Ointments for acute hemorrhoids for effective treatment

With the appearance of pain in the anus, inflammation of the hemorrhoid is not excluded, fraught with heavy bleeding and other serious complications. Conservative treatment of acute hemorrhoids provides a positive trend, if started in a timely manner, selected correctly. The use of antihemorrhoidal agents externally should be prescribed by the attending physician (proctologist), self-medication is completely excluded. The choice of medicines is huge, so there is every chance to permanently get rid of the painful lump without surgery.

What is acute hemorrhoids

One of the common pathologies of the circulatory system is internal or external hemorrhoids, which is accompanied by acute pain and discomfort of the rectal region against the formation of hemorrhoids. The disease has a recurrent nature, characteristic of the weaker sex from the age of 20 to 50 years. If conservative treatment is started at an early stage, painful formations no longer appear. When hemorrhoidal nodes fall out, it is a neglected clinical form in which surgical intervention is not excluded.

Symptoms and Risk Factors

The acute form of the disease has a genetic predisposition. If the older generation is characterized by such a chronic diagnosis, inflammation of the hemorrhoids in younger blood relatives is not excluded. Other causes and factors provoking an acute inflammatory process are presented in such a list:

  • chronic constipation, diarrhea;
  • excessive physical activity;
  • passive lifestyle, lack of exercise;
  • malnutrition;
  • unhealthy lifestyle, the presence of bad habits;
  • pregnancy, childbirth;
  • overweight;
  • neoplasms in the pelvis;
  • mechanical damage to the anus;
  • chronic diseases of the heart and blood vessels.

With an exacerbation of the disease, the patient is faced with extremely unpleasant symptoms, which only intensifies after defecation. The following signs of the inflammatory process should alert:

  • pain and burning in the anus;
  • impurities of blood in the stool;
  • cracks, microcracks of the anus;
  • feeling of discomfort and heaviness in the anus;
  • swelling of the soft tissues of the anus;
  • secretion of mucus from the rectum;
  • itching of the anus.

At the initial stage of the development of the disease, this is only discomfort in the anus, but if the inflammatory process is not stopped, painful and swollen nodes can fall out and be injured during any manipulations, for example, during a bowel movement, with a toilet of the genitals. In order to prevent this, it is necessary to timely purchase and use the prescribed ointments prescribed by the doctor for acute hemorrhoids.

Stages of acute hemorrhoids

Inflammation of the hemorrhoidal nodes has increasing symptoms, which corresponds to different stages of the pathological process. The following is a conditional classification of hemorrhoids with characteristic symptoms:

  1. The first stage is accompanied by hypertrophied hemorrhoidal nodes, which protrude in the lumen of the rectal canal, independently disappear.
  2. The second stage is characterized by an increase in painful nodes, their independent reduction into the anus.
  3. The third stage is accompanied by prolapse of the node after the act of defecation and at rest, they can be set into the space of the rectum only mechanically.
  4. The last stage of the disease is characterized by heavy bleeding, acute pain and the need to perform surgery.

How to treat hemorrhoids with ointments

You can fight the manifestations of the disease with conservative methods in the home environment. First of all, you need to consult a proctologist, go through a detailed diagnosis. The external use of ointments for hemorrhoids depends on the nature of the prevailing symptoms, the stage of the pathological process and the characteristics of the affected organism. Such drugs can act locally, the active components do not penetrate the systemic circulation, minimize the risk of side effects, drug interactions.

At the initial stage

The main goal of the combined treatment at this stage is to relieve inflammation, get rid of discomfort during bowel movements, and avoid complications of the disease. When choosing effective pharmacological agents, it is preferable to give preference to drugs containing benzocaine and heparin. Such active components relieve swelling, remove congestion in the pelvic organs, increase the elasticity of the vascular walls and their throughput. Well established themselves:

  • heparin ointment;
  • Actovegin;
  • Relief Advance;
  • Troxevasin Neo;
  • Hepatrombin;
  • Proctosed.

To relieve pain

Since at the stage of relapse the patient is faced with pain in the anus, analgesic ointment for hemorrhoids becomes an integral part of complex therapy. The main thing is to correctly choose a medical product that quickly facilitates the overall well-being of the patient. The chemical composition should contain such anesthetics as lidocaine and anestezin, which differ in pronounced analgesic properties. Here are the medicines in question:

  • Aurobin;
  • Proctosan;
  • Procto-glivenol;
  • Elma
  • Relief Advance.

Antimicrobial and antibacterial agents

When attaching a bacterial or viral infection, an integrated approach to the problem may be required. The pathological process involves not only the painful nodes of the rectum, but also the nearby soft tissues of the anus. With a complicated disease, doctors additionally prescribe antibacterial and antimicrobial drugs externally, the active components of which kill the pathogenic flora, do not penetrate into the bloodstream, and act directly on the focus of the pathology. Effective and at the same time safe in the acute stage of steel:

  • liniment Vishnevsky;
  • streptocid and tetracycline ointment;
  • Ichthyol;
  • Levomekol;
  • Mafenide acetate.

