Over-the-counter treatment options for hemorrhoids

Hemorrhoids can be painful and uncomfortable to deal with. Fortunately, several over-the-counter (OTC) options can help relieve symptoms while the area heals.

Common OTC treatments for hemorrhoids include topical medications containing ingredients such as hydrocortisone to help numb the area and reduce itching. Other medications can help soften stool, so it’s easier to move your bowels while hemorrhoids improve. 

Other examples of OTC treatments for hemorrhoids include:

Creams and ointments

OTC hemorrhoid creams often combine more than one active ingredient, such as phenylephrine and zinc oxide. This can help relieve symptoms such as itching, inflammation, and discomfort.

It can take up to 1 week for these products to relieve hemorrhoid symptoms. If your symptoms don’t get better, or if you experience side effects like a rash or dry skin around your anus, consider speaking with a doctor.  

Common examples of OTC hemorrhoid creams include:

Witch hazel cream

Witch hazel can help relieve burning and itching from hemorrhoids. The ingredient has traditionally been used for skin inflammation and minor skin injuries.

Witch hazel is also available as wipes and gels designed to help with hemorrhoids.

Lidocaine cream

Lidocaine is a numbing agent which can help reduce pain and irritation from hemorrhoids. A common OTC option is Preparation H Rapid Relief with Lidocaine Cream.

Lidocaine as a 5% ointment is usually in a preparation that also contains hydrocortisone for application to the rectal area. 

Hydrocortisone cream

Hydrocortisone can help with pain and itching. It comes as a rectal cream to treat hemorrhoids, under brand names such as Anusol HC and Preparation H Soothing Relief Anti-Itch Cream. 

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Suppositories

Suppositories and enemas are medications that you insert into areas of the body, such as the rectum. They can help your body absorb the drug quicker and provide relief.

Common brand names of enemas include Colocort and Cortenema, both of which contain hydrocortisone. The brand name suppository Proctocort also contains hydrocortisone.

Pain relievers

OTC pain remedies can help you manage the discomfort of hemorrhoids. Some common options are:

• acetaminophen (Tylenol)
• ibuprofen (Advil)
• acetylsalicylic acid (Aspirin)

Pain caused by hemorrhoids typically gets better within 1 or 2 weeks.

Stool softeners and fiber supplements

Stool softeners and fiber supplements can make it easier for you to have a bowel movement. This helps prevent straining so the hemorrhoids have time to heal. These supplements work best if you also increase your water intake so stools are bulky and soft.  

Examples of OTC stool softeners include:

• polyethylene glycol (RestoraLax)
• docusate (Colace)

Examples of fiber supplements include:

• psyllium (Metamucil)
• methylcellulose (Citrucel)

Alternative treatment options 

You can also take other steps to help ease the pain and discomfort of hemorrhoids. Consider:

• Taking a sitz bath: Soak in a few inches of warm bath water for 10 minutes a day. This can help with pain relief and anal hygiene.
• Using ice packs: Wrap a pack in a cloth and place it against the affected skin for 15–20 minutes a day. It can provide immediate pain relief.
• Using unscented bath tissue or baby wipes: Clean gently with unscented products after a bowel movement to avoid irritating the area.
• Adding more fiber to your diet: Vegetables, fruits, and whole grains can help to soften stools and aid in hemorrhoid healing.

It’s also a good idea to have a bowel movement when you need to instead of delaying the movement. This will help prevent straining or constipation.

When should you speak with a doctor?

Consider speaking with a doctor if your hemorrhoids do not get better in 1 or 2 weeks. In some cases, a doctor can treat the hemorrhoids with surgery or noninvasive procedures like rubber band ligation or chemical injection. 

Summary

Hemorrhoids can cause itching, burning, and pain. They can make bowel movements uncomfortable.

OTC preparations containing witch hazel, lidocaine, and hydrocortisone are some options that may help relieve these symptoms.

Common pain relievers, such as acetaminophen, ibuprofen, and aspirin, can help with hemorrhoid pain management. 

Self-care treatment can also help prevent and manage hemorrhoids. Taking daily sitz baths, applying ice packs, and adding fiber to your diet can help with discomfort.  

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