How long does it take for hemorrhoids to go away with preparation h?

Contents

Do Hemorrhoids Go Away On Their Own?

  • Temporary vs. Permanent Hemorrhoid Treatment Options
  • Temporary Options
  • Permanent Options

Hemorrhoids are a chronic disease, meaning the symptoms persist for a long time and are constantly recurring. If you have experienced recurring bouts of hemorrhoids, your hemorrhoids likely won’t go away on their own. Left untreated, hemorrhoids often get worse over time – and therefore harder to treat. This means that a hemorrhoid that could easily be treated today could eventually require surgery.

If you’re unsure if you have hemorrhoids, consult with your doctor to get an accurate diagnosis and see if you should have a colon cancer screening, or a colonoscopy. Typically, adults over the age of 50 should undergo colonoscopy at least every 10 years, or more frequently if your family has a history of GI issues.

Temporary vs. Permanent Options

There are a variety of at-home hemorrhoid remedies to choose from. However, while these will mask your symptoms for a short time, they provide only temporary relief. By contrast, hemorrhoid treatment performed by a qualified physician, such as the CRH O’Regan System, can relieve your hemorrhoids permanently. If you want to get rid of your hemorrhoids, not simply mask the symptoms, consider a more permanent option.

Temporary Hemorrhoid Treatment Options

Relief Using Hemorrhoid Creams

Hemorrhoid creams, such as those made by Tucks and Preparation H, are an appealing medicine to many people suffering from hemorrhoids as they can be purchased from the drugstore without a prescription and used in the privacy of the home. These creams typically contain a medicinal ingredient such as hydrocortisone along with a soothing agent to provide quick relief from hemorrhoid symptoms like itching and burning.

Whichever hemorrhoid cream you choose, it will have to be applied several times per day, especially in the morning and at night.

For External use:

Squeeze a small amount of the cream onto your finger and apply to the outside of the anus. Be sure to wash your hands thoroughly with warm soap and water before and after application or use a disposable glove or finger cot.

For Internal use:

If you do not see hemorrhoid relief from external application, some creams are able to be applied inside the anus. It is best to have a bowel movement before attempting to apply hemorrhoid cream this way.

Then, after thoroughly washing your hands, attach the rounded applicator tip to the cream tube. Gently squeeze the tube in order to in order to test the applicator to see how much ointment comes out. You want to aim for an amount that is similar to the length of the tip of your index finger.

Before insertion, lubricate the applicator either with the ointment, KY jelly or another safe lubricant. You may find it easiest to insert the applicator by laying on your side with your top knee drawn up towards your chest. You can then lift your upper buttock and insert the applicator until it passes your sphincter muscle (the muscle you use to hold in a bowel movement).

Squeeze the tube using the same amount of pressure as when you tested the applicator. It is recommended that you stay lying down for a few minutes and avoid having a bowel movement for one hour after application in order to keep as much medicine inside as possible.

While hemorrhoid creams, applied either externally or internally, may provide some relief, this relief is short-lived. Multiple applications are required throughout the day over multiple days in order to see prolonged relief. In addition, some creams and medicated wipes actually contain ingredients that, while initially soothing, are actually irritants that will worsen your hemorrhoids long-term.

If you’ve tried creams before, you may find that after some time your hemorrhoids do go away, but then come back weeks or even months later. This is because the creams are simply masking your symptoms rather than getting rid of the underlying issue. The only way to truly get rid of your hemorrhoids and get prolonged relief is with a hemorrhoid treatment like the CRH O’Regan System or with hemorrhoid surgery.

What You Should Know About Hemorrhoid Creams Like Preparation H

Preparation H is one of the best-selling hemorrhoid medicines available. It can be purchased in a number of varieties including wipes, creams and suppositories.

Most Preparation H products are recommended to be applied 4-6 times per day, especially in the morning and evening. The active medicinal ingredient varies between products, but most forms of Preparation H aim to reduce the inflammation that leads to some of the discomfort hemorrhoids cause. Products are available for both internal and external hemorrhoids.

Like other topical creams, Preparation H products alleviate symptoms for only a short time and do not get rid of the hemorrhoids completely. Your hemorrhoids will not go away from using Preparation H.

