MICROLAX is a combined laxative that is completely harmless for children and adults. It works quickly and gently, the effect appears within 5-15 minutes.
Microlax is indicated in each character's hemorrhoids to prevent constipation, softening stool, stones. The essence of the operation is to increase the amount of water in the large intestine as a result of peptization (formation of a colloid from a solid residue). The result is the elimination of stool and easy bowel movement without injury or irritation.
Pharmacology
The drug is a laxative. Intended for rectal use. The composition contains several active components that enhance each other’s effect on the human body, helping to soften stool and facilitate the process of defecation.
Sorbitol helps increase the amount of fluid entering the intestinal lumen, which increases the volume of stool and softens it. As a result, the process of defecation is greatly facilitated.
Sodium citrate helps displace fluid from stool.
As a result, water is displaced from the stool and the amount of fluid entering the intestines increases, which significantly facilitates the process of defecation in people who suffer from hemorrhoids and constipation.
The effect of the drug is observed within 5-10 minutes from the moment of using the microenema. But the effect of the drug may depend on the patient’s personal characteristics.
Information on pharmacodynamics is not available.
When is an enema possible?
An enema is NOT A MEDICINE. With its frequent use, problems with muscles in the gastrointestinal tract are possible - over time, the muscles will simply “forget how” to work independently. Therefore, it is mandatory to use it only before examination by a proctologist and before treatment. In rare cases, it can be used after removal of hemorrhoids and with the simultaneous presence of hemorrhoids and constipation.
After hemorrhoid removal
After removal of hemorrhoids, as a rule, there is no need for an enema. The exception is the so-called “psychological constipation.” This is the fear of defecation after the procedure. In this case, an enema may be prescribed by a doctor. But more often, doctors still prescribe medications (tablets, powders, drops) to treat constipation.
Hemorrhoids and constipation at the same time
For hemorrhoid treatment to be successful, it is necessary to eliminate the cause of the disease. Therefore, in case of constipation, the first thing to do is to improve the functioning of the gastrointestinal tract. To do this, you should contact a gastroenterologist. If at the moment this is not possible, then as first aid you can resort to a cleansing enema. However, it should never be abused. And at the first opportunity, consult a gastroenterologist, get rid of constipation, and then contact a proctologist for the treatment of hemorrhoids.
How to use Microlax
The medicine is used rectally. Before giving an enema, you need to wash your hands well and thoroughly clean the area around the anus. The seal must be broken off immediately before insertion. After removing the seal, you need to press on the tube so that the solution comes out. After this, the tip is inserted into the anus and the entire contents of the tube are squeezed out. You need to take out the enema with the walls of the tube compressed.
From the age of 3, the tip must be inserted completely. For younger children, half will be enough. One enema will be enough for a one-time dose.
The frequency of use and dosage can only be determined by a specialist, taking into account the individual characteristics of the patient.
Many people wonder about the emergence of addiction. Doctors say that you should not take the medicine for a long time. If a person has chronic constipation, then it is worth making an appointment with a doctor to undergo an examination and prescribe further treatment.
It is not recommended to take the medicine in parallel with alcoholic beverages.
Reviews about the drug are in most cases positive. In 95% of cases, the treatment takes place without any adverse reactions or discomfort. Parents note that Microlax has a much better and more effective effect on young children than other medications.
When is an enema prohibited?
A complete ban applies in two cases:
- with severe, unbearable pain in the anus;
- with heavy bleeding from the anus.
What to do about pain and bleeding?
If you have pain and bleeding, sign up for a clinic that provides patients with emergency proctological care, including without prior preparation for an appointment with a proctologist.
In most cases, it is possible to get rid of hemorrhoids and its symptoms immediately, on the day of the first treatment. We cleaned the rectum -> received first aid -> underwent diagnostics -> cured hemorrhoids. But in the absence of preliminary cleansing, this chain is broken. Diagnosis becomes impossible, which means treatment is delayed.
Without preparation, you will be given first aid for hemorrhoids: pain and/or bleeding will be eliminated. Then, as soon as the symptoms become less pronounced, you will be advised to come back with a cleansed intestine to undergo a comprehensive examination and treatment.
Analogs
To date, no drugs have been developed that could be classified as analogues of the active component. But there are analogues that are similar in the principle of influence and the list of indications for use. These products include glycerin suppositories, which can be given to adults and children from infancy. The cost of many analogues is lower.
Analogs based on the principle of action also include Glycerin and Norgalax. These drugs also have a laxative effect and are used rectally. Glycerin is also available in solution form for topical and external use.
Gel "Microlax" - a convenient alternative to an enema
Thanks to the special oil solution contained in the gel, cleansing is gentle and quick.
Already 15 minutes after the introduction of the gel into the rectum, a single bowel movement occurs. For constipation, it is recommended to cleanse twice. If the stool is regular, then in most cases one procedure is enough.
