Hemorrhoid Treatment Ointment

Hämorrhoidensalben sind eine bewährte Methode zur Linderung von Beschwerden wie Juckreiz, Brennen und Schmerzen. Dieser Artikel gibt einen Überblick über die besten Salben, ihre Wirkstoffe und Anwendungsmöglichkeiten. Es wird erklärt, welche rezeptfreien und verschreibungspflichtigen Präparate sich eignen, ob Kortisonsalben hilfreich sind und welche natürlichen Alternativen existieren. Zudem werden Fragen zur Anwendung während der Schwangerschaft, zu möglichen Nebenwirkungen und zur Unterscheidung von Salben für innere und äußere Hämorrhoiden beantwortet.
Dr. med. univ. Lukas Heschl

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Dr. med. univ. Lukas Heschl

Inhaltsverzeichnis

Which ointments work best against hemorrhoids?

The selection of hemorrhoid creams is large. Depending on the symptoms, there are different active ingredients that have anti-inflammatory, pain-relieving, or decongestant effects.

Are over-the-counter or prescription hemorrhoid creams better?

Over-the-counter ointments are sufficient for many affected individuals, especially in cases of mild to moderate symptoms.

How often should hemorrhoid ointment be applied?

The frequency of use depends on the product.

Can hemorrhoid ointment be used during pregnancy?

During pregnancy, only ointments with herbal or mild active ingredients should be used.

Which active ingredients are contained in hemorrhoid ointments?

The most common active ingredients are lidocaine and benzocaine.

Are there natural or herbal alternatives to hemorrhoid creams?

Yes, some herbal remedies can help with mild ailments.

How long does it take for a hemorrhoid ointment to work?

The first effects are often felt after just a few minutes, especially with ointments containing anesthetic ingredients.

What side effects can hemorrhoid creams have?

Although most ointments are well tolerated, side effects can occur.

Can hemorrhoids be treated with cortisone ointments?

Yes, cortisone ointments can effectively reduce inflammation-related swelling and itching.

Which ointment is suitable for external and which for internal hemorrhoids?

The choice of ointment depends on the type of hemorrhoids.

Which ointments work best against hemorrhoids?

The range of hemorrhoid ointments is large. Depending on the symptoms of hemorrhoidal disease, there are various active ingredients that have anti-inflammatory, pain-relieving, or decongestant effects. Among the most effective preparations are:

Type of ointment

Active ingredients

Effect

Local anesthetic ointments

Lidocaine, cinchocaine, benzocaine

Numb the skin and relieve pain.

Anti-inflammatory ointments

Cortisone, witch hazel, bufexamac

Reduce swelling and itching.

Tannin-containing creams

Oak bark extract, tannin

Promote wound healing and reduce moisture.

Blood circulation-promoting ointments

Horse chestnut extract, red vine leaf

Strengthen the vessel walls and improve blood circulation.

Hemorrhoid ointments can relieve symptoms but do not eliminate the cause of hemorrhoids. Additionally, using CANNEFF® SUP suppositories for hemorrhoids can be useful, as they support healing and have anti-inflammatory effects.

Hemorrhoid treatment ointment suppositories

Are over-the-counter or prescription hemorrhoid ointments better?

Over-the-counter ointments are sufficient for many sufferers, especially with mild to moderate symptoms. They often contain natural active ingredients or mild local anesthetics.

Prescription ointments, on the other hand, contain stronger active ingredients such as cortisone, which specifically combat inflammation. However, these preparations should only be used for a short time, as they can thin the skin over the long term. Read more about various therapy options in the blog post on treatment of hemorrhoids.

How often should hemorrhoid cream be applied?

The frequency of use depends on the product. Generally, it is recommended:

  • 2 to 3 times daily to apply a thin layer to the affected area.

  • After each bowel movement to apply again.

  • For internal hemorrhoids, the cream can be carefully applied with an applicator.

It is important to follow the package leaflet and not use creams with cortisone for longer than 7 days.

Hemorrhoid treatment cream pregnancy

Can hemorrhoid cream be used during pregnancy?