Home Remedies for Hemorrhoids

In addition to hemorrhoid creams, there are a number of other home remedies for hemorrhoids that can provide relief from bothersome hemorrhoids. Some people prefer natural treatments over store-bought ointments containing medicinal ingredients. No matter what home remedy you choose, it will provide only temporary hemorrhoid relief.

Some examples of hemorrhoid home remedies include:

Apple Cider Vinegar. This is an appealing at-home remedy as it can be purchased at most grocery stores; in fact, many people may already have this item in their pantries! If you are going to try apple cider vinegar for your hemorrhoids, organic, raw and unfiltered apple cider vinegar is recommended.

The most common way to use apple cider vinegar is by applying it to your hemorrhoids topically. Some users report the vinegar causes stinging which may be reduced or prevented by diluting the vinegar with equal parts water prior to application.

Others say they get better results from ingesting the apple cider vinegar orally in a glass of water. Finally, some will add 1-2 cups of apple cider vinegar to their sitz bath for added relief. While apple cider vinegar may provide temporary relief, only a treatment such as the CRH O’Regan System will be able to fully get rid of your hemorrhoids.

Sitz Bath. This is one of the most common ways to achieve hemorrhoid relief at home and is physician recommended. It involves sitting in warm (not hot) water mixed with epsom salts for a short period of time which encourages blood flow to the infected area and relaxes the anal sphincter.

You should sit in the sitz bath for 15 minutes at least three times per day, including after bowel movements. Be sure to dry your bottom thoroughly following the bath as moisture in the area can further irritate your hemorrhoids.

The warm water should be high enough to reach your anal area only, which can be achieved by either filling a clean bathtub to the appropriate depth or by purchasing a sitz bath from the drugstore, which is a small plastic bowl you can put on the toilet seat. If you choose to have your sitz bath in the bathtub, you will require more epsom salts to achieve the same concentration as with the store bought bath.

Witch Hazel. Although there is not conclusive scientific evidence, this plant is said to reduce pain, swelling and itching in hemorrhoids. Witch hazel is an ingredient in some hemorrhoid wipes, creams and suppositories but usually comes in liquid form.

Like other natural treatments such as tea tree oil and apple cider vinegar, witch hazel is typically applied topically. Unfortunately, while these natural remedies may provide temporary relief, they will not cause your hemorrhoids to go away completely and often contain ingredients that will inevitably worsen your hemorrhoids. Liquid witch hazel may also be added to a sitz bath.

If you have been trying to get rid of your hemorrhoids at home and they keep coming back, or if you don’t want to deal with messy creams and inconvenient applications throughout the day, speak with your doctor about another option, such as the CRH O’Regan System.

Permanent Hemorrhoid Treatment Options

Do you really need to treat your hemorrhoids? If your symptoms have persisted or come back over a period of time, the answer is usually yes.

Home remedies for hemorrhoids may provide hemorrhoid relief for a period of time, but if symptoms come back or never completely go away, you may require help from a medical professional to get rid of your hemorrhoids for good.

Hemorrhoidectomy (Hemorrhoid Surgery)

Hemorrhoidectomy is a form of surgery usually performed by a general surgeon or colorectal surgeon. Surgical hemorrhoidectomy is the most effective treatment for hemorrhoids. However, because it also has the highest complication rate and results in significant pain and downtime, it is often a last resort for those suffering from hemorrhoids.

Physicians typically reserve hemorrhoid surgery for more advanced cases and will recommend less invasive therapies and/or lifestyle changes, like adding a fibre supplement to your diet, before resorting to hemorrhoid surgery.

Non-Invasive Permanent Treatment

While there are several forms of non-invasive treatment that can provide temporary hemorrhoid relief, very few are permanent. After hemorrhoid surgery, the rubber band ligation (hemorrhoid banding) technique has the lowest recurrence rate, meaning hemorrhoids are the least likely to return.

Depending on the type of hemorrhoid banding, however, this method can require sedation and/or have a high likelihood of causing pain. Unlike these other methods, the CRH O’Regan System is a form of hemorrhoid banding that can get rid of hemorrhoids for good but without any pain or sedation.

