Hemorrhoid cream is a topical medication that alleviates symptoms of hemorrhoids, which are swollen veins in the anus and lower rectum. These creams reduce itching, pain, and swelling, offering temporary relief for both external and internal hemorrhoidal tissues. The formulations often contain active ingredients such as local anesthetics like pramoxine, vasoconstrictors like phenylephrine, or corticosteroids like hydrocortisone.
Proper Application Techniques
Applying hemorrhoid cream begins with proper preparation. Before each application, it is advisable to gently clean the anal region with mild soap and water, then rinse thoroughly and pat dry. This helps the cream absorb effectively. Washing hands thoroughly with warm water and soap before and after application is also important to prevent the spread of bacteria.
For external hemorrhoids, a small, pea-sized amount of cream can be squeezed onto a finger or a sterile gauze pad. Gently massage this into the external hemorrhoidal tissue. For internal hemorrhoids, many products come with a rounded-tip applicator. Lubricating the applicator tip with petroleum jelly or a small amount of cream facilitates smoother insertion into the rectum, typically 1 to 2 inches deep.
Once the applicator is inserted, a gentle squeeze of the tube will release the cream into the rectum. Avoid excessive force, as only a small amount is needed. After application, the applicator should be removed and washed with soap and warm water, and hands should be washed again. To maximize effectiveness, it is often recommended to avoid a bowel movement for at least two to three hours after internal application.
Recommended Application Frequency
The frequency of hemorrhoid cream application varies depending on the specific product and its active ingredients. Many over-the-counter creams recommend application up to three or four times daily. Common guidelines suggest applying the cream in the morning, before bed, and after each bowel movement. This schedule helps soothe irritation and pain, especially after bowel movements, and allows the cream to work overnight.
Products containing hydrocortisone, a corticosteroid, are recommended for application up to three to four times daily after cleansing. It is important to adhere strictly to the instructions provided on the product label, as exceeding the recommended dosage or frequency can lead to adverse effects. Different active ingredients, like phenylephrine or witch hazel, may have varied instructions. Always consult the product’s directions for optimal use.
Duration of Use and Seeking Medical Advice
Hemorrhoid creams are for short-term symptom relief. Most over-the-counter products, especially those containing corticosteroids like hydrocortisone, recommend use for no more than seven days. Prolonged hydrocortisone use can lead to skin thinning and other side effects. If symptoms persist beyond one week, worsen, or recur frequently, discontinue use and consult a healthcare professional.
Contact a doctor if new symptoms like bleeding, severe pain, or increased swelling occur. These could indicate a more serious condition requiring different treatment. Also, if symptoms don’t improve after about a week of directed use, or if allergic reactions or side effects develop, seek medical advice.