Friday, May 17, 2024

What Is The Best Otc For Hemorrhoids

Hemorrhoid Treatments You Should Avoid

Best Hemorrhoid Medicine OTC – Which Over the Counter Hemorrhoid Medicine Works?

Doctor Butlers was started by Dr. Robert Cutler, a board certified anorectal practitioner, whos treated patients with hemorrhoids for more than 30 years. His advice about home treatment?:

Ive had many patients come to me after trying home remedies and failing. Unfortunately whats happened in recent years is theres a lot of information put online that isnt medically accurate or doesnt fully explain best practices for use says Dr. Cutler.

The truth is that something as simple as a sitz bath can be incredibly effective in reducing symptoms temporarily and should be used while treating hemorrhoids, but it cant be the only thing you do if you want your relief for hemorrhoid pain to last. And whats worse is if a home remedy is concocted incorrectly and hurts someone more than it helps.

Dr. Cutler notes that the following two treatments are ones that have caused the most recurring patient problems. For that reason we can not recommend them:

Is Bleeding Normal With Hemorrhoids

First, any sort of bleeding that occurs from the rectum, while statistically likely from hemorrhoids, should be reported to a doctor.

However, because hemorrhoids are incredibly common among adults, pregnant women, and people with chronic constipation problems, rectal bleeding is found to be a typical symptom of this anorectal condition.

Ultimately, yes, bleeding is normal, but a medical professional should still check you outjust in case.

Preparation H Rapid Relief Hemorrhoidal Spray With Lidocaine


Why We Like It: Hands-free application prevents mess and waste.

Its Worth Noting: The spray may initially cause a mild burning sensation.

The Preparation H Rapid Relief Hemorrhoidal Spray with Lidocaine is an ideal solution for those seeking a hands-free application. Powered by air, the spray evenly delivers a cooling mist of lidocaine, which quickly numbs the affected area. In addition to fast-acting pain relief, the spray contains phenylephrine HCL to shrink swollen hemorrhoidal tissue.

The formula is non-greasy and comes in a convenient spray bottle for quick application. Plus, you don’t have to worry about your hands contacting the affected area, which can cause additional irritation. For best results, spray directly onto clean skin and allow it to air dry. The product is suitable for daily use and won’t dry out the skin.

Price at time of publication: $17

Product Details:

  • Active ingredients: Lidocaine, phenylephrine HCL
  • Dose: Use up to four times daily
  • Uses: External hemorrhoids
  • Symptoms treated: Pain, itching, burning, inflammation

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What Is Hemorrhoid Cream

Hemorrhoid cream is a topical medication that reduces the swelling and itching associated with external hemorrhoids. The active ingredients vary from product to product but usually include astringents and anti-inflammatories to reduce inflammation. Some contain numbing agents like lidocaine to provide temporary relief.

Most hemorrhoid creams are applied to the affected area with a finger or cotton swab up to six times dailypreferably morning, evening, and after each bowel movement. Following the dosage instructions on the product label is essentialoveruse can cause skin irritation.

Burts Bees Res Q Ointment

Doctor Butler

Res Q Ointments ingredients list reads like an herbalists handbook. It contains pure European olive oil, beeswax, cocoa butter, wheat germ oil, lavender oil, sunflower oil, lavender extract, rosemary leaf extract, comfrey leaf extract, and a few other oils and ingredients.

These natural plant oils offer antioxidants, Vitamin E, and other nutrients to heal the skin. Rosemary and comfrey are well-known skin healing herbs. Lavender is well-known as a calming and de-stressing herb.

The oils help relieve the itching and irritation of hemorrhoids, while the herbs treat the skin and the blood vessels through the cell walls.

Read Also: What To Eat When You Have Bleeding Hemorrhoids

Medical Procedures For Hemorrhoids

If your symptoms are severe or arent getting better after a couple of weeks, your doctor may suggest a procedure to shrink or remove the hemorrhoids. Many can be performed in their office.

Injection. Your doctor can inject an internal hemorrhoid with a solution to create a scar and close off the hemorrhoid. The shot hurts only a little.

Rubber band ligation. This procedure is often done on prolapsed hemorrhoids, internal hemorrhoids that can be seen or felt outside. Using a special tool, the doctor puts a tiny rubber band around the hemorrhoid, which shuts off its blood supply almost instantly. Within a week, the hemorrhoid will dry up, shrink, and fall off.