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Hemorrhoidectomy for Thrombosed External Hemorrhoids

Following Hemorrhoidectomy for Thrombosed External Hemorrhoids

  1. You will probably have some discomfort once the numbing medicine wears off. Pain may be relieved by taking a combination of acetaminophen (brand name: Tylenol), in 325-mg tablets, 2 tablets every 4 hours, and ibuprofen (brand names: Advil, Motrin, Nuprin), in 200-mg tablets, 4 tablets 3 times a day. Take the ibuprofen with food to limit stomach upset. Narcotic pain relievers, such as codeine, are not recommended because they can cause constipation, and hard stools can cause tearing in the anus after the procedure.

  2. You may have some bloody drainage or mild bleeding with passage of stools for the next few weeks. You can place new gauze over the wound, if you desire, whenever the gauze becomes soiled. Even with soft stools, some tearing of the stitches at the surgical site may occur during the first few weeks after the procedure. If you have heavy bleeding, contact your doctor.

  3. Infection is uncommon after this procedure. However, you can apply antibiotic ointment to the site daily during the first week after your surgery. Call your doctor if the site develops redness, foul-smelling drainage or swelling, or if you have increasing discomfort in the area.

  4. Twenty-minute sitz baths (soaking in a tub of warm water) can be taken during the first few weeks after the procedure to aid in healing and to provide comfort at the site. After 1 week, some people prefer to use medicines such as Anusol or Preparation H to soothe the tissues.

  5. It is very important that your bowel movements remain soft after surgery. Drink at least 6 full glasses of water daily. Take over-the-counter (nonprescription) stool softeners such as Colace or Surfak (2 capsules 2 times a day) for at least the first 2 weeks after the procedure.

  6. Take a stool-bulking agent such as Metamucil or Citrucel every day. These products can initially produce gas and bloating but can be easier to tolerate if the stool softeners are used simultaneously at the start (1 tablespoon daily in a large glass of orange juice, then slowly increase the amount according to package directions).

  7. Straining at stool should be avoided after hemorrhoid treatments. Do not sit for long periods on the toilet. Remove all reading materials from the bathroom. Do not place anything in the rectum, such as an enema, for 3 weeks after the procedure.

  8. Your doctor may want to examine your colon for coexisting disease. The procedure is called flexible sigmoidoscopy, and it may be performed 6 to 12 weeks after your hemorrhoid procedure. You will be given more information if this is scheduled.

Pruritus Ani (Anal Itching): Management and Treatment

How is pruritus ani (anal itching) treated?

Usually, treatment focuses on establishing and maintaining a routine for proper anal hygiene. If a secondary or underlying cause is found, the treatment will depend on the specific condition.

  • Topical medications: Topical steroids, such as creams or ointments containing 1% hydrocortisone, may help to relieve itching and irritation. The cream or ointment may be applied two or three times to the affected area each day. Topical capsaicin has been studied as an alternative to steroids for patients with chronic pruritus ani.
  • Oral medications: Antibiotic or antifungal medications may be prescribed if an infection is present.
  • Methylene blue injection (anal tattooing): This technique may be used to treat more advanced cases that do not respond to topical medications. Methylene blue (a dye) is injected under the skin in the perianal region. It is thought that the methylene blue relieves pain and itching by deadening the nerve endings where the dye is injected.

What are some tips for self-care?

  • Resist the urge to scratch. The itching might seem worse at night, so people might unconsciously scratch the anal area with their fingernails during sleep. Wear clean, soft cotton gloves at bedtime to prevent irritation and infection.
  • Keep the perianal area clean and dry. Use clear water instead of soap or moistened toilet paper to clean the perianal region after a bowel movement. A shower head or bidet may be used to gently clean the perianal area. Use a hair dryer on a low setting to dry the area. If using toilet paper or a towel, gently pat or blot the area until it is dry.
  • Apply a small amount of cornstarch or piece of cotton to the area to keep it dry during the day. A small cotton gauze pad can be used instead.
  • Do not use soap when cleansing the anal area or scrub vigorously with toilet paper or a washcloth.
  • Avoid using perfumed creams, lotions, bubble baths, powders, or other products that may cause irritation to the area.
  • Eat foods high in fiber. A healthy diet can help prevent diarrhea or constipation and ensure regular bowel movements. Avoid any foods that might promote itching, such spicy or acidic foods or caffeinated beverages.
  • Avoid wearing tight or constricting underwear. Cotton underwear can help to absorb moisture better than synthetic fabrics. Make sure underwear fits properly and change it frequently. Wash clothing with fragrance-free detergents.
  • Use topical medications as directed. Apply the cream or ointment sparingly and discontinue use if the itching does not subside or gets worse.

