12 best ointments for hemorrhoids

Updated: 02/01/2021 16:57:32
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*Review of the best according to the editors of expertology.ru. About the selection criteria. This material is subjective in nature, does not constitute advertising and does not serve as a purchase guide. Before purchasing, consultation with a specialist is required.

The problem of hemorrhoids is familiar to both men and women. The initial symptoms of the disease include: discomfort in the anus, mild itching, problematic bowel movements. Over time, blood appears during bowel movements. The more advanced the disease, the more intense its manifestations.

Many patients postpone a visit to the proctologist and try to treat hemorrhoids using local remedies: suppositories (suppositories) or ointments (creams, gels). Such dosage forms have their advantages and disadvantages. Some patients prefer ointments. But in pharmacies they are presented in such abundance that you can simply get confused. Our experts conducted a study and ranked the best ointments for hemorrhoids.

How does hemorrhoid ointment work?

Hemorrhoid ointment helps:

reduce pain, itching, burning, inflammation;
relieve swelling of hemorrhoids;
stop the bleeding;
improve blood flow in the veins of the rectum;
prevent thrombosis (blockage of veins with blood clots).

It is important to consider that medications, including those for external use, are effective only when:

acute hemorrhoids with severe pain and inflammation due to thrombosis of the node;
chronic hemorrhoidal disease at stages 1 and 2 (discharge of scarlet blood without prolapse of nodes or with their independent retraction into the anus);
operations – for preparation and for recovery after surgical treatment;
prevention of hemorrhoids.

You should not rely on ointment for hemorrhoids that do not reduce themselves, there is prolapse with each bowel movement, as well as with frequent relapses of inflammation due to the use of medications. In such cases, it is necessary to resolve the issue with cauterization (electrocoagulation), the introduction of hardening substances into the dilated vessel (sclerotherapy) or surgical treatment.

We recommend reading about when and how to use ichthyol ointment. From the article you will learn about the composition and properties of ichthyol ointment, indications and contraindications for use, instructions for use. And here is more information about the recommendations for using Relief ointment.

What is better to use - ointment, cream, gel, suppositories

It is better to use suppositories for internal hemorrhoids, that is, when the hemorrhoids are located inside the intestines, and ointment, gel, and cream are used for the external form of the disease. The gel has benefits for severe inflammation and pain, since due to the alcohol component it has an additional cooling effect. The ointment softens well and helps with anal fissure, and the cream relieves irritation of the skin around the anus.

Advantages and disadvantages of use for the treatment of internal and external hemorrhoids

The advantages of ointments for hemorrhoids appear mainly when getting rid of the external form of the disease (external location of the nodes), since:

they are easy to use after each bowel movement;
no need to be in a horizontal position after application (as after inserting suppositories);
They relieve pain and inflammation quite quickly.

For internal hemorrhoids, the ointment is used only with a special rectal tip; without it, it can be applied to the skin of the anus, which will not help with nodes inside the rectum. The disadvantages of any external treatment methods (suppositories, ointments, creams and gels) include:

short-term relief of symptoms;
no effect on the progression of hemorrhoids;
do not prevent repeated exacerbations of chronic hemorrhoidal disease.

Watch this video about which form of the drug will be more effective in treating hemorrhoids:

"Hepariod Lechiva"

The ointment helps thin the blood, thereby eliminating thrombosis and reducing swelling of the rectal area. The drug relieves pain and itching and is used at all stages of the disease. Long-term use of the drug can provoke the appearance of hemorrhages in large areas of the mucosa.

Each of the above drugs should be used after examination by a proctologist and identification of symptoms of hemorrhoids. The doctor will suggest the most suitable drug, depending on the existing symptoms and stage of the disease.

Hemorrhoid ointment for women: what to consider

Features of treating women with ointments for hemorrhoids occur during pregnancy:

in the first trimester, hormones and some other anti-inflammatory drugs (bufexamac, tribenozide) are contraindicated, so it is best to use drugs with natural ingredients (Pilex, Calendula);
in the second and third trimester, most ointments are allowed, but all drugs are prescribed by a proctologist and monitors the treatment process; independent choice of drugs is dangerous.

