From the Guidelines
Anusol containing hydrocortisone should be used to treat hemorrhoids for short-term relief, typically for no longer than 7 days, by applying a small amount to the affected area up to three times daily. For external hemorrhoids, gently clean the area first, then apply a pea-sized amount of the cream or ointment directly to the affected area. For internal hemorrhoids, use the suppository form by inserting one suppository into the rectum after a bowel movement, typically in the morning and evening. Before application, wash your hands thoroughly and after application as well. Hydrocortisone works by reducing inflammation, itching, and swelling associated with hemorrhoids, as supported by the American Gastroenterological Association's technical review on the diagnosis and treatment of hemorrhoids 1. This medication should not be used for extended periods as prolonged use can lead to skin thinning or absorption issues, a concern highlighted in the american gastroenterological association medical position statement: diagnosis and treatment of hemorrhoids 1. If symptoms persist beyond a week, consult a healthcare provider as this may indicate a more serious condition requiring different treatment. While using Anusol, maintain good hygiene, increase fiber intake, drink plenty of water, and avoid straining during bowel movements to help manage hemorrhoid symptoms, recommendations that are in line with the aga clinical practice update on pregnancy-related gastrointestinal and liver disease: expert review 1, which emphasizes the importance of dietary fiber and adequate hydration in preventing constipation and managing hemorrhoids. It's also worth noting that a prospective study found no adverse events with the use of hydrocortisone foam for hemorrhoids in the third trimester of pregnancy 1, suggesting its safety in this context. However, the primary focus should always be on minimizing the risk of morbidity, mortality, and improving quality of life, which in the case of hemorrhoid treatment, involves careful use of medications like Anusol and adherence to lifestyle recommendations.
From the FDA Drug Label
Warnings For external use only ... Stop use and ask a doctor if condition worsens, symptoms persist for more than 7 days or clear up and occur again within a few days, and do not begin use of any other hydrocortisone product unless you have asked a doctor rectal bleeding occurs
The treatment for hemorrhoids using Anusol (hydrocortisone) is external use only.
- Do not put directly into the rectum by using fingers or any mechanical device or applicator.
- Stop use and ask a doctor if condition worsens, symptoms persist for more than 7 days or clear up and occur again within a few days.
- Consult a doctor if rectal bleeding occurs 2
From the Research
Treatment for Hemorrhoids using Anusol (Hydrocortisone)
- Anusol, which contains hydrocortisone, is a topical treatment option for hemorrhoids 3.
- The use of topical ointments or suppositories, such as Anusol, is recommended as a limited and timely application to treat hemorrhoids 4.
- Hydrocortisone creams, like Anusol, are commonly used in the conservative management of hemorrhoids, along with dietary changes and stool softeners 5.
- The treatment of hemorrhoids using Anusol (hydrocortisone) is typically used for internal and external hemorrhoids, and may also be used for the treatment of anal fissures 3.
Treatment Options for Hemorrhoids
- Conservative treatment options, including a fiber-enriched diet, topical ointments or suppositories, and flavonoids, are recommended as the first line of treatment for hemorrhoids 4.
- Interventional procedures, such as rubber band ligation, and surgery may be considered for grade I-IV hemorrhoids, depending on the severity of symptoms 4.
- Other treatment options, such as self-treatment with anal insertion of bougies, may be successful in certain cases, particularly with elevated sphincter pressure 4.