Anal suppositories for the treatment of fissures in the anus

Proctologists are doctors whose visit is usually postponed until the last minute. But, unfortunately, without their help and professional examination it is impossible to cope with such a problem as cracks in the anus. A crack may appear in the mucous membrane of the anus or on the skin of the anus. The length and depth of the crack can be completely different.

Feeling discomfort, many assume the development of hemorrhoids, but these diseases are not always interrelated. It may also be that cracks appear against the background of hemorrhoids, as a secondary disease. Anal fissures – disturb the rectal mucosa, localized in the area of ​​the posterior commissure. Suppositories for anal fissures can bring relief due to their anti-inflammatory and wound-healing effect.

Rules for introducing suppositories

There are no difficulties in using candles, but it is useful to know the key points:

• hands must be washed thoroughly with soap;
• Candles should be stored in the refrigerator;
• if you need to separate half of the candle, then you need to cut it lengthwise with a disposable blade along with the packaging;
• for comfortable insertion, it is recommended to treat the tip of the candle with lubricant, but without Vaseline in the composition;
• the procedure is carried out only while lying down;
• insert the candle until it penetrates completely, there is no need to try to send it as far as possible;
• 5 minutes are enough for the candle to completely dissolve; during this time it is recommended to lie down;
• if the candle falls out, use only a new one to repeat the procedure;
• After the procedure, you must wash your hands thoroughly.

Benefits of suppositories for anal fissures

Rectal suppositories cope with all the tasks that need to be solved to eliminate the problem, having clear advantages over other treatment methods and drugs:

• suppositories come into direct contact with the problem area, healing the crack;
• medicinal components are absorbed into the body almost unchanged through a rich network of blood vessels, without passing through the liver, and contribute to a speedy recovery;
• characterized by a very low risk of side effects and allergies;
• have diverse actions;
• easy to use.

Rice. 2. Relief Advance suppositories relieve pain from anal fissure

Causes

People with a sedentary lifestyle, improperly organized nutrition and excess weight are primarily susceptible to the manifestation of such troubles. This results in improper bowel function and frequent constipation. Hard feces filling the intestines, sedentary work, and lack of physical activity create increased pressure in the pelvic area. Due to disruption of proper functioning, the walls of the mucous membrane lose their elasticity and are injured during defecation by solid feces. According to statistics, women are more often susceptible to this type of disease.

Pregnancy and childbirth provoke the development of problems with the anal mucosa. Constipation and, as a consequence, the development of hemorrhoids of various stages become a frequent companion of pregnant women. Failure to comply with minimum hygiene requirements contributes to the appearance of cracks. I would like to note that the usual solution to using toilet paper is wrong. Doctors conducted research and came to the conclusion that the best way of personal hygiene after going to the toilet is to wash. This method is the most hygienic and does not cause injury to the delicate skin around the sphincter.

Cracks in the anus can also occur after mechanical intervention - a carelessly inserted enema, a recent rectal examination, anal sex.

Inflammatory processes in the form of diarrhea, infection with worms or dysbacteriosis also negatively affect the condition of the rectal mucosa.

Titles

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Aurobin

A combined drug with antipruritic, analgesic, anti-inflammatory and wound-healing effects. Contains the hormone prednisolone to reduce inflammation and itching, the anesthetic lidocaine for pain relief and the B vitamin dexpanthenol to heal fissures in the anus. The maximum duration of treatment is 7 days.

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Hepatothrombin G

The suppositories contain the anticoagulant heparin, the glucocorticosteroid prednisolone and the sclerosant polidocanol. Heparin accelerates the resorption of hematomas, relieves swelling and inflammation, and improves local blood circulation. The hormonal component has an antiallergic and anti-inflammatory effect, reduces itching and burning, and the sclerosant relieves pain and accelerates healing.

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Glycerol

Prescribed as a mild laxative for the prevention and treatment of anal fissures. Glycerin softens stool, at the same time irritates the mucous membrane and stimulates intestinal motility, which ensures soft and painless bowel movements.

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Ichthyols

They contain the natural component ichthammol (shale oil derivative), which has anti-inflammatory, antiseptic and local analgesic effects by reducing the sensitivity of nerve endings.

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Methyluracil

Accelerates cell regeneration processes, stimulates local immunity, relieves inflammation.

