How Effective Are Ointment And Cream For Piles
Ointment and cream for piles can help get relief from the pain and inflammation. They can even cure the disease but the cure is mostly temporary.
Patients often complain of hemorrhoids pain soon after they have recovered. If you want a permanent cure for piles, creams, ointments, medications, home remedies and other over-the-counter options will not be helpful.
Many patients suffering from piles lack knowledge about the disease and treatment. Medication, ointments, and other over-the-counter medications only work in the initial stage of piles when the hemorrhoid is small in size and the disease is controllable.
If the symptoms escalate to the later stages of the disease, theres a need for surgical removal of hemorrhoids.
In some cases, there can be adverse effects of such ointment for piles, and the piles creams can further complicate the disease and irritate the anal area.
Many patients avoid seeing a professional for diagnosis of the disease as they feel uncomfortable talking about it. Piles is a very common disease and there is nothing to be scared about. Patients suffering from piles pain must consult the doctor as soon as he or she observes symptoms of the disease.
Best Sitz Bath: Carex Sitz Bath
Per Dr. Nazarian’s recommendation, this small bowl fits over your toilet seat and offers a convenient way to soak and soothe the affected area. In addition to a sitz bath, this top-selling Amazon basin, which has a contoured design for optimal comfort and vents to prevent overflowing, comes with a solution bag for you to fill with your chosen hemorrhoid relief ingredients.
“This was for my boyfriend since he has hemorrhoid problems often,” one reviewer writes. “Since he refuses to go to spas and saunas, I made him do these baths on the toilet for 20 minutes and they helped a lot. It helps with cuts and swelling and the heat helps shrink hemorrhoids.”
Stool Softeners And Fiber
Since hemorrhoids usually develop as a result of constipation and straining to have bowel movements, Dr. Bravo says stool softeners actually play an important role in treatment.
“One of the most important steps in treating hemorrhoids is avoiding constipationhard or infrequent stoolsand stool softeners are a good option if you have chronic constipation,” he says. Increasing the amount of fiber in your diet by eating more fruits and vegetables is another good way to soften your stools, he says, adding that the recommended amount of dietary fiber is around 20 to 35 grams per day.
You can try an OTC stool softener like Colace , which doesn’t force you to have a bowel movement but simply makes it easier to pass stool. You can also try a natural stool softener with ingredients like psyllium, which is helpful if you can’t get enough fiber in your diet through the foods you eat.
Read Also: What Will Shrink Hemorrhoids Fast
Pathophysiology Of Hemorrhoidal Disease
The exact pathophysiology of hemorrhoidal development is poorly understood. For years the theory of varicose veins, which postulated that hemorrhoids were caused by varicose veins in the anal canal, had been popular but now it is obsolete because hemorrhoids and anorectal varices are proven to be distinct entities. In fact, patients with portal hypertension and varices do not have an increased incidence of hemorrhoids.
Today, the theory of sliding anal canal lining is widely accepted. This proposes that hemorrhoids develop when the supporting tissues of the anal cushions disintegrate or deteriorate. Hemorrhoids are therefore the pathological term to describe the abnormal downward displacement of the anal cushions causing venous dilatation. There are typically three major anal cushions, located in the right anterior, right posterior and left lateral aspect of the anal canal, and various numbers of minor cushions lying between them .1). The anal cushions of patients with hemorrhoids show significant pathological changes. These changes include abnormal venous dilatation, vascular thrombosis, degenerative process in the collagen fibers and fibroelastic tissues, distortion and rupture of the anal subepithelial muscle .2). In addition to the above findings, a severe inflammatory reaction involving the vascular wall and surrounding connective tissue has been demonstrated in hemorrhoidal specimens, with associated mucosal ulceration, ischemia and thrombosis.
Common Questions About Hydrocortisone
The hydrocortisone in treatments for piles and itchy bottom is a steroid .
Like other steroids, it works by calming your immune system. This reduces inflammation and helps to relieve the pain and itching of piles.
The pain and itching should get better within a few days of starting treatment.
Piles and itchy bottom should get better within 7 days. Talk to your doctor if your piles have not got better or the itching gets worse.
