Home Symptoms Haemorrhoids

Haemorrhoids — what to take?

Hemorrhoids are dilated veins at the level of the rectum/anus. Internal (above dentate line — bleeding) or external (painful, thrombosed). Affect 30-50% of adults.

5 recommended OTC drugs
~3,900 pharmacies available

OTC — no prescription

What you can take for haemorrhoids

Informativ. Nu înlocuiește sfatul medicului. Consultă medicul sau farmacistul înainte de a lua orice medicament.

Causes

Chronic constipation, straining at stool, pregnancy, obesity, sedentary lifestyle, low-fiber diet, excessive alcohol consumption, spicy foods.

OTC treatment

Creams and suppositories:

  • Proctolog, Proctoglyvenol — with rutoside + local analgesic.
  • Ruscus (Ruscoven, Procto Venosan).
  • Hemorex, Hemapro.
  • Hydrocortisone — reduces inflammation, maximum 7-10 days.

Diosmin, hesperidin (Detralex, Daflon) — oral, for venous support. 2-3 month cures.

Bulk laxatives (psyllium) and osmotics (lactulose) — avoid constipation.

Warm sitz baths with Epsom salt or chamomile — 10-15 min.

Essential measures

  • Fiber-rich diet (25-30 g/day).
  • Hydration 2 L/day.
  • Don't delay bowel movements, don't strain.
  • Local hygiene with water, not rough paper.
  • Daily movement.
  • Avoid prolonged time on toilet (reading phone).

Interventional treatments

Rubber band ligation, sclerotherapy, hemorrhoidectomy — for grade III-IV or refractory hemorrhoids. Modern procedures: HAL-RAR, laser, THD — less painful.

When it is an emergency

Heavy bleeding, hemorrhoidal thrombosis (acute severe pain, hard bluish-black nodule — may require surgical evacuation in 48-72h). Blood + weight loss + bowel changes — rule out colorectal cancer.

Medical disclaimer: the information in this guide is for informational purposes only and does not replace medical or pharmacist advice. For diagnosis and treatment consult a healthcare professional.

When to see a doctor

If any of these signs appear, consult a doctor — OTC treatment is not enough:

  • Heavy or persistent bleeding
  • Hemorrhoidal thrombosis (acute severe pain)
  • Blood in stool + weight loss + bowel changes
  • Over 50 years — mandatory colonoscopy
  • Irreducible hemorrhoidal prolapse

Frequently asked

Common questions

Do hemorrhoids go away on their own?
Mild ones yes, with dietary measures and avoiding constipation. Advanced ones (III-IV) or thrombosed require intervention.
Does Detralex really work?
Yes, in acute episodes — reduces symptoms in 72h. For long-term prevention — maintenance dose. Combined with hygiene and diet.
Blood in stool — always hemorrhoids?
Often yes. But over 50 years, with weight loss or bowel changes — mandatory colonoscopy to rule out cancer.
In pregnancy — what can I take?
Proctoglyvenol topical is ok. Lactulose is safe. Diosmin — after consultation. Detralex — not in first trimester.

Need a medicine now?

Find the nearest pharmacy
— with prices and stock.

Open the map →