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Sea buckthorn

They have a pronounced antiviral and antimicrobial effect; due to the high content of vitamins A, C, E and K in sea buckthorn oil, it has a wound healing effect. The viscous consistency of the suppositories, after dissolution, has a gentle effect on the mucous membrane, envelops it, and facilitates bowel movements. Duration of use – no more than 10 days.

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Olestesin

Suppositories contain benzocaine for pain relief, sulfaethidol to stop bleeding and sea buckthorn oil to stimulate soft tissue regeneration, antimicrobial protection and increase local immunity. The course of treatment lasts no more than 10 days.

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Natalsid

They contain sodium alginate, which stops bleeding, relieves inflammation, and stimulates the regeneration of affected tissues. Contraindications include individual intolerance and age under 14 years.

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Proctosan

The suppositories contain bufexamak, titanium dioxide and bismuth subgallate. Bufexamak has an anti-inflammatory effect, and titanium and bismuth compounds have a drying and astringent effect, which accelerates the healing of anal fissures. Additionally, suppositories have an analgesic effect due to their low lidocaine content.

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Procto-Glyvenol

The suppositories contain venotonic tribenzoid, which has an anti-inflammatory effect and tones the walls of the blood vessels of the rectum, improves local blood circulation. The second component of the drug is the local anesthetic lidocaine. The product is not used during pregnancy in the first trimester, in the later stages and during breastfeeding - only as prescribed by a doctor and in extreme cases.

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Relief

A group of rectal suppositories for anal fissures and hemorrhoids with various components, common in the composition are shark liver oil, phenylephrine hydrochloride and cocoa butter. The main component has hemostatic and wound-healing properties, stimulates local immunity. Phenylephrine relieves itching and swelling, reduces the amount of serous discharge from the affected area due to vasoconstriction. Cocoa butter and other base ingredients have a softening effect on soft tissues, making bowel movements easier. Indicated for adults and children over 12 years old.

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Ultraproct

A complex drug against fissures in the anus based on derivatives of the hormone fluocortolone and the local anesthetic cinchocaine. It has a long-term therapeutic effect due to the different molecular weight and dissolution rate of fluocortolone elements. This substance has a local anti-inflammatory effect, relieves itching and pain, improves blood circulation and accelerates tissue regeneration. Cinchocaine reduces the sensitivity of nerve endings. The drug is not recommended for continuous use for more than 1 month. It is not prescribed in the first trimester of pregnancy; in subsequent months and during lactation - only for serious indications with the permission of a doctor.

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Symptoms

The symptoms are similar both for the initial stage and as the disease progresses to the chronic stage.

1. The main symptom is pain and blood from the anus. The severity of the pain depends on the size and number of cracks. At first, the pain only appears when going to the toilet. As the disease progresses, pain is felt constantly. An anal fissure may not bleed while going to the toilet. Scarlet blood indicates a shallow wound, but a dark venous wound is also possible - this occurs when the wound penetrates deeply and reaches a vein.
2. After going to the toilet, unpleasant sensations of itching and burning are felt for a long time. The severity and duration of the itching depends on the length of the crack.
3. Sometimes anal spasms are possible.
4. As the disease progresses to a chronic state, it becomes painful to sit, going to the toilet brings unbearable suffering, and constipation appears if there was none before.

The listed symptoms may indicate more severe diseases; to establish an accurate diagnosis, you must visit a doctor.

Suppositories used

There are many types of rectal suppositories for the treatment of fissures in the anus and rectum.

They are convenient and easy to use, all have wound-healing, analgesic and antispasmodic properties. These substances penetrate immediately directly to the affected area and act in an effective and quick way.

Most Popular:

