Bleeding Hemorrhoids Over the Counter Remedies

A truely comprehensive guide to stopping hemorrhoid bleeding within 7 days

Causes, Symptoms and Treatments for External Bleeding Hemorrhoids and Internal Bleeding Hemorrhoids

Hemorrhoids Bleeding Guide
Page-1 6.. BLEEDING HEMORRHOID TREATMENT - Immediate to short treatments for bleeding hemorrhoids
Page-2 7.. BLEEDING HEMORRHOIDS TREATMENT - Lifestyle and Diet
Page-3 8.. BLEEDING HEMORRHOID TREATMENT - Over the counter creams and ointments ~ 9.. Herbs and oils to stop bleeding hemorrhoids


8.. Over the Counter Remedies and Treatments for Hemorrhoid Bleeding:

Before applying any cream, cleanse the area with plain, unscented toilet paper, moistened either with plain water if prolapsed hemorrhoids are present or witch hazel solution if prolapsed hemorrhoids are absent. When using the moistened tissue or when using any sort of cream applicator, such as toilet paper, always remember to pat the area gently, and never, ever rub or scrub harshly. Doing so can only make already injured and bleeding hemorrhoids worse.

There's a lot of over the counter medications that can help get hemorrhoid bleeding under even more control. None will help get rid of hemorrhoids over the long term, but temporary relief for bleeding hemorrhoids can be gained easily. From what I have read, surgeons are quite antagonistic about topical applications for hemorrhoids - which creams and ointments are - apart from pain killing ones when thrombosed hemorrhoid is present. The reason for this antagonism isn't fully clear, but I believe it is becuase people come to rely on these over the counter remedies instead of pursuing healing their hemorrhoids. Of course if you aren't trying to heal your hemorrhoids and you just seek to control the hemorrhoid bleeding, the hemorrhoids and hemorrhoid bleeding will most likely get worse over time and perhaps land you on the surgeons table.

With many over the counter remedies, you need to be aware that unless the product comes with directions for, plus the applicator, from the manufacturer, for use internally, that the ointments and creams should never be used internally. For example, inserting a hydrocortisone cream internally would make things really bad, really fast.

Hydrocortisone cream should not be inserted internally

Treatments you can apply to internal bleeding hemorrhoids

Cornstarch and cocoa butter hemorrhoids suppositories are really good treatments for internal hemorrhoid bleeding.

The suppository is inserted into the anorectal canal, where it forms a protective and moisturizing coating over the injured hemorrhoid in question. The cornstarch helps to clot the blood on the outside instead of letting it thrombose - develop a clot - and the coating protects the internal hemorrhoid from further scraping and damage. The cocoa butter serves to both moisturize the hemorrhoid itself and to provide a meltable shape and structure to the suppository. For best effect with this form of hemorrhoids bleeding treatment, keep them in the refrigerator until ready to use them.

In addition, there are some remedies for internal hemorrhoids bleeding that only a doctor can prescribe, such as internal creams. There are currently no over the counter hemorrhoid creams that are approved for internal bleeding hemorrhoids use whatsoever.  No creams, nor solutions, have passed the FDA approval process as being safe for application to internal bleeding hemorrhoids.  That is why a doctor needs to control the use of the special creams for internal bleeding hemorrhoids, so that he can monitor and safeguard your health.


Treatments you can apply to external bleeding hemorrhoids

Witch Hazel Pads for bleeding external hemorrhoids

Moistened pads with witch hazel extract and rubbing alcohol are also quite useful as a hemorrhoids bleeding treatment and is frequently recommended by doctors. These pads are much more soothing to delicate hemorrhoids than dry toilet paper and witch hazel is a good herbal hemorrhoids remedy in and of itself, which is why many people use it to cleanse their external hemorrhoids. Witch hazel pads are not formulated for bleeding internal hemorrhoids, prolapsed or not.

Cream and ointment treatments to reduce external hemorrhoid bleeding

External hemorrhoid bleeding is also often reduced or stopped using creams and ointments - at least until the medication wears off.  Most hemorrhoid creams will contain some kind of moisturizer, lubricant and have active ingredients designed to have a specific effect on hemorrhoids.

The most effective over the counter remedies for bleeding external hemorrhoids are those that contain one or more active ingredients, such as vasoconstrictors, anesthetics, and astringents, carried in a protective base such as aluminum hydroxide gel, cocoa butter, glycerin, kaolin, lanolin, mineral oil, white petroleum, starch, zinc oxide, calamine, or cod liver oil.


