There are different kinds of creams, ointments and suppositories for piles that you can easily purchase as over-the-counter medicines from your pharmacy. However, you must note that these treatments only relieve your symptoms; they won’t cure piles.
The primary aim of these creams, ointments and suppositories is to soothe and relieve symptoms, and there are several types of these medicines that are available in your local drug store. They all contain different ingredients, which act via different means to lessen your pile symptoms:
1-Local anesthetics, such as lignocaine and bivucaine that relieve painful sensations by numbing the bum area.
2-Local anesthetics and astringents such as Germoloids cream, ointment and suppositories. Hemocaine cream is another good example of this group of treatments. These agents act by relieving inflammation and numbing the area to relieve pain and swelling.
3-Corticosteroids and astringents such as Anusol HC Plus, Anusol HC ointment, and suppositories act by reducing inflammation and swelling in the anal area.
4-Corticosteroids and local anesthetics act by both numbing the area to give pain relief and they also reduce inflammation. Most of the medicines in this category will require prescription to purchase, but there are some over-the-counter brands like Germoloids HC spray that are readily available.
5-You can also take painkillers such as paracetamol to help relieve any pain you get from your piles. However, you should not take painkillers containing opioid analgesics such as codeine because they can cause constipation. Also, non-steroidal anti-inflammatory drugs (NSAIDs) like feldene and ibrufen aren’t suitable for you if you are experiencing bleeding hemorrhoids.
Always read the patient information leaflet that comes with your medicine, and if you have any questions, ask your doctor or pharmacist for advice.
Medicines containing corticosteroids and other types of steroids should only be used for a maximum of seven days. If they are used for longer periods, your skin may become sensitive to them leading to the thinning of your skin and to the development of skin ulcers. Also, prolonged exposure of your skin to steroids could lead to chronic inflammation of the skin; a condition known medically as dermatitis.
If you visit your GP, make sure you tell him or her if you’re taking any other over-the-counter medicines.
If you’re pregnant, use only mild medicines that contain astringents and lubricants and don’t take medicines containing local anesthetics or corticosteroids because if they are absorbed into the blood, they could cause harmful effects on you and your unborn baby.
It’s important to remember that all these medicines are only for the short-term relief of symptoms and they do not actually cure your piles. If you really want to be permanently free from the symptoms of hemorrhoids, you must change your diet to make your bowel movements softer, bulkier and more regular.