How do I use Preparation H (Phenylephrine) external gel for treating external hemorrhoids?

Using Preparation H External Gel for Hemorrhoid Treatment

For external hemorrhoids, apply a small amount of Preparation H (phenylephrine) gel to the affected area up to four times daily, especially after bowel movements and bathing, to reduce swelling and discomfort. 1

Application Instructions

• Wash hands thoroughly before and after application
• Clean the affected area with mild soap and warm water, then pat dry gently
• Apply a small amount (pea-sized) of gel directly to the external hemorrhoid and surrounding area
• Do not insert the product into the rectum unless specifically directed by a healthcare provider
• Limit use to 7 consecutive days unless otherwise directed by a healthcare provider

Treatment Context

Preparation H contains phenylephrine, a vasoconstrictor that works by:

• Temporarily shrinking swollen hemorrhoidal tissue
• Reducing local inflammation
• Providing symptomatic relief of pain, itching, and discomfort

Comprehensive Management Approach

Preparation H should be used as part of a comprehensive management strategy for hemorrhoids:

1. Conservative measures should be the foundation of treatment 1, 2:

   • Increase dietary fiber intake to 25-30g daily
   • Ensure adequate hydration
   • Take sitz baths 2-3 times daily
   • Avoid straining during defecation
   • Avoid prolonged sitting

2. Classification-based treatment 1:

   • First-degree hemorrhoids (bleed but don't protrude): Conservative management with topical treatments
   • Second-degree hemorrhoids (protrude but reduce spontaneously): May require additional interventions like rubber band ligation
   • Third-degree hemorrhoids (require manual reduction): May need procedural intervention
   • Fourth-degree hemorrhoids (permanently prolapsed): Often require surgical management

Important Considerations

• Topical treatments like Preparation H provide symptomatic relief but are not curative 3
• If symptoms persist beyond 7 days or worsen, consult a healthcare provider
• Pregnant women can safely use topical preparations, as hydrocortisone-based topical treatments have shown no adverse events in pregnancy 1
• Avoid using products containing benzocaine as they may cause allergic reactions in some individuals

When to Seek Additional Care

Consult a healthcare provider if:

• Bleeding persists or worsens
• Severe pain develops
• No improvement after 7 days of treatment
• You experience fever, chills, or other signs of infection
• You're unsure if your symptoms are due to hemorrhoids

Common Pitfalls to Avoid

• Overuse of the product can lead to local irritation or sensitization
• Failure to address underlying causes (constipation, straining) will result in symptom recurrence
• Self-diagnosis may miss other serious conditions that can mimic hemorrhoid symptoms
• Delaying medical attention for severe symptoms can lead to complications

Remember that while Preparation H can provide temporary relief, addressing the underlying causes through dietary and lifestyle modifications is essential for long-term management of hemorrhoids 1, 2.