Page last updated: 2024-10-31

metronidazole and Hemorrhoids

metronidazole has been researched along with Hemorrhoids in 24 studies

Metronidazole: A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS.
metronidazole : A member of the class of imidazoles substituted at C-1, -2 and -5 with 2-hydroxyethyl, nitro and methyl groups respectively. It has activity against anaerobic bacteria and protozoa, and has a radiosensitising effect on hypoxic tumour cells. It may be given by mouth in tablets, or as the benzoate in an oral suspension. The hydrochloride salt can be used in intravenous infusions. Metronidazole is a prodrug and is selective for anaerobic bacteria due to their ability to intracellularly reduce the nitro group of metronidazole to give nitroso-containing intermediates. These can covalently bind to DNA, disrupting its helical structure, inducing DNA strand breaks and inhibiting bacterial nucleic acid synthesis, ultimately resulting in bacterial cell death.

Hemorrhoids: Swollen veins in the lower part of the RECTUM or ANUS. Hemorrhoids can be inside the anus (internal), under the skin around the anus (external), or protruding from inside to outside of the anus. People with hemorrhoids may or may not exhibit symptoms which include bleeding, itching, and pain.

Research Excerpts

ExcerptRelevanceReference
" He had been receiving methotrexate (MTX) since boyhood for severe psoriasis."7.75[Prolonged fever and monocytosis after hemorrhoidectomy and treatment with methotrexate--listeriosis with cerebral abscess]. ( Krämer, S; Maarouf, M; Müller-Lung, U, 2009)
"To compare the effect of metronidazole on post conventional hemorrhoidectomy pain in patients with third and fourth degree hemorrhoids."5.12Post hemorrhoidectomy pain. A randomized controlled trial. ( Al-Masuod, N; Al-Mulhim, AS; Ali, AM; Alwahidi, A, 2006)
" He had been receiving methotrexate (MTX) since boyhood for severe psoriasis."3.75[Prolonged fever and monocytosis after hemorrhoidectomy and treatment with methotrexate--listeriosis with cerebral abscess]. ( Krämer, S; Maarouf, M; Müller-Lung, U, 2009)
"Of 1,184 patients who completed the follow-up protocol, 88 patients (male: female = 31:57) who had received metronidazole could be matched by gender, age, NSAIDs used, number of hemorrhoids resected and operation in the same period with 88 patients (male:female = 31:57) who had not."3.74Antibiotics and early post operative complications of closed hemorrhoidectomy: a retrospective matched pair study. ( Pattana-arun, J; Wesarachawit, W, 2007)
"Metronidazole has been shown to decrease postoperative pain but is not used widely."2.80Efficacy of metronidazole versus placebo in pain control after hemorrhoidectomy. Results of a controlled clinical trial. ( Chávez-Tostado, M; Cortés-Lares, JA; Cuesta-Márquez, LA; Fuentes Orozco, C; García-Rentería, J; González-Ojeda, A; Guerrero-Tarín, JE; Palomares-Chacón, UR; Rendón-Félix, J; Salazar-Parra, M; Solorio-López, S, 2015)
"Oral metronidazole has been previously demonstrated to decrease postoperative pain after open diathermy hemorrhoidectomy."2.71Topical metronidazole (10 percent) decreases posthemorrhoidectomy pain and improves healing. ( Armstrong, D; Nicholson, TJ, 2004)
"Metronidazole has been shown to reduce pain after open hemorrhoidectomy."2.70A randomized, double-blind trial of the effect of metronidazole on pain after closed hemorrhoidectomy. ( Balfour, L; Botterill, ID; Burke, DA; Finan, PJ; Sagar, PM; Stojkovic, SG, 2002)
"Metronidazole is a cheap, safe and effective intervention for reducing postoperative pain following conventional haemorrhoidectomy."2.55Systematic review and meta-analysis of the role of metronidazole in post-haemorrhoidectomy pain relief. ( Charters, P; Cornille, JB; Daniels, IR; Lyons, NJR; Pathak, S; Smart, NJ, 2017)
"Metronidazole use was associated with a significantly shorter time to return to normal activities (standardized mean difference, -0."2.55Systemic Metronidazole May Not Reduce Posthemorrhoidectomy Pain: A Meta-Analysis of Randomized Controlled Trials. ( Coughlin, S; Emmerton-Coughlin, HM; Foley, N; Vinden, C; Wanis, KN, 2017)
"Among these, a minimal anastomotic leakage may lead to gas spreading into surrounding soft tissues."1.43Pneumoretroperitoneum and pneumomediastinum after Stapled Anopexy Is conservative treatment possible? ( Frassani, S; Gabrielli, F; Guttadauro, A; Macchini, D; Maternini, M, 2016)
"Day-case rate, postoperative pain (measured by a visual analogic scale, 1-10), admissions, re-admissions, early postoperative situation and recurrence were evaluated in the study."1.38Day case stapled anopexy for the treatment of haemorrhoids and rectal mucosal prolapse. ( Carbonell Roure, J; Estrada Ferrer, O; García Torralbo, E; Heredia Budó, A; Hidalgo Grau, LA; Llorca Cardeñosa, S; Suñol Sala, X, 2012)