Coagulation or cauterization. With an electric probe, a laser beam, or an infrared light, your doctor will make a tiny burn to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink. This works best for prolapsed hemorrhoids.

Surgery. For large internal hemorrhoids or extremely uncomfortable external hemorrhoids, your doctor may recommend surgery.

  • Hemorrhoidectomy. The most effective technique is to completely remove the hemorrhoids. But recovery is painful and can take several weeks.
  • Hemorrhoid stapling. This technique cuts blood flow to internal hemorrhoids and moves prolapsed tissue back in place. Recovery is easier, but thereâs a greater chance of the hemorrhoids coming back.

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When Hemorrhoid Surgery May Be Necessary

Very few people fewer than 10 percent of all adults who see a doctor because of symptomatic hemorrhoids will require a surgical operation.

Surgery to remove hemorrhoids is called a hemorrhoidectomy.

Your doctor may recommend a hemorrhoidectomy if:

  • You have large external hemorrhoids
  • You have both internal and external hemorrhoids
  • An internal hemorrhoid has prolapsed

In a hemorrhoidectomy, the doctor makes a small incision to remove the hemorrhoid and surrounding tissue before closing the wound with stitches.

A hemorrhoidectomy is performed in an operating room and can be done under general anesthesia, in which you are unconscious and unable to feel pain.

Hemorrhoidectomy is associated with postoperative pain, but the procedure is successful for 95 percent of cases.

More recently, another option aimed at avoiding the postoperative pain of a hemorrhoidectomy has become available, called a stapled hemorrhoidopexy. A circular stapling device pulls the hemorrhoidal tissue upward and to its normal position, stapling it in place. The staples eventually fall out over time.

There are many options for the treatment of hemorrhoids. Its best to discuss the benefits and risks of each of these with your doctor in order to come up with the treatment plan that is best for your particular case.

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Why Creams Can Be A Good Option

Creams for hemorrhoids are easy to buy, with most products available over the counter or online. Some require a prescription, but theyre all safe.

Patients like creams because they are easy to apply and not invasive, with most creams involving no side effects.

Hemorrhoid creams are also very effective, but you must read hemorrhoids cream reviews to see which product are best for your particular requirements. Also they are rarely as potent as internal remedies, because they only treat symptoms.

Every cream is a little bit different, as the best cream for hemorrhoid pain is not necessarily the best cream for bleeding hemorrhoids. It just depends.

Look at the ingredients in the cream on the one hand and look at user reviews too as this will help you pick a cream.

How Are Haemorrhoids Diagnosed

Best over the counter hemorrhoid treatment | Hemorrhoids | Hem Healer
  • Digital rectal examination, where your doctor puts on gloves and places a lubricated finger inside the back passage to gently feel for any abnormalities. This is likely to be uncomfortable but will probably not be painful.
  • Proctoscopy, where your doctor examines the inside of the rectum using a proctoscope to look for any swelling or other symptoms. Again, this may be uncomfortable but will probably not be painful.

There is no need to feel embarrassed about these tests haemorrhoids are a common problem and your doctor is used to diagnosing and treating them.

In some cases, your doctor may refer you to a surgeon who can assess your haemorrhoids and recommend a treatment.

Also Check: Does Hemorrhoids Cause Lower Back Pain

Does Walgreens Sell Treatment For Hemorrhoids

Yes, Walgreens offers many options online and in stores for treating hemorrhoids. Options include over-the-counter products such as hemorrhoid creams, ointments, gels, sprays, suppositories, and wipes that can help ease hemorrhoid symptoms. Walgreens also offers pain relivers like aspirin and ibuprofen.

Pathophysiology Of Hemorrhoidal Disease

Recently, increased microvascular density was found in hemorrhoidal tissue, suggesting that neovascularization might be another important phenomenon of hemorrhoidal disease. In 2004, Chung et al reported that endoglin , which is one of the binding sites of TGF- and is a proliferative marker for neovascularization, was expressed in more than half of hemorrhoidal tissue specimens compared to none taken from the normal anorectal mucosa. This marker was prominently found in venules larger than 100 m. Moreover, these workers found that microvascular density increased in hemorrhoidal tissue especially when thrombosis and stromal vascular endothelial growth factors were present. Han et al also demonstrated that there was a higher expression of angiogenesis-related protein such as VEGF in hemorrhoids.

