We independently evaluate all of our recommendations. If you click on links we provide, we may receive compensation. What to Buy OTC Products The 10 Best Hemorrhoid Creams and Treatments for Fast Relief Editors and experts agree that these products soothe your sensitive areas By Lindsay Modglin Lindsay Modglin Lindsay is a nurse-turned professional mental health and wellness writer. She uses her 9+ years of clinical healthcare and diverse medical background to write about mental health, chronic conditions, and medicine. health's editorial guidelines Updated on June 4, 2024 Medically reviewed by Michael Menna, DO Medically reviewed by Michael Menna, DO Michael Menna, DO, is currently an attending emergency medicine physician at White Plains Hospital in White Plains, New York, with nearly 10 years of experience. learn more Fact checked by Richard Scherr Fact checked by Richard Scherr Rich Scherr is an updates strategist and fact checker for Health.com. He is a seasoned journalist and editor with over two decades of experience, he has held several leadership roles at major publications. health's fact checking process In This Article View All In This Article Reviews Our Top Picks What to Expect from Hemorrhoid Treatments More to Consider Our Review Process Our Experts What to Know Who We Are Health Hemorrhoids may not be a hot conversation topic, but the odds are that you or someone you know has dealt with them. In fact, they're one of the most common ailments worldwide, affecting about half of all adults by age 50. Also known as piles, these swollen veins in the lower rectum and anus can be caused by a variety of factors, including pregnancy, chronic constipation, and straining during bowel movements. The condition can cause discomfort, pain, and even bleeding, decreasing quality of life. Thankfully, over-the-counter (OTC) products, creams, and lifestyle changes, such as increasing fiber intake and drinking plenty of water to prevent constipation, can successfully treat many hemorrhoids. We surveyed editors on our team who have had hemorrhoids and consulted board-certified doctors to find the best creams and treatments available without a prescription. Then, a doctor from our Medical Expert Board reviewed this article for medical and scientific accuracy. Our Top Picks Best Ointments and Creams Motherlove Rhoid Balm at Amazon ($13) Preparation H Rapid Relief Hemorrhoid Cream with Lidocaine at Amazon ($29) Doctor Butler's Hemorrhoid & Fissure Ointment at Amazon ($35) Boiron HemCalm Ointment at Amazon ($11) Best Gels and Sprays Preparation H Hemorrhoidal Cooling Gel at Amazon ($8) Earth Mama Herbal Perineal Spray at Amazon ($14) Best Pads or Wipes Tucks Medicated Cooling Pads at Amazon ($13) Preparation H Flushable Wipes at Amazon ($12) Best Laxatives and Suppositories Fleet Laxative Glycerin Suppositories at Amazon ($10) Anusol Suppositories at Amazon ($15) The Editor's Take As a senior editor on Health, I’ve tested countless OTC products and have interviewed many medical professionals throughout my journalism career. I wish I could say I don’t have first-hand experience with hemorrhoids, but that changed during my pregnancy with twins. That’s not unusual: A recent study suggests up to 41% of pregnant people are prone to hemorrhoids during their third trimester. Depending on your lifestyle, there are different options to consider. Ointments and creams are soothing and long-lasting but may be slightly more difficult to apply, while sprays, pads and wipes may be more convenient. It’s important to note that these treatments offer pain relief but do not cure hemorrhoids. Randall Cooper, MD, FACS, board-certified colorectal surgeon at Summit Health in New Jersey, recommends talking to your healthcare provider if hemorrhoids don't go away after a few weeks. -Jessica Wozinsky Fleming, Senior Editor What to Expect from Hemorrhoid Treatments Active ingredients: Look for phenylephrine HCL to help shrink swollen veins. Lidocaine, witch hazel, pramoxine hydrochloride, or zinc oxide can help relieve itching and burning. While soothing agents such as aloe vera, colloidal oatmeal, and glycerin help moisturize the skin and reduce irritation. Frequency of use: Some products must be used frequently, while others only occasionally. It's crucial to follow the directions to prevent side effects. Laxatives, for instance, should only be used as directed. Ask a healthcare professional if you're uncertain how often to use a product. Hemorrhoid management: