Best Hemorrhoid Cream 2019
Please read carefully through our extensive buyers guide for the best hemorrhoid cream and treatment in general, to receive quick relief from itching and painful hemorrhoids.
What are Hemorrhoids
Explanation and description
Hemorrhoids or Piles are a condition of the veins located in and around the anus or rectum, that causes them to swell up and or bleeding. The swelling or bulge of those veins can cause severe pain and or an itch sensation. This sensation can be very stressful and irritating. The swelling of the veins can happen especially during pregnancy or adults in general at the age of 45-65. Although, men are much more likely than women to contract hemorrhoids.
The swollen blood vessels can be internal or external. If they are far enough inside the rectum, you usually don’t feel or see them. Only when they occur at the end of the rectum or even protruding to the outside, you will notice due to pain and itching. The reason for the pain from external hemorrhoids is due to more nerves and pain receptors there.
Sometimes the blood can clot inside those veins; this is called a thrombosis. The veins then can turn from pink to blue or red and usually become very painful and itchy. Here is where you will want to know what hemorrhoid cream will provide you quick and fast relief.
What causes Hemorrhoids
Root causes of Hemorrhoids
Hemorrhoids can occur from various physical properties and pressure on the rectum or anus. The pressure can arise from constipation or even obesity for example. Also pushing during bowel movements or straining when lifting heavy items can restrict blood flow and cause the veins to swell.
Also, Hemorrhoids are very common in pregnant women. When the blood vessels in the anus stretch very thin, passing stool or poop can cause irritation or even bleeding when the vessels tear. The bleeding is what leads to noticing the hemorrhoids commonly if no itch is predominant.
Sitting for long periods at a time have been found to promote hemorrhoids as well. If you work an office job, you could avoid this by getting up regularly and walking a few steps to encourage blood flow in the lower back and buttock region.
You can check WebMD for a more detailed explanation of hemorrhoids.
Natural Hemorrhoid Treatment or how to prevent Hemorrhoids in the first place
Prevent Hemorrhoids Naturally
There are a few things you can do to try to prevent hemorrhoids from occurring in the first place. Key is getting healthy to encourage proper blood flow in your veins and blood vessels in the lower back and rectal region.
As stated above many factors such as pregnancy, obesity and other vascular conditions may cause the hemorrhoids. Changing unhealthy habits to a better lifestyle usually are the first step in getting fit and avoiding medical conditions.
Try to apply the following three points to have the most significant bases covered when trying to avoid hemorrhoids. However, there are many more benefits in general about living a healthy lifestyle.
Check out Wikipedia on how to prevent hemorrhoids for other options.
Hemorrhoid creams and how to use them correctly
Hemorrhoid Cream Application
Sometimes the hemorrhoids are already advanced and are quite painful. Hemorrhoid Creams can treat some of the symptoms and soothe the pain very effectively through an added ingredient Hydrocortisol. Depending on the gravity of your condition, and what exact condition (protruding hemorrhoids or external hemorrhoids) you have. Applying these creams can make a worlds difference in pain relief and may be your best bet to treat your hemorrhoids.
You will not be able to heal the hemorrhoids, but manage some degree of the pain and itch until the healing process has completed or you were able to seek medical attention. The following creams are the most popular and by far the most effective ones. But remember everybody is different. What works for one must not work for someone else. Try out the different brands before you dismiss it if they don’t work from the get-go.
The following creams are the best with regards to pain and symptom relief, tested by thousands of hemorrhoid sufferers. There is no guarantee that they will work on you. There are many more creams available on Amazon or other drug store retail outlets. If they don’t work for you, try other creams and see if you get relief.
Active ingredients in Hemorrhoids Creams and how they work
The high-end hemorrhoid creams give instant relief of the pain and itch deriving from hemorrhoids. The creams differ in their active agents that are used to treat the several different conditions and symptoms. Try different creams if one is not helping you. Their composition is essential in treating your hemorrhoid. There are
- Hydrocortisone based formulas (great to treat itching)
- Mineral oil and Zinc oxide based (good to treat dry and irritated skin around the anus)
- Benzocaine / Pramoxine / Lidocaine based (provide instant pain relief)
Cooling usually provides help with pain and soreness / irritated skin around your anus. Cold compresses also help in this regard and can be combined with any of the other hemorrhoid treatments.
Texture and Viscosity
Hemorrhoid creams or over the counter remedies come in a wide variety of viscosity – from thin gels to very thick creams and lotions. Application varies depending on the texture and also on your personal preference.
