Ointment for hemorrhoids and fissures - what to choose
Medicine / / May 22, 2016
- Symptoms of hemorrhoids
- Causes of hemorrhoids
- Treatment of hemorrhoids and fissures
Hemorrhoids refers to a widespread disease occurs at any age, more often in men and individuals, which are characterized byinactive lifestyle.In the structure of the colon diseases hemorrhoids ranked 1st and is a major cause of complaints to the proctologist.
Symptoms of hemorrhoids
emergence of disease caused by a violation of hemodynamics and the development of inflammation in the cavernous vascular plexus, which is accompanied by thrombosis, varicose and often complicated by bleeding.
Signs of the disease include:
- anal itching - preceded by bleeding;
- rectal bleeding of different intensity: from minor drops, the blood veins to extremely abundant;
- bulging hemorrhoids;
- pain, aggravated by sitting, walking, during the act of defecation;
- feeling of dissatisfaction after a bowel movement.
presence of chronic hemorrhoids leads to poor blood supply to the mucosa, promotes more easy
Causes of hemorrhoids
the predisposing factors include:
- low amount of dietary fiber in the diet, which leads to chronic constipation and straining during defecation.
- Violation of venous blood flow in sedentary lifestyles, sedentary work ;.
- period of pregnancy and childbirth - postpartum hemorrhoids symptoms observed in almost half of the women.
- deterministic hereditary connective tissue weakness.
- Heavy physical work, lifting weights.
Treatment of hemorrhoids and fissures
main methods of treatment are:
- surgery - radical hemorrhoidectomy or minimally invasive surgery (electrocautery, cryotherapy, sclerotherapy);
- conservative treatment - indicated for mild to moderate disease, and pregnancy.
Conservative therapies include:
- normalize bowel function, combat constipation;
- correction of psycho-emotional disorders;
- rejection of bad habits;
- expansion motor mode;
- use local forms of drugs (ointments, suppositories, gels).
Ointment hemorrhoids and fissures should provide the following therapeutic effects:
- elimination of pain;
- liquidation thrombosis haemorrhoid;
- decrease inflammatory reactions;
- decrease muscle spasm of the anal sphincter;
- improvement of microcirculation in the anal area.
Selection form of the drug is dependent on the localization process: when external hemorrhoids ointment preferably at home should opt for candles.
widely used group of drugs acting on the main manifestations of the pathological process:
- Anticoagulants local action - this includes heparin ointment Gepatrombin D ointment troksevazin.These drugs are used in thrombosis of hemorrhoids.Full thrombolysis occurs within 1-2 months after initiation of therapy.
- drug with anti-inflammatory effects - mainly used high-speed glucocorticoids or preparations of NSAIDs.
- Drugs with wound-healing effect - these include methyluracyl ointment or candle, sea buckthorn oil, candles Natalsid.
- Effective therapy anal fissures is impossible without eliminating muscle spasm of the anal sphincter using nitroglycerin creams, suppositories containing extract of belladonna (Anuzol) gel with nifedipine.
most easy to use combined means, since they both have an impact on the different manifestations of the disease.The choice of drug depends on the predominance of one or another symptom:
- Ultraproct - contains local glucocorticosteroid fluocortolone, as well as a local anesthetic tsinhokain through which has antipruritic, analgesic, anti-inflammatory effect.Preferred is the presence of symptoms of pain and inflammation.
- Procto-glivenol - has anti-inflammatory, local anesthetic and venotoniziruyuschee action, as it contains an anesthetic agent and improves microcirculation.It is indicated for bleeding hemorrhoids.
- Gepatrombin F - contains heparin, prednisolone and anesthetic polidekanol.It has a thrombolytic, anti-inflammatory, antipruritic effect.It reduces edema, eliminates pain, promotes tissue regeneration.It is the drug of choice in thrombosis nodes.
- preparation Relief - is presented in three versions, which gives the possibility to choose, depending on the prevalence of clinical manifestations.The structure of all funds include shark liver oil, which has antioxidant and immunomodulatory effects, and promotes healing of the mucosa, reduces inflammation.The composition included Relief phenylephrine, resulting in vasoconstriction, whereby the drug is indicated if regular bleeding and edema in the mucosa.Relief Advance has a rapid analgesic effect, due to the inclusion of the local anesthetic - benzocaine.Relief Ultra The composition includes hydrocortisone acetate, whereby it has a pronounced anti-inflammatory effect.
thrombosis of hemorrhoids is often accompanied by the development of the inflammatory response.It is possible to carry out the following remedial measures:
- strict bed rest for a week;
- compliance besshlakovoy diet;
- first 2 days in the area of inflammation applied cotton swabs, which are wetted with a pale pink solution of potassium permanganate and hold about 1.5-2 hours;
- additionally used nonsteroidal anti-inflammatory agents;
- imposing broad ointment dressings containing ointment Vishnevsky, for a period of 2 days.
Thus, the best ointment for hemorrhoids and fissures is correctly chosen remedy in view of the major clinical manifestations and severity of symptoms, making it possible to promptly arrest the disease process and reduce the number of exacerbations.