Hemorrhoids are one of the most common conditions affecting the anus and the lower part of the rectum. Although many people feel embarrassed to talk about this problem, the reality is that it is a common phenomenon that can cause significant discomfort and impact quality of life. The sensations of pain, burning, itching, and bleeding are symptoms that lead many to wonder whether there are hemorrhoid creams that can provide meaningful relief.

The good news is that there are many solutions for managing them, ranging from medications and creams to practical measures that help relieve symptoms. However, in certain cases, the use of creams alone is not sufficient, and other therapeutic interventions are required.

Let’s take a detailed look at what hemorrhoids are, what types exist, how hemorrhoid creams work, and what modern treatment methods are available, such as bloodless laser therapy.

What are hemorrhoids

Hemorrhoids are venous plexuses located in the lower part of the rectum and around the anus. All people have hemorrhoids as anatomical structures, as they contribute to normal continence. However, when these veins become swollen or inflamed, they cause symptoms, and then we refer to hemorrhoidal disease.

This condition is associated with various factors, such as:

  • chronic constipation

  • prolonged time spent on the toilet

  • pregnancy

  • a sedentary lifestyle

  • obesity

  • hereditary predisposition

The pressure exerted on the veins makes them more vulnerable to swelling and inflammation, resulting in pain, a feeling of heaviness, swelling, or even bleeding.

Categories of hemorrhoids

Hemorrhoids are divided into two main types:

Internal hemorrhoids
These are located inside the rectum. They usually do not cause pain because the area lacks sensory nerves. The most common symptom is painless bleeding during bowel movements. If they become large enough, they may prolapse outside the anus.

External hemorrhoids
These appear around the anal ring. They can cause intense pain, especially when a clot forms inside them (thrombosed hemorrhoid). They are also accompanied by swelling, irritation, and discomfort.

Classification is also based on the stage of prolapse for internal hemorrhoids:

  • Grade 1: Do not prolapse.

  • Grade 2: Prolapse during bowel movements but return spontaneously.

  • Grade 3: Prolapse and require manual reduction.

  • Grade 4: Remain permanently protruded outside the anus.

Proper assessment by a specialist is essential to choose the appropriate treatment.

Hemorrhoid creams – How they help

Hemorrhoid creams are the first line of therapeutic management, mainly for symptom relief. These are topical preparations that may include:

  • Local anesthetics (e.g., lidocaine) for immediate reduction of pain and burning.

  • Corticosteroids, which reduce swelling and inflammation (caution with long-term use).

  • Astringent ingredients, such as zinc oxide, that protect the mucosa and relieve irritation.

  • Phlebotonic extracts or natural ingredients, such as calendula or witch hazel extract.

The use of hemorrhoid creams is mainly recommended when symptoms are mild to moderate. They are applied after hygienic cleansing and can be reapplied during the day, according to the doctor’s or pharmacist’s instructions.

However, it should be emphasized that creams offer symptomatic relief and do not address the underlying cause of the condition. Therefore, if symptoms persist or worsen, further evaluation is required.

Methods of prevention and support

Alongside the use of hemorrhoid creams, the following lifestyle changes help substantially:

  • Adequate intake of dietary fiber (fruit, vegetables, whole grains).

  • Proper hydration (at least 1.5–2 liters of fluids daily).

  • Avoiding prolonged time spent on the toilet.

  • Avoiding excessive straining during bowel movements.

  • Mild physical activity to improve circulation.

  • Use of lukewarm sitz baths for relief.

These practices contribute to reducing flare-ups and to better symptom management.

What happens when hemorrhoid creams are not enough?

For many patients, especially when hemorrhoids have progressed to a more advanced stage, topical ointments are not sufficient to resolve the problem. In such cases, other treatment options come into play, including modern, bloodless methods.

One of the most advanced approaches is laser treatment. This is a minimally invasive technique performed in specialized medical centers.

Laser therapy offers the following advantages:

  • It does not require general anesthesia and is usually done under sedation or regional anesthesia.

  • Recovery time is short.

  • Pain is significantly reduced compared to classic surgical methods.

  • No sutures are needed.

  • Patients quickly return to their activities.

The procedure involves thermal shrinkage of the swollen venous plexuses using a special proctoscope and laser application. This achieves the restoration of normal anatomy without large incisions. Depending on the type and stage of hemorrhoids, the technique can be combined with other methods, such as rubber band ligation.

Before any decision is made, evaluation by a specialized colorectal surgeon is necessary.

When should you seek medical help?

Persistent bleeding, severe discomfort, difficulty with bowel movements, or the appearance of a thrombosis (a hard, painful lump) are indications for immediate medical consultation. Do not delay seeking medical care, as timely treatment prevents more serious complications.

Hemorrhoids are a very common problem that can cause unpleasant symptoms and affect daily life. Hemorrhoid creams are a valuable tool for relief but are not always enough, especially in advanced stages. Timely diagnosis and awareness of all treatment options, including minimally invasive techniques like laser therapy, provide safe and effective solutions.

If your symptoms are concerning you, do not hesitate to seek guidance from a qualified healthcare professional. With proper management, hemorrhoids can be controlled or even fully treated.