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Other possible treatments for an itchy bottom (pruritus ani) are currently being researched. One such new treatment is capsaicin cream. The theory is that capsaicin blocks a chemical in the skin that is involved in sensations of pain and itch. Another treatment involves injecting a chemical called methylthioninium chloride (methylene blue) into and beneath the skin of the anus. Further research is needed to clarify the place of these new treatments.

What is the outlook (prognosis) for an itchy bottom?

If a cause for the itchy bottom (pruritus ani) can be identified, it is easier to treat and relieve your symptoms. Most people respond well to treatment for an itchy bottom. However, in some people it can become a persistent (chronic) problem. Also, if you have had an itchy bottom in the past, you are more likely to develop it again at some point in the future.

The following symptoms are not symptoms of a straightforward itchy bottom (pruritus ani). See a doctor if any of these symptoms develop:

  • Pain.
  • Bleeding from the bottom.
  • Mucous discharge.
  • Lumps around the anus.
  • Changes in your regular bowel habit.

Anal Itching: Causes and Treatments

Anal itching—known medically as pruritus ani—is often regarded by doctors as a simple problem that home remedies can alleviate. The key symptoms are itching, often intense, that may be persistent or may occur only after a bowel movement; and redness, burning, and irritation around the anal area (known as the perianal region).

What causes anal itching?

The majority of cases are caused by skin irritation from fecal soilage, whether from diarrhea or loose stool. Also, as people grow older, anal skin becomes more irregular and harder to clean. People with hemorrhoids (which may trap small fecal particles) are more prone to itching, as are people with small growths called skin tags.

Not taking the time to gently but thoroughly clean the perianal area may contribute to itching and irritation, according to the American Society of Colon and Rectal Surgeons. On the flip side, being overzealously hygienic—rubbing the area too energetically, for example, especially with dry toilet paper—can also injure the skin. Another precipitating factor may be hard stools, which can irritate the anal area.

Once the itch starts, many factors can make it worse. Hot weather, sweating, tight clothes, and nonabsorbent undergarments all can promote a moist perianal area, which irritates tiny cracks in the skin. Some experts think stress may also be a factor in anal itching.

What if you do nothing?

Until the cause of anal itching is eliminated, the condition may persist indefinitely.

Home remedies for anal itching

  • Clean carefully. Meticulous, gentle cleaning provides relief. One option is to regularly use a soothing anal cleansing lotion or wipes, such as Balneol or the generic equivalent. You can also wash the anal area gently in a shower (using a detachable shower head) or bath, or over the toilet. Use plain water, not soap, which is drying and irritating. Then gently pat the area dry with a towel.
  • Control the itch. Corticosteroid lotions or creams can be effective if used for a short time. Avoid creams sold to numb skin (such as lidocaine, xylocaine, and lignocaine) because they can further inflame sensitive skin.
  • Don’t scratch. It only causes additional irritation and invites infection.
  • Consider changing your toilet tissue. Use plain, unscented, noncolored tissue.
  • Be prepared. When away from home, carry a few anal cleaning wipes or premoistened, individually packaged wipes—the kind you use for a baby. And then pat dry. Discard the wipes in the trash can; don’t flush them down the toilet because wipes can block sewer systems.
  • Manage leakage. If you are bothered by fecal leakage, your doctor can suggest how to achieve a bowel movement that would prevent leakage. This includes gradually increasing fiber in your diet, taking a fiber supplement (such as Metamucil), and perhaps avoiding foods that can make the anal sphincter looser, such as coffee, tea, and chocolate.
  • Avoid excess moisture. A wet or moist perianal area exacerbates itching. Wear wickable underwear, and blot the area dry after bathing or after using a wet wipe or lotion.

How to prevent anal itching

  • Bathe regularly. Wash your anal area with plain water (not soap) and dry thoroughly but gently by blotting with a towel.
  • Make use of moistened tissue. After a bowel movement, cleanse carefully but gently with tissues moistened with a soothing anal cleansing lotion or wipes, such asalneol or the generic equivalent.
  • Avoid tight underclothing. Choose roomy, breathable underwear made of wickable synthetics. This will keep the anal area ventilated and relatively dry.

