Treatments for hemorrhoids include:
- Over-the-counter corticosteroid (for example, cortisone) creams to help reduce pain and swelling
- Hemorrhoid creams with lidocaine to help reduce pain
- Stool softeners help reduce straining and constipation
Things you can do to reduce itching include:
- Apply witch hazel to the area with a cotton swab.
- Wear cotton underwear.
- Avoid toilet tissue with perfumes or colors. Use baby wipes instead.
- Try not to scratch the area.
Sitz baths can help you to feel better. Sit in warm water for 10 to 15 minutes.
If your hemorrhoids do not get better with home treatments, you may need some type of office treatment, such as heat treatment, to shrink the hemorrhoids. This is called infrared coagulation. This may help avoid surgery. Another type of office treatment that may help is rubber band ligation.
If these treatments are not enough, some type of surgery may be necessary, such as removal of the hemorrhoids (hemorrhoidectomy). These procedures are generally used for patients with severe bleeding or prolapse who have not responded to other therapy.