Hemorrhoid Treatments & Medications

Hemorrhoid Treatments and Medications

medically reviewed by Lindsey Hudson, APRN, NP-C Hemorrhoids are common in both men and women, and about half of all people will experience hemorrhoids by the historic period of 50. For those experiencing hemorrhoids, there are batch of at-home treatments and medications available to help reduce the pain and get rid of the annoyance they can cause. besides referred to as piles, hemorrhoids are swell veins that occur inside and around the anus and rectum. many people are not aware of hemorrhoids until they bleed, become uncomfortable, or start causing pain.

While hemorrhoids are one of the most common ailments, seeking professional checkup aid for the problem is nowhere near as coarse, which is why we ’ rhenium here to help. For those diffident about how to treat hemorrhoids, let ’ s take a look at the causes and what can be done to treat the problem .

What are hemorrhoids?

Hemorrhoids are a gastrointestinal disease that is generally suffered by adults between the ages of 45 to 65. however, younger people can still get them, particularly if they experience bouts of diarrhea or constipation. Hemorrhoids can be caused by increased imperativeness on the abdomen resulting from prolonged try, sitting, coughing, stultification, or pregnancy. There are two kinds of hemorrhoids—internal hemorrhoids and external hemorrhoids .

  • Internal hemorrhoids: These are typically less painful, even when they produce bleeding. However, internal hemorrhoids may also start to extend beyond the anus, causing several potential problems. When a hemorrhoid protrudes, it can collect small amounts of mucus and tiny stool particles that may cause an irritation called pruritus ani. Wiping constantly to try to relieve the itching can worsen the problem.
  • External hemorrhoids: Considered the most uncomfortable because the overlying skin around the anus, which contains many pain-sensing nerves, becomes irritated and erodes. If a blood clot forms inside an external hemorrhoid the pain can be sudden and severe. You might feel or see a lump around the anus. The clot usually dissolves, leaving excess skin that can itch and become irritated.

When hemorrhoids cause pain it can be quite debilitating. so when it reaches that point where they become troublesome, aesculapian intervention is recommended .

How are hemorrhoids diagnosed?

Hemorrhoids can develop for no apparent argue, but much they are associated with chronic constipation or diarrhea, straining during intestine movements, and prolonged sitting. deoxyadenosine monophosphate uncomfortable as it may be to speak about, it ’ sulfur important to talk to a healthcare supplier and be loose about your symptoms. If you suspect you have hemorrhoids, a dependable topographic point to start is with your primary care provider. Your doctor will be able to conduct an examination and mention you to a specialist if necessary. broadly, a specialist such as a gastroenterologist or a proctologist will alone be recommended if there is concern about complications. A physical interrogation of the anus normally confirms a diagnosis of external hemorrhoids as they are easily visualized. This physical will likely include a digital interrogation of the lower rectum, which can confirm the structure of muscles and often locate any polyps and/or tumors. An anoscopy is another type of physical examination. It employs an endoscopic device with a light to examine the inside wall of the anal canal and the very lowest contribution of the rectum. In other words, a humble, fixed musical instrument called an anoscope, or anal speculum is inserted a few inches into the anus. Intimidating as it may sound, an anoscopy is considered painless, although you may feel some pressure. In some cases, a more complete examination of the large intestine may be suggested, in which encase a colonoscopy and/or flexible sigmoidoscopy can be utilized. Barium enema, which employ a contrast solution that is instilled into the rectum for x-ray visualize, may besides be an choice after the initial reference. Some questions your healthcare provider may ask during your date admit :

  • When did your symptoms start?
  • Have you experienced this before?
  • Does anything seem to trigger your discomfort?
  • Are you taking any medication?

You may also want to ask your healthcare provider some questions, such as:

  • Do I have hemorrhoids?
  • What are my treatment options?
  • Do you need to run any tests?
  • Will there be a physical examination?
  • How long will it take to heal?
  • What caused the hemorrhoids?

You may besides want to ask your healthcare supplier some questions, such as : We understand that this is a subject many people feel uncomfortable hash out, but we encourage you to find healthcare providers you trust and can speak openly with. They ’ ra professionals, and the more information you give, the better they ’ ll be able to help and evaluate the right discussion option for you .

