Can I use Anusol (hydrocortisone) cream for internal hemorrhoids?

From the Guidelines

No, Anusol hydrocortisone cream is not designed for internal hemorrhoid treatment and should only be used externally. For internal hemorrhoids, you should use products specifically formulated for internal use, such as Anusol suppositories or other products that come with applicators designed for internal administration. Using external creams internally can be ineffective and potentially harmful as they contain ingredients meant for external skin application only. The rectal tissue inside is more sensitive and absorbs medications differently than external skin. If you're experiencing internal hemorrhoid symptoms like bleeding or discomfort, consult with a healthcare provider who can recommend appropriate internal treatments such as hydrocortisone suppositories, prescription medications, or procedures if necessary. Over-the-counter options for internal hemorrhoids include witch hazel pads, sitz baths, and oral pain relievers to manage discomfort while the condition heals, as suggested by studies such as 1. It's also important to note that the management of hemorrhoids depends on their severity, and medical therapy is most appropriate for first-degree hemorrhoids, with the cornerstone of medical therapy being adequate intake of fiber and water, as stated in 1 and 1. However, for the most recent and highest quality guidance, 1 and 1 provide the most relevant information, emphasizing the importance of non-operative management as first-line therapy for complicated hemorrhoids, including dietary and lifestyle changes, and suggesting the use of flavonoids to relieve symptoms. Therefore, it's crucial to follow the most recent guidelines and consult with a healthcare provider for personalized advice on managing internal hemorrhoids.

From the Research

Treatment of Internal Hemorrhoids

• Internal hemorrhoids can be treated with nonprescription topical preparations, including stool softeners and local therapy to relieve swelling and symptoms 2.
• Rubber band ligation is a common treatment for grades 1 and 2 hemorrhoids, and can also be used for grade 3 hemorrhoids 2, 3.
• Medication and non-operative measures, such as rubber band ligation and injection sclerotherapy, can be effective for low-graded internal hemorrhoids 3.
• Hydrocortisone creams, such as Anusol, can be used to relieve symptoms of hemorrhoids, including internal hemorrhoids 4.

Use of Anusol for Internal Hemorrhoids

• Anusol (hydrocortisone) cream can be used to treat internal hemorrhoids, as it can help to relieve swelling and symptoms 4.
• However, it is essential to note that Anusol is typically used for external hemorrhoids, and its effectiveness for internal hemorrhoids may vary 4.
• Other treatments, such as rubber band ligation, may be more effective for internal hemorrhoids, especially for grades 1 and 2 2, 3.

Alternative Treatments

• Other treatments for internal hemorrhoids include sclerotherapy, which involves injecting a solution into the hemorrhoid to shrink it 5.
• Excisional hemorrhoidectomy or stapled hemorrhoidopexy may be recommended for grade 4 hemorrhoids or for patients who have not responded to other treatments 2, 3.