Hemorrhoid creams offer relief from the discomfort, itching, and swelling associated with hemorrhoids. These over-the-counter products often contain active ingredients like phenylephrine, which temporarily shrinks blood vessels, or pramoxine, a local anesthetic that reduces pain and itching. Using these creams correctly is important for maximizing their soothing effects and ensuring proper hygiene for both internal and external application.
Essential Preparation Steps
Proper preparation is necessary to maintain cleanliness and ensure comfort before starting the application process. Begin by thoroughly washing your hands with soap and warm water for at least twenty seconds to prevent the introduction of bacteria.
It is helpful to empty your bowels and bladder before application, as most creams require you to avoid a bowel movement for one to three hours afterward to allow the medication to work effectively.
The affected area should be gently cleaned using mild soap and water, a medicated wipe, or a sitz bath, then patted dry with a soft towel or gauze. Avoid using rough toilet paper, which can irritate the inflamed tissue, and always read the specific product label and instructions carefully for warnings or dosage recommendations.
Detailed Guide to Internal Insertion
Internal hemorrhoids require the use of a specialized applicator tip, which is typically provided with the cream tube. Ensure the applicator is securely attached and lubricate the rounded tip by squeezing a small amount of cream onto your finger. Find a comfortable position for insertion, such as lying on your side with one leg slightly bent, or standing with one foot elevated on a stool. Gently insert the lubricated applicator into the anal canal, pushing it about one to two inches past the sphincter muscle to reach the internal hemorrhoids.
Once the applicator is in place, squeeze the tube slowly and gently to dispense a pea-sized amount of cream into the rectum. Avoid squeezing too hard, as excessive cream may lead to messiness. Remove the applicator slowly and carefully after dispensing the appropriate amount.
External Use and Post-Application Hygiene
For external hemorrhoids, the cream is applied directly to the swollen tissue without using an applicator. Squeeze a small, pea-sized amount of cream onto a clean finger or sterile gauze. Gently rub the medication into the affected area around the anus, ensuring the cream covers the external hemorrhoidal tissue.
After application, immediate cleanup is necessary for hygiene. If an applicator was used, detach it and wash it completely with warm water and mild soap, rinsing well before storing. Wash your hands again with soap and water to remove any residual medication, and ensure the cream tube is capped tightly and stored as directed.