Based on the histological findings of abnormal venous dilatation and distortion in hemorrhoids, dysregulation of the vascular tone might play a role in hemorrhoidal development. Basically, vascular smooth muscle is regulated by the autonomic nervous system, hormones, cytokines and overlying endothelium. Imbalance between endothelium-derived relaxing factors and endothelium-derived vasoconstricting factors causes several vascular disorders. In hemorrhoids, nitric oxide synthase, an enzyme which synthesizes nitric oxide from L-arginine, was reported to increase significantly.

Also Check: How To Cure Hemorrhoids Fast

Best For External Hemorrhoids: Anusol Plus Hemorrhoidal Ointment


  • Contains zinc for maximum skin healing and protection

  • Can be used longer than ointments with hydrocortisone

  • Prescription needed for a formulation with hydrocortisone

Getting your hands on a tube of Anusol Plus is worth every penny. Sergey V. Kantsevoy, MD, director of The Center for Therapeutic Endoscopy at Mercy Medical Center in Baltimore, says Anusol is the best treatment for external hemorrhoids and the one he recommends to his patients.

Zinc oxide is a powerful mineral often used to treat diaper rash on babies. Zinc goes a long way when it comes to healing and protecting sensitive, damaged skin. Anusol Plus also includes pramoxine, an analgesic, to numb the pain. If you want the version that contains hydrocortisone , your doctor can usually prescribe it.

Price at time of publication: $19

Active Ingredients: Pramoxine Hydrochloride 1%, Zinc Sulfate 0.5% | Dose: Apply to affected area up to 5 times per day | Uses: Preventing and treating hemorrhoids

How Long Does It Take For Hemorrhoids To Shrink Or Heal

What Is The Best Otc Treatment For Hemorrhoids

The amount of time it takes for hemorrhoids to shrink or heal depends on the severity and location, according to Dr. Ramireddy and Dr. Rao. Most mild cases can be managed in two to six weeks with lifestyle modifications and treatment. Hemorrhoids as the result of pregnancy may resolve after birth, Dr. Rao adds.

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Preparation H Hemorrhoidal Ointment 1 Oz Tube

  • Shrinks swollen hemorrhoidal tissue

Reviews From Real Customers

I first heard of this product when had a horrendous two hours in hospital getting things shoved back to where they should be. Two days later after using the loo I had severe burning pain and used Preparation H for the first time.

The relief was immediate. The instructions on the box and tube are inadequate. The website is much better. I did not realize that the yellow tube was a cover and not the applicator.

3.75 x 2.0 x 2.0 inches

Reviews From Real Customers

Ive used hemrid on and off for many years and it definitely stops flare ups. I am on maintenance now. I dont think the hems are gone completely but they dont bother me at all. I recently had a sinus surgery I had to stop taking all blood thinners etc.

Well, after only two days without this product I had one internal hem flare up. And once I was able to start taking hemrid again it was gone in a couple of days. So this was amazing for me to see how fast this product works.

What Ingredients Make The Strongest Hemorrhoid Medicine

Hemorrhoid medications contain ingredients such as hydrocortisone and lidocaine. They work to temporarily relieve hemorrhoid itching and burning.

While medications are effective in helping alleviate most of the irritating symptoms of hemorrhoids, they are not a permanent fix.

When prescription medications do not work, medical treatment or surgery may be necessary, especially for large hemorrhoids .

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What Are The Treatment Options For Hemorrhoids

Noncomplicated hemorrhoids may show relief with simple home remedies and over-the-counter drugs. However, some may require surgical intervention.

Nonsurgical options

  • Compression with ice packs may relieve swelling and pain.
  • A sitz bath with warm water relieves itching and burning sensation.
  • The use of numbing ointments and steroids on the skin may relieve symptoms. However, steroids are not to be overused because they may cause thinning of the skin.
  • The use of hydrocortisone suppositories and hazel pads on the skin may reduce the symptoms.
  • Use of OTC painkillers such as Tylenol or ibuprofen may reduce pain, discomfort, and swelling.
  • Substitute wet towels in the place of dry toilet paper because the dry paper may increase irritation.


You may undergo hemorrhoidectomyâa surgical procedure in which a part or complete hemorrhoid is removed. This surgery is usually done under general anesthesia. It generally doesnât require any longer hospital stay.

