Hemorrhoids
Over the counter relief options
What are hemorrhoids and can you treat it yourself?
Hemorrhoids​ are swollen veins in the lower rectum or anus that can cause discomfort, itching, and pain, particularly during or after bowel movements. They may develop internally, inside the rectum, or externally, around the anus. Common triggers include chronic constipation, straining during bowel movements, prolonged sitting, pregnancy, or a low-fiber diet.
While hemorrhoids are a widespread condition, they can be distressing and interfere with daily comfort and activities. Symptoms of hemorrhoids often include painful bowel movements, itching, irritation, swelling, or minor bleeding noticed on toilet paper or in the stool. In some cases, a small lump may form near the anus due to a blood clot , which can be especially painful. The principles of hemorrhoid treatment include shrinking the hemorrhoids , reducing the inflammation and pain, and avoid further irritation to allow the area to heal.​​​​​
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Pharmacist-recommended products​​
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Hydrocortisone 1% Cream
Reduces inflammation by suppressing local immune activity, which helps calm itching, redness, and swelling around the anus. It is best for short-term flare-ups and should be used sparingly for no more than 7 days to avoid skin thinning or irritation from overuse.
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Tucks® Witch Hazel Pads
Witch hazel acts as a natural astringent, helping tighten irritated skin and reduce minor bleeding. These cooling pads soothe burning and itching and are especially helpful after bowel movements or during postpartum recovery when tissue is sensitive.
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RectiCare® Lidocaine 5% Cream
Provides maximum-strength topical numbing to block nerve signals and deliver rapid relief from pain, burning, and itching. Ideal for severe discomfort during flare-ups, though it offers symptom relief rather than addressing inflammation.
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Vaseline® (Lubricant Gel)
Creates a protective barrier that reduces friction and shields irritated skin from moisture. It also helps lubricate the anal opening, making bowel movements less painful and decreasing trauma to swollen hemorrhoidal tissue.
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Preparation H® Cream / Suppositories
Uses vasoconstrictors to shrink swollen hemorrhoidal veins, easing pressure, pain, and fullness. Suppositories reach internal hemorrhoids, while creams target external symptoms. These products help reduce swelling but work best when paired with stool softening and hygiene measures.
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Stool Softener (Docusate Sodium)
Draws water into the stool, making it softer and easier to pass. This helps prevent straining, the main cause of hemorrhoid flare-ups and enlargement. Docusate is gentle enough for daily use during symptom recovery.
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Ibuprofen (Advil®)
Lowers inflammation and swelling inside the hemorrhoidal tissue, helping relieve pain, pressure, and tenderness during active flare-ups. Best taken short-term and with food to reduce stomach discomfort.
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Acetaminophen (Tylenol®)
Provides pain relief without affecting the stomach or causing bleeding issues. A good option for patients who cannot take NSAIDs, have sensitive stomachs, or are on medications that interact with ibuprofen.
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For itching and swelling, use Hydrocortisone cream or Tucks pads.
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For pain, RectiCare is a local numbing ointment or you may use oral pain relievers (Ibuprofen or Tylenol).
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For longer-term management, focus on stool softeners like Colace® and protective barriers such as Vaseline®.
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Seek medical attention if hemorrhoid symptoms include significant bleeding, severe pain, or don’t improve within a week of OTC treatment.
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