There are other treatments available to buy that do not contain hydrocortisone. These include creams and suppositories containing zinc oxide or other soothing ingredients.
Your doctor may be able to prescribe stronger medicines for piles or itchy bottom.
No, using hydrocortisone treatments for piles does not affect what you can eat and drink.
Its a good idea, though to eat lots of foods which contain fibre so you do not get constipation. Examples of foods with lots of fibre are porridge oats and wholegrain breakfast cereals, wholemeal breads, wholewheat pasta, pulses, potatoes with their skins on and vegetables.
To avoid constipation, try to drink several glasses of water or other non-alcoholic drinks each day. If you can, it may also help to increase your levels of exercise.
Yes, you can drink alcohol while using all hydrocortisone treatments for piles and itchy bottom.
There is no clear evidence that hydrocortisone treatments for piles or itchy bottom affect male or female fertility.
Look on the pill packet to find out what to do.
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What Does Hemorrhoid Cream Do
Creams are not a magic cure-all when it comes to hemorrhoids, but creams can have a lasting impact on your hemorrhoids, providing significant relief.
There are many mechanisms by which hemorrhoid creams work, but relief rather than cure is the main way creams act. Lets look at some of the ways in which hemorrhoid cream can relieve your symptoms:
- Reduce itching and pain. One of the most frustrating symptoms hemorrhoid suffers complains about, creams can dramatically reduce the swelling in around your anus which causes itching and pain. Hemorrhoid creams contain ingredients that reduce pain and swelling, reducing how aware you are of your hemorrhoids.
- Combating inflammation. Hemorrhoids are caused by inflammation in the veins in and around your anus. Reducing this inflammation also reduced your hemorrhoid symptoms. Topical creams can act to reduce inflammation, in turn reducing the symptoms you have to manage.
- Damaged tissues. The swelling around hemorrhoids can cause tissue damage that exacerbates your symptoms. Creams can go a low way of healing tissue damage and therefore mitigate your hemorrhoids symptoms.
- Help bowel movements. Creams act as a lubricant which can help your experience smoother bowel movements. By reducing pain and inflammation creams can make your bowel movements much more comfortable.
Your hemorrhoid cream wont instantly cure you, but it will make a huge difference to your symptoms, letting you go on with day to day life with less stress and pain.
How To Use Hydrocortisone Antipruritic Cream
Wash and dry your hands before using. Clean and dry the affected area. Apply a small amount of medication to the affected area and gently rub in, usually 2-4 times daily or as directed by your doctor. Do not bandage, cover, or wrap the area unless directed to do so by your doctor. If used in the diaper area on an infant, do not use tight-fitting diapers or plastic pants.
Use this medication only for the condition for which it was prescribed. Do not use it for longer than prescribed.
Inform your doctor if your condition persists or worsens after 2 weeks.
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Best Prescription Hemorrhoid Cream
On rare occasions, only a prescription treatment will do. If you see your doctor you may be prescribed a treatment which is not available over the counter.
Depending on your experience with hemorrhoids you may find that the treatments we reviewed in this article do not work for you.
For most people over the counter, treatments work just fine. But for others, a prescription treatment may provide better relief.
Treatments are generally issued as prescription-only because they come with the risk of side effects, or because frequent use can be damaging.
Prescription restrictions are there to protect patients and that is why prescription hemorrhoid treatments are not available online or over the counter.
Lets take a look at two of the prescription treatments you may be offered if your doctor believes over the counter treatments are not going to work for you.
First, Anusol HC is often prescribed and is available as both a suppository and a cream. It contains a strong ingredient called hydrocortisone acetate which represses the chemicals in your body that causes swelling and pain.
Another popular product is Proctocort. Proctocort is a cream and it also contains hydrocortisone. It is also very potent but should be used with great care and only if you have a valid prescription.
Procedures For Hemorrhoids Treatment
Some hemorrhoids can’t be managed with conservative treatments alone, either because symptoms persist or because an internal hemorrhoid has prolapsed. Fortunately, a number of minimally invasive hemorrhoid treatments are available that are less painful than traditional hemorrhoid removal and allow a quicker recovery. These procedures are generally performed in a surgeon’s office or as outpatient surgery in a hospital.