Research

Studies (24)

TimeframeStudies, this research(%)All Research%
pre-19904 (16.67)18.7374
1990's1 (4.17)18.2507
2000's9 (37.50)29.6817
2010's7 (29.17)24.3611
2020's3 (12.50)2.80

Authors

AuthorsStudies
Wilkie, BD1
Chandra, R1
Chua, J1
Lam, DCS1
Paratz, ED1
An, V1
Keck, JO1
Gao, H1
Cheng, X1
Liu, R1
Wang, X1
Wang, W1
Gong, F1
Pan, R1
Hu, J1
Rabelo, FEF1
Lacerda-Filho, A1
Mansur, ES1
de Oliveira, FH1
de Queiroz, FL1
França-Neto, PR1
Misson, N1
Lyons, NJR1
Cornille, JB1
Pathak, S1
Charters, P1
Daniels, IR1
Smart, NJ1
Li, HZ1
Cheng, YS1
Liu, XF1
Zhu, XN1
Khan, KI1
Akmal, M1
Waqas, A1
Mahmood, S1
Solorio-López, S1
Palomares-Chacón, UR1
Guerrero-Tarín, JE1
González-Ojeda, A1
Cortés-Lares, JA1
Rendón-Félix, J1
García-Rentería, J1
Chávez-Tostado, M1
Cuesta-Márquez, LA1
Salazar-Parra, M1
Fuentes Orozco, C1
Macchini, D1
Guttadauro, A1
Frassani, S1
Maternini, M1
Gabrielli, F1
Wanis, KN1
Emmerton-Coughlin, HM1
Coughlin, S1
Foley, N1
Vinden, C1
Krämer, S1
Maarouf, M1
Müller-Lung, U1
Hidalgo Grau, LA1
Heredia Budó, A1
Llorca Cardeñosa, S1
Carbonell Roure, J1
Estrada Ferrer, O1
García Torralbo, E1
Suñol Sala, X1
Balfour, L1
Stojkovic, SG1
Botterill, ID1
Burke, DA1
Finan, PJ1
Sagar, PM1
La Torre, F1
Nicolai, AP1
Nicholson, TJ1
Armstrong, D1
Al-Mulhim, AS1
Ali, AM1
Al-Masuod, N1
Alwahidi, A1
Uraiqat, A1
Wesarachawit, W1
Pattana-arun, J1
Ala, S1
Saeedi, M1
Eshghi, F1
Mirzabeygi, P1
Carapeti, EA1
Kamm, MA1
McDonald, PJ1
Phillips, RK1
Maw, A1
Eu, KW1
Seow-Choen, F1
Ribbans, WJ1
Radcliffe, AG1
Sweeney, JL1
Hewett, P1
Riddell, P1
Hoffmann, DC1
Luger, A1
Biswas, P1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Randomised, Double-blind, Placebo-controlled, Parallel-group, Multicentre, Interventional Clinical Trial to Assess the Efficacy and Safety of the Food Supplement Microsmin® Plus in the Symptomatic Treatment of Haemorrhoids[NCT05750563]80 participants (Anticipated)Interventional2023-02-28Not yet recruiting
Randomised, Double-blind, Placebo-controlled Trial Evaluating the Effects of Metronidazole Ointment in Facilitating Resolution of Non-healing Pilonidal Sinus Wounds.[NCT04273997]Phase 280 participants (Anticipated)Interventional2021-10-01Not yet recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Reviews

