Contents
- Rating of effective suppositories for hemorrhoids after childbirth according to KP
- How to choose suppositories for hemorrhoids after childbirth
- Popular questions and answers
- How to understand that hemorrhoids began after childbirth?
- In what cases it is impossible to use suppositories for hemorrhoids after childbirth? What can be replaced?
- Is it possible to use different drugs at the same time (for example, anticoagulants and hemostatics)?
- Will folk remedies help with hemorrhoids after childbirth? What about a special diet?
- What to do if the treatment does not help?
Hemorrhoids are pathological enlargement of hemorrhoids that occurs against the background of circulatory disorders. However, even without a definition, many are familiar with this disease firsthand. According to some reports, about 1000-130 suffer from hemorrhoids per 145 people (1).
The following factors may contribute to the development of the disease:
- constipation and straining,
- prolonged diarrhea,
- pregnancy and childbirth,
- hypodynamia,
- systematic weight lifting
- abuse of spicy food and alcohol (2).
The blood flow to the cavernous formations (calves) increases, because of this, the hemorrhoids increase in size and shift towards the anal canal. As a result, a person feels unpleasant symptoms: pain, itching, burning, sensation of a foreign body in the anus, bleeding. The latter is the most common symptom, usually a person notices blood after an act of defecation. The second most common symptom is prolapsed hemorrhoids (1).
According to various sources, hemorrhoids occur in pregnant women in 8-42% of cases, in those who have recently given birth – in 28-49,8% of cases (3, 4, 5). Approximately half of women who suffer from this disease during pregnancy experience an exacerbation after childbirth (5).
KP, together with an expert proctologist, chose the top 10 effective suppositories for hemorrhoids that can be used in the postpartum period.
Rating of effective suppositories for hemorrhoids after childbirth according to KP
Conservative treatment is carried out in order to relieve the symptoms of acute hemorrhoids, prevent complications and prevent exacerbations in a chronic course, as well as to prepare for surgery and for rehabilitation (1). Medicines are used in the form of creams, gels, ointments and suppositories.
1. “Procto-Glyvenol”
The drug can help with internal and external hemorrhoids, including after childbirth. It contains two active substances: tribenoside and lidocaine. The first improves vascular tone, strengthens the walls of capillaries and has an anti-inflammatory effect. And the second helps to reduce pain. If you need to quickly overcome the symptoms – itching, pain, skin tension – these suppositories can be effective.
The drug can not be used in liver failure, hypersensitivity to the components and in the 1st trimester of pregnancy. In late gestation and after childbirth, it can be used after discussion with your doctor.
Candles are used twice a day, and when you feel better, you can reduce the use to a single use. Probably, one (or even two packages) will not be enough for a course of treatment.
Main characteristics
| Active substance | Tribenoside and lidocaine |
| The number of candles in the package | 10 pieces |
| Side effects | Rare or very rare: anaphylactic reactions, cardiovascular disorders, skin reactions (itching, burning, rash) |
| Permissibility for HB | Yes (after consulting a doctor) |
Advantages and disadvantages
2. “Olestesin”
Another combined drug for the treatment of hemorrhoids, anal fissures and anal itching. The effect is achieved through a combination of active substances. As part of suppositories – benzocaine, sulfaetidol, sea buckthorn oil.
It has a local anesthetic, anti-inflammatory and antimicrobial effect, and also helps the rapid healing of damaged tissues of the intestine and anal canal.
There is no information about the dangers during pregnancy and lactation, but it is better to consult a doctor – as is the case with any other medicines. Of the contraindications – only hypersensitivity to the ingredients of the drug. The manufacturer warns of such a side effect as loosening of the stool. But this point can be an advantage if a woman suffers from constipation.
Main characteristics
| Active substance | Benzocaine, sulfaetidol, sea buckthorn oil |
| The number of candles in the package | 10 pieces |
| Side effects | Allergic reactions, loose stools |
| Permissibility for HB | Yes (after consulting a doctor) |
Advantages and disadvantages
3. “Hepatrombin G”
Candles can be prescribed for internal and external hemorrhoids, with thrombophlebitis of the veins of the anus, for the treatment of itching, fistulas, eczema and anal fissures, for preparation for surgery and during the recovery period.