When to call your doctor about anal itching

Contact your doctor if anal itching occurs along with bleeding or any unusual pain. Very rarely, persistent anal or rectal itching may be a sign of serious infection, so if it does not respond to simple treatments or the passage of time, contact your physician. Scabies and pinworms are also possible causes that require a doctor’s advice.

What your doctor will do

Your doctor will make a careful physical examination that may include a close inspection of the anal area using a plastic device known as an anoscope. You may also be examined for pinworm eggs or scabies.

Also see Flatulence (Gas).

Preparation H

Preparation H is a brand name over-the-counter (OTC) medication used to treat hemorrhoids.

Hemorrhoids are swollen veins in and around the anus. They can cause symptoms such as burning, itching, pain, and discomfort.

Preparation H works by reducing the inflammation in blood vessels and soothing the skin.

The medicine comes as an ointment, cream, suppository, gel, and medicated wipe.

The ingredients in each formulation vary and may include moisturizers, zinc oxide, cocoa butter, witch hazel astringent, phenylephrine, pramoxine, hydrocortisone, or phenylephrine.

Preparation H is manufactured by Pfizer, Inc.

Preparation H for Eyes

Some people use Preparation H to reduce puffiness and dark circles under the eyes.

Some anecdotal information suggests the medication can reduce swelling on the face just as it reduces swelling caused by hemorrhoids.

While some users claim it works, there’s no solid scientific evidence to support its effectiveness, and the makers of Preparation H say it shouldn’t be part of any beauty enhancement routine.

Preparation H for Wrinkles

Some people use Preparation H cream to reduce wrinkles.

Some anecdotal information suggests the ingredient phenylephrine causes blood vessels to constrict, which may smooth out the skin.

Despite these anecdotal reports, there are no clinical studies to prove Preparation H can improve skin appearance.

Preparation H Warnings

Talk to your doctor before using Preparation H if you have any of the following medical conditions:

  • Heart disease or any heart problems
  • High blood pressure
  • An enlarged prostate or problems with urination
  • A thyroid disorder
  • Diabetes

If you’re using a formulation that contains hydrocortisone, also tell your doctor if you have:

  • A history of tuberculosis (TB)
  • Diverticulitis
  • A stomach ulcer
  • A colostomy or ileostomy
  • A fever or any type of infection
  • Kidney disease
  • Myasthenia gravis (an autoimmune neuromuscular disease)

Don’t use this medicine for longer than is recommended. You shouldn’t use the phenylephrine rectal formulation for longer than seven days in a row.

Tell your doctor if your symptoms don’t improve or worsen while using Preparation H.

Also, tell your doctor if you experience rectal bleeding while using this drug.

If you’re using a product that contains hydrocortisone, tell your doctor if you experience shortness of breath, rapid weight gain, or swelling in the feet or ankles.

Don’t take any cough, cold, or allergy medicines without talking to your doctor if you’re using the phenylephrine formulation of Preparation H. Taking these drugs together might expose you to too much phenylephrine.

Never give this medicine to a child without first talking to your physician.

Pregnancy and Preparation H

Tell your doctor if you’re pregnant or plan to become pregnant before using any form of this medicine.

It’s not known whether the hydrocortisone rectal cream will harm an unborn baby.

It’s also not known whether the medication passes into breast milk or could harm a breastfeeding baby. Talk to your doctor before breastfeeding while using Preparation H.

Preparation H (Phenylephrine Rectal Cream, Gel, and Ointment)

Generic Name: Phenylephrine Rectal Cream, Gel, and Ointment (fen il EF rin)
Brand Name: Preparation H

Medically reviewed by Drugs.com. Last updated on Apr 12, 2019.

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Uses of Preparation H:

  • It is used to treat signs of hemorrhoids or rectal irritation.

What do I need to tell my doctor BEFORE I take Preparation H?

  • If you have an allergy to phenylephrine or any other part of Preparation H (phenylephrine rectal cream, gel, and ointment).
  • If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

This medicine may interact with other drugs or health problems.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take Preparation H (phenylephrine rectal cream, gel, and ointment) with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

What are some things I need to know or do while I take Preparation H?

