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5 minutes
Medicines for hemorrhoids contain vasoprotectors, anti-inflammatories, analgesics, anesthetics, astringents and antiseptics. Here we elucidate the subject a little more.
For the treatment of hemorrhoids there are medications that are prescribed both orally and in tablets. Also rectally; in ointments or suppositories.
Hemorrhoids are caused by dilation of the hemorrhoidal veins. found in the anus and lower rectum. The disorder can occur within the rectum (internal hemorrhoids) or around the anus (external hemorrhoids).
Treatment of hemorrhoids is almost always non-invasive
In approximately 80% of cases, the treatment of hemorrhoids is purely medicinal, dietary and hygienic. This means that it is not necessary to go through surgery. It is reserved for specific cases with exquisite pain or complications such as a thrombus.
The medicines They are used to relieve the symptoms of hemorrhoids and improve quality of life. These symptoms include the following:
- Anal pain.
- Bleeding on stool.
- Burning sensation and itching in the anus.
- Presence of a lump with increased volume, hardness, hot, red and painful (thrombosed hemorrhoids).
The drugs available vary between vasoprotective, healing, moisturizing, anti-inflammatory, anesthetic and analgesic. It is usually associated with laxatives to soften the stool. They can be indicated by a general practitioner or a specialist in the area (proctologist).
pills for hemorrhoids
Oral treatments for hemorrhoids usually have flavonoids or bioflavonoids in their composition. The most commonly used drugs are diosmin and hesperidin.
These compounds protect the blood vessels, since they act on the capillaries (the small vessels), reducing their fragility and permeability. They favor the reduction of venous dilation and the reduction of inflammation.
The recommended dose is 1 pill every 12 hours. Trademarks include Daflon ®, Phlebodia ®, Diosmin ® and Circustat ®.
ointments for hemorrhoids
Ointments, as a treatment for hemorrhoids, They can be applied to the anal region 2 to 3 times a day. For external hemorrhoids, the application will be in the superficial region of the anus, with a gentle massage. While for internal hemorrhoids, the tip of the cannula should be carefully inserted into the anus and squeeze the packing so that the ointment can penetrate.
These drugs are sold without a prescription in pharmacies. They do not cure hemorrhoids, but they help reduce discomfort.
They generally include among their compounds ephedrine (which constricts blood vessels), benzocaine (a local anesthetic) and corticosteroids. Thus, decrease dilation of hemorrhoidal veinsThey improve inflammation and work as pain relievers. They also have a healing or moisturizing effect.
Some commercial examples are Hemoal ®, ultraproct ® and Doxiproct plus ®.
As an ointment for hemorrhoids, the use of menthol is also common due to its rubefacient function, since it produces redness and a subsequent sensation of cold that relieves pain. It is similar to the preparation of homemade ointments based on witch hazel.
On the other hand, cod liver oil, balsam of Peru and substances with vitamins A and D are recommended as natural healing agents.
suppositories for hemorrhoids
This hemorrhoid treatment usually contains steroids (anti-inflammatories) and local anesthetics (such as cinchocaine). Besides, usually have antiseptic and astringent action.
In this way, in addition to reducing the signs of inflammation and relieving pain, they help stimulate the regeneration and healing of the skin. The most used is the ultraproct ®.
Other treatments for hemorrhoids
Other common anti-inflammatory analgesics are usually indicated for the therapeutic approach to the problem, such as diclonefac, paracetamol or ketoprofen. Similarly, the use of laxatives is usually associated to improve constipation.
The prescription of antiseptics to prevent infections, such as chlorhexidine or hexetidine, is also common. Antibiotics are sometimes indicated when an associated infectious process is suspected.
Surgery to remove hemorrhoids it is necessary in case of no long-term improvement. The same happens with thrombosed external hemorrhoids, which will require the release of the thrombus through a simple incision.
The best treatment for hemorrhoids is prevention
hemorrhoids are related to constant straining at bowel movements and constipation. However, they are also associated with other processes that increase intra-abdominal pressure (such as vomiting, portal hypertension, cirrhosis, or pregnancy).
When you take care of your diet and follow certain recommendations, hemorrhoids disappear on their own. So a visit to the doctor is only necessary if the symptoms persist or worsen.
treatment is essentially hygienic and dietary. Straining should be avoided when defecating, as well as evacuating only when the urge to do so is felt.
A diet rich in fibers, fruits, vegetables, cereals and legumes favor intestinal peristalsis and water absorption. Sitz baths with warm water are also recommended. In people with marked risk factors or a history, changes in diet are important.
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