Hemorrhoid Creams, Suppositories, and Ointments

Monika Singh   by Monika Singh, MS    Last updated on February 20, 2020,

Hemorrhoid Creams and Their Types

Hemorrhoid creams are quite effective in treating some of the initial symptoms of haemorrhoids and are also capable of soothing haemorrhoid pain effectively because of an ingredient called hydrocortisone.

There are three types of hemorrhoid creams which are most popular and by far the most effective ones. But the effect of these creams may vary from one person to another depending on individual characteristics and the types of their hemorrhoids.

What works for one may not work for someone else. In such cases, try out other different brands before dismissing one, of course after recommendation from your doctor.

Active Agents

Active agents are capable of providing instant haemorrhoids pain relief and help ease itching due to hemorrhoids. These creams differ in their active agents that help to treat different haemorrhoid symptoms. If one cream is not helping, try out another one. These agents are:

  • Mineral oil and Zinc oxide-based (good to treat dry and irritated skin around the anus)
  • Hydrocortisone based formulas – great to treat itching haemorrhoids.
  • Benzocaine or Pramoxine or Lidocaine-based creams (provide instant pain relief)

Cooling Sensation Creams

These types of creams usually provide relief from pain and soreness or irritated skin around the anus.

Cold compresses are also a good option in this regard and can be combined with any other hemorrhoid treatment.

Texture and Viscosity of Hemorrhoid Creams

Hemorrhoid creams range from thin gels to very thick creams and lotions. Application varies depending on the affected area and also on your personal preference.



Example of Some Available Hemorrhoids Creams for Certain Situations

Some of the best and more effective hemorrhoids creams which have proved their worth and are most often recommended by doctors are listed herein. But you should use them only after your doctor prescribes.

Doctor Butler’s Maximum Strength Hemorrhoid and Fissure Ointment

Doctor Butler’s Maximum Strength Hemorrhoid & Fissure Ointment is one of the most popular, effective and liked creams. This cream has been Amazon’s #1 selling hemorrhoid treatment.

The cream was developed by a board of certified proctologists. Organic herbs of the highest quality, various minerals, and amino acids are the main constituents of the cream.

Preparation H

This is another very popular over the counter cream for piles. It contains natural herbs and minerals, also including the hydrocortisone that relieves the pain quickly. Therefore, it is sometimes also known as hydrocortisone cream for hemorrhoids.

It is also considered as a hemorrhoid shrinking cream because it contains phenylephrine, which is a vasoconstrictor that constricts the anal blood vessels. Apply generously on external or protruding hemorrhoid and apply the same hygiene standards needed to keep the rectum or anal area clean.

Ultra Clear Plus

This is a natural hemorrhoid cream. It provides instant relief in external hemorrhoids. The cream is designed to give hemorrhoid sufferers effective and natural relief using natural ingredients.




Tronolane is another hemorrhoid treatment cream which includes lidocaine and is odorless. Apply up to five times a day for fast and immediate pain relief and shrinkage of the external hemorrhoids.

Discontinue the use if not found effective even after continuing the application for 7 days. This may indicate that the patient may have a more severe form of hemorrhoids or even another condition that needs appropriate treatment by a specialist. Home based care may not always work particularly if the condition is severe.


This anorectal solution is considered one of the strongest hemorrhoid creams and is usually recommended for alleviating ache.

It is effective for both the exterior and inner piles. The recticare solution consists of 5 percent lidocaine (an effective anesthetic agent that numbs the discomfort and offer instant relief).

It also has an anti-itch property that helps calm the afflicted areas and alleviate the discomfort. It is fairly smooth on pores and skin and does not trigger any flaring up of the skin.


Nupercainal is another of hemorrhoid suppositories or ointments that consists of dibucaine and offers a powerful numbing attribute.

This cream also consists of petroleum and minerals oils that lubricate the rectum for unrestricted bowel routines.


Equate is a respected and famous manufacturer of solutions that have encouraging benefits and is considered one of the best ointments for piles. The cream is a remedy that focuses on the discomfort, ache, and heating connected with piles.

The cream helps to diminish the enlarged hemorrhoid skin and creating a defensive coating above the inflamed flesh.

Active substances utilized in this remedy are glycerine, petroleum, phenylephrine HCl, and pramoxine.


Anusol is among the most trustworthy names in regards to premium solutions. This ointment for haemorrhoids allows coping with the distress (such as itchiness, discomfort, ache, bulging and dry skin) connected with hemorrhoids.

