intended for external anesthesia in dentistry, ENT practice, and gynecology. However, it also has no direct contraindications for hemorrhoids. External hemorrhoids, accompanied by severe pain when walking or sitting, can be numbed with lidocaine spray. The use of such remedies is only allowed in cases where severe pain from hemorrhoids has taken you by surprise, and there are no other medications at hand.
Systemic painkillers
Systemic medications can be used for pain relief for hemorrhoids. These include tablet and injection forms of drugs. Among the tablets used for inflammation of hemorrhoids, two groups can be divided into two groups: drugs with only analgesic and anti-inflammatory effects and drugs that primarily have a therapeutic effect, reducing the symptoms of the disease and, as a result, pain.
The first group includes drugs belonging to the group of non-steroidal anti-inflammatory drugs, non-narcotic analgesics, and antispasmodics. They quickly relieve pain and have a general effect on the entire body. These drugs cannot be taken for a long time and, in addition, they have a number of contraindications. For exacerbation of hemorrhoids, the following drugs may be prescribed:
- Pentalgin;
- Nise;
- Papaverine;
- Ketanov;
- Ibuprofen;
- Nise;
- Ketorolac et al.
Important: In the presence of hemorrhoidal bleeding, drugs from the NSAID group should be taken with extreme caution, as they affect blood clotting.
The drugs of the second group are most effective for hemorrhoids. They not only relieve pain, but also influence the cause of the disease. Their use in the initial stages of the disease helps prevent its further development and progression. Medicines included in this group improve venous blood flow, increase the tone of the veins, reduce vascular permeability, which leads to a reduction in hemorrhoids, reduction of swelling, inflammation and the disappearance of pain. Such drugs include:
- Detralex;
- Chemoroidin;
- Phlebodia;
- Ginkor Fort;
- Vasocket;
- Venarus;
- Pylex;
- Asklezan A et al.
Detralex is an effective tablet for the treatment of hemorrhoids, belonging to the group of venotonics and angioprotectors
Important: If symptoms of hemorrhoids appear, you should consult a doctor. Self-prescribing medications can have serious consequences.
In particularly severe cases of inflammation of the hemorrhoids, in the absence of the desired analgesic effect from the medications taken, novocaine blockade is performed. It consists of administering several injections of novocaine around the anus.
Rules for the use of ointments, gels, creams for hemorrhoids
When using gels, creams, ointments for hemorrhoidal pathology, follow a number of recommendations:
- consult a doctor before use;
- used after bowel movements and perineal hygiene;
- single dose of ointment – 1-2 grams;
- the ointment is applied externally or introduced into the anal canal;
- smear hemorrhoids in the morning and evening;
- course of ointment treatment of hemorrhoids 7-14 days.
The appropriateness of prescribing a particular drug is determined on the basis of an examination by a proctologist, laboratory test data, and hardware studies.
The mechanism of pain in hemorrhoids
With hemorrhoidal disease, certain changes occur in the hemorrhoids. The outflow of blood in the venous plexuses is disrupted, as a result of which the walls of the vessels become thinner and bulge due to the constant pressure of the blood accumulated in them. The resulting cracks in the anus lead to the formation of adhesions, non-healing wounds and ulcers. Damage to the integrity of the mucous membrane is provoked by the appearance of drops of scarlet blood or heavy jet bleeding.
Hemorrhoids are considered one of the most common proctological diseases.
An obsessive, persistent, dull pain in the anal area accompanies the patient during the chronic course of the disease. Most often, it is pain that brings a person to the doctor.
Exacerbation of the disease and, accordingly, increased pain is caused by provocative factors:
- increased physical activity, heavy lifting;
- prolonged constipation;
— pregnancy and the birth process;
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- sedentary lifestyle, sedentary work.
When the internal localization of the nodes falls out, an attack of acute pain occurs, which goes away only after the hemorrhoidal cone is reduced. Pain also appears due to inflammation of the hemorrhoidal ring and soft tissues around it, with necrosis of unreduced nodes. In this case, hyperthermia and corresponding changes in laboratory tests (leukocytosis, increased ESR) are added. Frequent bleeding causes the development of anemia.
The development of hemorrhoids may be accompanied by bleeding and prolapse of hemorrhoids
