things we don't talk about

The Best at-Home Hemorrhoid Treatments, According to Gastroenterologists

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While we might all be curious about the best plunger or probiotic tampon or cold-sore remedy, it can be difficult to discuss these more personal items. That’s why we’re tackling Things We Don’t Talk About, a series in which we track down the best hygiene-, sex-, and bodily function–related things we all need but might be too embarrassed to ask about. In this installment, we consult experts on the best remedies for hemorrhoids.

If you needed another reason to fear the epidemic of sitting for too long, let it be hemorrhoids. For the uninitiated, hemorrhoids are swollen veins found in your anus and rectum, and the simple act of sitting creates an ideal setup for them to flourish. “Sitting puts constant downward pressure in the rectal area, slowing down blood flow and increasing the chance of clots and swelling,” says gastroenterologist Jeffrey S. Crespin. The easiest way to avoid them? A high-fiber diet (to prevent constipation and straining) and not using the toilet as an armchair. “The bathroom is not the place to scroll through Instagram, read the latest best seller on your Kindle, or hide from your toddler,” says gastroenterologist Donald Tsynman of Manhattan Gastroenterology.

For those who are experiencing hemorrhoids, topical treatments can be very useful for decreasing pain and irritation, with the exception of severe thrombosed hemorrhoids that require further medical attention. Here, Crespin and Tsynman walk us through some of the best at-home treatments for hemorrhoids, from topical salves to warm baths for your tush.

Topical Treatments

Preparation H Anti-Itch Treatment Cream With Hydrocortisone 1%, Maximum Strength Relief

One of the most common treatments for hemorrhoids is a dose of hydrocortisone, a steroid that helps reduce inflammation and itching in the rectal area. You could start with a hydrocortisone product like Preparation H, which Crespin recommends, but you’d be wise to avoid applying it internally.

Preparation H Hemorrhoidal Cooling Gel

Here’s another option from Preparation H that’s prepared with aloe: it provides a cooling effect for itchy, burning bottoms.

Recticare Pain Relief for Hemorrhoids and Other Anorectal Disorders

And should you need something a little stronger, another option is to numb the area altogether. Crespin suggests Recticare, which contains 5 percent lidocaine. “You’re topically applying it locally twice a day or after bowel movements — probably anywhere from five days to two weeks.”

Tucks Medicated Cooling Pads (40 count)

Tucks pads with witch hazel are another common suggestion for hemorrhoids sufferers. Crespin says the astringent can be dabbed on the area to soothe irritation, and it has a similar cooling effect as the Preparation H above.

Bottom Soothers

Carex Sitz Bath

Tsynman also recommends sitz baths, which are warm baths that you attach to the toilet itself. You actually sit in this warm water (about three inches of it) for 15 minutes or so to reduce swelling and inflammation, and also to relax your muscles.

DMI Donut Seat Cushion

And we’d be remiss not to mention the famed doughnut cushion, which is helpful for people who have suffered trauma in the tailbone or prostate area, and is frequently used by hemorrhoids sufferers to relieve pressure on their tush.

Other Helpful Suggestions

Miralax Laxative Powder

Stool softeners and fiber supplements often go hand in hand with these hemorrhoid treatments, which Crespin tells his patients to use to prevent constipation. He recommends Miralax (which was also a popular suggestion from gastroenterologists for treating IBS).

Metamucil Fiber Supplement

The most widely available fiber supplement is Metamucil, though you could also go the generic route with something like Psyllium Husk.

Lorell Sit-to-Stand Monitor Riser

And if you really, really want to avoid the problem of sitting at large, we might suggest a standing-desk converter that will help you take some breaks from your desk chair.

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The Best at-Home Hemorrhoid Treatments, According to Experts