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3.5 Minute

18-09-2024 Team Medicover general

Written by Medicover Team and Medically Reviewed by Dr Syam Prasad Vamsi Ruttala

Best Ointments and Creams for Pile Treatment

Piles is also known as Hemorrhoids, can cause significant discomfort and pain. Fortunately, several ointments are available that can provide relief from these symptoms.

In this article, we will explore various types of ointments for piles that are effective for pile relief, with a focus on traditional and Ayurvedic options.

What is a Pile?

Piles or hemorrhoids are swollen and inflamed veins in the rectum or anus. They can develop inside the rectum (internal piles) or under the skin around the anus (external piles).

Piles are usually caused by increased pressure on the veins due to constipation, straining during bowel movements, pregnancy, or prolonged sitting. While not usually dangerous, piles can be painful, uncomfortable and affect your daily activities if not treated properly.

What Are the Symptoms of Piles?

The symptoms of piles vary depending on the type and severity, but common signs include:

Bleeding during bowel movements.
Itching or irritation in the anal area.
Pain or discomfort, especially while sitting.
Swelling or a lump near the anus, which may be sensitive or painful (external piles).
Mucus discharge after passing stool.
A feeling of incomplete bowel emptying (especially with internal piles).

Conventional and Homoeopathic Ointments for Pile Relief

Aesculus Ointment for Piles

Aesculus ointment is a homeopathic remedy derived from the horse chestnut plant. It is known for its anti-inflammatory properties and is effective in reducing the swelling and pain associated with piles.

The key ingredient, Aesculus hippocastanum, works by strengthening the veins and improving blood circulation.

Piles Pain Relief Cream

There are several creams available to reduce the pain and discomfort caused by piles.
These creams often have ingredients like hydrocortisone to reduce swelling and itching and lidocaine to numb the area and give quick relief.

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Best Ayurvedic Ointment for Piles

Ayurvedic medicine offers various natural remedies for piles. Some of the most effective Ayurvedic piles ointments include:

Panchavatti Ointment: Contains a blend of herbal ingredients that soothe the affected area and reduce inflammation.
Sukumara Ghrita: A traditional Ayurvedic ghee-based ointment known for its healing properties.

Gels for Piles Treatment

Aloe Vera Gel

Aloe vera is known for its soothing and anti-inflammatory properties. Aloe vera gel can be applied directly to the affected area to reduce pain and swelling. It also promotes healing and provides a cooling sensation, which can be exceptionally comforting.

Witch Hazel Gel

Witch hazel is a natural astringent that can help shrink swollen tissues and provide relief from itching and pain. Witch hazel gel can be applied to external hemorrhoids to relive inflammation and soothe the skin.

Best Creams for Piles and Fissures

For those suffering from both piles and anal fissures, it is crucial to choose a cream that addresses both conditions. Here are some practical options:

Nitroglycerin Ointment

Nitroglycerin ointment helps relax the muscles around the anus, reducing pain and promoting the healing of fissures. It also improves blood flow to the affected area, which can help reduce swelling and inflammation.

Diltiazem Cream

Diltiazem cream is a calcium channel blocker that helps relax the anal sphincter muscles, reducing pain and promoting healing of fissures. It is often prescribed for patients who do not respond to other treatments.

Combination Creams

Some creams combine multiple active ingredients to provide complete relief for piles and fissures. These creams may include hydrocortisone, lidocaine, and other soothing agents to reduce pain and inflammation and promote healing.

Popular Pile Ointment Names

Here are some popular piles ointments and creams for pain relief:

Preparation H: Contains phenylephrine, a vasoconstrictor that reduces swelling, and hydrocortisone to relieve itching and inflammation.
Anusol: Contains zinc oxide, which provides a protective barrier and reduces irritation.
Recticare: Contains lidocaine for fast-acting pain relief.
Hemorrhoid Cream with Aloe: Combines the soothing properties of aloe vera with other active ingredients for effective relief.

Best Ointment for Treating Hemorrhoids And Fissures

Here are some commonly used hemorrhoid ointments that help reduce pain, itching and swelling:

Anovate Cream

Use: Reduces pain, itching and inflammation.
How it works: It contains ingredients like lidocaine, beclometasone and phenylephrine.
How to apply: Clean the area and apply a small amount 2â€“3 times a day or as prescribed.
Caution: Donâ€™t use for longer than recommended to avoid side effects like skin thinning.

Himalaya Pilex Ointment

Use: Helps shrink piles and relieve discomfort.
Ingredients: Made from herbs like Lajjalu and Yashad Bhasma, which have soothing and healing properties.
How to apply: Apply gently to the affected area twice daily.
Safe for: External and internal use.

