Hydrate with water and fiber-rich foods (fruits, vegetables, whole grains)
Use a high-fiber diet or fiber supplements (psyllium) to keep stools soft
Avoid straining during bowel movements
Sit on the toilet only as long as needed; avoid prolonged sitting on the toilet
Take warm sitz baths 10–15 minutes, 2–3 times daily and after bowel movements
Apply cold packs to reduce swelling and pain
Use topical treatments short-term:
Hydrocortisone cream or suppositories
Witch hazel pads
Lidocaine gels/ointments for pain relief
Consider stool softeners (docusate) if needed to reduce straining
Consider osmotic laxatives (polyethylene glycol) if constipation persists
Practice gentle hygiene:
Clean with water or unscented wipes
Pat dry; avoid harsh rubbing
Seek medical treatment if symptoms persist beyond about 1 week or recur frequently
Ask a clinician about office procedures for persistent hemorrhoids:
Rubber band ligation
Sclerotherapy
Infrared coagulation
Surgical hemorrhoidectomy (for severe cases)
Go to urgent care/emergency care if there is heavy bleeding, dizziness/fainting, severe worsening pain, fever, or black/tarry stools