It contains heparin and prednisolone. Heparin is an anticoagulant, fights thrombosis, inflammation, and has an anti-exudative effect. The hormone prednisolone reduces inflammation, itching and burning, pain. As part of the treatment, 1-2 suppositories per day are sufficient. During lactation, it is permissible to use, but with caution – consult your doctor first. But in the first trimester, you should not use these candles.
Other contraindications are bacterial, viral and fungal infections in the area of application, reactions to vaccination, tumors, tuberculosis and syphilis, predisposition to bleeding, age up to 12 years, and, of course, hypersensitivity to the components of the drug.
Main characteristics
| Active substance | Heparin sodium and prednisolone |
| The number of candles in the package | 10 pieces |
| Side effects | Allergic reactions, redness, as well as slowing down the processes of crack regeneration, swelling (with prolonged use and / or when applied to large areas) |
| Permissibility for HB | Yes (on doctor’s recommendation) |
Advantages and disadvantages
4. “Proctostesol”
Effective suppositories for hemorrhoids after childbirth are produced in Our Country. Because of this, the price of the drug greatly outperforms other suppositories.
Thanks to the combination of active substances, suppositories have an analgesic, antiseptic, astringent and drying effect. They are used to treat hemorrhoids and cracks from the age of 12. Pregnant and breastfeeding women should consult their doctor first.
You can be treated with these candles for no more than a month – see how the effect is achieved. And apply 1-2 times a day after bowel movement. If there are problems with this (constipation), you can count on the laxative effect of the drug (which is considered a side effect). Also, the manufacturer does not exclude the occurrence of allergic reactions (for example, burning in the anus), the development of methemoglobinemia. If you notice something like this, tell your doctor.
Main characteristics
| Active substance | Benzocaine, bismuth subgallate (dermatol), zinc oxide, levomenthol |
| The number of candles in the package | 10 pieces |
| Side effects | Local allergic reactions (burning, itching) |
| Permissibility for HB | Yes (after consulting a doctor) |
Advantages and disadvantages
5. «Proctosan»
Indications for the use of these suppositories are hemorrhoids of 1 and 2 degrees, anal fissures, eczema and proctitis (inflammation in the rectum).
Bufeksamak as a non-steroidal anti-inflammatory drug has a pronounced anti-inflammatory effect, lidocaine helps with pain, two other substances are known for their astringent effect and promote wound healing.
After childbirth, these suppositories from hemorrhoids can be used, but only in the absence of lactation. Pregnancy, breastfeeding and childhood are direct contraindications, as well as hypersensitivity to components and specific conditions (tuberculosis, syphilis).
Candles should be used 1-2 times a day during the acute period of the disease, and for another 8-10 days after the onset of improvement.
Main characteristics
| Active substance | Bufexamac, bismuth subgallate (dermatol), titanium dioxide, lidocaine |
| The number of candles in the package | 10 pieces |
| Side effects | Local reactions (burning, itching, redness, swelling, blistering, etc.) |
| Permissibility for HB | No |
Advantages and disadvantages
6. “Proctosedyl M”
Combined drug for the treatment of internal hemorrhoids. Hydrocortisone in the composition eliminates the signs and symptoms of inflammation, helps against pain; the antibiotic framycetin sulfate fights bacteria, esculoside reduces increased capillary fragility. Two more substances, benzocaine, butamben, help with pain and itching, reduce spasm of the anal sphincter. The manufacturer promises that the effect can be observed after a few minutes.
Pregnant and lactating women should not use this medicine. Also contraindications are infancy, hypersensitivity to components, tuberculosis, as well as viral and fungal lesions in the area of the drug. Candles should be treated for no more than a week, at first use two suppositories per day, with the onset of relief, you can reduce the amount of medication.
Main characteristics
| Active substance | Framycetin sulfate, hydrocortisone, esculoside, benzocaine, butamben |
| The number of candles in the package | 20 pieces |
| Side effects | Local reactions (burning, dryness, discomfort), allergic reactions, the addition of a secondary infection is not excluded |
| Permissibility for HB | No |
Advantages and disadvantages
7. “Anuzol”
These suppositories can be prescribed for the treatment of internal and external hemorrhoids, with anal fissures, damage to the anorectal region, to eliminate unpleasant symptoms (tingling, burning or irritation).