Conclusion

As we have already emphasized, any antihemorrhoidal drugs, even if they are made exclusively from natural substances, can be used only as prescribed by a proctologist. Therefore, avoid self-medication and do not hesitate to contact a professional. The doctor will take into account the characteristics of your hemorrhoids and select the most effective and safest drug for you.

Leave reviews about ointments to combat external hemorrhoids in the comments under this topic. Perhaps your experience will help other readers of our resource.

Inexpensive and effective ointments for hemorrhoids

The pharmacy chain has inexpensive and effective ointments for hemorrhoids; their names, prices and examples of use with such products are indicated in the table.

Name	Price, rubles	Mode of application
Heparin ointment	72	The ointment is applied 2-3 times a day to the hemorrhoid, soft tissue is applied on top, the course is 3-14 days
Vishnevsky ointment	60	Apply a thin layer to the inflamed area of skin 1-2 times a day for 7 days
Levomekol ointment	160	Sterile wipes are impregnated with ointment 2-4 times a day for 1-1.5 weeks
Ichthyol ointment	100	Apply a thin layer to hemorrhoids 1-2 times a day for 5 days

Herbal medicines and homeopathy

This group of drugs is created on the basis of components of natural origin, but at the same time such drugs have a pronounced antihemorrhoidal effect.

Fleming's ointment is a homeopathic medicine, the effectiveness of which is explained by the properties of its components:

witch hazel and calendula extract have an anti-inflammatory effect and prevent possible infection of damaged areas of the dermis;
menthol tones blood vessels;
zinc compounds dry the skin and protect it;
Horse chestnut extract tones veins and improves blood flow.

Price – 270 rubles.

Bezornil is a successful combination of both natural and synthetic components. The action of the ointment is based on the fact that:

borneol fights pathogenic bacteria;
pearls are a natural anesthetic that accelerates the healing of the skin and mucous membranes;
amber ensures tissue regeneration;
musk has an anti-inflammatory effect;
zinc compounds are dried, which is important for weeping hemorrhoids.

The cost of the drug is 390 rubles.

Aesculus. The main ingredient of the drug is an extract from horse chestnut fruits. It normalizes blood flow, increases the elasticity of vessel walls, promotes fluid drainage and tissue regeneration.

Contraindications: allergies to the components of the medication and the first trimester of pregnancy. The ointment is inexpensive: it costs 45 rubles; but it helps only at the initial stage of the disease.

The best ointment for hemorrhoids

The best ointments for hemorrhoids include several components - hormones, anti-inflammatory drugs, hemostatic, astringent and pain relievers. Hormonal ointments are used in short courses - up to 7 days; Pilex herbal ointment can be used for prophylaxis in courses.

Indian

Indian ointment for hemorrhoids Pilex (Pileks) was created based on Ayurvedic recipes. The composition contains herbal extracts of mimosa, nightshade, bhringaraj, calendula and others. Action:

reduces the size of nodes;
reduces the intensity of pain and inflammation;
relieves discomfort during bowel movements;
stops bleeding.

Pilex is applied to hemorrhoids 2-3 times a day (after bowel movements and at night) for 5 to 10 days. Can be used for preventive purposes in courses of 2 weeks, 2 times a year. The effectiveness of the ointment increases when taking Pilex tablets simultaneously.

Procto ointment and Proctosan

Procto ointment is produced by the Belarusian enterprise Borisov Medical Preparations Plant. The composition contains anti-inflammatory (bufexamac) and analgesic (lidocaine) components. Bismuth and titanium have a drying, astringent effect, helping to heal wounds and cracks.

Apply to the peri-anal area or insert into the intestine using an applicator 1-2 times a day until acute inflammation subsides for no more than 7 days. Proctosan is completely similar to Procto ointment in composition, but differs, Germany.