2 reviews available for metronidazole and Hemorrhoids

ArticleYear
Systematic review and meta-analysis of the role of metronidazole in post-haemorrhoidectomy pain relief.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2017, Volume: 19, Issue:9

    Topics: Adult; Aged; Analgesics; Female; Hemorrhoidectomy; Hemorrhoids; Humans; Male; Metronidazole; Middle

2017
Systemic Metronidazole May Not Reduce Posthemorrhoidectomy Pain: A Meta-Analysis of Randomized Controlled Trials.
    Diseases of the colon and rectum, 2017, Volume: 60, Issue:4

    Topics: Administration, Oral; Analgesics; Anti-Infective Agents; Hemorrhoidectomy; Hemorrhoids; Humans; Metr

2017

Trials

10 trials available for metronidazole and Hemorrhoids

ArticleYear
Efficacy of postoperative oral metronidazole for haemorrhoidectomy pain: a randomized double-blind, placebo-controlled trial.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2021, Volume: 23, Issue:1

    Topics: Double-Blind Method; Hemorrhoidectomy; Hemorrhoids; Humans; Metronidazole; Pain, Postoperative; Qual

2021
Benefits of flavonoid and metronidazole use after excisional hemorrhoidectomy: a randomized double-blind clinical trial.
    Techniques in coloproctology, 2021, Volume: 25, Issue:8

    Topics: Double-Blind Method; Flavonoids; Hemorrhoidectomy; Hemorrhoids; Humans; Metronidazole; Pain Measurem

2021
Role of prophylactic antibiotics in Milligan Morgan hemorrhoidectomy - a randomized control trial.
    International journal of surgery (London, England), 2014, Volume: 12, Issue:8

    Topics: Adult; Analgesics; Anti-Bacterial Agents; Antibiotic Prophylaxis; Ceftriaxone; Female; Hemorrhoidect

2014
Efficacy of metronidazole versus placebo in pain control after hemorrhoidectomy. Results of a controlled clinical trial.
    Revista espanola de enfermedades digestivas, 2015, Volume: 107, Issue:11

    Topics: Adult; Aged; Female; Hemorrhoidectomy; Hemorrhoids; Humans; Male; Metronidazole; Middle Aged; Pain M

2015
A randomized, double-blind trial of the effect of metronidazole on pain after closed hemorrhoidectomy.
    Diseases of the colon and rectum, 2002, Volume: 45, Issue:9

    Topics: Analgesics; Double-Blind Method; Female; Hemorrhoids; Humans; Male; Metronidazole; Middle Aged; Pain

2002
Clinical use of micronized purified flavonoid fraction for treatment of symptoms after hemorrhoidectomy: results of a randomized, controlled, clinical trial.
    Diseases of the colon and rectum, 2004, Volume: 47, Issue:5

    Topics: Adult; Aged; Anti-Infective Agents; Anti-Inflammatory Agents, Non-Steroidal; Drug Therapy, Combinati

2004
Topical metronidazole (10 percent) decreases posthemorrhoidectomy pain and improves healing.
    Diseases of the colon and rectum, 2004, Volume: 47, Issue:5

    Topics: Administration, Topical; Adult; Analgesics; Hemorrhoids; Humans; Metronidazole; Middle Aged; Pain Me

2004
Post hemorrhoidectomy pain. A randomized controlled trial.
    Saudi medical journal, 2006, Volume: 27, Issue:10

    Topics: Adult; Anti-Infective Agents; Antibiotic Prophylaxis; Female; Hemorrhoids; Humans; Male; Metronidazo

2006
Topical metronidazole can reduce pain after surgery and pain on defecation in postoperative hemorrhoidectomy.
    Diseases of the colon and rectum, 2008, Volume: 51, Issue:2

    Topics: Administration, Topical; Adult; Anti-Infective Agents; Defecation; Digestive System Surgical Procedu