Band it. The most commonly used hemorrhoid treatment in the United States is rubber band ligation, in which a small elastic band is placed around the base of a hemorrhoid . The band causes the hemorrhoid to shrink and the surrounding tissue to scar as it heals, holding the hemorrhoid in place. It takes two to four procedures, done six to eight weeks apart, to completely eliminate the hemorrhoid. Complications, which are rare, include mild pain or tightness , bleeding, and infection. Other office procedures include laser or infrared coagulation, sclerotherapy, and cryosurgery. They all work on the same principle as rubber band ligation but are not quite as effective in preventing recurrence. Side effects and recurrence vary with the procedure, so consult your physician about what’s best for your situation.
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Emuaid First Aid Ointment
See Full Emuaid Review
Emuaid contains HPUS Argentum Metallicum . Collodial Silver has been used for centuries to help heal wounds.
It has antiseptic properties and is generally well regarded for the treatment of hemorrhoids. Emuaid is likely the most popular homeopathic hemorrhoid cream on the market.
While it runs a little on the expensive side compared to Preparation H and the others, customers report that it does wonders for their hemorrhoids.
If you want to go the homeopathic route, then Emuaid is a perfect choice and a proven winner.According to Emuaid, the successfulness in treating all wounds begins at preventing infections, and this starts with killing bacteria. Emuaid heals wounds quickly by killing bacteria-spreading infections, which in turn, can keep your rectal area clean to better treat your hemorrhoids.The active ingredient in Emuaid is:
- Argentum Metallicum, 10x, 20x, 30, HPUS
The inactive ingredients in Emuaid include:
- Emu Oil
Dr. Butlers hemorrhoid and fissure ointment is another inventive pain relieving formula.
For pain relieving, they incorporate lidocaine which is a powerful numbing cream.
Lidocaine is a topical analgesic with excellent pain receptor blocking abilities to get you out of pain quickly.
The only potential downside to lidocaine is that it is considered to be a vasodilator.
A vasodilator is a substance or compound which dilates the blood vessel.
However, in this instance, the pain relieving properties outweigh the vasodilator properties.
Epidemiology And Risk Factors Of Hemorrhoids
Although hemorrhoids are recognized as a very common cause of rectal bleeding and anal discomfort, the true epidemiology of this disease is unknown because patients have a tendency to use self-medication rather than to seek proper medical attention. An epidemiologic study by Johanson et al in 1990 showed that 10 million people in the United States complained of hemorrhoids, corresponding to a prevalence rate of 4.4%. In both sexes, peak prevalence occurred between age 45-65 years and the development of hemorrhoids before the age of 20 years was unusual. Whites and higher socioeconomic status individuals were affected more frequently than blacks and those of lower socioeconomic status. However, this association may reflect differences in health-seeking behavior rather than true prevalence. In the United Kingdom, hemorrhoids were reported to affect 13%-36% of the general population. However, this estimation may be higher than actual prevalence because the community-based studies mainly relied on self-reporting and patients may attribute any anorectal symptoms to hemorrhoids.
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Dietary And Lifestyle Modification
Since shearing action of passing hard stool on the anal mucosa may cause damage to the anal cushions and lead to symptomatic hemorrhoids, increasing intake of fiber or providing added bulk in the diet might help eliminate straining during defecation. In clinical studies of hemorrhoids, fiber supplement reduced the risk of persisting symptoms and bleeding by approximately 50%, but did not improve the symptoms of prolapse, pain, and itching. Fiber supplement is therefore regarded as an effective treatment in non-prolapsing hemorrhoids however, it could take up to 6 wk for a significant improvement to be manifest. As fiber supplements are safe and cheap, they remain an integral part of both initial treatment and of a regimen following other therapeutic modalities of hemorrhoids.
Lifestyle modification should also be advised to any patients with any degree of hemorrhoids as a part of treatment and as a preventive measure. These changes include increasing the intake of dietary fiber and oral fluids, reducing consumption of fat, having regular exercise, improving anal hygiene, abstaining from both straining and reading on the toilet, and avoiding medication that causes constipation or diarrhea.
How To Use Hemorrhoid Cream
Below is a detailed explanation of how to apply or use the cream on hemorrhoids.
