Increase fiber intake (fruits, vegetables, whole grains, legumes)
Use fiber supplements if needed (psyllium)
Drink plenty of water throughout the day
Take warm sitz baths 10–15 minutes, 2–3 times daily
Avoid straining during bowel movements
Don’t sit on the toilet for long periods
Use stool softeners if stools are hard (e.g., docusate) as directed
Consider osmotic laxatives for constipation (e.g., polyethylene glycol) as directed
Use topical treatments for symptom relief (hydrocortisone 1% short-term as directed)
Use topical numbing agents for pain (e.g., lidocaine) as directed
Use witch hazel pads or wipes if helpful
Apply cold packs to reduce swelling (wrapped, 10–15 minutes at a time)
Keep the anal area clean and dry; use gentle, fragrance-free wipes or water
Wear breathable cotton underwear; avoid tight clothing
Manage pain with acetaminophen or ibuprofen if appropriate for you
If symptoms persist or recur, ask a clinician about office procedures (rubber band ligation, sclerotherapy, infrared coagulation)
If severe or large hemorrhoids, ask about surgical options (hemorrhoidectomy or hemorrhoid stapling) if recommended
Seek urgent care for heavy bleeding, dizziness/fainting, black/tarry stools, severe worsening pain, fever, or inability to pass stool or urine
See a clinician if bleeding is new, recurrent, or you have anemia risk, or if symptoms don’t improve after about 1 week of home treatment