Hemorrhoids are a common condition involving swollen veins in the rectum or around the anus. These can cause discomfort and other symptoms, leading many to seek relief through over-the-counter creams. Understanding the correct and safe application of these creams is important for effective treatment. This guidance aims to clarify how to properly apply hemorrhoid creams based on the type of hemorrhoid present.
Distinguishing Hemorrhoid Types
Hemorrhoids are categorized by their location relative to the dentate line, an anatomical boundary within the anal canal. External hemorrhoids develop beneath the skin around the anus, outside this line, and are often visible as swollen, bluish lumps. These are covered by sensitive skin.
Internal hemorrhoids form above the dentate line, inside the rectum, and are not visible from the outside. They often cause less pain due to fewer nerve endings, but can prolapse during bowel movements. Their location influences the appropriate cream application.
Application for External Hemorrhoids
Apply cream to external hemorrhoids directly on the affected perianal skin. Before applying, gently clean and dry the anal area to ensure proper adhesion.
Squeeze a pea-sized amount onto your fingertip. Gently spread it over the swollen or irritated external hemorrhoids. Avoid vigorous rubbing, which can exacerbate irritation. Wash hands thoroughly after applying.
Application for Internal Hemorrhoids
For internal hemorrhoids, a different application method is necessary to reach the affected veins inside the rectum. Many creams for internal use come with a specialized applicator. Ensure it is clean, then attach it firmly to the cream tube.
Gently insert the lubricated applicator tip into the rectum to the recommended depth. Slowly squeeze the cream tube to dispense the medication. Follow product instructions for dosage, often a full applicator load. If an applicator is not provided, or preferred, a gloved finger can gently insert cream just inside the anal opening. After use, clean reusable applicators or dispose of single-use ones.
Essential Application Guidelines
General hygiene practices are important for safe and effective cream use, regardless of hemorrhoid type. Always wash your hands thoroughly with soap and water before and after applying cream to prevent bacterial transfer.
Read and follow dosage and frequency instructions on the product label. Overuse or underuse may diminish effectiveness or lead to side effects. Store cream as recommended, usually at room temperature, to maintain stability. Applying cream after a bowel movement can also help ensure optimal effectiveness.
Knowing When to Consult a Doctor
While hemorrhoid creams can provide temporary relief, professional medical advice becomes necessary in some situations. If pain, bleeding, or itching persist after about seven days of consistent over-the-counter cream use, consult a healthcare provider. Persistent bright red bleeding requires medical evaluation.
Seek immediate medical attention if you experience severe pain, a sudden increase in swelling, or new symptoms like fever or pus discharge. These signs indicate complications like a thrombosed hemorrhoid or infection. A doctor can accurately diagnose the issue and recommend appropriate treatment strategies beyond topical creams.