2008
Double-blind randomised controlled trial of effect of metronidazole on pain after day-case haemorrhoidectomy.
    Lancet (London, England), 1998, Jan-17, Volume: 351, Issue:9097

    Topics: Ambulatory Surgical Procedures; Analgesics; Double-Blind Method; Female; Hemorrhoids; Humans; Male;

1998

Other Studies

12 other studies available for metronidazole and Hemorrhoids

ArticleYear
Clinical study of herbal mixture "Diding Oral Medicine" as an alternative to preventative antibiotics in perioperative hemorrhoids: A CARE-compliant article.
    Medicine, 2021, May-07, Volume: 100, Issue:18

    Topics: Administration, Oral; Adult; Anti-Bacterial Agents; Antibiotic Prophylaxis; Cefazolin; Drugs, Chines

2021
Metronidazole for Posthemorrhoidectomy Pain: Does No Statistical Significance Mean Insignificant Effect on Pain Relief?
    Diseases of the colon and rectum, 2017, Volume: 60, Issue:9

    Topics: Hemorrhoids; Humans; Metronidazole; Pain; Pain Management; Pain Measurement; Pain, Postoperative

2017
Pneumoretroperitoneum and pneumomediastinum after Stapled Anopexy Is conservative treatment possible?
    Annali italiani di chirurgia, 2016, Volume: 87

    Topics: Anastomotic Leak; Anti-Bacterial Agents; Combined Modality Therapy; Conservative Treatment; Hemorrho

2016
[Prolonged fever and monocytosis after hemorrhoidectomy and treatment with methotrexate--listeriosis with cerebral abscess].
    Deutsche medizinische Wochenschrift (1946), 2009, Volume: 134, Issue:23

    Topics: Anti-Infective Agents; Biopsy, Needle; Brain; Brain Abscess; Diagnosis, Differential; Drug Therapy,

2009
Day case stapled anopexy for the treatment of haemorrhoids and rectal mucosal prolapse.
    Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland, 2012, Volume: 14, Issue:6

    Topics: Adult; Aged; Aged, 80 and over; Ambulatory Care; Anti-Bacterial Agents; Anti-Infective Agents; Antib

2012
Post hemorrhoidectomy pain. A randomized controlled trial.
    Saudi medical journal, 2007, Volume: 28, Issue:5

    Topics: Hemorrhoids; Humans; Length of Stay; Metronidazole; Pain, Postoperative; Randomized Controlled Trial

2007
Antibiotics and early post operative complications of closed hemorrhoidectomy: a retrospective matched pair study.
    Journal of the Medical Association of Thailand = Chotmaihet thangphaet, 2007, Volume: 90, Issue:9

    Topics: Adult; Aged; Aged, 80 and over; Anti-Bacterial Agents; Anti-Infective Agents; Antibiotic Prophylaxis

2007
Retroperitoneal sepsis complicating stapled hemorrhoidectomy: report of a case and review of the literature.
    Diseases of the colon and rectum, 2002, Volume: 45, Issue:6

    Topics: Adult; Anti-Infective Agents; Cefuroxime; Cephalosporins; Hemorrhoids; Humans; Male; Metronidazole;

2002
Retroperitoneal abscess following sclerotherapy for hemorrhoids.
    Diseases of the colon and rectum, 1985, Volume: 28, Issue:3

    Topics: Abscess; Adult; Erythromycin; Gentamicins; Hemorrhoids; Humans; Intestinal Perforation; Male; Metron

1985
Rectal gangrene: a complication of phosphate enema.
    The Medical journal of Australia, 1986, Mar-31, Volume: 144, Issue:7

    Topics: Aged; Constipation; Debridement; Drug Therapy, Combination; Enema; Female; Gangrene; Gentamicins; He

1986
[Syphilis diagnosis in the age of antibiotics].
    Wiener klinische Wochenschrift, 1971, Apr-09, Volume: 83, Issue:14

    Topics: Adult; Aged; Alopecia; Anti-Bacterial Agents; Balanitis; Biopsy; Child; Child, Preschool; Chloramphe

1971
Metronidazole in haemorrhoids.
    Journal of the Indian Medical Association, 1968, Oct-01, Volume: 51, Issue:7

    Topics: Female; Hemorrhoids; Humans; Male; Metronidazole

1968