Remedies for rectal bleeding

In clinical cases, when at the same time it is required to remove pain, relieve inflammation, strengthen the vascular walls, special means are needed, which in medicine are officially called hemostatics. Representatives of such a pharmacological group stop bleeding, and subsequently prevent large-scale blood loss. Here are some popular medicines in question:

  • Procto-glivenol;
  • Adroxon;
  • Relief

Types of ointments for acute hemorrhoids

With an external or internal form of the disease, it is not without attracting medicines for external use, so the range of medicines in the pharmacy is wide. Before finally deciding on a choice, it is important to know the types of existing therapeutic compounds and their principle of action directly on the focus of pathology. The official classification of medicines is presented in the table:

The name of the group of funds

The name of the drug

Chemical composition

The principle of the drug

Price, rubles


Heparin ointment

heparin sodium, benzocaine, benzyl nicotinate

relieves inflammation, anesthetizes, course - 2 weeks.



dexpanthenol, heparin, allantoin

eliminates the occurrence of congestion in the pelvic organs, relieves inflammation.


Heparoid Zentiva


prevents the formation of exudate, prevents thrombosis. Absorbs hematomas, relieves swelling, removes pain.




shark liver oil, phenylephrine

prescribed for bleeding, the "shark" component acts without side effects.


Relief Advance

shark liver oil, benzocaine

removes an acute attack of pain, promotes the regeneration of injured tissues.




tribenoside, lidocaine

reduces itching, pain, swelling of soft tissues. Improvements occur after the first application of the composition.



troxevasin, troxerutin

accelerates the healing of tissues, reduces the fragility of capillaries, prevents bleeding.




Prednisone, lidocaine, triclosan, dexpanthenol

The hormone acts as an analgesic, venotonic. Dexpanthenol regenerates the affected areas of the mucous membrane and epithelium.



hydrocortisone acetate, esculoside, heparin, benzocaine, framycetin sulfate, butamben

the hormonal preparation removes pain, inflammation, swelling and redness of the anus, prevents capillary fragility, and contains an antibiotic.



fluocortolone pivalate, lidocaine

helps to reduce dilation. capillaries, interstitial edema, tissue infiltration.



chinchocaine, fluocortolone

helps relieve inflammation and pain in the anal canal, restores blood circulation.


homeopathic remedies

Fleming composition

calendula, menthol, gammamelis, zinc oxide, esculus

antihistamine, analgesic, anti-inflammatory agent that strengthens blood vessels and dries up weeping hemorrhoids, can cool an attack of pain.



horse chestnut extract

the composition fights inflammation in the rectum, increases the tone of the veins, removes pain, swelling, itching.



In addition to ointment for acute hemorrhoids, it is necessary to take tablets inside to provide an integrated approach to a health problem. The intensive care regimen is determined by the attending physician individually, but it necessarily includes anticoagulants. Representatives of this pharmacological group slow down the process of blood coagulation, thereby preventing the formation of blood clots. Direct anticoagulants should be applied to a previously cleaned focus of the pathology with a thin layer up to 2-3 times a day, treated in this way for up to 2-3 weeks. Medications represent this group:

  • Hepatrombin;
  • Hepatrombin G;
  • Heparin ointment;
  • Heparoid Zentiva.

Hemostatics (coagulants)

Such medications help stop and prevent rectal bleeding, thin the blood and prevent the formation of blood clots, the development of thrombosis. Most therapeutic ointments have a natural composition, so they act on the problem area with minimal risk of side effects. Hemostatics are recommended in complicated clinical cases when bleeding opens. It is supposed to apply the medicine after observing the rules of personal hygiene, be treated in this way for 1-2 weeks. Represent this pharmacological group:

  • Relief
  • Relief Advance.

Venoprotectors and venotonic agents

Phlebotonics when applied to the focus of pathology relieve inflammation and reduce the size of hemorrhoids. In addition, this is a good opportunity to strengthen the weakened walls of blood vessels and capillaries. Thanks to the influence of representatives of this group, blood flow is increased, any degree of varicose veins can be successfully treated. Outwardly, venoprotectors should be used only in remission. Phlebotonics include such therapeutic agents for use locally:

  • Procto-glivenol;
  • Troxevasin.

Glucocorticosteroid and anti-inflammatory drugs

These are hormonal-based medications that are prescribed for stages 2 and 3 of hemorrhoids, with complications. The active components that make up the chemical composition relieve inflammation, exterminate the pathogenic flora, and contribute to the restoration of affected tissues. A synthetic substance called prednisone is more commonly used. Hormonal ointments for acute hemorrhoids have more medical contraindications, and side effects are not limited to allergic and local reactions. The following drugs represent this pharmacological group:

  • Proctosed;
  • Ultraproct;
  • Aurobin;
  • Doloproct.