For mild cases, increasing fiber intake and drinking more water can help alleviate symptoms. Also, over-the-counter topical medications, ointments, creams, or suppositories may provide temporary relief. In more severe cases, hemorrhoid banding or a surgical hemorrhoidectomy may be needed. Best for Instant Relief Motherlove Rhoid Balm PHOTO: Amazon $13 $12 at Amazon View on Motherlove.com $13 at IHerb Why We Like It Motherlove Postpartum Rhoid Balm delivers instant and effective relief. This product's potency lies in its all-natural, organic ingredients that penetrate the area within minutes. In our survey, users noted this balm’s soothing effect and ability to reduce the discomfort and pain associated with hemorrhoids. In addition to its powerful ingredients, the Motherlove Postpartum Rhoid Balm is easy to apply and conveniently packaged in a compact tin. Its formula is not overly greasy despite containing extra virgin olive oil for an added moisturizing effect. Other ingredients worth mentioning include witch hazel to prevent itching and irritation and yarrow herb for its anti-inflammatory properties. It's also safe to use during pregnancy and while breastfeeding. And although the packaging says the product is for hemorrhoids caused by pregnancy and birth, it's effective for anyone to use. It’s Worth Noting If you have a history of allergies, we recommend that you conduct a patch test before using herbal products as some users may be sensitive to them. Washing your hands thoroughly before and after applying the balm is important since it requires hands-on application. Product Details Type: BalmActive Ingredients: Witch hazelDose: Apply to affected area several times per day PHOTO: Health PHOTO: Health Best Pain Relief Preparation H Rapid Relief Hemorrhoid Cream with Lidocaine PHOTO: Amazon $31 at Amazon $19 at Walmart Why We Like It Preparation H Rapid Relief Cream's dual-action formula gives you the prompt comfort you need, especially during severe hemorrhoid flare-ups. The primary active ingredient is maximum-strength lidocaine, a local anesthetic renowned for its ability to numb the skin to alleviate pain and itching. This cream also contains phenylephrine HCl to shrink swollen hemorrhoidal tissue and lessen the discomfort of external hemorrhoids. This product works quickly, and many users swear by its effectiveness. Our survey revealed that it's fast-acting and long-lasting, making it an ideal over-the-counter option. It's also non-greasy, contains glycerin for extra moisturization, and has a light yet pleasant odor. It’s Worth Noting The severity of your hemorrhoids may be masked by the numbing effect of this product. If your symptoms persist or worsen, it is recommended to seek medical advice. Prolonged usage may cause skin irritation and dryness. Product Details Type: OintmentActive Ingredients: Lidocaine and phenylephrine HCl Dose: Apply up to four times daily PHOTO: Health PHOTO: Health Best for Anal Fissures and Hemorrhoids Doctor Butler's Hemorrhoid & Fissure Ointment PHOTO: Amazon $35 $30 at Amazon $30 at Target View on Getdoctorbutlers.com Why We Like It This option also includes lidocaine, a local OTC anesthetic, to provide fast pain relief. With the added benefit of phenylephrine to help reduce swelling, Doctor Butler’s Hemorrhoid and Fissure Ointment is a superb choice for those suffering from both hemorrhoids and anal fissures. Anal fissures are tiny tears in the lining of your anal canal that often occur after straining to have a bowel movement. This ointment numbs the area and helps reduce inflammation. It’s also effective in reducing burning and itching. Including herbal and plant extracts, such as aloe vera, horse chestnut, and ginseng extract, helps protect the skin's moisture barrier and supply antioxidant protection. Users with sensitive skin appreciate its gentle formula and smooth application. It’s Worth Noting This product is one of the pricier options on our list, but many find it worth the cost for its effectiveness.Because the product addresses internal fissures, you may experience initial burning and discomfort upon application. Product Details Type: CreamActive Ingredients: Lidocaine USP 4.0%, phenylephrine HCl 0.25%Dose: Apply up to three times daily Best Natural Boiron HemCalm Ointment PHOTO: Amazon $8 at Amazon $8 at Walmart $11 at CVS Why We Like It Boiron has been a household favorite for homeopathic remedies since 1932, and its HemCalm Ointment offers a natural, budget-friendly option for