The role of the protective base - inactive ingredients - in the ointment for use on external bleeding hemorrhoids

The protective element of the cream ( normally found in the "inactive ingredients list", or refferred to as the "carrier") that are most desirable, in my opinion, are glycerin, cocoa butter, and cod liver oil. These naturally based protective lubricants are gentle enough for most people.

Do not use lanolin under any circumstances if you have any allergy to wool whatsoever, as doing so may cause large scabs to develop. Very bad allergic reactions can happen to anything you are allergic to - especially if you then place it on sensitive areas.

Calamine and or zinc oxide hemorrhoid cream are especially helpful with bleeding hemorrhoids, as those two carriers are also astringent medications in their own right that can help bleeding to start to coagulate and therefore to reduce, stop and heal.


The role of active ingredients in stopping bleeding from external hemorrhoids

If pain is present with your bleeding hemorrhoids: Creams for bleeding hemorrhoids often include lidocaine, which is a local topical anesthetic that can help dull pain in such a sensitive area. Lidocaine is both the most common and generally reported as most effective at stopping pain quickly.  Other localized topical anesthetics include benzocaine, benzyl alcohol, dibucaine, dyclonine,  pramoxine, and tetracaine.  These are not brand names for medications, the names of the active ingredients provided here can be found on the drug information panel of the medication’s box. They will usually be found as immediate relief in conjunction with other medications that treat hemorrhoids on a more long term basis.

Active ingredients to stop the bleeding from hemorrhoids:

Hemorrhoid ointments with vasoconstrictors such as phenylephrine, epinephrine and ephedrine sulfate shrink the larger blood vessels that astringents like zinc oxide and witch hazel can't and by shrinking the blood vessels, inflammation and bleeding are both reduced.  They often stop bleeding hemorrhoids quite quickly.

Vasoconstrictors can interact with a number of different chronic health problems and prescription medications, so it's important to find out if you can or cannot use them. Topical vasoconstrictors, as opposed to the ones taken by mouth, have a low incidence of side effects.  However, those side effects can include high blood pressure, nervousness, tremors, insomnia, and can have bad interactions with diabetes or hyperthyroidism.  Do not take over the counter vasoconstrictors if you have either one of those latter two disorders or have difficulty urinating, cardiovascular disease, or are on any anti-depressant medication without consulting your doctor.

Vasoconstrictors come in both external cream and internally taken tablet form. External creams are usually over the counter, but tablets are generally by prescription only and generally are not to be taken if you suffer from cardiovascular problems, high blood pressure, diabetes, urinary problems or aren't taking anti-depressant medication. Vasoconstrictors in pills interact badly with these other health issues and medications.Your local pharmacist can assist you with choosing a vasoconstrictor cream, but see your doctor if you feel that tablets might be more helpful to deal with long term hemorrhoidal bleeding.

Some good creams for bleeding hemorrhoids for short term use have hydrocortisone in them. However, if you use hydrocortisone creams for too long, then the tissue starts getting thinner which makes bleeding hemorrhoids more likely. Hydrocortisone is one of the best anti-inflammatory ingredients around in over-the-counter medications.

Other bleeding hemorrhoid creams can include extracts of herbs like witch hazel, and other herbal astringents.

How to treat hemorrhoids, as you can see, can be a time consuming business, which is made a lot easier through the many, many pages on this site. On "how to treat hemorrhoids" we have looked at some really great home hemorrhoid treatments, treatments you buy online that should really help get rid of your hemorrhoids and bring fast relief to all those horrible, nasty symptoms.


Herbal treatments for bleeding hemorrhoids.

Witch hazel (external hemorrhoids only), horse chestnut, butcher's broom, and japanese pagoda tree are four important herbal remedies that can be used as treatment for a bleeding hemorrhoid. Pelargonium (type of geranium) and the Cypress essential oil may be useful to stop bleeding from hemorrhoids. Follow the manufacturers directions for applying - if hemorrhoids are not mentioned, find another source. See also herbs for hemorrhoids.

Know who you are buying your bleeding hemorrhoid treatment from

No matter what herbal or alternative hemorrhoids bleeding treatment you use, it's vitally important that you get them only from reputable dealers that you trust. The internet is filled with people wanting to sell you anything, so take care, they promise everything, never show before and after photos and their products may be dangerous or just useless. One company was selling a treatment, 2 ounces for around $70 and it was just plain baby oil, yet promised the world of healing.



Research and main write for "bleeding hemorrhoids" by Loni L. Ice, editing and additional writing for "bleeding hemorrhoids" by D. S. Urquhart.