General Practice 2022

6 ointments for hemorrhoids (and how to use it)

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6 ointments for hemorrhoids (and how to use it)
6 ointments for hemorrhoids (and how to use it)

Hemorrhoid ointments, such as Bepantol, Proctyl or Ultraproct, can be used for the prevention or treatment of internal or external hemorrhoids, as they contain substances with anti-inflammatory, anesthetic or calming action that help relieve the symptoms of pain, itching, burning and bleeding.

Hemorrhoids are dilated and protruding veins that can appear in the anal region as a result of a poor fiber diet, excessive straining when evacuating, constipation or pregnancy, for example. Check out all the causes that can develop hemorrhoids.

Hemorrhoid ointments can be purchased at pharmacies or drugstores and are usually sold without a prescription. However, it is important to consult a general practitioner or proctologist to evaluate the type of hemorrhoid and indicate the best ointment individually.

The main ointments for hemorrhoids are:

1. Bepantol derma

Bepantol derma ointment is indicated to relieve symptoms of itching or irritation of the anal canal caused by hemorrhoids, as it has an anti-inflammatory, moisturizing, protective and nourishing action, in addition to helping to regenerate skin cells, due to to dexpanthenol and vitamin B5 in its composition.

How to use: apply a thin layer of the ointment directly to the hemorrhoid 1 to 3 times a day, after evacuation and anus hygiene.

2. Composite Horse Chestnut Cream

The compound horse chestnut cream has natural extracts of horse chestnut, hamamelis and animal herb in its composition, with anti-inflammatory action and moisturizers and astringents, which help to relieve symptoms such as pain, swelling, itching, or burning caused by hemorrhoids in adults.

This ointment can be found under the trade names Cream of Horse Chestnut compounded by Globo or Cream of Horse Chestnut compounded by Arte Nativa.

How to use: the ointment should be applied directly to the hemorrhoid, preferably after evacuation and anus hygiene, massaging gently.

3. Proctyl

Proctyl ointment has two substances in its composition, polycresulene and cinchocaine hydrochloride, with analgesic, antiseptic and astringent action, which stimulate skin regeneration and healing, helping to relieve the symptoms of internal or in adults, such as pain, inflammation, swelling, or bleeding.

How to use: apply the ointment, rectally only, 2 to 3 times a day, directly on the external hemorrhoid, lightly massaging the place for better absorption of the ointment until symptoms improve. In the case of internal hemorrhoids, use the applicator provided in the package so that the ointment can be introduced into the anus.Treatment with Proctyl can be continued by applying the ointment once a day until symptoms have completely disappeared, as directed by your doctor.

4. Proctan or Proctosan

Proctan or Proctosan ointments have analgesic, anti-inflammatory and antipruritic action, due to substances present in their composition such as hydrocortisone acetate, lidocaine, bismuth subgallate and zinc oxide, which help to relieve itching symptoms, pain, inflammation or swelling.

This ointment can be used on internal or external hemorrhoids, and also on anal fissures, in adults.

How to use: you should apply a layer of the ointment, 2 to 3 times a day, until symptoms improve, followed by 1 application a day, for 2 or 3 days, according to medical advice.

5. Ultraproct

Ultraproct is an ointment for hemorrhoids that contains a corticosteroid and a local anesthetic, fluocortolone and lidocaine, with anti-inflammatory and anesthetic action, indicated for the relief of pain, inflammation, swelling or itching, caused by internal or external hemorrhoids, in adults.

How to use: for use on external hemorrhoids, place a little of the ointment on your finger and apply directly on the hemorrhoid, massaging gently so that the ointment is absorbed. If it is necessary to use the ointment for internal hemorrhoids, use the applicator provided in the package and gently insert it into the anus. The ointment should be applied after evacuation and hygiene of the anus. The recommended dose is 2 applications a day, morning and evening, for up to 2 weeks of treatment or as directed by your doctor.

6. Proctfis H

Proctfis H is a hemorrhoid ointment that contains hydrocortisone in its composition, a type of corticosteroid that helps reduce inflammation, swelling and itching caused by internal or external hemorrhoids in adults. In addition, this ointment contains lidocaine with an anesthetic effect, which helps relieve pain.

How to use: for use on external hemorrhoids, apply a layer of the ointment gently around the anus and anal orifice, 2 to 3 times a day. day, until symptoms improve, followed by 1 application per day, for 2 or 3 days, according to medical advice.For internal hemorrhoids, use the applicator provided in the package, which must be connected to the ointment tube. Then, gently insert the applicator into the anus, and apply a small amount of the ointment by gently squeezing the tube. It is important to wash the applicator right after use.

Ointments for hemorrhoids in pregnancy and postpartum

None of the ointments indicated above should be used in pregnant women or women who are breastfeeding without recommendation from the obstetrician. Therefore, if the pregnant or breastfeeding woman feels discomfort caused by hemorrhoids, she should go to the doctor, so that he can prescribe the most appropriate and least harmful medicine for the baby.

Homemade and natural ointment for hemorrhoids

A good option of homemade ointment for hemorrhoids that can be prepared at home with natural ingredients is the hamamelis-based ointment, made with the bark of the Hamamelis virginica plant, which can be applied directly to external hemorrhoids, relieving the pain, discomfort, pain or irritation.


  • 4 tablespoons of witch hazel;
  • 60 mL of liquid paraffin;
  • 60 mL of glycerin.

Preparation mode

In a pan add the witch hazel and liquid paraffin, let it boil for 5 minutes. Then, strain the mixture obtained, add the glycerin and mix well. Finally, place the ointment obtained in a container with a lid and keep in the fridge.

Watch the video with the preparation method:

Other care to treat hemorrhoids faster

Some precautions are important to treat hemorrhoids faster, avoid worsening symptoms or prevent hemorrhoids from appearing, such as:

  • Avoid using toilet paper, so as not to irritate the skin further;
  • Wash the anal area with soap and water after bowel movements;
  • Avoid straining to evacuate or sitting too long on the toilet;
  • Drink at least 8 glasses of water a day to help soften stools;
  • Eat a diet rich in fiber;
  • Evacuate whenever you feel like it, as holding the stool can make it harder, dry and difficult to evacuate;
  • Avoid sitting for long periods as it increases pressure in the veins of the anus.

Also, drinking teas such as horse chestnut tea or cypress tea or taking a sitz bath in warm water for 10 to 15 minutes 3 times a day can help relieve symptoms of hemorrhoids. faster, complementing medical treatment. Check out other treatments to treat hemorrhoids faster.

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