hemorrhoids. The ointment contains powerful active ingredients, including Aesculus hippocastanum 1X HPUS 1.3%, a plant-based component (horse chestnut) that helps shrink and soothe inflamed veins. The formula is easy to use and is free of parabens, dyes, or preservatives. Plus, it can be used for those 12 years and older. Apply the ointment up to four times daily for targeted relief and healing. At a fraction of the cost of other options, this ointment is an excellent choice at less than $10 per tube. It’s Worth Noting The plant-based cream doesn't offer the numbing effects that other products on our list do, and some users may not see significant results if their hemorrhoids are severe. Product Details Type: OintmentActive Ingredients: Aesculus hippocastanum, collinsonia canadensis, hamamelis virginianaDose: Apply up to four times daily Best Cooling Preparation H Hemorrhoidal Cooling Gel PHOTO: Amazon $8 at Amazon $8 at Target $8 at Walmart Why We Like It Preparation H Hemorrhoidal Cooling Gel delivers an instant cooling sensation that targets the swelling, itching, and burning associated with hemorrhoids. The gel formula contains powerful ingredients like witch hazel and aloe to soothe and protect the affected area while also reducing inflammation and irritation. It also contains phenylephrine HCl, a vasoconstrictor that helps shrink swollen blood vessels quickly. The cooling gel is easy to apply and absorbs quickly into the skin without leaving any tackiness. It's also non-staining, so it won't ruin your clothes or bedding. Plus, the small tube can be tossed into a bag or purse for relief whenever and wherever you need it. Our survey respondents raved about the effectiveness of the cooling properties on their painful hemorrhoids and highly recommended this product for immediate relief. It’s Worth Noting Preparation H Hemorrhoidal Cooling Gel can cause a slight burning sensation in some people due to sensitivity to the active ingredients. If you are allergic to any of the components, avoid using this product. Product Details Type: GelActive Ingredients: Phenylephrine, witch hazel, vitamin E, aloeDose: Apply up to four times daily Best for Pregnancy and Postpartum Earth Mama Herbal Perineal Spray PHOTO: Amazon $15 $14 at Amazon Why We Like It The pressure of a growing uterus increases the risk of hemorrhoids during pregnancy, making it essential for expecting moms to add a hemorrhoid product to their must-have list. Earth Mama’s Herbal Perineal Spray is specifically designed to soothe and cool the affected area using natural herbs. This spray contains peppermint and witch hazel, known for their anti-inflammatory, antiseptic, and astringent properties. When applied topically, these ingredients work together to create an immediate cooling sensation. Earth Mama products are free of harsh chemicals and parabens, making them a safe choice for pregnant women. Plus, the convenient spray bottle makes application quick and mess-free. The company recommends keeping the bottle in the refrigerator for an intensified effect. It’s Worth Noting Some users have reported issues with the spray bottle, including defective sprayers or clogs. It also has a slightly powerful scent (though natural), which may not appeal to everyone. Product Details Type: SprayActive Ingredients: Peppermint, witch hazelDose: Mist as often as needed Editor's Pick Tucks Medicated Cooling Pads PHOTO: Amazon $13 $8 at Amazon $8 at Walmart Why We Like It TUCKS Medicated Cooling Pads provide comfort and relief for those struggling with hemorrhoids. The pads contain witch hazel to soothe irritated skin and reduce inflammation. The fast-action formula offers an immediate cooling effect that brings comfort, which is crucial considering the discomfort hemorrhoids can cause. In their survey responses, our editors raved about the cooling sensation these pads provided and noted their effectiveness in reducing swelling and irritation. The pads are easy to apply and leave no residue, making it a hassle-free addition to your daily routine. The small plastic tub also makes it relatively portable. It’s Worth Noting While TUCKS Medicated Cooling Pads are highly effective, their scent may be too intense if you’re sensitive to strong smells. The pads can cause a slight stinging sensation upon initial application, which could be uncomfortable for those with sensitive skin. Product Details Type: WipesActive Ingredients: Witch hazelDose: Up to six times per day or after each bowel movement