1. Relief is the most popular suppository for the treatment of not only hemorrhoids, but also anal fissures. Relief contains shark liver oil with its healing and healing properties, it strengthens the walls of blood vessels and removes inflammatory processes. It can only be used by children over 12 years of age, as it causes an allergic reaction and has a lot of side effects.
2. Procto-glivenol relieves swelling and acute pain well due to lidocaine, which is part of the drug.
3. Posterizan has also proven itself in the treatment of hemorrhoids and anal fissures , which contains a glucocorticosteroid substance - hydrocortisone, which promotes the regeneration and restoration of cells of the affected tissue; it quickly heals anal fissures, removes itching and inflammatory processes.
4. Methyluracil suppositories have distinguished themselves in enhanced tissue regeneration , which have a powerful wound-healing effect, remove acute inflammation and help with any form of anal bleeding.
5. Salofalk relieves inflammation well and, like all rectal suppositories, fights hemorrhoids and fissures. It is also effective for ulcerative colitis, and must be prescribed after examination by a doctor.
6. Anuzole is a very good antiseptic and antispasmodic agent, which is effective for severe pain and inflammation, but has a lot of side effects, such as rapid heartbeat and dry mouth.
7. Suppositories with papaverine have antispasmodic properties, which quickly relieve spasms of the sphincter muscles and relieve pain, so the healing process when using these suppositories is much faster.

Treatment

Rectal fissure is a rather uncomfortable disease, but not fatal. For speedy healing, timely treatment and care is necessary. For treatment, ointments, healing suppositories and creams or gels are used.

Before using medications, it is recommended to take a warm sitz bath. The duration is no more than 15 minutes. You need to add a solution of chamomile or oak bark to the water. These plants are natural antiseptics; if such components are not available, you can use a weak solution of potassium permanganate.

The ointment is used on a fat basis; there should be several directions at once. It is necessary to restore damaged tissues, heal cracks and relieve inflammatory processes. Course use of the ointment is limited to 7 to 10 days of use. The ointment should be applied after defecation and taking a bath.

Candles for cracks are the most convenient remedy. Dissolving from the warmth of the veins, the active substance quickly dissolves and heals the anus. The oils contained in the composition lubricate the excretory canal and help get rid of constipation, causing a laxative effect. For example, sea buckthorn candles. It is recommended to use suppositories twice a day for cracks in the anus. Additionally, the composition may include analgesic or antispasmodic substances. Such candles are relevant for deep advanced fissures in the anus.

The best thing you can do is to prevent this situation; the following can help with this:

1. Active lifestyle, regular moderate physical activity.
2. The correct menu, containing a large number of products with coarse fibers.
3. Drink the recommended amount of water per day. For adults this is 10 glasses.
4. Avoid constipation lasting more than two days. If necessary, you should use rectal suppositories.
5. Use only soft toilet paper or wash yourself after using the toilet.
6. Do not engage in anal sex, especially without the use of specialized lubricants.

Treatment of anal fissures with suppositories

Suppositories are one of the most effective means for treating diseases of the rectum, since they are immediately placed in the affected environment. Suppositories, depending on the type of active ingredient, may have an anesthetic, anti-inflammatory, hemostatic, healing or mild laxative effect.

In case of severe pain syndrome, it is better to replace suppositories with ointments, as they can further damage the anus.

Pregnancy and problems with the gastrointestinal tract are those cases when you need to select candles especially carefully. In this matter, it is better to consult a doctor. If you are healthy and not pregnant, the following suppositories may be suitable for treating anal fissures.

Proctosan

The active ingredients of Proctosan are bufexamac, bismuth, titanium dioxide, lidocaine. The medicine has pronounced anti-inflammatory, astringent, wound-healing, analgesic, and drying effects. These are really good suppositories that help even with severe inflammation and active anal eczema.

Proctosan should not be used by pregnant women with tuberculosis, syphilis and other pathologies of inflammatory ethology.

The course of treatment with Proctosan ranges from 8 to 10 days. The suppository should be administered after going to the toilet; this should be done no more than twice a day. If during therapy you develop allergy symptoms (itching, swelling, redness/flaking of the skin, etc.), try administering the suppository once a day. If reactions continue to bother you, stop using Proctosan.

Relief

Relief rectal suppositories are one of the most popular means for the treatment of hemorrhoids and anal fissures. The main active ingredient of Relief suppositories is phenylephrine hydrochloride. It also contains beneficial substances such as cocoa butter and shark liver oil.

Relief suppositories have a wound-healing effect, soothe the mucous membranes and skin, relieve swelling and inflammation, eliminate itching and flaking. The drug also helps to liquefy feces, thereby reducing the load on the damaged mucous membrane during bowel movements.

Relief cannot be used if you are allergic to the components of suppositories, thyroid diseases, hormonal and metabolic disorders, blood pathologies, thromboembolic disease and thrombosis. This drug is also not recommended for pregnant women, breastfeeding women and children under 12 years of age.

