Hemorrhoids are swollen veins in the anus and lower rectum that can cause discomfort such as pain, itching, and bleeding. While often temporary, these can be a source of significant irritation. Hemorrhoid creams offer a way to manage these symptoms and provide relief. This guide details how to select and apply these creams effectively.
Selecting the Appropriate Cream
Choosing the correct hemorrhoid cream involves understanding its active ingredients and their specific actions. Over-the-counter (OTC) creams contain compounds designed to address various symptoms. Hydrocortisone, a corticosteroid, reduces inflammation, redness, and itching. Witch hazel acts as an astringent, providing a soothing effect and alleviating burning and itching.
Other common ingredients include phenylephrine, a vasoconstrictor that temporarily shrinks blood vessels, reducing swelling and discomfort. Lidocaine, a local anesthetic, numbs the affected area to relieve pain and soreness. While OTC options are effective for many, stronger prescription creams with higher concentrations of hydrocortisone or lidocaine combinations are available for more severe symptoms and require a doctor’s consultation.
Applying Hemorrhoid Cream Effectively
Proper application of hemorrhoid cream maximizes its benefits and ensures hygiene. Before applying any cream, gently cleanse the affected area with mild soap and water, then pat it dry. Wash your hands thoroughly both before and after applying the cream to prevent the spread of bacteria.
For external hemorrhoids, squeeze a small, pea-sized amount of cream onto your finger. Gently apply this to the swollen area around the anus, ensuring the cream covers the affected tissue without excessive rubbing. For internal hemorrhoids, use the applicator provided with the cream. Attach the applicator to the tube and lubricate its tip with a small amount of cream for easier insertion.
Gently insert the applicator 1 to 2 inches into the rectum, being careful not to push it too far, which could cause discomfort. Slowly squeeze the tube to dispense the cream, then carefully remove the applicator. After use, clean the applicator thoroughly with soap and warm water and store it safely. It is advisable to have a bowel movement before internal application and to avoid one for one to three hours afterward to allow the cream to work.
Key Considerations and When to Seek Medical Advice
Adhering to the product’s instructions for dosage and frequency is important; OTC hemorrhoid creams are typically used up to four times daily. Most over-the-counter creams are intended for short-term use, not exceeding seven days. Prolonged use of creams containing hydrocortisone can lead to side effects like skin thinning. Mild irritation or a temporary burning sensation may occur upon application.
Consult a healthcare provider if symptoms do not improve after a week of self-treatment or if they worsen. Seek medical attention for severe pain, significant or persistent bleeding, or if you notice dark red blood or blood clots. Signs of infection, such as fever, increased swelling, pus, or discharge, warrant immediate medical evaluation. If you are pregnant, have pre-existing medical conditions, or are unsure about your diagnosis, consult a doctor.