Anorectal creams are topical medications applied to the perianal area to alleviate discomfort. These creams are designed for external use and aim to soothe irritated tissues.
Common Conditions Treated
Anorectal creams are frequently used to address hemorrhoids, which are swollen veins in the rectum or anus. These can be internal or external and often cause pain, itching, burning, and swelling. The creams work to reduce these symptoms, offering relief from the discomfort of hemorrhoidal flare-ups.
Anal itching, also known as pruritus ani, is another common condition treated by these creams. Additionally, anorectal creams are used for general rectal discomfort or irritation, providing a protective coating over inflamed tissues. This protective barrier helps to prevent further irritation and promotes healing of the affected skin. Anal fissures, which are small tears in the lining of the anus, can also be treated with certain anorectal creams, as they can help to reduce pain and promote healing.
How Anorectal Creams Work
Anorectal creams contain various active ingredients that work through different mechanisms to provide relief. Local anesthetics, such as lidocaine or pramoxine, numb the affected area by blocking nerve pain signals, thereby reducing pain and itching.
Vasoconstrictors like phenylephrine work by temporarily narrowing blood vessels in the affected area, which helps to decrease swelling and discomfort. Astringents, such as witch hazel, can help to shrink and tighten tissues, while protectants like zinc oxide or petrolatum form a barrier over irritated skin, preventing further irritation and promoting healing. Corticosteroids like hydrocortisone are included in some formulations to reduce inflammation and itching.
Safe Use and Important Considerations
For safe and effective use, cleanse the affected area with mild soap and water, then gently pat it dry before applying anorectal cream. A thin layer of the cream should be applied externally to the affected area, up to four to six times daily, especially after bowel movements or at night and in the morning. Wash hands thoroughly after application.
While well-tolerated, some individuals may experience mild side effects such as temporary burning, stinging, irritation, or redness at the application site. Prolonged use of creams containing corticosteroids, like hydrocortisone, can lead to thinning of the skin around the anus, so they should not be used for more than seven days without medical supervision. If symptoms worsen, do not improve within seven days, or if bleeding occurs, consult a healthcare professional promptly. Additionally, avoid getting the product in your eyes, nose, or mouth.