Soothing ointments, creams, and suppositories
Various preparations and brands are commonly used. They do not 'cure' hemorrhoids. However, they may relieve symptoms such as discomfort and itch:
- A bland soothing cream, ointment, or suppository may ease discomfort. They can be used as often as you like. Several brands are available without a prescription.
- One that contains an anesthetic may relieve better hemorrhoid discomfort. You should only use these for short periods at a time (5-7 days). If you use it for longer, the anesthetic may irritate or sensitize the skin around the anus.
- One that contains a steroid may be prescribed by a doctor if there is a lot of inflammation around the hemorrhoids. Steroids reduce inflammation and may help to reduce any swelling around a hemorrhoid. This may help to ease itch and pain. You should not normally use these for longer than one week at a time.
- Very painful prolapsed hemorrhoids are uncommon. The pain may be eased by an ice pack (or bag of frozen peas) pressed on for 15-30 minutes. Strong painkillers may be needed.
- Hemorrhoids of pregnancy usually settle after child birth. Treatment is similar to the above.
Dietary supplementation with micronized semi-synthetic flavonoids can be useful to improve venous tone and inhibit the release of prostaglandins. Their use has been shown to reduce acute symptoms.