For Internal Application:
- Before internal application of hemorrhoid cream, we recommend trying to have a bowel movement.
- Now, attach the application to the hemorrhoidal cream tube.
- Gently squeeze the hemorrhoidal cream tube so that it fills the applicator.
- Using petroleum jelly or other lubricant, lubricate the tip of the applicator.
- Now, gently insert the hemorrhoid applicator into the rectum.
- Squeeze the tube so that the cream moves into the rectum.
- Gently remove the applicator from the rectum.
- Wash the applicator with warm water and soap. And also wash your hands too.
Note: Make sure you dont have a bowel movement for a couple of hours.
For External Application:
- Squeeze out a small amount of cream on your finger.
- Apply the cream around the outer opening of your anus.
- Wash your hands thoroughly with soap and water after each application.
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Clinical Evaluation Of Hemorrhoids
The most common manifestation of hemorrhoids is painless rectal bleeding associated with bowel movement, described by patients as blood drips into toilet bowl. The blood is typically bright red as hemorrhoidal tissue has direct arteriovenous communication. Positive fecal occult blood or anemia should not be attributed to hemorrhoids until the colon is adequately evaluated especially when the bleeding is atypical for hemorrhoids, when no source of bleeding is evident on anorectal examination, or when the patient has significant risk factors for colorectal neoplasia.
Prolapsing hemorrhoids may cause perineal irritation or anal itching due to mucous secretion or fecal soiling. A feeling of incomplete evacuation or rectal fullness is also reported in patients with large hemorrhoids. Pain is not usually caused by the hemorrhoids themselves unless thrombosis has occurred, particularly in an external hemorrhoid or if a fourth-degree internal hemorrhoid becomes strangulated. Anal fissure and perianal abscess are more common causes of anal pain in hemorrhoidal patients.
Best Spray: Earth Mama Herbal Perineal Spray
Boasting witch hazel, lavender, cucumber, and peppermint oil, a few spritzes of this spray can soothe, cleanse, and decrease inflammation in areas where hemorrhoids develop. Its nozzle is designed to work upside-down for a touch-free application, delivering instant soothing in hard-to-reach areas. For extra relief, store the bottle in the fridge for a cooling sensation when you use it.
“Now I am currently 19 days postpartum, I delivered an eight-pound baby boy via the help of a forcep delivery,” . “I had several tears that were second-degree tears, including a brutal episiotomy and severe hemorrhoids More than two weeks postpartum I’m back on my feet and still using this spray which is in fact very cooling and very refreshing. I still have a long way to go in recovering down there, but this product has helped so far.”
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Best Treatment During Pregnancy: Motherlove Rhoid Balm
Featuring a blend of witch hazel and yarrow, the Motherlove Rhoid Balm can reduce itchiness and swelling and decrease pain in pregnancy- and childbirth-induced hemorrhoidal tissues. Other key ingredients include calendula flower, plantain leaf, olive oil, and beeswax, which come together to provide additional soothing hydration and relief.
“Third trimester hemorrhoids savior,” dubs the ointment balm. “Definitely a must try if you’re in discomfort and better ingredients than other products. I had instant relief once I applied the cream on. Took away my irritation and burning sensation right away and in three days hemorrhoids began to decrease in size.”
Tubes*10g Mayinglong Musk Hemorrhoid Cream
We have yet another Chinese brand of ointments called Mayinglong that also offers ointments and creams for hemorrhoids. It provides a multi-tube pack cream that is quite effective against the issues caused by piles or hemorrhoids.
This Mayinglong cream for hemorrhoid is present in the 3rd position in this article as it offers multiple cream tubes to the user. As you would expect, this cream is made for hemorrhoids and piles for treating symptoms and issues caused due to it. You get a total of 40 grams in this tube that allows you to apply this cream for a long time without any problems.
You can simply apply this cream on the affected area every day to get rid of all the issues. Once you have applied this cream, it helps you to fix heat-clearing, blood circulation detumescence, stopping bleeding, and various other issues caused due to hemorrhoids. This cream is made using artificial musk, artificial bezoar, pearl, and other things that make this cream quite effective.
Also Check: How To Use Emuaid For Hemorrhoids