Hemorrhoids are a common condition involving swollen veins in and around the anus and lower rectum, leading to discomfort, itching, and sometimes pain. Many individuals turn to over-the-counter creams for relief. A frequent concern is a burning sensation upon application. This experience can be unsettling, prompting questions about its normalcy.
Understanding the Sensation
A mild, temporary burning or stinging sensation after applying hemorrhoid cream can be a normal initial reaction. This sensation often occurs as active ingredients interact with irritated or inflamed tissue. It is a common, benign response, especially if the skin in the affected area is already sensitive or broken. This sensation usually subsides within a few minutes as the cream starts to provide its intended soothing or numbing effect.
Common Causes of Burning
The burning sensation from hemorrhoid creams often stems from their active ingredients and the skin’s condition. Astringents like witch hazel can cause a tingling or mild burning due to their skin-tightening properties. Some creams also contain vasoconstrictors, such as phenylephrine, which narrow blood vessels to reduce swelling and discomfort; this action might be perceived as a sensation. Additionally, topical anesthetics like pramoxine or lidocaine, included to numb pain and itching, can sometimes cause an initial stinging before their pain-relieving effects take hold. Pre-existing irritation or inflammation of the hemorrhoidal tissue also contributes to heightened sensitivity, making any new application potentially feel like a burn.
When to Seek Medical Advice
While a mild, fleeting burning sensation can be expected, certain symptoms indicate the burning is not normal and requires medical attention. Consult a doctor if the burning is severe, persistent, or worsens rather than subsiding. Other concerning signs include a rash, increased itching, significant swelling, or any new or worsening bleeding.
The presence of pus, fever, or signs of an allergic reaction such as hives, severe dizziness, or trouble breathing also warrant immediate medical evaluation. It is important to seek medical advice if symptoms do not improve within seven days of self-treatment or if they worsen, as this could indicate a more serious underlying condition or an adverse reaction to the cream. Rectal bleeding should always be checked by a healthcare provider to rule out other potential causes.
Tips for Relief and Prevention
For mild burning sensations, several practical steps can help provide comfort and improve cream effectiveness. First, ensure the affected area is clean before application; gently wash with mild soap and warm water, then pat dry. Apply a thin layer of the cream, using a finger or the provided applicator, being careful not to rub vigorously. If a specific cream consistently causes discomfort, consider trying different formulations or brands, as some may be better tolerated.
Soothing measures like warm sitz baths can alleviate irritation and promote healing by increasing blood flow to the area. These shallow baths, typically taken for 10 to 20 minutes, can be done several times a day in a bathtub or a special sitz bath basin that fits over a toilet. Cold compresses can also provide temporary relief from burning and discomfort.
Always follow product instructions carefully regarding application frequency and duration, as overuse can sometimes lead to increased irritation. If you have persistent concerns, consulting a pharmacist can provide guidance on suitable options.