  • Tell all of your health care providers that you take Preparation H (phenylephrine rectal cream, gel, and ointment). This includes your doctors, nurses, pharmacists, and dentists.
  • Do not take Preparation H (phenylephrine rectal cream, gel, and ointment) by mouth. If Preparation H (phenylephrine rectal cream, gel, and ointment) is put in the mouth or swallowed, call a doctor or poison control center right away.
  • Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using Preparation H (phenylephrine rectal cream, gel, and ointment) while you are pregnant.
  • Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

How is this medicine (Preparation H) best taken?

Use Preparation H (phenylephrine rectal cream, gel, and ointment) as ordered by your doctor. Read all information given to you. Follow all instructions closely.

  • This medicine is for rectal use only. Do not take Preparation H (phenylephrine rectal cream, gel, and ointment) by mouth.
  • Wash hands before and after use.
  • Clean affected part before use. Make sure to dry well.

What do I do if I miss a dose?

  • If you use Preparation H (phenylephrine rectal cream, gel, and ointment) on a regular basis, use a missed dose as soon as you think about it.
  • If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
  • Do not use 2 doses at the same time or extra doses.
  • Many times Preparation H (phenylephrine rectal cream, gel, and ointment) is used on an as needed basis. Do not use more often than told by the doctor.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Bleeding from rectum or rectal pain.

What are some other side effects of Preparation H?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if you have any side effects that bother you or do not go away.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

How do I store and/or throw out Preparation H?

  • Store at room temperature.
  • Store in a dry place. Do not store in a bathroom.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer information use

  • If your symptoms or health problems do not get better or if they become worse, call your doctor.
  • Do not share your drugs with others and do not take anyone else’s drugs.
  • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
  • Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
  • Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about Preparation H (phenylephrine rectal cream, gel, and ointment), please talk with your doctor, nurse, pharmacist, or other health care provider.
  • If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

More about phenylephrine topical

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Consumer resources

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  • Phenylephrine Rectal Cream, Gel, and Ointment
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Other brands: Hemorrhoidal, Preparation H Suppositories, Hemorid, Formulation R, … +5 more

Professional resources

  • Phenylephrine (Topical) (Wolters Kluwer)

Related treatment guides

  • Hemorrhoids
  • Anal Itching

Hemorrhoids are common cause of bright red bleeding from the rectum and something you will often be managing from home. Know that some experts recommend colonoscopy for all patients older than 40 years who have hemorrhoidal symptoms and rectal bleeding, but if that’s been done or your doctor is sure it’s just hemorrhoids, what works?

1. Fiber supplementation. Using Psyllium or unprocessed bran has been shown in studies to decrease bleeding, pain, prolapse and itching from hemorrhoids. This is because fiber helps you have soft bulky stools that can be passed without straining. Do this, no matter what.

2. Over the counter topical hemorrhoid medications come as nonprescription topical preparations you know well, like preparation H. Some contain steroids (Anusol HC), anesthetics, and astringents (witch hazel) and are recommended for hemorrhoidal disease. It may surprise you to know that no randomized studies support their use. Steroid-containing creams should not be used for prolonged periods because of their effects on skin.

3. Sitz baths. A sitz bath is a warm, shallow bath (you can put medications in it if you want) that you sit in and the water covers only your hips and buttock. Sitz baths are commonly recommended for hemorrhoids but guess what, a review of studies found no benefit for hemorrhoids so maybe don’t waste your time.

3. Nifedipine ointment (a prescription, made by a compounding pharmacy) and lidocaine cream work for hemorrhoids that are thrombosed, meaning a clot has formed inside the hemorrhoid. These are exquisitely painful and nifedipine ointment plus Xylocaine (lidocaine) is more effective for pain relief than either alone.

4. Surgery. The most common surgical treatments are rubber band ligation and excisional hemorrhoidectomy (cutting it out). A review comparing excisional hemorrhoidectomy to rubber band ligation showed that ligation resulted in less postoperative pain and allowed patients to return to work and to their previous level of functioning faster. For patients with severe hemorrhoids though, excisional hemorrhoidectomy has less chance of recurrence.

Dr O.

  • You have two hours before a big night and you notice a huge pimple on your face. What do you do? If your first instinct is to rummage through your medicine cabinet in search of a quick fix, you’re not alone. According to Dr. Gervaise Gerstner, consulting dermatologist for L’Oreal Paris, the DIY response to a skin state-of-emergency is quite common.

