- Under 12 years old
- Severe pain
- Bleeding or seeping
- Prolapse
- Severe inflammation, swelling, or discomfort
- Health conditions of the stomach or intestines
- Have been diagnosed with a condition of the anus or rectum that is not hemorrhoids by a physician
- Family history of colon cancer
- Black tarry stools
- Have hemorrhoids that have not improved after seven days of treatment
- Less than 12 years old
Treatment Options (itching/irritation/pain/burning) (patients with contra-indications):
- Increasing insoluble fiber intake (for adults: slowly adding between 25 and 30 grams of fiber to your diet while maintaining adequate hydration/fluid intake). Insoluble fiber sources include whole grains(bread, cereal, rice, and oats), fruits and vegetables. Fiber products such as Metamucil can be used.
- Regular aerobic exercise
- Avoid spicy foods
- Avoid caffeine
- Avoid citrus drinks
- Avoiding NSAID medications if possible
- Avoid lifting heavy objects
- Avoid sitting on the toilet for more than 10 minutes at one time
- Gently wash the anal region regularly or after bowel movements with soap and water or hygienic wipes. Use a mild soap without fragrance. Avoid harsh scrubbing for a long time.
- Sitting in warm water(110-115 Degrees F) 2-4 times a day for 10-20 minutes
- Avoid taking NSAID pain relievers if possible. This can increase the chance of bleeding.
- Avoid scratching the area
- Go to the bathroom as soon as you feel the urge to go
- Avoid straining very hard to use the bathroom
- Use soft underwear and toilet paper
- If you use hydrocortisone, do not use it for more than one week without consulting with a doctor.
OTC Drug Therapy:
- Topical or rectal products containing ingredients such as: pramoxine, lidocaine (anasthetics), glycerin, zinc oxide (protectants), menthol, camphor(analgesics), and hydrocortisone. Avoid vasoconstrictors such as phenylephrine.
Treatment Options (itching/irritation) (patients with contra-indications):
- Increasing insoluble fiber intake (for adults: slowly adding between 25 and 30 grams of fiber to your diet while maintaining adequate hydration/fluid intake). Insoluble fiber sources include whole grains(bread, cereal, rice, and oats), fruits and vegetables. Fiber products such as Metamucil can be used.
- Regular aerobic exercise
- Avoid spicy foods
- Avoid caffeine
- Avoid citrus drinks
- Avoiding NSAID medications if possible
- Avoid lifting heavy objects
- Avoid sitting on the toilet for more than 10 minutes at one time
- Gently wash the anal region regularly or after bowel movements with soap and water or hygienic wipes. Use a mild soap without fragrance. Avoid harsh scrubbing for a long time.
- Sitting in warm water(110-115 Degrees F) 2-4 times a day for 10-20 minutes
- Avoid taking NSAID pain relievers if possible. This can increase the chance of bleeding.
- Avoid scratching the area
- Go to the bathroom as soon as you feel the urge to go
- Avoid straining very hard to use the bathroom
- Use soft underwear and toilet paper
- If you use hydrocortisone, do not use it for more than one week without consulting with a doctor.
OTC Drug Therapy:
Topical or rectal products containing ingredients such as: pramoxine, lidocaine (anasthetics), glycerin, zinc oxide (protectants), menthol, camphor(analgesics), and hydrocortisone. Avoid vasoconstrictors such as phenylephrine.
Treatment Options (pain/burning) (patients with contra-indications):
- Increasing insoluble fiber intake (for adults: slowly adding between 25 and 30 grams of fiber to your diet while maintaining adequate hydration/fluid intake). Insoluble fiber sources include whole grains(bread, cereal, rice, and oats), fruits and vegetables. Fiber products such as Metamucil can be used.
- Regular aerobic exercise
- Avoid spicy foods
- Avoid caffeine
- Avoid citrus drinks
- Avoiding NSAID medications if possible
- Avoid lifting heavy objects
- Avoid sitting on the toilet for more than 10 minutes at one time
- Gently wash the anal region regularly or after bowel movements with soap and water or hygienic wipes. Use a mild soap without fragrance. Avoid harsh scrubbing for a long time.
- Sitting in warm water(110-115 Degrees F) 2-4 times a day for 10-20 minutes
- Avoid taking NSAID pain relievers if possible. This can increase the chance of bleeding.
- Avoid scratching the area
- Go to the bathroom as soon as you feel the urge to go
- Avoid straining very hard to use the bathroom
- Use soft underwear and toilet paper
- If you use hydrocortisone, do not use it for more than one week without consulting with a doctor.