The cream also works to decreases the irritation of the anal area, itchiness in and around the backside.

The active elements of this solution include Zinc Oxide, Bismuth Subgallate, Balsam Peru and Bismuth oxide. These substances include moderate antibacterial, preventative and astringent traits and helps to heal the affected area.

Hemo Treat

HemoTreat Piles Cream is a very secure and powerful ointment that provides instant alleviation from the pains. The cream is sold as a risk-free, powerful and ideal treatment for both inner and exterior haemorrhoids equally.


More: Recent advances in the management of hemorrhoids

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The active substances include camphor, calcium carbonate, eucalyptus oil, petroleum jelly, lanolin and adept sullies that reduce discomfort, soreness, and itchiness, decreases bulging and irritation, addresses dried epidermis.

How to Apply Ointment for Piles?

Hemorrhoid creams can be applied around the outside of your anus, or internally to further reduce symptoms.

Here are the basic steps for using your hemorrhoid cream:

Using the Cream for External Use

  • Wash the hands thoroughly with soap and clean water.
  • Squeeze the tube of hemorrhoid cream and apply a small amount on a finger.
  • Apply the hemorrhoid cream around the outside of your anus with the finger.
  • Repeat the process 3 to 4 times daily (compulsory at night and in the morning).
  • Wash your hands thoroughly with warm water and soap after each application of hemorrhoid cream.

Using the Cream for Internal Use

  • Try to have a bowel movement before an internal application of hemorrhoid cream.
  • Wash the hands thoroughly with soap and clean water.
  • Attach the applicator (with a rounded tip) to the tube of hemorrhoidal cream.
  • Squeeze the tube of hemorrhoidal cream gently and fill the applicator with the cream.
  • Lubricate the end of the applicator with a safe lubricant and gently insert the applicator into the rectum.
  • Squeeze the tube of hemorrhoid cream gently to move the cream in the applicator into the rectum.
  • Remove the applicator and wash with soap and warm water, and wash your hands.
  • Try not to have a bowel movement for a couple hours after an internal application of hemorrhoid cream.

What are the Benefits of Using Creams For Hemorrhoids?

Hemorrhoidal creams are generally considered as a good way to get rid of hemorrhoids. Using creams to treat the problem does have several benefits to go with it.

Here are a few that are worth mentioning.

Reduces inflammation

One of the advantages of using creams to get rid of hemorrhoids is that it can reduce inflammation in the veins of your anus or rectum. This is important because inflammation needs to be treated as soon as possible so that the veins will go back to their regular state.

Minimizes pain and itching

Another benefit to using creams for your hemorrhoids is that they provide instant relief in itching and pain that come with this condition. Swelling in the anal area can cause discomfort while walking, sitting and standing.

Applying creams can make this disappear.

Lessens pain during a bowel movement

Hemorrhoids can lead to a lot of pain while defecating. Using these creams can provide certain relief as some creams can lubricate and numb the area and the person feels less pain.

Heals damaged tissues

During hemorrhoids, the swelling that occurs can damage some tissues. Hemorrhoidal creams contain certain ingredients that can heal the damaged tissues. Applying the creams regularly can make a significant and positive change in the condition.

Regulate blood flow

Another advantage to using creams as the best way to get rid of hemorrhoids is that they can promote better blood flow in your anus or rectum.

Better blood flow in the area prevents inflammation and subsequently hemorrhoids will reduce significantly.

Good for lubrication

You should also consider using topical creams for your hemorrhoids because they are good as lubricants. This helps ease the passage of stools during bowel movements.

What are the Precautions to be Taken Care of While Using Hemorrhoidal Creams?

  • Always read the label on the creams to avoid any untoward incidents when using it on the anus. Some ingredients may not be ideal for those who have sensitive skin.
  • Avoid using it more than the prescribed dosage. Using too much quantity can be dangerous in the long run.
  • Start with mild creams first before moving on to the stronger ones until you get the results that you are looking for.
  • Using stronger medications can also damage the tissues on your skin. This should be kept in mind when searching for creams to use on your hemorrhoid problems.

Monika Singh

Monika Singh is an expert in computer sciences and has pursued her Master’s degree (M.Tech-CS) from Banasthali University, Rajasthan. Her areas of interest include data structure, software engineering, software testing, and computer graphics. Monika Singh has published a paper on “Modified AODV in MANET,” International Journal of Computer Science and Management Studies (IJCSMS), ISSN: 2231-5268, Vol-14, Issue-05 May 2014, PP:12-18.

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