    “Late at night, patients may Google ‘What to do with a pimple,’ or start picking and squeezing and experimenting with potions when the derm office is closed,” she says. But are any of these unorthodox remedies really working to solve your beauty qualms? Here, Dr. Gerstner gives us the verdict.

    Monistat 7 for Hair Growth
    We’re not sure how one discovers that yeast infection cream could help hair growth, but this eyebrow-raising trick has gotten a bit of buzz online. Some people claim to have added a half-inch of length by dousing their scalps with a mixture of Monistat 7 and various hair oils. The theory? The anti-fungal agent in the cream, miconazole nitrate, promotes hair growth by fighting dandruff.

    What the derm says: “Anti-fungal, anti-yeast Monistat will fend off dandruff but will not affect hair loss. I like Visvical hair supplements, biotin supplements and steroid scalp injections. Hopefully soon, we will have a hair growth patch just like we use Latisse to grow eyelashes.”

    Hemorrhoid Cream for Under Eye Puffiness
    This unorthodox quick-fix is an age-old trick to reduce under-eye puffiness and bags, and the Preparation H method has plenty of fans who swear it works (including big-name makeup artists). According to dermatologists, the hydrocortisone found in hemorrhoid cream is an anti-inflammatory drug. But how much is too much with this popular trick?

    What the derm says: “Prep H does work, but I would use it only once or twice a month max and only in a super pinch, as Prep H can be irritating to the skin. Eye skin is so delicate that I think it is too strong to be used on a regular basis”

    Related Article: DIY Facial From A Pro

    Pepto Bismol for Pore Shrinkage
    This pink potion is the caped crusader when it comes to our stomach woes and it turns out, it may also have the ability to shrink pores and fight acne. The “Pepto Bismol facial” has been praised by some quick-fixers as a great way to tighten your skin, thanks to the anti-bacterial active ingredient bismuth subsalicylate.

    What the derm says: “Pepto Bismol is similar to using a crushed aspirin. The salicylic acid in both Pepto Bismol and asprin is what will help inflammation in a pimple. One can crush an aspirin and apply to a pimple. Toothpaste is also good to dry out a pimple. You can apply it and sleep with it on.”

    Diaper Rash Cream for Acne

    Some moms have found a second use for diaper rash cream. Besides keeping their babies’ bottoms comfy, diaper rash cream has been purported to clear up acne. But is zinc oxide, the active ingredient found in diaper rash creams such as Desitin, really helping or hurting your face?

    What the derm says: “Zinc actually may make skin worse. It can be too thick and clogging for many people. It can be a barrier cream that does not let skin breathe. Skin can develop whiteheads quickly.”

    Related Article: 10 Acne Treatments That Really Work

    The verdict? While grabbing whatever may be at your fingertips is a normal reaction to a beauty freak-out, proceed with caution. Ingredients designed to work on other body parts aren’t always your best bet. And luckily, there’s a product out there for every beauty issue—so you’ll never have a reason to put butt cream on your face.

    Do you swear by an unusual beauty fix?

    Tiffany Haddish Told Regina Hall To Use Monistat Cream To Regrow Her Edges, And It Worked

    When Tiffany Haddish recommended Regina Hall use Monistat cream to help grow back her edges, the Shaft star thought it was another one of her jokes. After a quick Google search, Regina found out not only was Tiffany onto something, thousands of women swear by the sacred technique.

    Hall found herself growing back her edges after years of strain and concocted the perfect mixture of oils, creams and massaging tools to do it.

    During a candid conversation promoting her role in Shaft, Regina revealed her struggle with thinning edges.

    “It takes a while to get your edges back because there’s so much follicle stress over time. You have to really restimulate it” she said. “It took years. Don’t get lazy with it and think it’s going to happen overnight.”

    Regina credits Rosemary oil, scalp massagers, ginger and Monistat are her growth treatments.

    “Monistat because it’s antibacterial,” she explained. “If you see me going into CVS getting my Monistat it’s for my edges.” Monistat is an anti-fungal product which eliminates bacteria, something that can cause irritation to the scalp and affect the edges.

    Watch her talk about it, above.

    Catch Shaft in theaters June 14!

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