What Causes Internal And External Hemorrhoids And Simple Ways To Treat Them

Best Hemorrhoid Treatment Over the Counter | Which OTC Hemorrhoid treatment Works?

Hemorrhoids are usually caused by increased pressure due to pregnancy, being overweight, or straining during bowel movements. By midlife, hemorrhoids often become an ongoing complaint. By age 50, about half the population has experienced one or more of the classic symptoms, which include rectal pain, itching, bleeding, and possibly prolapse . Although hemorrhoids are rarely dangerous, they can be a recurrent and painful intrusion. Fortunately, theres a lot we can do about hemorrhoids.

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What Makes Hemorrhoid Creams Work So Well

Creams have different combinations of ingredients each ingredient is designed to relieve symptoms and to improve healing. What are these ingredients? Here are some of the types of ingredients typically included in topical hemorrhoid treatments:

  • Analgesic. Intended to provide a cooling sensation, analgesics can reduce discomfort and pain by relieving painful itching sensations. Its a great way to reduce symptoms and is often included in creams.
  • Anesthetic. Similar to an analgesic in the way it works, but more potent. Anesthetics numbs the area to which it is applied, and thereby provides relief for symptoms, but the relief is temporary.
  • Steroidal. Inflammation goes hand in hand with hemorrhoids and reducing inflammation using a steroid is a common method of action for hemorrhoid creams. Horse Chestnut Seed Extract is another ingredient that reduces inflammation.
  • Moisturizer. Dryness can cause itching and many people suffering from hemorrhoids complain about experiencing dryness. Creams include moisturizers because it goes a long way in relieve the itching and pain caused by hemorrhoids.

The ingredients in your cream will vary from product to product. Over the counter, treatments tend to have ingredients different from their prescription counterparts.

Prescription treatments may have stronger-acting ingredients that carry the risk of side-effects, which is why only doctors are allowed to prescribe certain hemorrhoid creams.

Does Hemorrhoid Cream Actually Work

Yes. Hemorrhoid creams and other topical products contain ingredients that help reduce the pain and discomfort associated with hemorrhoids. Look for active ingredients such as phenylephrine HCL, lidocaine, witch hazel, pramoxine hydrochloride, and zinc oxide. In addition, soothing agents such as aloe vera, colloidal oatmeal, and glycerin help keep the skin moisturized and reduce the risk of irritation.

Read Also: Best Ice Pack For Hemorrhoids

What Is Sustainable Toilet Paper

Until our March 2022 update, we recommended only toilet papers made from virgin wood pulpalso referred to as traditional toilet paperbecause none of the environmentally friendlier toilet papers wed tested came close in softness and strength. Since our original testing for this guide began, nearly a decade ago, there have been tremendous strides in the area of sustainable toilet paper. Sustainable toilet paper is made from either recycled fibers or from more environmentally friendly primary sources, such as responsibly sourced bamboo. We found several of the sustainable toilet papers we tested in 2021 and 2022 to be comparable in comfort and strength to traditional toilet papers, as well as comparatively much less dusty.

Chris McLaren, chief marketing officer at the US Forest Stewardship Council, agreed with Vinyards assessment, with the caveat that its not always possible to incorporate circular solutions because there isnt as much used paper to recycle as there once was. The digitalization of society has caused there to be fewer recycled papers to utilize in the making of sustainable paper products, he explained. McLaren said this issue of sustainability goes far beyond toilet paper, and that without enough recycled paper to use, some toilet paper will always need to come from new materials to keep up with demand. FSC certification is one way to ensure that, as McLaren put it, forests are well-managed to stay healthy.

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Preparation H Vs Recticare Vs Lidocaine 5% Cream: Dosage

Best Otc For Internal Hemorrhoids

Preparation H®,Recticare, and lidocaine 5% creams should be administered similarly. For hemorrhoids, Preparation H® and Recticare are for rectal use only. For these products, it is important to wash hands before and after use. Before applying either product, clean the affected area and make sure to dry the area well. Avoid application to open wounds, burns, or broken skin. Preparation H® should be applied to clean, dry areas up to 4 times daily. Recticare and other lidocaine 5% creams can be applied to affected areas up to 6 times daily. It is recommended specifically for lidocaine to only be used in small amounts and should be applied as a thin film on the affected area.

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