(OTC) Over the counter preparations can be purchased from you local chemist. If you speak to the pharmacist they will usually be able to help you decide which preparation will help you with your specific problem. Like all things in life creams/ lotions should be applied in moderation. Most of these topical creams will contain some of the following attributes.
- Local anaesthetic
This causes a short term numbing effect and a good form of topical pain relief. It may cause allergic reactions and should not be used for longer than a week at time as it might make the condition worse
- Hydrocortisone 1%
This is an anti inflammatory product used for reducing the local irritation of swelling, burning, and itching sensations which you experience with external hemorrhoids
- Vasoconstrictors
Ephedrine is one of the most common constrictors – this act by shrinking the blood vessels thereby reducing pain and bleeding.
- Astringents
These can dry the skin surface and should be used sparingly witch hazel is one of these and it can reduce itching and swelling.
- Corticosteriods
These should be used with great caution. They reduce the inflamed area around the anus and relieve itching however they should not be used for more than two weeks continuously as they may cause permanent skin damage.
- Barriers / Skin Protectors
The are called barrier creams as they act as a barrier to the leakage of faecal mucous and fluid from the anal canal. This fluid can lead to irritation and soreness around the anus the cream protects the skin.