Hemorrhoids

Hemorrhoid ointment is produced by Canadian. The drug contains:

shark liver oil – helps heal the skin and mucous membranes, relieves inflammation, stops bleeding;
phenylephrine - constricts blood vessels, reduces swelling, itching, and reduces blood flow to the hemorrhoidal plexuses.

The ointment acts quickly, the effect lasts about 4 hours. The drug is applied after bowel movements to clean skin, as well as in the morning and before bed. For internal hemorrhoids, it is used 2-4 times a day - the medication is administered through a rectal applicator. The course of treatment is 5-7 days.

Prednisolone

Prednisolone is rarely used for hemorrhoids, since the ointment reduces inflammation and itching, dries, but does not immediately relieve pain and does not improve blood circulation in the hemorrhoidal plexuses. Apply a thin layer to the inflamed node 1-2 times a day for a short course (usually up to 7 days).

Hametum

Hametum, produced in Finland, contains an extract from the witch hazel plant. The ointment has a pronounced anti-inflammatory effect and helps reduce hemorrhoids, relieves itching and burning in the anus, and stops bleeding. Apply to the anal area or insert into the rectum using a tip 2-3 times a day. The course of treatment is 7-14 days.

Salicylic

Salicylic ointment is not used on its own for hemorrhoids. It has an irritating effect on mucous membranes. The doctor may recommend it in combination with Heparin or Troxevasin gel in a ratio of 1:3 (one part 2% salicylic acid) to lubricate inflamed nodes. Contraindicated for hemorrhoidal bleeding.

Hemorzon

Hemorzon ointment is produced in Romania, it contains hydrocortisone (relieves inflammation), lidocaine (pain reliever) and the antibiotic tetracycline. It is used when a microbial infection is associated with hemorrhoidal disease. Apply a thin layer to the anus 1-2 times a day, the first 3 days can be used more often (up to 3-4 times) in case of severe pain and fever.

Treatment is carried out until the acute symptoms subside, and then it is used for another week, every other day at night.

Relief, Relief Pro, Relief Advance

Relief ointment contains a vasoconstrictor - phenylephrine, which reduces swelling, itching and mucous discharge from the rectum, as well as shark liver oil with anti-inflammatory and wound-healing effects. Used for hemorrhoids and anal fissure. Prescribed with caution for high blood pressure and prostate diseases, diabetes mellitus. Apply to the anus 3-4 times a day. The course of treatment is no more than 7 days.

The drug Relief Pro contains the hormone fluocortolone and the anesthetic component lidocaine, and is prescribed in the acute stage of hemorrhoids. Relief Advance consists of benzocaine, which has the ability to quickly and permanently relieve pain.

Heparin

Heparin ointment for hemorrhoids helps prevent vein thrombosis, relieves swelling, and reduces discharge from the anus. Used for prolapsed nodes, but without bleeding. Apply a thin layer 1-3 times a day for 5 days. If there is no effect, a change in drug is necessary.

Aurobin

The drug contains the hormone prednisolone, the anesthetic lidocaine and the wound-healing substance dexpanthenol. Effectively relieves pain and inflammation during an acute process, has an anti-allergic and drying effect. It is used for external application to the hemorrhoidal node and insertion into the rectum through the applicator for 5-7 days. In the first three days you can use up to 4 times; as the exacerbation subsides, the frequency of use is reduced to 2 times a day.

Fleming

Fleming's ointment contains plant extracts in homeopathic concentrations - calendula, witch hazel, horse chestnut, as well as menthol and zinc oxide. It is prescribed only for external hemorrhoids that occur without complications. Apply 1-3 times a day with a cotton swab for 5-7 days. The course can be repeated after 2-3 weeks on the recommendation of a doctor.

Posterisan

Posterizan ointment is distinguished by its original composition - weakened bacteria and their metabolic products, as well as its mechanism of action:

stimulates local immunity;
increases the protective properties of fabrics;
relieves inflammation and itching;
reduces discharge from the anus;
heals cracks and damaged skin.

