Apply ice packs to the affected area for 10–15 minutes at a time, several times daily
Take warm sitz baths (sitz bath or tub) 10–20 minutes, 2–3 times daily, especially after bowel movements
Use over-the-counter hemorrhoid creams or suppositories with hydrocortisone (short-term use per label)
Use topical numbing agents (lidocaine) as directed on the label for pain relief
Use witch hazel pads or wipes for gentle soothing as directed
Take oral pain relief such as acetaminophen or ibuprofen if you can use them safely
Increase fiber intake (psyllium or similar) and stay hydrated to soften stools
Use a stool softener (docusate) or osmotic laxative (polyethylene glycol) as directed if needed
Consider a short-term bulk-forming fiber supplement (psyllium) to reduce straining
Avoid straining and prolonged sitting on the toilet; limit toilet time to a few minutes
Keep the area clean using water only or gentle, fragrance-free wipes; pat dry
Wear breathable cotton underwear and avoid tight clothing
If severe pain starts suddenly, seek urgent care; a thrombosed external hemorrhoid may be treated quickly by a clinician
If symptoms don’t improve within 7 days, or if you have heavy bleeding, dizziness, black/tarry stools, or anemia symptoms, seek medical care immediately
Ask a clinician about rapid in-office options (rubber band ligation, sclerotherapy, infrared coagulation) for internal hemorrhoids