Instructions for using Relief: insert suppositories into the anus no more than four times a day. Treatment with the drug without medical supervision is allowed for no longer than 10 days. If unpleasant symptoms do not go away during therapy, consult a doctor.

Natalsid

Natalsid is a local hemostatic used to treat anal fissures. The active ingredient of the medicine is sodium alginate - a natural polysaccharide obtained from brown seaweed. The drug effectively relieves inflammation, helps stop anal bleeding and restore tissue integrity.

Unlike most rectal suppositories, Natalsid can be used for anal fissures in children (only after 14 years) and in pregnant women.

Natalsid suppositories should be administered after defecation or a cleansing enema.

It is recommended to do this in the morning and evening. The course of treatment with Natalsid is 1-2 weeks.

Posterisan

Posterizan is a suppository containing Escherichia coli cells killed by phenol. This remedy reduces the amount of discharge from the anus, strengthens blood vessels and helps normalize tissue tone.

This drug has a wide range of indications for use: fissures, hemorrhoids, itching of various etiologies, dermatitis, wound healing after interventions in the anorectal area. Posterizan should not be used if you are intolerant to the components of the products or are allergic to phenol. Pregnant, breastfeeding and children are allowed to use this product, but only under the supervision of a doctor.

Dosage of Posterizan: suppositories should be administered in the morning, evening and after each act of bowel movement. The course of treatment lasts from two to three weeks. If the cracks are very deep and painful, it is recommended to combine suppositories with Posterizan ointment.

Procto-Glyvenol

The drug has a venotonic, anti-inflammatory and anti-edematous effect. Procto-Glyvenol relieves itching and pain, stimulates blood circulation, and eliminates venous congestion. Another beneficial effect of this remedy is a decrease in the ability of platelets to stick together, which has a positive effect on the activity of inflammation.

Procto-Glivenol should not be used by people intolerant to tribenozide, lidocaine, or amide anesthetics. It may also not be suitable for patients with heart disease, kidney disease, liver disease, children and pregnant women.

For active fissures, Procto-Glivenol is administered in the morning and evening after an enema or bowel movement. If the damage has already begun to heal and the intensity of the symptoms has decreased, you can reduce the dosage to 1 suppository per day.

Glycerin suppositories

Glycerin suppositories are a cheap but quite effective remedy for anal fissures. It has a mild laxative effect and significantly softens the stool, making defecation less painful.

The active component of such suppositories is glycerol. This substance is non-toxic and acts locally, so it can be used even by small children, pregnant and lactating women.

Glycerin suppositories are recommended to be used twice a day. They should be installed half an hour after eating. Please note that this remedy should not be treated systematically. As soon as the cracks heal and the condition stabilizes, the use of suppositories should be discontinued.

Suppositories with methyluracil

Methyluracil suppositories have a strong anti-inflammatory, leukopoietic, hematopoietic, anabolic and even immunomodulatory effect. They significantly accelerate the processes of cellular regeneration, which contributes to the scarring of cracks and the elimination of unpleasant symptoms. These candles are a very inexpensive (about 60 rubles) and affordable product.

The active component of such suppositories is dioxomethyltetrahydrolirimidine. It helps well with anal fissures, proctosigmoiditis and ulcerative erosive colitis. This substance is not recommended for use in case of leukemia, age under 14 years, bone marrow tumors, myeloid leukemia, lymphogranulomatosis.

Mutiluracil suppositories should be used 1 to 4 times a day, the frequency of use depends on the severity of the pathological process. The neglect of the disorder also affects the duration of treatment; it can range from 7 days to several months. After using methiuracil products, you should refrain from driving vehicles and doing work that requires concentration and attention. This is due to the ability of the drug to cause drowsiness and dizziness.

Sea buckthorn candles

The active component of sea buckthorn candles is sea buckthorn oil, rich in pectins, tannins, herbal antibiotics, fatty acids, vitamins and microelements. Such suppositories have antioxidant, antiseptic, and restorative properties.

They promote scarring even of poorly healing wounds, improve metabolic processes and local immunity.

Sea buckthorn suppositories should not be used for diarrhea, pancreatitis, cholelithiasis, allergic reactions to sea buckthorn, pregnancy and lactation.

Instructions for using sea buckthorn candles:

The effect of the medicine appears within half an hour after administration, and it lasts up to 6 hours.