Best over the counter Hemorrhoid Creams
Home Remedies for Hemorrhoids & how to treat Hemorrhoids
Once the hemorrhoids have shown up, you could be one of the unlucky individuals with external or protruding hemorrhoids – causing severe pain and or itching. Relieving your self of these uncomfortable sensations can quickly become the priority. There are several home remedies you can try before you need to buy any cream or ointment.
Keeping your anal area clean is essential. Take a daily warm bath instead of a shower when you have hemorrhoids. Letting your sphincter soak for at least 10 minutes will increase blood flow and encourage the healing. Usually, also any itching sensation will diminish, at least while soaking in the warm water. Be sure to gently clean your anal area without any soap, as the ph levels of the detergent will interfere with the natural oils produced and possibly dry out and irritate the skin.
Sitz Bath for external Hemorrhoids
A very popular home remedy is the sitz bath. Similar to the warm bath to soak the anus and possible hemorrhoids, a sitz bath can relieve irritations and protruding hemorrhoids. The warm water will relax the sphincter and provide some degree of relief. Adding Epsom salts can further be beneficial for skin soothing. Add 1 cup for every 2 quarts of water. Soak for 10 – 15 minutes for two to three times per day. You can buy the Sitz Bath and the Epsom salts on Amazon.
Witch Hazel for Hemorrhoids
Witch Hazel is a natural cream containing tannins that provide soothing relief to your hemorrhoids. Pure Witch Hazel is available from any drug store. There are different application methods and products.
You can add it to water and soak with a sitz bath, or you can apply it pure after your bowel movements. Just be sure to buy products only containing natural ingredients without synthetics, or you can make the hemorrhoids worse.
Applying a cold compress to your rectum can provide significant relief. There are specific compresses that are comparable to frozen packs known from your freezer. A cold compress can help to reduce swelling and to relieve itching sensation. You can always also use frozen vegetable packs for example. Just make sure to cover it up with a towel that you can wash due to hygiene reasons. A store-bought special gel icepack is much more comfortable though.
Other Hemorrhoid Treatment Options
Other treatment options are available that are applicable at home. Mostly they revolve around hygiene and can be used particularly in combination with other options. But also the traditional doughnut-shaped pillows have to find mention in this overview.
Preparation H wipes are the #1 Best Seller on Amazon. They contain diluted Witch Hazel and are flushable in the toilet. Combined with hemorrhoid creams the wipes form a strong hygiene regiment that can relieve and considerably diminish hemorrhoid symptoms.
The moisture in the wipes greatly reduces irritation when wiping your rectum after pooping. Using regular toilet paper can irritate possible external or protruding hemorrhoids. You can buy the wipes on Amazon here.
Sometimes just using hemorrhoid cream is not enough or doesn’t work with you. Anusol is the most popular brand of suppositories. The suppositories are inserted into your rectum and provide long-term pain relief and itch sensation remedies.
Try them out and see if you find the desired relief with this treatment option. You can buy it on Amazon here.
Aylio Donut Seat Cushion for external hemorrhoids
The classic hemorrhoid symptom treatment is doughnut-shaped cushions. They do not provide any medical healing but rather provide comfort and pressure relief. Sitting for long periods of time on your butt can irritate possible external hemorrhoids and give severe pain. A cushion really can make you comfortable in various environments such as your office, your car or your home.
Hemorrhoid Medical Procedures and Treatments
There are however various gravities of hemorrhoid conditions or piles. You will not always be able to treat them at home with remedies or over the counter treatment options. If you encounter symptoms of pain and itching and the above solutions are not helping after more than a few weeks, you should seek professional medical attention.
The several treatments are listed in detail below and range from minimally invasive to full surgeries if you suffer from grade 4 internal hemorrhoids that need to medically treated. Your general physician will be able to provide guidance or send you to a specialist (colo-/proctologist). Diagnosing and applying the correct medical treatment is crucial to removing the cause of the condition and for a full recovery.
Also depending on the severity of your hemorrhoids, you will either be viable for the minimally invasive techniques that can be done by the doctors in their offices. If you have a large grade 3 or higher hemorrhoids, you may need surgery to provide long-term relief and fewer side effects.
Minimal Invasive Therapy options to remove Hemorrhoids
Coagulation (also called cauterization) uses heat from different sources (laser, infrared or bipolar). When heat is applied to hemorrhoid, it hardens and shrivels the vein instantly relieving you from the condition. There are some side effects like mild discomfort during the process, and the recurrence rate is higher as with the ligation method.