The drug has antispasmodic, anti-inflammatory, antiseptic, analgesic, astringent and drying effect. Usually candles are placed 1-3 times a day for a 10-14-day course. If necessary, up to 7 suppositories can be placed per day.
You can use this medicine from the age of 12, but during pregnancy and lactation it is forbidden. Therefore, if you are struggling with hemorrhoids after childbirth and are breastfeeding, breastfeeding will have to be stopped. There are other contraindications: hypersensitivity, heart failure in the stage of decompensation, tachyarrhythmia, myasthenia gravis, intestinal atony, angle-closure glaucoma, prostatic hypertrophy with impaired urine outflow.
Main characteristics
| Active substance | belladonna extract, bismuth tribromophenolate and bismuth oxide complex, zinc sulfate |
| The number of candles in the package | 10 pieces |
| Side effects | Dryness of the oral mucosa, thirst, constipation, diarrhea, tachycardia, palpitations, headache and dizziness, sleep disturbance, drowsiness, allergic reactions (including burning) |
| Permissibility for HB | No |
Advantages and disadvantages
8. “Posterizan forte”
A popular drug with anti-inflammatory and immunostimulating effects. Escherichia coli (inactivated) in the composition help fight pathogens, and the hormonal substance hydrocortisone has an anti-inflammatory and anti-allergic effect. Candles help relieve inflammation, swelling and itching.
It is recommended to use the drug at least 2 times a day (morning and evening) and, in addition, after each visit to the toilet. Candles can be used in combination with ointment. And the treatment lasts about 2-3 weeks. However, it all depends on individual characteristics.
The drug is often prescribed to pregnant women and in the postpartum period. The instructions indicate that there is no evidence that substances can harm the fetus or be excreted in breast milk. However, without consulting a doctor, these suppositories should not be used.
Contraindications are bacterial and fungal infections in the treatment area, hypersensitivity to the components.
Main characteristics
| Active substance | Inactivated E. Coli microbial cells, hydrocortisone |
| The number of candles in the package | 10 pieces |
| Side effects | Allergic reactions in people with hypersensitivity to phenol |
| Permissibility for HB | Yes (after consulting a doctor) |
Advantages and disadvantages
9. Relief Ultra
These effective suppositories for hemorrhoids are quite famous. They are also used to treat anal fissures and erosions, proctitis, anal itching and perianal dermatitis.
Alas, the drug has many contraindications. It should not be used during pregnancy and during breastfeeding, in severe diabetes, in the presence of a viral, bacterial or fungal infection in the area of application, and so on.
The composition contains hydrocortisone and zinc sulfate, which promotes the healing of wounds and erosions. The drug has anti-inflammatory, healing, vasoconstrictive, and anti-allergic effect. And for the treatment to be effective, it may be necessary to use up to 4 times a day, which is not very convenient.
Main characteristics
| Active substance | Hydrocortisone and zinc sulfate |
| The number of candles in the package | 10 pieces |
| Side effects | Local allergic reactions (burning, itching) |
| Permissibility for HB | No |
Advantages and disadvantages
10. “Hemorrex”
The composition of this drug is based on a substance extracted from brown algae. Sodium alginate is a natural polysaccharide, has a pronounced anti-inflammatory and healing effect, helps to stop bleeding.
Candles are recommended to be used 2 times a day for 1-2 weeks. The drug is suitable for the treatment of hemorrhoids in children from 14 years of age, adults, including pregnant and lactating women. And contraindications are only hypersensitivity to the components of suppositories and children under 14 years of age.
Main characteristics
| Active substance | sodium alginate |
| The number of candles in the package | 10 pieces |
| Side effects | Local allergic reactions |
| Permissibility for HB | Yes (after consulting a doctor) |
Advantages and disadvantages
How to choose suppositories for hemorrhoids after childbirth
For the treatment of hemorrhoids, it is recommended to use drugs from the group of angioprotectors, non-steroidal anti-inflammatory drugs (for pain), hemostatic drugs (for acute bleeding) (1).
With thrombosis of hemorrhoids, the doctor may prescribe bioflavonoids, and if thrombosis is complicated by inflammation (but a purulent process is excluded), combined preparations containing anesthetics, anticoagulants and anti-inflammatory substances, plus bioflavonoids.