During pregnancy, only creams with herbal or mild active ingredients should be used. Especially recommended are:

Recommended creams during pregnancy

Active ingredients

Witch hazel ointments

Witch hazel extract

Chamomile creams

Chamomile extract

Tannin-containing creams

Oak bark, tannin

CANNEFF® SUP suppositories

Natural CBD formula for relief with CANNEFF® SUP suppositories

Cortisone-containing or strongly numbing creams should only be used after consulting a doctor. 

Which active ingredients are contained in hemorrhoid creams?

The most common active ingredients are:

  • Lidocaine and benzocaine → Numbing for pain relief

  • Witch hazel and horse chestnut → Herbal, anti-inflammatory

  • Cortisone (hydrocortisone, prednisolone) → Reduces inflammation

  • Zinc oxide and tannin → Promote healing

  • Heparin and horse chestnut extract → Promote blood circulation

Are there natural or herbal alternatives to hemorrhoid creams?

Yes, some herbal remedies can help with mild symptoms. Alternatives are:

Herbal remedy

Effect

Witch hazel

Anti-inflammatory, reduces swelling

Aloe Vera

Cooling, promotes healing

Horse chestnut extract

Strengthens the vein walls

Chamomile cream

Soothes irritated skin

Home remedies such as sitz baths with chamomile or oak bark can support the effect of the ointments. Read more about various therapy options in the blog post on hemorrhoid treatment.

How long does it take for a hemorrhoid ointment to work?

The first effects are often felt within a few minutes, especially with ointments containing anesthetic agents. Significant relief usually occurs after 2–3 days. With regular use, symptoms noticeably decrease after 7–10 days. If symptoms do not improve after 14 days, a doctor should be consulted.

What side effects can hemorrhoid ointments have?

Although most ointments are well tolerated, the following side effects may occur:

  • Skin irritation or allergic reactions (itching, redness)

  • Thinning of the skin with long-term use of cortisone ointments

  • Burning sensation immediately after application (especially with essential oils)

If severe side effects occur, treatment should be discontinued and a doctor consulted. An early diagnosis makes the correct treatment of hemorrhoids easier and significantly improves the chances of healing. If hemorrhoids remain untreated, surgical removal may be necessary in advanced stages of hemorrhoidal disease. More information can be found in the blog post about hemorrhoid surgery.

Hemorrhoid treatment: use suppositories instead of ointment

Can hemorrhoids be treated with cortisone ointments?

Yes, cortisone creams can effectively reduce inflammation-related swelling and itching. However, they should only be used short-term (max. 7 days) as they can damage the skin in the long term. Better alternatives for long-term treatment are herbal creams or CANNEFF® SUP suppositories, which have anti-inflammatory and healing-promoting effects without side effects.

Which cream is suitable for external and which for internal hemorrhoids?

The choice of cream depends on the type of hemorrhoids:

Hemorrhoid type

Suitable cream

External hemorrhoids

Creams with lidocaine, witch hazel, or aloe vera

Internal hemorrhoids

Creams with applicator (e.g., with cortisone or heparin)

For internal hemorrhoids, suppositories are also a good alternative because they act directly at the affected area and are easy to use. Hemorrhoid creams are an effective treatment method to relieve symptoms such as itching, pain, and swelling. Over-the-counter creams with herbal ingredients are sufficient for many patients, while stronger preparations with cortisone or local anesthetics can be used short-term. The correct application and choice of cream – depending on the type of hemorrhoids – is crucial for treatment success. If there is no improvement after two weeks, a doctor should be consulted. Read more about various therapy approaches in the blog post on hemorrhoid treatment.

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Dr. med. univ. Lukas Heschl

Dr. med. univ. Lukas Heschl

Specialist in General Medicine

Dr. med. univ. Lukas Heschl is a general practitioner. After completing his medical studies in 2013, Dr. med. univ. Lukas Heschl has been working as a practicing general practitioner since 2017, dedicated to the well-being of his patients. In 2019, he became a partner in the rural medical practice in Oed, Lower Austria. As the first point of contact for all medical concerns, Dr. med. univ. Lukas Heschl relies on innovative treatment methods, such as CANNEFF medical products against inflammation and to improve mucous membrane regeneration in the intimate area.