Rubber Band Ligation
For the Rubber Band Ligation, the doctor applies tiny rubber bands at the base of internal hemorrhoid to cut off the blood supply. That should cause the vein to shrink and die off within a few weeks usually. Rubber Band Ligation is the most effective procedure for most patients suffering from persistent bleeding and painful hemorrhoids.
The procedure can cause discomfort after the procedure as the veins or hemorrhoids can react to the rubber banding. Keep track of blood in your stool and provide the data to your doctor, so he can know if the procedure and healing process is going well.
The sclerotherapy is a procedure where your doctor injects a chemical compound into the affected veins and blood clots, that is supposed to shrink the tissue. The injection itself is not painful and usually not as effective as the rubber band ligation.
What is Sclerotherapy and when can it be applied
Used as a minimally invasive treatment, Sclerotherapy is mostly used to treat varicose veins and spider veins. The procedure includes the intravenous injection of a chemical compound known as sclerosing agent directly into the affected area and veins.
Not only is the treatment used to reduce the presence of spider veins or varicose veins, but also to reduce the pain caused by the distressed veins. Also Sclerotherapy can limit unwanted side effects caused by the condition.
Varicosed or Spider Veins can cause cramps, pain, itchiness, discomfort and possibly unnatural coloring of the affected veins.
Approximately one two out of ten adults are diagnosed with varicose veins at least once in their lifetime, with increasing occurrence by advancing age. Over 320,000 sclerotherapy treatments were performed in the United States in 2017 (source PubMed Central).
Where is sclerotherapy best used?
Regions mostly affected by varicose veins are the feet and legs.
The veins contracted could be swollen, off-colored, increase in size dramatically and cause great irritation when located deep under the epidermis or skin. While spider veins are normally smaller and nearer to the surface of the skin, they can look blue, purple or dark red.
On occasion sclerotherapy can be applied to provide treatment for certain types of hemorrhoids. Sclerotherapy for hemorrhoids makes sense if the hemorrhoids are rather small and located externally from the anus. The classification for these hemorrhoids are grade 1 and 2 hemorrhoids. Also this procedure may be applied when the hemorrhoids are bleeding and when a surgical treatment like a hemorrhoidectomy is not an option due to health issues and pre-dispositions.
Considering the size and severity of the irritated veins, sclerotherapy may be considered to treat the damaged veins in the following regions or areas
How does sclerotherapy work?
Subject to the degree of the hemorrhoid or vein irritation, sclerotherapy can last from 20 minutes to over an hour. Depending also on the application and where the treatment is taking place you may need to lie down and get local anesthesia.
If the affected veins are deep down under your epidermis, your medical practitioner may need to use an ultrasound as part of the treatment.
The application includes cleansing of the skin where the treatment will take place. Through injection with a needle the doctor will apply the sclerosing agent. These chemical compounds usually contain
– Hypertonic saline solutions
– Sodium tetradecyl sulfate
The agent or foam compound will result in the veins closing off to blood flow and redirect the bloodstream to the surrounding veins. This will result in the damaged vein shrinking and less visibility, ultimately the vein will shrivel and the discomfort will subside very quickly.
Depending on the gravity of your condition, the treatment may include further applications of the sclerosing agent of up to four or five times and multiple consultations with the medical professional.
Also called the stapled hemorrhoidectomy, is typically used only for internal hemorrhoids. The veins with blood clots are stapled at the base to cut off the blood supply to the vein tissue. The hemorrhoids are supposed to die off and shrink or wither. Once dead they will fall off, and you should be relieved of the pain and itch.
The recovery time for this procedure is minimal, and you usually can return home and work within a few days. However, the stapling is associated with an increased rate of recurrence compared to the conventional hemorrhoidectomy.
Side effects and complications can be persistent bleeding, urinary retention and pain and in rare cases a blood infection (sepsis).
The hemorrhoidectomy is the most common medical procedure for longterm persisting hemorrhoids or piles. This method lays focus on removing the damaged hemorrhoidal tissue with incisions. The surgery usually is done with either local anesthesia or general anesthetic sedation. On rare occasions also spinal anesthetic may be used.
Hemorrhoidectomy is the best way to treat the most severe form of hemorrhoids. Known side effects from this procedure that are most common are bladder problems or urinary tract infections.