PHOTO: Health PHOTO: Health Best Wipes Preparation H Flushable Wipes PHOTO: Walmart $12 at Amazon $10 at Walgreens $10 at CVS Why We Like It Preparation H Medicated Wipes are another option that contains witch hazel, a natural astringent known for its anti-inflammatory properties. They also have soothing aloe to provide even more relief from itching and burning. The wipes are flushable and septic-safe for easy and discreet disposal. Our survey found that users appreciate the level of convenience and simplicity of these wipes. They don't leave behind an oily sensation or an overpowering scent and can be used in conjunction with other hemorrhoid treatments for extra relief. Your hands also stay clean throughout the application process. It’s Worth Noting Overuse can lead to skin dryness and irritation. For this reason, you shouldn’t use the wipes for an extended period. The wipes are thin and can tear easily, so be gentle when using them. Product Details Type: WipesActive Ingredients: Witch hazel, aloeDose: Use one wipe up to six times daily to gently cleanse the affected area PHOTO: Health PHOTO: Health Best Laxative Fleet Laxative Glycerin Suppositories PHOTO: Amazon $14 at Amazon $5 at Target $14 at CVS Why We Like It Fleet's Laxative Glycerin Suppositories provide fast and gentle relief from occasional constipation. The suppositories attract water into the stool, making it softer and easier to pass. They also have a lubricating effect, making bowel movements more comfortable for those with internal hemorrhoids that may be irritated by hard stools. Our editors who have tried this laxative say it's highly effective for softening stools, preventing irritation from existing hemorrhoids, and stopping the formation of new ones. The company states the product typically produces a bowel movement within an hour, but some of our editors reported results that took as little as 15 minutes. Unlike other laxatives, you don't take it orally, which can be a relief for those with sensitive stomachs or who have trouble swallowing pills. It also doesn't cause cramping or bloating like stimulant laxatives do. It’s Worth Noting Some people may be uncomfortable with the application method of inserting the suppository directly into the rectum.Over-reliance on laxative products can disrupt natural bowel function. Use the product responsibly and not as a long-term solution for chronic constipation unless approved by your healthcare provider. Product Details Type: SuppositoryActive Ingredients: GlycerinDose: Adults and children over six years old insert one suppository per day as needed PHOTO: Health PHOTO: Health Best for Internal Hemorrhoids Anusol Suppositories PHOTO: Amazon $15 $13 at Amazon Why We Like It Internal hemorrhoids are located inside the rectum and can be incredibly uncomfortable. Anusol suppositories deliver targeted relief and help shrink troublesome veins. The suppositories contain active ingredients, including zinc oxide and bismuth subgallate, which reduce swelling and shrink veins to help ease pain, itching, and discomfort. The suppositories are easy to use and offer fast-acting relief for internal hemorrhoids. Thanks to the slim design of the suppository, the insertion process is relatively quick and painless. Its lubricated formula also helps prevent irritation during insertion. Unlike laxative suppositories, which you should only use occasionally, you can use these after each bowel movement. It’s Worth Noting The suppositories may cause mild irritation or discomfort during the first few uses, but this should subside as your body becomes accustomed to them. Some users have reported difficulty removing the packaging from individual suppositories. Product Details Type: SuppositoryActive Ingredients: Zinc oxide, bismuth subgallate, balsam peru, bismuth oxideDose: Insert one suppository in the morning, evening, and after each bowel movement More Hemorrhoid Treatments to Consider Preparation H Ointment: The ointment offers targeted relief from itching and pain, but it is messy to apply and leaves behind residue.Preparation H Multi-Symptom Cream: The cream contains a topical vasoconstrictor that shrinks swollen tissues and helps reduce discomfort, but the application process is messy.Up & Up Medicated Hemorrhoid Fragrance-Free Wipes: The wipes are simple and effective, but discarding them isn’t as eco-friendly as other options. Our Review Process We reviewed four main attributes via a user survey to ensure thorough recommendations. Fifteen