Homeopathic medicines for external use

Many patients prefer natural medicines when treating an inflamed hemorrhoid. Plant and animal components relieve pain, stop bleeding, remove itching and burning of the anus, eliminate constipation and affect the cause of the disease. After applying the therapeutic composition, a film forms on the hemorrhoid, with a noticeable warming, analgesic effect. So swelling and pain go away, the natural process of blood circulation is normalized. Represent this group:

  • Fleming ointment;
  • Aesculus.

Effective ointments for hemorrhoids

Patients prefer non-hormonal treatment, considering it safe for the work of other internal organs and systems. If the node falls out even in the resting stage, and is prone to bleeding, it cannot do without hormones. Conservative therapy is supposed to be carried out only after hygienic procedures, after making sure that the body is not hypersensitive to plant or synthetic components of the hemostatic agent. The following is a list of effective medications that provide sustained dynamics.


This is a budget medicine, which in each pharmacy costs no more than 60 rubles. The active component heparin eliminates the focus of inflammation, resolves hematomas of all sizes, prevents the appearance of blood clots, acts locally. This direct-acting anticoagulant should be applied to the area of ​​inflammation and nearby soft tissues 2-3 times a day. Among the individual characteristics is the possibility of women using during pregnancy, breastfeeding. Side effects that can inflame another disease are limited to allergic reactions, the course is 2 weeks.


Such an ointment for acute hemorrhoids is appropriate for stages 1 and 2, has a natural composition. The first active component is shark liver oil, which has anti-inflammatory, immunomodulating and wound healing properties. The second active substance - phenylephrine hydrochloride, has a vasoconstrictive effect, stops bleeding. Relief, when applied topically 3-4 times a day, reduces the lumen of blood vessels, reduces swelling, eliminates serous secretions and exudation. Contraindicated in granulocytopenia, impaired blood coagulation. The price is 350 rubles.

Vishnevsky ointment for hemorrhoids

This medication is not intended specifically for the treatment of hemorrhoids, but practice has shown its positive effect on the inflamed hemorrhoid during relapse. Active components reduce the painful bump without causing local and allergic reactions. The therapeutic composition must be applied to several layers of gauze and applied to the anus for 13 hours for two days in a row. The Vishnevsky liniment is cheap - up to 50 rubles, in online pharmacies even cheaper. Doctors managed to ban the treatment with this medication.


The gel is used in the treatment of acute hemorrhoids. The active component - troxerutin, increases the tone of veins and capillaries, prevents their expansion and development of swelling. Therapeutic ointment reduces inflammation, reduces coagulation time and blood exudation. Among the side effects are urticaria, dermatitis, eczema. Contraindications: first trimester of pregnancy, body sensitivity to active substances. Long-term therapy provides a mediocre effect, the medicine alone does not work. Apply the drug 3-4 times a day. The price is 250 rubles.

Fleming ointment for hemorrhoids

When blood flow is disturbed in the pelvic organs in women and men, an inflamed hemorrhoid occurs. Fleming's ointment is a harmless drug that does not cause ailments, but it additionally stimulates local immunity. You can use the therapeutic composition during pregnancy and lactation, apply up to 3 times a day with a course of 1-2 weeks on a previously washed pathology site. The number of side effects is minimal - intolerance to active components. The price of the medication is 300 rubles.


This is an analgesic with the properties of a local antiseptic. It is an anti-inflammatory, antimicrobial keratoprotector. The active ingredient is ichthammol, obtained from shale resin. The therapeutic composition has a specific smell, can provoke allergic reactions. There is a high probability of side effects, but the therapeutic effect is observed only in combination with capsules and tablets for oral administration. Apply the base with a thin layer on the painful knot, do not wash off for several hours. The number of approaches is 2, the course is 2 weeks. The cost is 100 rubles.

Hepatrombin G

This is a fast-absorbing drug for external use in acute hemorrhoids. The active component tends to accumulate in injured tissues, enhancing the overall therapeutic effect. The ointment contains heparin with an antithrombotic effect, allantoin with anti-inflammatory and analgesic properties, dexpanthenol to accelerate tissue regeneration processes. It is required to apply the therapeutic composition to the problem area 2-3 times a day, the course - up to 2 weeks. The drug acts mildly, side effects are not ruled out. The price is 200 rubles.


Cost - 300 rubles, you can order and buy at an online store at a discount. Assign in the complex treatment regimen with 2 degrees of acute hemorrhoids. The natural composition contains artificial musk, bezoar, zinc carbonate, borneol, amber, which, when combined, remove the inflammatory processes of the rectum, edema and pain during bowel movements. It is necessary to process soft tissues, and using a special applicator to enter the composition into the anus. The course of therapy is 2 weeks. The cost is 370 rubles.


