A burning sensation can sometimes occur when applying hemorrhoid cream, and this is a common concern. This article explores why this sensation happens, when it is considered a normal reaction, and when it might signal a more serious issue requiring attention. It also provides practical advice on minimizing discomfort during application.
Understanding Initial Sensations
A mild, temporary burning or stinging sensation can be a normal reaction to hemorrhoid cream. This often happens because ingredients interact with the sensitive, inflamed tissue around the anal area. For example, local anesthetics like pramoxine work by temporarily blocking nerve signals that cause pain, and this action can sometimes be felt as a transient burning or stinging. Phenylephrine, a vasoconstrictor, temporarily narrows blood vessels to reduce swelling, and this process can also contribute to a sensation of burning or stinging.
Witch hazel, an astringent found in many hemorrhoid products, contains compounds that can reduce inflammation and may cause a cooling or mild stinging sensation upon application. Similarly, hydrocortisone, a corticosteroid used to decrease swelling and itching, might also cause a brief burning feeling, especially on already irritated skin. This initial discomfort usually subsides within a few minutes, indicating that the active ingredients are beginning to work on the affected area.
When Burning Indicates a Problem
A burning sensation that is severe, intense, persistent, or worsens over time may indicate a problem. This type of reaction is not typical and warrants concern. Accompanying symptoms that suggest a problematic reaction include increased pain, severe itching, rash, significant swelling, redness, bleeding, or pus. If hemorrhoid symptoms do not improve or new, severe symptoms appear, it is important to seek medical advice.
Potential reasons for a concerning burning sensation include an allergic reaction to the cream’s ingredients, an infection, or irritation from incorrect product use. Steroids like hydrocortisone, if used longer than recommended, can weaken delicate tissue, potentially leading to increased irritation. If symptoms worsen or do not improve within seven days of using the cream, or if bleeding occurs, consulting a healthcare provider is advised.
Minimizing Discomfort During Application
Several strategies can help minimize discomfort, including burning, when applying hemorrhoid cream. Gently cleanse the affected area with mild soap and warm water, then pat it dry with a soft cloth or tissue. Apply a small, pea-sized amount of cream to your finger and gently massage it into external hemorrhoids. For internal application, lubricate the applicator tip and gently insert it 1 to 2 inches to avoid additional pain.
If a mild burning sensation occurs immediately after application, a cool compress or a warm sitz bath can provide immediate relief. Consider trying creams with different active ingredients if one product consistently causes irritation. Products with protective ingredients like petrolatum or mineral oil can form a barrier, reducing irritation. Maintaining good anal hygiene and avoiding harsh soaps can also prevent irritation and discomfort.