editors anonymously described their experience using the products and rated each attribute on a scale of one to five, with five being the highest score. Effectiveness: Survey respondents were asked to rate the product's overall effectiveness in meeting their needs, with five being “extremely effective” and one being “not effective at all.”Ease of use: We asked users how easy it was to use the product, as well as if they encountered any difficulties or frustrations. Value: We compared the product's price to its features and performance.Side effects: Users were also asked to rate any negative side effects they experienced while using the product, including anything from skin irritation to worsening of symptoms. Our Experts We spoke with the following hemorrhoid experts to learn more about how to treat and prevent hemorrhoids: Heather Viola, DO, board-certified internal medicine and primary care physician at Mount Sinai in New York and assistant professor in the Department of Medicine, Division of General Internal Medicine Randall Cooper, MD, FACS, board-certified surgeon at Summit Health in New Jersey, specializing in general surgery and colorectal surgery Sara Mesilhy, MD, board-certified gastroenterologist and medical reviewer at ProbioticReviewGirl Srinivas Ramireddy, MD, board-certified gastroenterologist at UTHealth Houston and Memorial Hermann in Texas Supriya Rao, MD, board-certified gastroenterologist and managing partner at Integrated Gastroenterology Consultants in Chelmsford, MA Leah Alexander, MD, FAAP, a board-certified pediatrician at PediatriCare Associates in New Jersey and the medical consultant of Amy Baby Review What to Know About Hemorrhoid Creams and Treatments Instructions for External Use Always read the instructions carefully before use. Make sure the area and your hands are clean and dry. Squeeze a small amount of product onto your finger or a cotton swab and apply to the affected area. Most hemorrhoid creams are intended for external use, meaning you should only apply the cream directly to external hemorrhoids (outside the anus). Avoid using external products inside your rectum or on broken skin. Instructions for Internal Use If the product is designed for internal use, use a lubricated finger or applicator to insert the cream into your rectum as directed. Be sure to follow all dosage instructions carefully. Never exceed the recommended amount of applications per day. Doing so can cause skin irritation and other adverse effects. Contact your healthcare provider if symptoms persist for longer than seven days or if there is an increase in rectal bleeding. Other Treatment Methods In addition to using hemorrhoid creams and treatments, there are other ways to manage the discomfort associated with hemorrhoids. Non-medicinal methods such as warm sitz baths can be beneficial in relieving pain and inflammation, says Leah Alexander, MD, FAAP, board-certified pediatrician at PediatriCare Associates in New Jersey. A sitz bath involves soaking the anal area in warm water for 15 minutes a few times daily, particularly after bowel movements. Regular exercise can also help stop constipation, reduce pressure on veins, and aid in weight loss, all of which can prevent hemorrhoids. Walking, yoga, and pelvic floor exercises may be particularly beneficial. Avoid heavy lifting or strenuous activities that could exacerbate hemorrhoids. Additionally, avoid sitting on the toilet for prolonged periods and maintain good posture when sitting or standing. Who We Are Lindsay Modglin is a writer for Health.com. She's also a nurse and journalist with expertise in purchasing products for wellness. Her goal is to help readers make actionable and informed decisions about the products and services they use to improve their lives. Was this page helpful? Thanks for your feedback! Tell us why! Other Submit 5 Sources Health.com uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Definition & facts of hemorrhoids. National Institute of Diabetes and Digestive and Kidney Issues. Lawrence A, McLaren ER. External hemorrhoid. In: StatPearls. StatPearls Publishing; 2022. Poskus T, Sabonyte-Balsaitiene Z, Jakubauskiene L, Jakubauskas M, Stundiene I, Barkauskaite G, Smigelskaite M, Jasiunas E, Ramasauskaite D, Strupas K, Drasutiene G. Preventing hemorrhoids during pregnancy: a multicenter, randomized clinical trial. BMC Pregnancy Childbirth. 2022 Apr 30;22(1):374. doi: 10.1186/s12884-022-04688-x. 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