Hepatrombin

Hepatrombin is ideal for anal fissures. This drug has an active antithrombotic and anticoagulant effect, relieves inflammation and swelling, and stimulates regeneration.

Doctors do not advise using this drug if the patient suffers from a bacterial/fungal or viral infection, syphilis, tuberculosis, or bleeding tendency. Also, treatment with hepatothrombin is prohibited for tumors and allergies to the components of the drug (it contains heparin, prednisolone acetate and lauromacrogol).

Gepatrombin suppositories should be used 1-2 times a day. Before administering them, you need to empty your bowels or do a cleansing enema. The duration of treatment with Gepatrombin suppositories is on average 7-10 days, but the duration of therapy should be previously agreed upon with the attending physician.

Ichthyol candles

Ichthyol suppositories consist of ichthyol and a fat base; they belong to the category of antihemorrhoidal local preparations. When administered rectally, they are well absorbed and then excreted along with feces.

Ichthyol is a very effective component for cracks in the anus. It has a pronounced anesthetic, anti-inflammatory and antibacterial effect. An ichthyol suppository helps restore normal blood circulation, reduces discomfort in the anal area, has a beneficial effect on regeneration processes in the skin and accelerates the healing of fissures.

Adults are allowed to use ichthyol suppositories 1-2 times a day (in the morning and in the evening). The suppository should be placed after defecation or after a cleansing enema. The average duration of treatment with ichthyol-based suppositories is from 10 to 14 days, but its duration can be adjusted by a doctor.

Laxative

Constipation is both a cause and a consequence of the problem under discussion. Getting rid of them will improve the situation in any case. Types of laxatives:

• softening oils – sea buckthorn or petroleum jelly. For 100 ml of oil, use 200 ml of water; this enema must be maintained for 10 minutes;
• means to increase the volume of contents in the intestines - herbal preparations or cellulose-based preparations;
• polyhydric alcohols that do not irritate the intestines.

The best rectal suppositories

Each drug used in coloproctology to combat anal pathologies has its own ways of influencing the disease. There are healing suppositories for cracks, anti-inflammatory and painkillers. In addition, many anal suppositories strengthen veins and vessel walls, preventing bleeding and the formation of blood clots.

Anti-inflammatory anal suppositories

Rectal suppositories with anti-inflammatory activity can contain both natural ingredients and chemicals. Plant-based preparations include extracts of medicinal herbs: chamomile, calendula, propolis, chestnut. Such products can be purchased at any pharmacy without a doctor's prescription.

The group of anti-inflammatory suppositories for rectal fissures includes:

• Posterisan Forte;
• Diclofenac;
• Rectactive;
• Calendula homeopathic;
• Betiol;
• Anuzol;
• Belladonna ex-ct (belladonna leaf);
• Procto-glivenol.

The composition of synthetic suppositories includes bismuth, hormonal substances of a steroid nature, and inactivated microbial cells of E. coli. Such drugs have many contraindications and should be used only as prescribed by a doctor.

Rectal suppositories with hydrocortisone

Suppositories with hydrocortisone are very effective for fissures in the anus. In addition to a pronounced healing result, they have an antihistamine, antipruritic and vasoconstrictor effect.

The best representative of this group is considered Relief Ultra. The medicine can be bought without a prescription, but it should be used with caution.

Anal suppositories with prednisolone

Synthetic suppositories with prednisolone are classified as glucocorticosteroid drugs. They eliminate itching and swelling in the anus, reduce discomfort and irritation.

In pharmacies, rectal suppositories with prednisolone are not widely available. The only remedy that has proven itself and is in demand is Hepatrombin G. The suppository is sold without a prescription, but, like any hormonal remedy, it has a lot of contraindications.

Rectal suppositories with analgesic effect

All drugs in this group contain a local anesthetic - anesthesin or lidocaine. Medicines have a pronounced analgesic effect. They act very quickly and eliminate discomfort in the anus within 1–2 minutes. The duration of anesthesia lasts up to 1 hour.

Anal suppositories in this category include:

• Anestezol;
• Nigepan;
• Proctosan;
• Hemorrhoids;
• Olestesin;
• Cinchocaine;
• Procto-glivenol;
• Proctosedyl:
• Hemoproct.