Indicated after surgery or cauterization of hemorrhoids, itching in the perineal area, for which other medications do not work, anal fissure. Allowed for pregnant women. Apply a thin layer in the morning and evening, as well as after each bowel movement. If necessary, the course can be extended to 2-3 weeks.

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.

What ointment to use for hemorrhoids and fissures, for prolapsed and bleeding nodes, for acute

If acute external hemorrhoids are detected, then for treatment it is better to choose an ointment containing hormones (Aurobin, Proctosedyl), in case of prolapse and bleeding of nodes, Relief, Hemorrhoids will help, and rectal fissures are treated with Proctosan, Levomekol, Posterisan ointments.

Painkillers: with lidocaine, menthol

Lidocaine has a local anesthetic effect and is contained in ointments Procto-glivenol, Aurobin, Proctosan, Relief Pro, and menthol has a predominantly cooling and distracting effect (found in Fleming's ointment). Drugs that quickly relieve pain include Relief Advance.

Relief Advance Fleming Ointment Procto-glivenol

With antiseptic

Ointments with antiseptics are needed when an infection joins hemorrhoidal disease. The most popular drugs are Vishnevsky’s liniment and Ichthyol ointment. They destroy bacteria, relieve inflammation and help restore damaged tissues.

Healing

Most natural remedies (Pilex, Calendula, Propolis) have a healing effect; the immunostimulating drug Posterisan has also proven itself well. Pain-relieving and wound-healing ointment Proctosan is indicated for exacerbation of chronic anal fissure, and Proctosedyl and Levomekol are used for acute processes.

Calendula Proctosedyl Propolis

With antibiotic

After surgery to remove hemorrhoids or infection of an anal fissure, proctologists prescribe ointments with antibiotics - Proctosedyl, Levomekol, Hemorzon. They are used in a course of 5-7 days; as the inflammatory process subsides, they are replaced with herbal preparations. Long-term use negatively affects the immune defense and intestinal microflora.

Hormonal

Hormonal ointments (Aurobin, Proctosedyl, Prednisolone) quickly relieve inflammation, but they should not be used for more than 7 days due to the risk of adverse reactions (secondary infection, poor circulation).

For resorption of hemorrhoids

The most effective ointments for resorption of hemorrhoids: Hepatrombin G, Troxerutin, Procto-glivenol, Geparoid. This can only be achieved at the stage when they move into the anus on their own; when the process is advanced, there is only a temporary improvement.

Heparoid Troxerutin

Cooling

Fleming's ointment has a cooling effect; it contains menthol. For inflamed hemorrhoids, it is recommended to apply any drug cold (immediately after cooling in the refrigerator).

For prevention

To prevent hemorrhoids, you can use products without hormones and antibiotics: Relief ointment, Troxevasin gel, Pilex. They are prescribed in courses of 10-14 days, 2 times a year. To enhance the effect, drugs with a venotonic effect are simultaneously used - Troxevasin, Phlebodia, Aescusan, Detralex. It is important to change your eating style - to prevent constipation: drink 1.5 liters of water, increase the consumption of fresh, boiled vegetables, fruits, and whole grain cereals.

Detralex Aescusan Phlebodia

With a sedentary lifestyle, it is useful to take a 5-10 minute break every hour for walking, gymnastics, and retract the anus muscles 20-50 times in cycles at least 3 times a day.

On herbs

Herbal ointments for hemorrhoids (Pilex, Calendula, Propolis, Gametum) help well if you start using them at the first symptoms of hemorrhoids - pain during bowel movements, streaks or drops of blood, itching. They are also effective at the initial stage of exacerbation of chronic hemorrhoidal disease. After 7 days of use, if there is no obvious result, an examination by a proctologist is necessary to replace the drug.