Smuth Cream

Use: Relieves pain and itching associated with haemorrhoids.
Ingredients: Lidocaine for pain relief and hydrocortisone to reduce inflammation.
How to apply: Use after bowel movements and at bedtime.
Caution: Avoid contact with eyes or broken skin.

Ayurvedic Treatment Creams

Ayurvedic medicine offers a natural way to treat piles, focusing on ingredients that help heal and reduce swelling. Here are some popular Ayurvedic creams and ointments you might consider for relief:

Dr. Reckeweg R13 Hemorrhoid Drops: These drops can be used on the outside of the affected area to help reduce pain and swelling.
Charak Arshoghni Ointment: This ointment is made with a mix of herbal ingredients that can soothe the affected area and support healing.
Patanjali Divya Arshkalp Ointment: Known for its anti-inflammatory and healing properties, this ointment is a popular choice for piles relief.

These products offer a gentle and natural way to address the discomfort associated with piles, but always consult a doctor before using any of the above products.

How to Choose the Right Pile Ointment?

When choosing an ointment for haemorrhoid relief, it's essential to consider the severity of your symptoms and any existing health conditions. Here are a few key things to consider:

Ingredients

Look for ointments that contain proven ingredients such as hydrocortisone, lidocaine, aloe vera or witch hazel. These ingredients are known for their anti-inflammatory and pain-relieving properties.

Application Method

Some ointments include applicators to help apply the medication inside the rectum for internal hemorrhoids. For external haemorrhoids, a cream or gel that can be applied directly to the skin is usually more suitable.

Doctor's Recommendation

If you have severe symptoms or a serious health condition, it is advisable to consult a doctor before using any piles ointments or creams.

How to Apply Pile Ointment Correctly?

Here is a step-by-step process on how you should apply the ointment:

Step 1: Gently wash the anal area with warm water and pat dry.
Step 2: Squeeze a small amount of cream onto your fingertip or the applicator provided.
Step 3: Apply the ointment gently around and just inside the anus (if required).
Step 4: Wash hands after application.

Apply 2â€“3 times a day or as advised by your doctor, especially after bowel movements.

Possible Side Effects of Ointment for Piles

Most ointments are safe, but some can cause mild reactions such as:

Skin irritation or a burning sensation.
Redness or dryness in the area.
Thinning of skin (if steroid-based and used for a long time).

Stop using and consult a doctor if side effects persist or worsen.

Tips to Prevent Piles Along with Ointment Use

In addition to using ointments and creams, there are various lifestyle changes and home remedies that can help manage piles and prevent flare-ups:

Dietary Changes

Increase Fiber Intake: Consuming a high-fibre diet can help soften stools and reduce straining during bowel movements. Foods rich in fibre include fruits, vegetables, whole grains and legumes.
Stay Hydrated: Drinking plenty of water can help keep stools soft and prevent constipation.

Exercise

Regular physical activity can improve blood circulation and reduce the risk of developing piles. Aim for at least 30 minutes of moderate exercise most days of the week.

Proper Hygiene

Keeping the anal area clean and dry can help prevent irritation and infection. Use gentle, unscented wipes or a bidet to clean the area after bowel movements.

Avoid Straining

Straining during bowel movements can exacerbate piles and cause additional discomfort. Take your time and avoid sitting on the toilet for extended periods.

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Conclusion

Piles can be painful and discomfort, but several effective ointments and creams are available to provide relief. From conventional options like Aesculus ointment and pain relief creams for piles to Ayurvedic treatments and gels, there are numerous products to choose from. Additionally, lifestyle changes and proper hygiene can help manage symptoms and prevent future flare-ups.

Always consult with a doctor before starting any new treatment to ensure it is safe and appropriate for your specific needs.

Frequently Asked Questions

Common ointments include those containing hydrocortisone, witch hazel, lidocaine, or zinc oxide, which can help reduce inflammation, itching, and discomfort.

Creams containing hydrocortisone are effective for reducing itching and inflammation by suppressing the immune response in the affected area.

Most piles creams start easing symptoms like itching and burning within a few hours to a couple of days, but full relief may take up to a week.

Yes, natural options include aloe vera gel and witch hazel, while over-the-counter treatments often include combinations of topical analgesics and anti-inflammatory agents.

If your symptoms donâ€™t improve with over-the-counter treatments, or if you have severe pain or bleeding, see a doctor for proper evaluation and treatment.