OTC Drug Therapy:
Topical or rectal products containing ingredients such as: pramoxine, lidocaine (anasthetics), and hydrocortisone. Avoid vasoconstrictors such as phenylephrine.
Treatment Options (no contra-indications) (itching/irritation):
- Increasing insoluble fiber intake (for adults: slowly adding between 25 and 30 grams of fiber to your diet while maintaining adequate hydration/fluid intake). Insoluble fiber sources include whole grains(bread, cereal, rice, and oats), fruits and vegetables. Fiber products such as Metamucil can be used.
- Regular aerobic exercise
- Avoid spicy foods
- Avoid caffeine
- Avoid citrus drinks
- Avoiding NSAID medications if possible
- Avoid lifting heavy objects
- Avoid sitting on the toilet for more than 10 minutes at one time
- Gently wash the anal region regularly or after bowel movements with soap and water or hygienic wipes. Use a mild soap without fragrance. Avoid harsh scrubbing for a long time.
- Sitting in warm water(110-115 Degrees F) 2-4 times a day for 10-20 minutes
- Avoid taking NSAID pain relievers if possible. This can increase the chance of bleeding.
- Avoid scratching the area
- Go to the bathroom as soon as you feel the urge to go
- Avoid straining very hard to use the bathroom
- Use soft underwear and toilet paper
- If you use hydrocortisone, do not use it for more than one week without consulting with a doctor.
OTC Drug Therapy:
Topical or rectal products containing ingredients such as: pramoxine, lidocaine (anasthetics), glycerin, zinc oxide (protectants), menthol, camphor(analgesics), hydrocortisone(anti-inflammatory), and phenylephrine(vasoconstrictor).
Treatment Options (pain/burning) (patients with contra-indications):
- Increasing insoluble fiber intake (for adults: slowly adding between 25 and 30 grams of fiber to your diet while maintaining adequate hydration/fluid intake). Insoluble fiber sources include whole grains(bread, cereal, rice, and oats), fruits and vegetables. Fiber products such as Metamucil can be used.
- Regular aerobic exercise
- Avoid spicy foods
- Avoid caffeine
- Avoid citrus drinks
- Avoiding NSAID medications if possible
- Avoid lifting heavy objects
- Avoid sitting on the toilet for more than 10 minutes at one time
- Gently wash the anal region regularly or after bowel movements with soap and water or hygienic wipes. Use a mild soap without fragrance. Avoid harsh scrubbing for a long time.
- Sitting in warm water(110-115 Degrees F) 2-4 times a day for 10-20 minutes
- Avoid taking NSAID pain relievers if possible. This can increase the chance of bleeding.
- Avoid scratching the area
- Go to the bathroom as soon as you feel the urge to go
- Avoid straining very hard to use the bathroom
- Use soft underwear and toilet paper
- If you use hydrocortisone, do not use it for more than one week without consulting with a doctor.
OTC Drug Therapy:
Topical or rectal products containing ingredients such as: pramoxine or lidocaine (anasthetics).
Treatment Options (no contra-indications) (pain/burning/itching/irritation):
- Increasing insoluble fiber intake (for adults: slowly adding between 25 and 30 grams of fiber to your diet while maintaining adequate hydration/fluid intake). Insoluble fiber sources include whole grains(bread, cereal, rice, and oats), fruits and vegetables. Fiber products such as Metamucil can be used.
- Regular aerobic exercise
- Avoid spicy foods
- Avoid caffeine
- Avoid citrus drinks
- Avoiding NSAID medications if possible
- Avoid lifting heavy objects
- Avoid sitting on the toilet for more than 10 minutes at one time
- Gently wash the anal region regularly or after bowel movements with soap and water or hygienic wipes. Use a mild soap without fragrance. Avoid harsh scrubbing for a long time.
- Sitting in warm water(110-115 Degrees F) 2-4 times a day for 10-20 minutes
- Avoid taking NSAID pain relievers if possible. This can increase the chance of bleeding.
- Avoid scratching the area
- Go to the bathroom as soon as you feel the urge to go
- Avoid straining very hard to use the bathroom
- Use soft underwear and toilet paper
- If you use hydrocortisone, do not use it for more than one week without consulting with a doctor.
OTC Drug Therapy:
Topical or rectal products containing ingredients such as: pramoxine, lidocaine (anasthetics), glycerin, zinc oxide (protectants), menthol, camphor(analgesics), hydrocortisone(anti-inflammatory), and phenylephrine(vasoconstrictor).