Watch this video about what ointments to use when treating hemorrhoids:

"Levomekol"

We have no right to pass by this drug. An inexpensive but very useful ointment is known to every second adult. It is used to combat many diseases, and its main purpose is to fight inflammation and microbes. In addition, Levomekol quickly relieves pain and swelling of the rectal area, heals wounds of the anal passage, and regenerates affected tissue. The drug is excellent if an exacerbation of the disease with inflammatory processes has begun. What other little-known ointments are used against the symptoms of hemorrhoids?

How to use ointment for internal use

The use of ointment for the treatment of internal hemorrhoids is possible only with a special rectal tip: it is screwed onto the tube and lubricated with Vaseline or baby cream to facilitate administration. After this, you need to lightly squeeze the tube with the drug with your fingers once (the required size of the ointment is approximately equal to a pea).

Since it is quite difficult to determine the required amount of antihemorrhoidal agent, when the nodes are located deeply, suppositories are preferably used.

Disease prevention

Although hemorrhoids can be treated successfully, they can cause the patient a whole range of unpleasant and painful sensations, and sometimes even more serious problems. Therefore, it is worth protecting yourself from this disease in advance, especially since it does not require much effort.

First of all, you need to be active. This applies to a greater extent to people who lead a sedentary lifestyle and have a sedentary job. You don’t have to buy a gym membership; you can just take short breaks with warm-ups, walks in the air, or light jogging. The main thing is not to let blood stagnate in the hip part of the body, because this is one of the root causes of hemorrhoids.

The second point on the path to health is proper bowel function. Severe diarrhea and constipation provoke inflammation. It is worth paying more attention to going to the toilet - too frequent or infrequent defecation often ends in big problems and treatment by a proctologist.

The third point is regular water procedures after using the toilet, which will wash away all the consequences of bowel movements, which can cause irritation and even provoke inflammatory processes. You should not rely on hygiene products for this; they simply cannot perform their functions 100 percent, and low-quality products can cause additional harm.

As for the period after getting rid of hemorrhoids, you should be even more careful:

eat right;
do not gain excess weight;
protect yourself from hypothermia;
do not lift weights.

Useful video

Watch this video on how to insert ointment into the anal canal:

Description of the problem

Hemorrhoids are a disease of the veins of the final part of the rectum. The first minor symptoms can quickly develop into a severe stage of development. Therefore, it is so important to start treatment promptly and correctly.

The main reason for the development of hemorrhoids is the weakness of the vascular system. The veins become stretched and inflamed, and blood begins to accumulate in them. Exacerbation of the disease can be caused by poor nutrition, heavy lifting, sedentary lifestyle, bad habits, pregnancy and childbirth.

Fissures in the anal area are small wounds and abrasions. The mucous membrane that protects the anus is damaged. Most often, cracks appear on the back wall of the anus. Less often they are found on the side and front walls.

The patient begins to feel a feeling of discomfort. Pain of varying intensity, itching, tingling, burning may occur. Very often the appearance of cracks is combined with hemorrhoids.

With hemorrhoids, wounds and cracks can occur due to constipation, weakening of the muscular ligaments of the rectum, chronic diseases of the digestive tract, and heavy physical labor.

Pills

During a severe attack of the disease, the best topical medications may be ineffective. In this case, systemic medications are additionally prescribed. Comprehensive treatment helps prevent the development of complications.

Detralex

Detralex tablets contain bioflavonoids diosmin and hesperidin. The drug eliminates congestion in the hemorrhoidal plexuses and has a venotonic effect.

Ginkor Fort

Ginkor Fort capsules contain ginkgo biloba extract, troxerutin and heptaminol hydrochloride. It increases the tone of the smooth muscle layer of hemorrhoidal veins and reduces the permeability of their walls.

Venarus

The active ingredients of the modern drug Venarus are the bioflavonoids diosmin and hesperidin. Venarus improves blood flow from hemorrhoidal veins. It increases the strength and elasticity of vascular walls.

Litovit B

Litovit B tablets contain zeolites, burnet, wheat and rye bran. They improve intestinal motility and soften stool. Litovit B increases the elasticity of vascular walls.