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Are there any over-the-counter treatments for hemorrhoids?

Hemorrhoids are enlarged veins in swollen tissues of the rectum, just inside or outside the anus.

Over-the-counter creams and suppositories are the first choice for treating hemorrhoids. Antiseptics and hydrocortisone reduce swelling and relieve discomfort. Examples of products with antiseptics are Preparation H and >Tucks. Hydrocortisone products include >Anusol HC-1 and >Preparation H Anti-Itch.

Avoid hemorrhoid creams that contain anesthetics such as benzocaine. These may temporarily relieve pain, but can cause allergic side effects.

Over-the-counter laxatives soften bowel movements and prevent the straining that can result in hemorrhoids. Choices include docusate-containing stool softeners (such as >Colace) or bulk-forming laxatives (such as >Citrucel, >Fibercon, or >Maltsupex).

Hemorrhoids commonly occur in pregnancy from the pressure of the growing baby. During pregnancy, use sitz baths, creams, pads, and stool softeners. Don't use suppositories because the medication in them may affect the baby.

Sources:
Danforth's Obstetrics and Gynecology. Lippincott Williams & Wilkins, 1999.
Handbook of Nonprescription Drugs. American Pharmaceutical Association, 1996.
Pharmacotherapy: A Pathophysiologic Approach. Appleton & Lange, 1999.
Micromedex Healthcare Series. Micromedex, Inc., 2000.

This answer prepared 5/16/00.