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How do I Choose the Best over-The-Counter Hemorrhoids Treatment?

By Madeleine A.
Updated: Mar 03, 2024
Views: 22,073
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Choosing the best over-the-counter hemorrhoids treatment for you depends on the type of hemorrhoids you have and your symptoms. The type of medicine you choose will be different, depending on whether your hemorrhoids are internal or external. Also, you should consider a stool softener if straining is aggravating your hemorrhoids. Keeping the anal area clean can help treat inflammation and itching associated with hemorrhoids, so you should consider various types of cleansers, including astringents and diaper rash ointments. Finally, if you have a serious case of hemorrhoids, you might consider discussing surgery with your doctor.

Internal hemorrhoids typically respond better to anti-inflammatory rectal suppositories than to topical ointments. Conversely, external hemorrhoids, or hemorrhoids that are located outside the rectum, generally respond better to topical ointments. These can be applied directly to the anal area.

For hemorrhoids that itch, whether they are internal or external, over-the-counter treatment that contains hydrocortisone medication can help decrease itching and inflammation. Other effective over-the-counter treatments include mild astringents such as witch hazel. Cleansing the anal area throughout the day with an astringent wipes away irritating stool, which can worsen the condition and cause significant burning.

Another over-the-counter hemorrhoids treatment that helps keep the area clean is pre-moistened hemorrhoid towelettes. These products are typically treated with an astringent-based cleanser and sometimes contain agents to soften the skin, such as aloe. Another very helpful treatment is diaper rash ointment. The active ingredient in diaper ointments is zinc oxide, which not only helps pain and itch, it also forms a barrier against moisture to help heal irritated and red skin.

Lanolin is another active ingredient that is frequently found in over-the-counter hemorrhoids treatment. It softens the surrounding tissues and helps heal irritated skin. When purchasing a hemorrhoid treatment, individuals need to make sure that the product is specifically designed to treat hemorrhoids. Although other products contain lanolin and hydrocortisone, they are not always appropriate to use as a hemorrhoid treatment.

Using stool softeners can reduce the incidence of constipation, a frequent culprit in the development of hemorrhoids. When the stool is softened and is evacuated without straining, an over-the-counter hemorrhoids treatment can work more effectively. When constipation becomes chronic, the physician needs to be notified so he can recommend measures to promote regularity. Although over-the-counter hemorrhoids treatments are often successful in relieving symptoms, sometimes other measures may be needed.

In severe cases where hemorrhoids cause significant pain, bleeding, or burning, or when they are in danger of forming blood clots, surgical intervention might be recommended. Laser surgery often totally eliminates the symptoms of hemorrhoids. Other procedures include ligating the hemorrhoids with a rubber-band type device. This procedure starves the hemorrhoids of blood flow, causing them to shrink. The surgeon can discuss pros and cons of each procedure and recommend the best option for the patient.

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Discussion Comments
By anon1002666 — On Jan 19, 2020

Is there any oral medication for hemorrhoids? How is it taken and for how long?

By Drentel — On Sep 10, 2014

I have a friend who is a truck driver. This is a profession where hemorrhoids can be a problem. For one thing, my friend spends so much time on the road in his truck that he gets very little exercise. Instead he is sitting all day. He also stops at restaurants along the road and he snacks in his truck. Basically, he eats tons of food that is not good for him.

Well, several months ago his condition got so bad he had to take some time off work. There are endless jokes out there about hemorrhoids, but this condition can be very serious and having hemorrhoids can limit what a person can do physically to a large extent.

I bought him a book on natural hemorrhoid treatment, and he is exercising daily and eating more fruits and vegetables and laying off the foods that might cause constipation.

By Feryll — On Sep 10, 2014

I know there are a lot of reasons people get hemorrhoids. However, you might be surprised how many people are chronically dehydrated. I'm not saying they are dehydrated to the point they are cramping and need medical help, but a large number of people don't get the water and fruits they need to remain fully hydrated, and this leads to the hemorrhoids.

We've all heard about the importance of drinking at least eight glasses of water each day. Well, preventing hemorrhoids is another reason for all of that water.

By mobilian33 — On Sep 09, 2014

I have a friend who got hemorrhoids for the first time when she was pregnant with her first baby. She said the hemorrhoids were by far the worst part of the pregnancy. After the baby came, she didn't have any problems until she got pregnant again. And the pattern has continued. With each child she has had, she has had hemorrhoids, and they go away once the baby arrives.

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