Hemorrhoid treatment options

If you ’ ve been diagnosed with hemorrhoids, the good news is that there are enough of treatment options available. These include home remedies, like nonprescription ( OTC ) medicines, sitz baths, and dietary changes, but can besides extend to prescription medication or even surgery in some circumstances. Remember, hemorrhoids are treatable, and there are ways to prevent the uncomfortable condition from flaring up again. Some ways to avoid piles in the future are to avoid straining during intestine movements, eat a high character diet—plenty of fruit, vegetables, and solid grains—and staying well hydrated. even exercise, going to the toilet a soon as you feel the urge, and not sitting for extended periods can besides help prevent another outburst .

Over-the-counter medicines

Most meek cases of hemorrhoids can be treated with topical creams, gels, ointments, and wipes available OTC at your local pharmacy. The most popular OTC medications tend to contain a vasoconstrictor, used to tighten blood vessels and shrink clamber tissue, which helps reduce the size of the hemorrhoid, thus alleviating blackmail and trouble. These medications besides tend to include hide protectants and sometimes even topical annoyance relievers, such as lidocaine. There are besides some OTC hemorrhoid medications that contain hydrocortisone, a steroid, which helps reduce inflammation, thus reducing pressure and pain .

Prescription medications

If the condition is more austere, your healthcare supplier may prescribe a stronger medication, often a combination topical readiness of hydrocortisone and pramoxine. These medicines work by reducing the size of the throng, vitamin a well as numbing the area to reduce discomfort.


For big home hemorrhoids or extremely uncomfortable external hemorrhoids, your healthcare supplier may refer you to a surgical specialist who may want to do a traditional hemorrhoidectomy to remove them, or newer techniques using staples or a Doppler detector to identify and cut off the blood add. medical treatments are effective, but unless you change your diet and life style, hemorrhoids may come back .

Other nonsurgical options

When inner hemorrhoids continue to cause symptoms despite home treatment, your healthcare provider may recommend an office-based nonsurgical operation. here are the most common options :

  • Rubber band ligation: This is the most widely used procedure for treating internal hemorrhoids. A small elastic band is inserted into the anal canal and then placed around the base of a hemorrhoid. The band cuts off the hemorrhoid’s circulation, which causes the hemorrhoid to wither and fall off within a couple of weeks. The rubber band eventually falls off unnoticed. The procedure requires no anesthesia, although a numbing agent is sometimes used if you feel discomfort.
  • Sclerotherapy: Sclerotherapy is a treatment that involves the injection of a chemical solution into blood vessels. This solution causes a local reaction that interferes with blood flow inside the hemorrhoid, causing it to shrink.
  • Coagulation therapy: This treatment uses heat, laser, or electric current to cut off the hemorrhoid’s blood supply. Once the hemorrhoid shrinks and dies, scar tissue forms on the anal canal wall to hold nearby veins in place so they don’t bulge into the anal canal. One hemorrhoid is treated at a time, with a 10- to 14-day period between treatments.

Hemorrhoid medications

After visiting your healthcare supplier, they may suggest you try either an OTC medicate or order you something to help. The majority of medicines available to treat hemorrhoids are creams, ointments, or suppositories. These medicines are largely designed to reduce the itch that comes with hemorrhoids and shrink the blown-up weave .


These topical creams, ointments, pads, and suppositories are used for mild cases, temporarily relieving pain and itch. They normally contain ingredients such as enchantress hazel, phenylephrine, lidocaine, or hydrocortisone. Brand name include Anusol, T.N. Dickinson ‘s Witch Hazel Cleansing Pads, Tucks Pads, and Preparation H. Do not use OTC hydrocortisone cream for more than a week, as it can cause thin of the tissue. You may besides try annoyance relievers such as acetaminophen and ibuprofen to ease the discomfort while the hemorrhoid heals .

Prescription medications

Although smaller hemorrhoids much go away on their own, sometimes your doctor will need to prescribe something stronger. They may treat you with prescription-strength hydrocortisone and pramoxine topical preparations. hydrocortisone is a steroid hormone that helps to reduce the size and well up of a hemorrhoid, while pramoxine is a numbing agent. Brand name include Analpram, Pramasone, and Mezparox, with generic options besides available .

What is the best hemorrhoid medication?

