How to perceive Proctofoam (hydrocortisone acetate) rectal foam?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: February 24, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Guidelines

Proctofoam (hydrocortisone acetate) rectal foam should be used with caution and for a limited duration, ideally not exceeding 7 days, due to the potential risk of thinning of perianal and anal mucosa and increasing risk of injury [ 1 ]. When using Proctofoam, it is essential to follow the recommended application guidelines to minimize the risk of adverse effects.

  • Apply the foam rectally using the provided applicator, taking care to clean the affected area gently before insertion.
  • Insert the applicator tip into the rectum and squeeze the container to release the foam, using it 3-4 times daily, especially after bowel movements.
  • Each application should deliver about 1 gram of foam, and the treatment should not exceed 7 days.
  • Proctofoam is a combination of hydrocortisone (a steroid) that helps relieve inflammation associated with hemorrhoids.
  • It is crucial to wash your hands before and after use and avoid inserting the applicator too far into the rectum to prevent injury.
  • If symptoms persist after 7 days of use, it is recommended to consult a healthcare provider for further evaluation and guidance.
  • Additionally, it is essential to note that there are no scientific data evaluating the use of cortisone and its derivatives, including Proctofoam, for the treatment of complicated hemorrhoids [ 1 ].

From the Research

Perceiving Proctofoam (Hydrocortisone Acetate) Rectal Foam

To perceive Proctofoam (hydrocortisone acetate) rectal foam, consider the following points:

  • Proctofoam is a topical preparation used to relieve symptoms of hemorrhoids, such as swelling, itching, and discomfort 2, 3.
  • The primary treatment for hemorrhoids is fiber supplementation, and patients who do not improve may require surgical referral 3.
  • Topical corticosteroids, like hydrocortisone acetate, can be used to treat perianal pruritus and other benign anorectal conditions 3.
  • There is limited direct evidence on the perception of Proctofoam specifically, but studies suggest that topical preparations containing corticosteroids can be effective in relieving symptoms of hemorrhoids and other anorectal conditions 2, 3, 4, 5.

Key Considerations

  • The efficacy and tolerability of Proctofoam may vary depending on the individual patient and the severity of their symptoms 4.
  • Patients should be advised to follow a fiber-enriched diet and consider topical treatments, such as Proctofoam, to relieve symptoms of hemorrhoids 2, 3, 5.
  • Other treatment options, such as rubber band ligation, excisional hemorrhoidectomy, and stapled hemorrhoidopexy, may be considered for patients with more severe symptoms or those who do not respond to conservative treatment 2, 3, 5.

Additional Treatment Options

  • Other topical treatments, such as Zn-L-Carnosine (Proctilor®) rectal ointment, have shown promise in relieving symptoms of hemorrhoidal disease 4.
  • The application of granulated sugar on swollen hemorrhoids has been reported to reduce edema and relieve symptoms 6.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Hemorrhoids.

American family physician, 2011

Research

Benign Anorectal Conditions: Evaluation and Management.

American family physician, 2020

Research

[Necessary and unnecessary treatment options for hemorrhoids].

Therapeutische Umschau. Revue therapeutique, 2014

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.