However, it is difficult for a person without a medical education to understand the components of different drugs for hemorrhoids. But you still need to take into account contraindications and possible “side effects”. In addition, at home, armed with an encyclopedia and the Internet, it is impossible to make a correct diagnosis.
The best solution is one: at the first symptoms, consult a doctor. And then strictly follow his recommendations.
Popular questions and answers
Hemorrhoids are a common problem, but very delicate. And today, many are shy or afraid to go to the doctor. To dispel the last doubts, our expert Efim Kharabet, surgeon-proctologist of the medical center “Expert” and head of the “Competence Center for outpatient coloproctology” based on the MEDSI clinic on Solyanka answers the most popular questions.
How to understand that hemorrhoids began after childbirth?
• pain during bowel movements, walking and sitting,
• sensation of dense knots (foreign body) in the anus,
• itching, swelling in the anus,
• blood in stool and/or on toilet paper.
Based on such a description of complaints, having confirmed his guesses with an examination, the doctor can make a diagnosis of “hemorrhoids” and designate his stage. Only on the basis of sensations can the patient draw incorrect conclusions about her condition. They may be hiding another disease. Or is it not only hemorrhoids, but also an anal fissure. And the cause of blood and pain will be largely in it.
In what cases it is impossible to use suppositories for hemorrhoids after childbirth? What can be replaced?
There are many nuances to take into account. And if you already use something, then it would be good to get the approval of a doctor and be sure that the drug, firstly, will not harm the baby if you feed, and secondly, it will help in your situation.
Is it possible to use different drugs at the same time (for example, anticoagulants and hemostatics)?
Will folk remedies help with hemorrhoids after childbirth? What about a special diet?
What to do if the treatment does not help?
If the treatment prescribed by the doctor does not help you, then you should apply again. Or find another specialist. In the age of social networks, you can get to know a doctor in absentia by reading his blog. Today, many write about their specialization. You can draw conclusions about competence and spiritual qualities by looking at the publications a little. Well, word of mouth has always been a great help in choosing a specialist. Today it also works on the Internet – there are reviews about the work of doctors on various aggregator sites.
Do not be afraid to contact a proctologist if you experience discomfort in the anus. Doctors of our specialization are delicate and able to understand almost perfectly. Take care of yourself and the main value that you have acquired – your baby!
Sources of
- Haemorrhoids. Clinical guidelines. Developed by the Association of Coloproctologists of Our Country. Approved by the Scientific and Practical Council of the Ministry of Health of the Federation. 2020. URL: https://pharm-spb.ru/docs/lit/Flebologia_Rekomendazii%20po%20diagnostike%20i%20lecheniyu%20gemorroya%20(ACR,%202020).pdf
- S.V. Lokhvitsky, S.V. Azarov. Hemorrhoids: modern tactics of conservative treatment // Medicine and Ecology. – 2011. – No. 3. URL: https://cyberleninka.ru/article/n/gemorroy-sovremennaya-taktika-konservativnogo-lecheniya/viewer
- Yu.S. Medkova, D.R. Makaryan, co-authors. Prevalence and possible risk factors for hemorrhoidal thrombosis in pregnant women and puerperas. V.F. Snegirev. 2019(6). pp. 4-209. URL: https://cyberleninka.ru/article/n/rasprostranyonnost-i-vozmozhnye-faktory-riska-razvitiya-gemorroidalnogo-tromboza-u-beremennyh-i-rodilnits/viewer
- ON THE. Lomova, N.V. Dubrovina, I.E. Dragun, E.S. Tolstopyatov. Hemorrhoids in pregnant women and puerperas: principles of therapy // Medical Council. 2016. №2. pp. 22-24. URL: https://cyberleninka.ru/article/n/gemorroy-u-beremennyh-i-rodilnits-printsipy-terapii/viewer
- S.V. Vasiliev, D.E. Popov, A.I. Underdosed, O.S. Sokolov. Hemorrhoids and pregnancy: modern concepts of treatment and prevention. Academician I.P. Pavlova. 2015. Volume 22. No. 3. pp. 37-39. URL: https://cyberleninka.ru/article/n/gemorroy-i-beremennost-sovremennye-predstavleniya-o-lechenii-i-profilaktike/viewer