From the Guidelines
For burning and itching pain in the rectal area, over-the-counter hydrocortisone creams (0.5-1%) are often effective and can be applied up to 3-4 times daily for temporary relief. Products containing witch hazel, such as Preparation H or Tucks pads, can also reduce inflammation and soothe discomfort 1. For more intense symptoms, consider benzocaine-containing creams like Americaine or Recticare, which provide numbing relief. When applying any cream, use a small amount on clean, dry skin and follow package directions. Most treatments should show improvement within a week. These products work by reducing inflammation, constricting blood vessels, or numbing nerve endings in the affected area. Some key points to consider when using these creams include:
- Using a small amount to avoid further irritation
- Applying the cream to clean, dry skin
- Following package directions for application frequency
- Being aware that long-term use of high-potency corticosteroid creams can be deleterious and should be avoided 1 If symptoms persist beyond two weeks, worsen, or include bleeding, see a healthcare provider as these could indicate hemorrhoids, anal fissures, or other conditions requiring medical attention. Keeping the area clean, using gentle fragrance-free wipes, and avoiding irritating foods may also help reduce symptoms alongside topical treatments. It's also important to note that some studies have assessed the use of oral micronized, purified flavonoid fraction (MPFF) for symptomatic improvement, but the use of such treatments should be discussed with a healthcare provider 1. Additionally, topical mesalamine has been shown to be effective in treating proctitis, but this is a different condition and its use should be guided by a healthcare professional 1.
From the FDA Drug Label
Directions for itching of skin irritation, inflammation, and rashes: adults and children 2 years of age and older: apply to affected area not more than 3 to 4 times daily children under 2 years of age: ask a doctor for external anal and genital itching, adults: when practical, clean the affected area with mild soap and warm water and rinse thoroughly gently dry by patting or blotting with toilet tissue or a soft cloth before applying apply to affected area not more than 3 to 4 times daily children under 12 years of age: ask a doctor
You can use hydrocortisone (TOP) cream for burning and itching pain in the rectal area, applying to the affected area not more than 3 to 4 times daily, after cleaning the area with mild soap and warm water and gently drying by patting or blotting with toilet tissue or a soft cloth 2.
Directions Adults and children 18 years of age and older: Apply a thin film of cream to affected area and gently rub in until fully absorbed. Unless treating hands, wash hands thoroughly with soap and water immediately after application. For best results, apply 3 to 4 times daily. Children under 18 years: ask a doctor
You can also use capsaicin (TOP) cream for burning and itching pain in the rectal area, applying a thin film of cream to the affected area and gently rubbing in until fully absorbed, 3 to 4 times daily 3.
- Key points:
- Always follow the directions for use.
- Clean the affected area before applying the cream.
- Wash hands thoroughly after application, unless treating hands.
- Ask a doctor before using these creams if you are under the specified age limits.
From the Research
Creams for Burning and Itching Pain in the Rectal Area
- Hydrocortisone cream can be used to help suppress erythema and reduce inflammation in the rectal area, as shown in a study published in 2002 4.
- However, it is essential to note that corticosteroids, such as hydrocortisone, can cause hypersensitivity reactions in some individuals, including immediate and delayed contact dermatitis 5.
- Hamamelis distillate, found in some topical preparations, has demonstrated anti-inflammatory efficacy and may be a suitable alternative for some individuals 4.
- When using any cream or topical preparation, it is crucial to follow the instructions carefully and be aware of potential side effects or allergic reactions.
- If the burning and itching pain in the rectal area persists or worsens, it is recommended to consult a healthcare professional for further evaluation and guidance.