This immunostimulating, wound healing agent with the same active component removes burning sensation and swelling of tissues, strengthens the immune system. Recommended in the presence of cracks and sores in the anorectal zone. Ointment for acute hemorrhoids can be bought not only in Moscow and St. Petersburg, but also in any city in the province. Cost - up to 70 rubles. The therapeutic composition should be applied in the morning and evening on the painful area for 1 month. The medicine is well tolerated by the body. Contraindications: excessive granulation in the wound, intolerance to the components, children's age.


This German drug for the acute form of the disease costs 250 rubles in a pharmacy; in an online store with delivery, the medicine is much cheaper. It is inexpensive, therapeutic effect is steady, long-lasting. Active ingredients: bismuth subgallate, titanium dioxide, bufexammak, lidocaine. Relieve inflammation, relieve pain, accelerate tissue regeneration and prevent the appearance of foci of necrosis. Proctosan is required to be injected into the anus before improvement, then another 2 weeks. Contraindications: tuberculosis, syphilis, pregnancy, children.


This hormonal drug contains prednisone, anesthetic lidocaine, antiseptic triclosan. Used as part of anti-inflammatory therapy. To stop the attack, the composition should be applied 2-4 times a day, then another week in remission. Among side effects, doctors stipulate skin atrophy, contact dermatitis, folliculitis, a pressure surge. Aurobin is contraindicated in childhood, along with other lidocaine drugs. The price is 220 rubles.


The active ingredient - musk, is successful in the fight against inflammation, pain, burning. Excipients: pearls, borax, amber, borneol, lanolin. Chinese ointment promotes tissue regeneration, removes edema, stops bleeding, has an astringent effect. The herbal preparation does not cause dependence, but treatment should not be delayed longer than 2 weeks. Apply the medicine in a thin layer on the focus of inflammation and the surrounding tissue 2-3 times a day. Side effects: allergic reactions. There are no contraindications. The cost of the medication is 600 rubles.


Many patients often hesitate when buying pills for the acute stage of hemorrhoids. In most cases, the choice is between Venarus and Detralex. The first medication is more popular, it costs slightly cheaper. To accelerate the therapeutic effect, in addition to tablets inside, it is recommended to use gels and creams from inflammation of the hemorrhoidal nodes. It is important to consult with a specialist first, self-medication is excluded.

For 4 days, it is supposed to drink 6 tablets of Detralex, then the daily dose must be reduced to 2 pcs. and continue conservative treatment for another three days without a break. After a week, you can stop oral medication, leave only the gels for external use in the morning and evening. In the second trimester, the medication is prescribed even for pregnant women, the risk of side effects is minimal. The price of Detralex tablets in a pharmacy is 750 rubles.


This local venotonic has anti-inflammatory and analgesic properties, reduces the intensity of itching, the severity of pain, and hypertonicity of the skin. It is required to apply the therapeutic composition to previously washed and dried skin areas with a thin layer in the morning and evening for 2 weeks without a break. The use of Procto-Glivenol is not recommended during pregnancy (exclusively in the first trimester) and renal failure. Side effects: impaired digestion, dyspepsia, local and allergic reactions. The cost of treatment is 350 rubles per tube of 30 g.


The medicine has a natural origin, costs 120 rubles in a pharmacy. The composition contains extracts of sea buckthorn, medical leeches, horse chestnut, methyluracil, which position the medicine as a powerful analgesic, antipruritic and sedative. The specified gel should be applied around the anus up to 5 times per day, additionally using a special tip to enter the rectum. Not recommended during pregnancy and lactation, may cause side effects.


Elena, 40 years old. I had a hemorrhoid problem after pregnancy, and over time it became chronic. At first it was treated with homemade bee propolis medicine, but after its effect was noticeably weakened. I switched to Venus tablets. This medication is effective and inexpensive in a pharmacy, the main thing is that it does not cause side effects.
Olga, 32 years old. I was helped from the hemorrhoid by the local antibiotic Levomekol, which costs up to 100 rubles, is sold without a prescription. Used it for a week, then fixed the result with medicines Posterisan or Proctonis (it costs already more). This gives only temporary relief, since the acute stages from time to time still remind of themselves.
Margo, 42 years old. In acute pain, I use candles with ibuprofen, then I use the imported drug Nifedipine. It is expensive, but quickly and imperceptibly relieves pain, eliminates inflammation, itching and burning in the anus. In a chronic disease, the very thing, and the therapeutic effect persists for a long time. "Chestnut remedies" are weak for me, although they help others.
Attention! The information presented in the article is for guidance only. Materials of the article do not call for independent treatment. Only a qualified doctor can make a diagnosis and give recommendations for treatment based on the individual characteristics of a particular patient.