Increase fiber intake (fruits, vegetables, whole grains, legumes)
Use a fiber supplement if needed (psyllium)
Drink plenty of water daily
Avoid straining during bowel movements
Don’t sit on the toilet for long periods
Use a stool softener or osmotic laxative (e.g., polyethylene glycol) if recommended
Take warm sitz baths 10–15 minutes, 2–3 times daily and after bowel movements
Apply cold compresses to reduce swelling and pain
Use over-the-counter hemorrhoid treatments:
Hydrocortisone 1% cream or suppositories for short-term flare control
Witch hazel pads
Lidocaine-containing topical products for temporary pain relief
Consider barrier creams (e.g., zinc oxide or petroleum jelly) to protect irritated skin
Keep the area clean and dry (rinse with water; pat dry)
Avoid harsh wiping; use unscented wipes or water rinse
Limit spicy foods and other triggers if they worsen symptoms
Use regular gentle exercise to improve bowel function
Maintain a healthy weight
Seek medical care urgently if there is heavy bleeding, severe pain, black/tarry stool, dizziness/fainting, or fever
Contact a clinician if symptoms last more than 1 week, keep recurring, or bleeding is frequent
Ask about office or procedural options if conservative care isn’t enough (rubber band ligation, sclerotherapy, infrared coagulation, hemorrhoidectomy, or stapled hemorrhoidopexy)