Increase fiber intake (fruits, vegetables, whole grains, beans)
Use a fiber supplement (psyllium) if needed
Drink plenty of water
Avoid straining during bowel movements
Don’t sit on the toilet for long periods
Respond to the urge to have a bowel movement promptly
Consider a stool softener (docusate) if stools are hard
Consider an osmotic laxative (polyethylene glycol) to ease constipation
Use a hemorrhoid cream or suppository with hydrocortisone for short-term relief (follow package directions)
Use topical witch hazel pads or soothing wipes for symptom relief
Apply a cold pack or ice wrapped in cloth to reduce swelling
Take sitz baths (warm water 10–15 minutes, 2–3 times daily)
Use pain relief as directed (acetaminophen or ibuprofen)
Keep the area clean and dry; use gentle, unscented wipes or water only
Limit heavy lifting and prolonged standing if it worsens symptoms
If symptoms persist or recur, ask a clinician about office procedures (rubber band ligation, sclerotherapy, infrared coagulation, or hemorrhoidectomy/other options)
Seek urgent care if you have heavy bleeding, severe pain, black/tarry stools, dizziness/fainting, fever, or a hard painful lump that may indicate a clot