In addition to the active substance, pain-relieving rectal suppositories also contain some auxiliary components: sodium heparin, menthol, zinc oxide, framycetin, hydrocortisone.

Attention. When using pain-relieving suppositories, you should remember that they can only temporarily eliminate discomfort and improve the patient’s condition, but will in no way cure a fissure in the anal canal.

Wound healing rectal suppositories

The action of suppositories in this group is aimed at rapid regeneration of anal tissue, reducing swelling and irritation. In addition, suppositories relieve pain and facilitate defecation in case of cracks in the rectum.

The composition of restorative rectal products is very rich. They contain sodium alginate, sea buckthorn oil, mesalazine, fluocortolone hexonate, cinchocaine hydrochloride, propolis, bee bread, royal jelly, pollen, natural honey.

The best wound healing suppositories:

• Salofalk;
• sea ​​buckthorn suppositories;
• Natalsid;
• Prostopin;
• methyluracil rectal suppositories
• Ultraproct.

Healing suppositories are more effective than similar tablets and ointments. Thanks to their injection directly into the site of inflammation, they are instantly absorbed and give quick results.

Menu

For anal fissure, a separate table is recommended. This menu is aimed at normalizing the functioning of the intestinal tract and getting rid of constipation. Plant foods and dried fruits (prunes or dried apricots) cope well with this. It is important to exclude spicy, salty and fatty foods during the recovery period. Alcohol is not allowed. You should not eat foods that cause fermentation and gas formation in the stomach: cabbage, legumes, whole milk and yeast baked goods.

Most commonly prescribed drugs:

• Aurobin;
• Hepatothrombin G;
• Glycerol;
• Ichthyols;
• Methyluracil;
• Sea buckthorn oil;
• Olestesin;
• Natalsid;
• Proctosan;
• Bufexamak;
• Procto-Glyvenol;
• Relief;
• Ultraproct;
• Posterisan;
• Natalsid.

Why does a crack appear?

The success of treatment depends on correct diagnosis of the causes of the crack and their timely elimination:

1. The most common cause, especially in children, is chronic constipation. Hard feces stretch the lower rectum and damage the mucous membrane, resulting in a linear or triangular defect. If constipation is quickly eliminated, the fissure heals well within 4–5 weeks (acute course). With frequent injury, it constantly breaks down and becomes chronic (if it does not heal after 5-6 weeks), over time it can become infected and lead to the development of paraproctitis and rectal fistula, which is a direct indication for surgical treatment.
2. During pregnancy and childbirth, women often develop hemorrhoids and anal fissures (rapid labor, improper obstetric care, deep perineal rupture).
3. Mechanical injuries - during diagnostic examinations, as a result of anal sex or an accident.
4. Inflammatory and infectious bowel diseases - proctitis, enterocolitis, helminthic infestations, dysbiosis, Crohn's disease and other diseases accompanied by chronic diarrhea. Found in adults and children.
5. Poor hygiene of the anal area (diaper rash).

The appearance of a crack can be caused by poor nutrition (fatty and spicy foods, coffee, alcohol), a sedentary lifestyle, obesity, and heredity.

If nutrition and lifestyle can be improved, then heredity remains with us forever. It is necessary to learn to recognize the disease at an early stage and not give it the opportunity to destroy the body.

Cracks in children

Not all drugs are suitable for the treatment of fissures in children; the annotation indicates at what age the product can be used. In children under one year of age, cracking may occur due to frequent stomach upsets. Older children are no less likely than adults to experience prolonged constipation. The first stage of treatment is necessarily to normalize the functioning of the intestinal system and get rid of dysbiosis.

It is worth contacting a pediatric surgeon if the child cries, shudders or complains of pain during bowel movements and if traces of blood are found in the stool. For children, you can use candles for treatment with sea buckthorn oil, baths. When bleeding, healing ointments or creams are required. Since children are very capricious and irritable when experiencing discomfort, wounds must be healed as soon as possible.

Which candles are better?

The best suppositories should not only eliminate the external manifestations of cracks, but also have a beneficial effect on tissues and blood vessels. Such drugs have a wide list of contraindications and should only be prescribed by the attending physician.

Sometimes treatment regimens for cracks include tablets that help strengthen blood vessels and normalize blood circulation, and this is especially true if the cracks are caused by hemorrhoids.

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