Effective Treatments for Hemorrhoids: Best Ointments and Anti-Inflammatory Options - Surgery

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Hemorrhoid medications


A few years ago, I was diagnosed with mild external hemorrhoids, and my doctor prescribed a strong ointment.
In recent years, whenever I consume garlic or spicy foods, I experience symptoms and have been purchasing over-the-counter treatments at the pharmacy.
Are there currently better ointments or anti-inflammatory medications available? Thank you!

Mr. Zou, 50~59 year old female. Ask Date: 2015/11/10

Dr. Cai Xingzhi reply Surgery


Hello: Please avoid consuming alcohol, spicy foods, and other irritants.
For this condition, it is important to pay special attention to diet, as there is not much correlation with topical ointments.

Reply Date: 2015/11/10

More Info


When it comes to treating hemorrhoids, particularly external hemorrhoids, there are several effective ointments and anti-inflammatory options available. Hemorrhoids can be quite uncomfortable, and finding the right treatment is essential for relief.
One of the most commonly used over-the-counter treatments for hemorrhoids is hydrocortisone cream. This topical steroid helps reduce inflammation and itching associated with hemorrhoids. It is particularly effective for external hemorrhoids and can provide quick relief. However, it is important to use it as directed, as prolonged use can lead to skin thinning.

Another popular option is witch hazel, which is often found in ointments and pads. Witch hazel is a natural astringent that can help reduce swelling and soothe the skin. It is commonly used in products like Tucks Medicated Pads, which can be applied directly to the affected area for relief.

Preparation H is a well-known brand that offers a variety of products for hemorrhoid relief, including ointments, creams, and suppositories. These products often contain ingredients like phenylephrine, which constricts blood vessels to reduce swelling, and other soothing agents to alleviate discomfort.

For those looking for a more natural approach, aloe vera gel can be soothing and has anti-inflammatory properties. Applying pure aloe vera gel to the affected area can help reduce irritation and promote healing.

If you are experiencing significant pain or discomfort, it may be beneficial to consider topical anesthetics like lidocaine. These can provide temporary relief from pain and discomfort associated with hemorrhoids.

In addition to topical treatments, it is important to address any dietary factors that may exacerbate hemorrhoid symptoms. Increasing fiber intake can help soften stools and reduce straining during bowel movements, which is a common cause of hemorrhoids. Staying hydrated and incorporating more fruits, vegetables, and whole grains into your diet can be beneficial.

If your symptoms persist or worsen, it is advisable to consult a healthcare professional. They may recommend prescription-strength treatments or other interventions, such as rubber band ligation or sclerotherapy, depending on the severity of your condition.

In summary, effective treatments for hemorrhoids include over-the-counter options like hydrocortisone cream, witch hazel, Preparation H, and topical anesthetics. Natural remedies like aloe vera can also provide relief. However, it is crucial to maintain a healthy diet and consult a healthcare provider if symptoms do not improve.

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