It is also convenient that with the help of a mini-enema you can prepare for an examination in almost any environment (at home, at work, etc.). In other words, in any place where there is a toilet room.
For more information about the use of Microlax microenemas, read the article on the page https://alanclinic.ru/proctologiya/podgotovka-k-proctologu/#mikroklizma_mikrolaks
Release form, composition and packaging
The solution for rectal administration is colorless, opalescent and sticky.
| 1 ml | |
| sodium citrate | 90 mg |
| Sodium lauryl sulfocetate 70% | 12.9 mg, |
| what corresponds to sodium laurylsulfocate | 9 mg |
| 70% sorbital solution | 893 mg, |
| What corresponds to sorbitol content | 625 mg |
Excipients: sorbic acid 1 mg, glycerin 125 mg, purified water to 1 ml.
5 ml - disposable microspheres (polyethylene tubes with a short or universal tip and pickled closure) (4) - cardboard packaging. 5 ml - single use microlizers (polyethylene tubes with a universal tip and break-up closure) (12) - cardboard boxes.
Approaches to the treatment of hemorrhoids
Treatment methods for hemorrhoids can be divided into two types:
1.Surgical. 2.Therapeutic.
Surgical approach to treatment
The selection of a surgical treatment method and the need for its use is determined by the doctor depending on the characteristics of each person.
Conservative approach
The conservative type of treatment includes several groups of drugs that affect the problem from different angles.
Let's highlight some of them:
- Painkillers
can be used in the form of tablets or in the form of suppositories for local effect. - Anticoagulants (blood thinners)
are used to treat circulatory problems and treat blood clots in hemorrhoids. Often in the form of ointments. - Phlebotonic drugs
are designed to support the walls of venous vessels. - Anti-inflammatory drugs (NSAIDs)
relieve swelling, inflammation, and help reduce pain. - Vasoconstrictors
in the form of ointments to reduce bleeding. - Hemostatic drugs
are used for severe bleeding. - Laxatives
may be used to soften stools and reduce discomfort when going to the toilet.
Water enema or Microlax – which is better?
There is probably no definite answer to this question - the choice always depends on the specific situation. To help you make a choice, we list the pros and cons of each of these methods.
Water enema - pros and cons of use
Advantages:
- A safe method of cleansing the intestines (if carried out carefully and following the instructions).
- Effectively cleanses feces.
- For severe constipation and large hard lumps, exposure to water is the most effective method, since medicinal microenemas may not be effective.
- Low financial costs. To carry out the procedures, you need to buy an Esmarch mug once and use it many times over many years.
Flaws:
- Giving yourself such an enema can be a difficult task, especially if you feel unwell, are very pregnant, have musculoskeletal disorders, or even just have insufficient flexibility in your body. Because of this feature, the procedure can take a long time.
- For some people, this type of procedure causes a feeling of fear or strong hostility.
- Bursting pain and other unpleasant sensations often occur.
- During defecation, the water does not come out completely; some of the liquid remains on the inner walls of the rectum. Therefore, a person constantly feels a false urge to defecate, and with each attempt to empty the contents of the intestines, liquid comes out in small portions, thereby creating certain inconveniences.
- The tip of the Esmarch mug requires disinfection after each use to avoid accidental infection through microscopic damage in the skin of the anus. And if several people in a family use one Esmarch mug, then each family member should have their own tip.
Microlax - pros and cons of use
Advantages:
- A safe product recommended even for newborn children, pregnant and lactating women, and the elderly. Of course, in the absence of allergic reactions to the substances contained in the drug.
- There are no bursting pains, since the volume of the gel for a single use is only 5 ml.
- Convenient to use. It is enough to insert the thin tip of the tube into the anus to a shallow depth, squeeze out the gel and carefully remove the tube. Then wait 15 minutes and empty your bowels as usual. If necessary, repeat the procedure using another tube.
- The gel is almost completely thrown out during defecation, so in the future there are no false urges to defecate.
- Easy to use. Almost any capable person, regardless of age, size and health status, can cleanse the intestines on their own, without outside help.
- Sold in almost any pharmacy at affordable prices.
- Each tube is equipped with a disposable tip that does not require disinfection.
Flaws:
- Allergic reactions are possible. When first used, it is recommended to check the reaction by applying a small amount of gel to the elbow area. If an allergic reaction occurs, it will appear within 5 to 30 minutes. In case of a positive allergic reaction, you must immediately take an antihistamine and discontinue further use. To select a different drug, consult an allergist or dermatologist.
- With increased sensitivity, discomfort may occur (itching, burning in the anus or inside the rectum). The discomfort goes away almost immediately after defecation.
- In rare cases, side effects such as abdominal pain and/or loose stools may occur. If these symptoms do not go away on their own within 2-3 hours, you should consult a gastroenterologist. If pain, burning or loose stools are severe, seek emergency medical help.
