Hemorrhoids - Home Remedies

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OTC medications and home remedies for hemorrhoids

Grade 1 hemorrhoids are treated symptomatically. There can be some spasm of the anal muscles. Warm sitz baths, sitting in a warm tub for 20 minutes, two or three times a day may be helpful. Avoiding spicy food may also prevent anal itching. Over-the-counter medications may be helpful.

  • Medications are used to control symptoms by softening the stool, decreasing the inflammation of the hemorrhoids and treating the pain.
  • Stool softeners work by increasing the water and fat content within the stool allowing it to be passed more easily. Docusate sodium is most often recommended drug in this class (Colace, Surfak, Correctal).
  • Inflammation can be controlled with over-the-counter creams or suppositories. Some brand ingredients (Preparation H) include low dose topical anesthetics to help with symptoms. Others (Anusol, witch hazel) contain astringents that help shrink the swollen tissues. Both may contain low dose steroids (hydrocortisone) to decrease inflammation. People with diabetes should check with their pharmacist or health care professional before using OTC hemorrhoid treatments. If the medication contains a vasoconstrictor (for example, phenylephrine HCI, ephedrine, or epinephrine) it may elevate blood sugar levels if absorbed in large amounts.
  • Prescription strength lidocaine or hydrocortisone may be offered by the health care professional.
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See what others are saying

Comment from: Alison373, 45-54 Female (Patient) Published: November 19

First of all, I did not win the battle against my hemorrhoids and had them removed with THD (transanal hemorrhoidal dearterialization) in spring and fortunately don't have problems anymore now, but I suffered for many years and found that the following home remedies worked for me when it got really bad: twice a day a Sitz bath (to clean properly), afterwards a cold cloth with tea tree oil (for disinfection) and then Preparation H. After a couple of days it always got better. Plus of course, a fiber rich diet and plenty of water. I talked to other sufferers and I think everybody has to find his or her own home remedy. I personally don't believe there is one treatment that helps everyone.

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Comment from: Clubdncr, 45-54 Male (Patient) Published: June 30

Honestly the only thing that worked a lot for my hemorrhoids is Hemclear. Expensive at 50 plus but worth it! You have to take it 3 times a day for 40 or so pills but after 2 or 3 weeks they are 80 to 90 percent gone. I have been using it on and off for years.

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