Suppository to Treat Hemorrhoids

What are Hemorrhoid Suppositories?

Hemorrhoid suppositories are small, solid medicines that are placed gently into the rectum. They are designed to soften or melt after insertion so the medicine can act directly on the lining of the anus and lower rectum.

They are most often used for short-term relief of symptoms from internal haemorrhoids, which are swollen blood vessels inside the anus or lower rectum. But they can also be used for treating constipation.

Hemorrhoids can cause itching, irritation, swelling, discomfort, pain with bowel movements, or bright red bleeding after passing stool.

Different products may contain different ingredients. Some help protect irritated skin, some soothe itching or discomfort, and some contain medicines such as hydrocortisone that can reduce inflammation. Suppositories may help symptoms feel better, but they do not permanently remove hemorrhoids or treat every possible cause of rectal pain or bleeding.

Why hemorrhoid suppositories may be used:

Targeted symptom relief: Suppositories place medicine where internal hemorrhoids are located, which may help soothe irritation and make bowel movements more comfortable.
Helpful for internal hemorrhoids: Suppositories are usually most useful for symptoms inside the rectum. For symptoms mainly on the outside of the anus, creams, ointments, pads, or other treatments applied externally may be more helpful.
Short-term use: Use over-the-counter hemorrhoid suppositories only as directed on the product label. Some products, especially those containing steroid medicine, should not be used longer than recommended because they can irritate or thin the skin.
When to seek medical advice: Talk with a healthcare professional if symptoms do not improve within the time stated on the product label, if symptoms keep coming back, or if you have rectal bleeding, severe pain, worsening swelling, fever, pus, or any change around the anus that is not normal for you.

How Medication Works

Suppositories are a type of medication that is inserted into the rectum. Once inserted, the suppository dissolves and the medication is absorbed into the bloodstream.

For hemorrhoids, suppositories can work in a few different ways to provide relief:

Reducing swelling and burning: Some suppositories contain medications that can help reduce swelling and burning in and around the anus and rectum. These medications can help alleviate discomfort caused by hemorrhoids.
Relieving constipation: Certain suppositories can also help relieve constipation, which can worsen hemorrhoids. These suppositories work by either softening the stool or stimulating the muscles of the bowels to promote easier movement of stool.
Shrinking hemorrhoids: In some cases, suppositories may be used as part of medical treatments for hemorrhoids, such as before surgery. These suppositories, often prescribed by a doctor, can help shrink prolapsed internal or complicated external hemorrhoids. They may be used in combination with other procedures like hemorrhoidectomy or hemorrhoidopexy.

It's important to note that over-the-counter (OTC) suppositories should only be used for a short period of time. Using them too frequently can cause side effects like irritation and rash. If OTC options don't provide enough relief, it's best to talk with a doctor to consider other treatment options.

Suppositories are generally considered more effective for internal hemorrhoids, as they are absorbed by the rectal tissue and can provide relief for discomfort and pain in that area. However, they may also help soothe symptoms caused by external hemorrhoids.

How to Use Medication

Hemorrhoid suppositories are for rectal use only. This means they are inserted gently into the rectum, not swallowed and not placed in the vagina. They are usually used for short-term relief of internal hemorrhoid symptoms, such as itching, irritation, swelling, or discomfort.

Always follow the directions on the product label or the instructions from your healthcare professional. If you are not sure how often to use the suppository, ask a pharmacist or healthcare professional before using it.

How to insert a hemorrhoid suppository:

Wash your hands with soap and warm water, then dry them.
Remove the suppository from its wrapper. If it feels too soft, place it in the refrigerator for a few minutes or hold it under cool water while it is still in the wrapper so it becomes firmer.
If needed, moisten the tip with cool water or use a small amount of water-based lubricant. Do not use petroleum jelly, such as Vaseline, unless the product label or healthcare professional tells you to.
Lie on your side with your upper knee bent toward your chest. You may also use another position that feels stable and comfortable.
Gently insert the suppository into the rectum, pointed or rounded end first, using your finger. Push it in far enough that it stays in place, but do not force it.
Stay lying down or keep still for a few minutes to help prevent the suppository from slipping out.
Wash your hands again after insertion.

Try to avoid having a bowel movement for about an hour after inserting the suppository, unless your product is meant to treat constipation. A small amount of medicine may leak out; wearing a liner or pad can help protect your underwear.

Helpful tips:

Store suppositories as directed on the package. Many should be kept in a cool place so they do not melt.
Trim long fingernails before use to reduce the chance of scratching the skin.
Do not use more often or for longer than the label recommends. Some haemorrhoid products, especially those containing steroid medicines, are meant for short-term use only.
Talk with a pharmacist or healthcare professional if insertion is painful, if the suppository keeps coming out, or if you are not sure the product is right for your symptoms.

Seek medical advice if symptoms do not improve within the time stated on the product label, if symptoms keep coming back, or if you have rectal bleeding, severe pain, worsening swelling, fever, pus, dizziness, or a change in bowel habits.