Pomadas para hemorroida: qual a MELHOR?

Summary

In this informative video, Dr. Maurílio Paiva, a proctologist, explains various types of creams and ointments available for treating proctological issues like hemorrhoids, anal fissures, and irritation. He breaks down the different active ingredients in these treatments, such as hydrocortisone, lidocaine, bismuth, and heparin, and discusses their effectiveness in managing symptoms like pain, swelling, and inflammation. Dr. Paiva shares personal preferences for specific treatments based on the condition, offering valuable insights for individuals struggling with these common issues, while emphasizing proper usage for effective relief.

Takeaways

• 😀 There are several ointments on the market for proctological issues, such as pain, swelling, and bleeding around the anus.
• 😀 Ointments are generally categorized based on their active ingredients, which include hydrocortisone, lidocaine, bismuth, zinc oxide, and heparin derivatives.
• 😀 The first group of ointments, which includes Proctan, Proctosan, and others, contains hydrocortisone and lidocaine, and is effective for reducing irritation, swelling, and symptoms like itching and burning around the anus.
• 😀 Ultraproct is part of the second group, containing only a corticosteroid (flucortolone) and lidocaine, which is more effective in reducing external hemorrhoid inflammation.
• 😀 The third group includes Proctil, based on policresulene, which has a vasoconstrictor and healing effect, without corticosteroids, and is ideal for reducing bleeding and inflammation in conditions like hemorrhoids and anal fissures.
• 😀 Proctil is particularly useful for internal hemorrhoids and acute anal fissures due to its ability to promote healing without interfering with wound healing as corticosteroids might.
• 😀 Ointments without corticosteroids, like Proctil, are recommended in cases where wound healing is a priority, as corticosteroids can hinder this process.
• 😀 Heparin-based ointments, like Venalot, are used for external hemorrhoidal thrombosis but are no longer widely available on the market.
• 😀 In cases of external hemorrhoidal thrombosis, traditional proctological ointments (like Proctan, Proctosan) will not help with pain or swelling and should be avoided.
• 😀 Oral analgesics are recommended for immediate pain relief during acute anal issues, as topical ointments typically don't provide sufficient pain relief during the initial phase of inflammation.

Q & A

What are some common symptoms that proctological ointments help treat?

Proctological ointments are primarily used to treat symptoms like pain, swelling, and bleeding around the anus, which can be caused by conditions like hemorrhoids, anal fissures, or irritation from diarrhea and constipation.

What are the main categories of proctological ointments?

The main categories are: 1) Ointments containing hydrocortisone, lidocaine, bismuth, and zinc oxide. 2) Ointments containing only corticosteroids and lidocaine (like Ultraproct). 3) Ointments with policresulene and xylocaine. 4) Ointments containing heparin derivatives.

Which ointments are most effective for treating external hemorrhoid inflammation?

Ointments like Ultraproct, which contain corticosteroids (flucortolone) and lidocaine, are particularly effective for reducing swelling and inflammation in external hemorrhoids.

Why does Dr. Maurílio Paiva prefer using Proctil for hemorrhoids and fissures?

Dr. Paiva prefers Proctil because it contains policresulene, which has vasoconstrictor and healing properties. It is particularly effective for internal hemorrhoids, fissures, and situations where healing is necessary, as it doesn’t contain corticosteroids that could interfere with the healing process.

Can hydrocortisone-based ointments help with external hemorrhoids?

Yes, hydrocortisone-based ointments like Proctan and Proctosan can help manage inflammation and swelling in external hemorrhoids, though Ultraproct with flucortolone might be more effective for severe cases.

When should ointments containing corticosteroids be avoided?

Ointments containing corticosteroids should be avoided in situations where there are open wounds or active infections around the anus, as these can interfere with the healing process of the tissue.

What is the role of oral analgesics in managing proctological issues?

Oral analgesics play an important role in managing acute pain caused by proctological issues, such as anal fissures or thrombosed hemorrhoids. They are often more effective in controlling pain compared to topical ointments.

What is the main function of ointments with heparin derivatives?

Ointments containing heparin derivatives are primarily used in cases of acute thrombosed hemorrhoids. They help reduce swelling and discomfort, although options in the market for this specific use are limited.

What are the benefits of using Ultraproct for hemorrhoidal inflammation?

Ultraproct, with its combination of flucortolone and lidocaine, is particularly effective in reducing swelling and inflammation in external hemorrhoids, providing quicker relief compared to other ointments that only contain hydrocortisone.

Why does Dr. Paiva recommend Proctil in cases of anal fissures?

Dr. Paiva recommends Proctil for anal fissures because it promotes healing without hindering the tissue repair process, as it does not contain corticosteroids, which could interfere with the healing of fissures.