With so many medications available to treat hemorrhoids, you may be wondering which choice is the best. Like most prescriptions, that can only be determined by your healthcare supplier on a case by font basis. The best choice will depend on your aesculapian history, the severity of your hemorrhoids, and if you ’ re taking any other medications that may negatively interact with hemorrhoid medication. To make things easier to understand, we ’ ve broken down some of the different prescription medications available to treat hemorrhoids :
Best medications for hemorrhoids
Drug name (generic)
Drug class
Administration route
Standard dosage
Side effects
Analpram (hydrocortisone ace-pramoxine)
Rectal corticosteroid
Topical cream
30 gm of 2.5%
Thinning of skin, local skin irritation

Rectal corticosteroid
Topical cream
28.4 gm of 2.5%
Allergic reactions including itching, hives, or swelling of the lips; thinning of the skin

Mezparox HC
Rectal corticosteroid
Topical cream
28.4 gm of 2.5%
Blistering, burning, dryness, thinning of the skin

Proctosol HC
Rectal corticosteroid
Topical cream
30 gm of 2.5%
Shortness of breath, stomach pain, rectal bleeding, headaches

dose is determined by your repair based on your checkup condition, reply to discussion, age, and slant. other possible side effects exist. This is not a complete list. again, the best option available for you will be determined by having an open conversation with your healthcare providers. They ’ ll take all the variables into account, such as your symptoms, life style, medical history, and if you ’ re taking any early medications that may interact with discussion .

What are common side effects of hemorrhoid medicine?

hemorrhoid medications are broadly considered dependable drugs, however, as with all medications, there is the likely for side effects. If you decide to use a discussion that contains steroids, it is not advised to continue its manipulation for more than one week as it can lead to skin wrong. here are some slope effects to look out for when using hemorrhoid medications, including creams and gels :

  • Skin irritation at the site of application
  • Rectal bleeding
  • Severe irritation inside or around the rectum
  • Allergic reaction, including rash, hives, or swelling of the lips
  • Increased blood pressure
  • Headache, dizziness, and nausea

Although slope effects with these medications are rare, and this is not a comprehensive list, please speak to your healthcare supplier immediately if you notice any signs of a negative reaction .

What are the best home remedies for hemorrhoids?

If you ’ vitamin d prefer to avoid medication, or you ’ d like to complement your treatment with at-home remedies, here are some ways you can alleviate your hemorrhoids at home plate :

  • Sitz baths: A regular sitz bath can relieve itching and irritation. Fill a tub with three to four inches of warm (not hot) water and sit in it with your knees bent for about 10 to 15 minutes. Gently pat (don’t rub!) yourself dry with a towel afterwards. For an extra soothing effect, try adding Epsom salts to the bath.
  • Fiber supplements: These reduce hemorrhoid bleeding, inflammation, and enlargement by drawing water into your stool to make it easier to pass. A psyllium husk fiber supplement, such as Metamucil or a generic equivalent, is a good choice, although psyllium may cause gas or bloating. In that case, try a supplement containing wheat dextrin (Benefiber) or methylcellulose (Citrucel).
  • Cold compress: Applying ice packs to the anus for 10-15 minutes can help reduce swelling and reduce discomfort. To avoid ice burns always place ice in a cloth or paper towel, and never apply it directly to the skin.
  • Aloe vera: Aloe vera has been used in many cultures for centuries to treat hemorrhoids due to its believed anti-inflammatory properties. Given the sensitivity of the area, only use pure aloe vera to treat hemorrhoids, and perform a patch test 24-48 hours on your inner wrist prior to application to check there is no allergic reaction.

Frequently asked questions about hemorrhoids

What can you put on hemorrhoids to shrink them?

many people successfully process hemorrhoids by applying either witch hazelnut or nonprescription and prescription creams/ointments. These medicines are specifically targeted at hemorrhoids, and much contain hydrocortisone to reduce swelling .

Do hemorrhoids go away?

belittled hemorrhoids frequently clear up within a few days. however larger hemorrhoids or smaller ones that persist for more than a week may require the attention of a doctor and treatment.

How can I treat piles at home?

There are a number of ways to treat piles at home, including OTC medications, warm baths, applying witch hazelnut to the affect area, taking stool softeners, and eating a high fiber diet .

What do hemorrhoids look like?

The appearance of hemorrhoids can vary, and sometimes they can not be seen without an internal examination. broadly, thrombosed hemorrhoids stick out from the anus as a blue blue ball. The color is due to a rake clog inside a blood vessel. Non-thrombosed piles, however, lack this color and look more like a cartilaginous lout at the anal verge .

Can I pop a hemorrhoid?

Although a hemorrhoid may feel like a firm pimple, it is not recommended that you pop it to release blood and reduce its size. It ’ mho very easy to damage the delicate tissue of the anus. Given the area is exposed to high amounts of bacteria thanks to bowel movements, popping a hemorrhoid would cause an open weave extremely vulnerable to infection .

Related resources for hemorrhoids

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