Best Ointments for Piles, Symptoms, and Natural Remedies

Living with piles, also known as hemorrhoids, can be an incredibly distressing experience. The discomfort, pain, and other symptoms associated with this condition can significantly impact one’s quality of life. Fortunately, there are various ointments available that can provide much-needed relief and promote the healing process. In addition to exploring the best ointments for piles, this comprehensive article aims to delve into the symptoms, natural remedies, and prevention strategies to help individuals effectively manage this condition. It is important to note that while this article provides valuable information, it is not a substitute for professional medical advice. If you are experiencing symptoms of piles, it is crucial to consult with a healthcare professional for a proper diagnosis and personalized treatment plan. By empowering yourself with knowledge and understanding, you can take proactive steps towards finding relief from the discomfort caused by piles.

Best Ointments for Piles

1. Preparation H:

Best Ointments for Piles

Preparation H is a well-known and widely used over-the-counter ointment that provides relief from itching, burning, and discomfort associated with piles. It contains active ingredients such as phenylephrine, which constricts blood vessels and reduces swelling. This can help alleviate the symptoms and provide temporary relief. Preparation H is available in various forms, including creams, ointments, suppositories, and wipes, catering to different preferences and needs. The cream and ointment forms are generally applied topically to the affected area, while suppositories are inserted rectally for internal hemorrhoids. The wipes offer a convenient option for gentle cleansing and soothing relief. Preparation H products have been trusted by many individuals dealing with piles, making it a popular choice.

2. Anusol:

Anusol is another widely recognized and effective ointment for the management of piles. It contains ingredients such as zinc oxide, which acts as a protective barrier and helps soothe the affected area. Anusol is available in different forms, including creams, ointments, and suppositories. The cream and ointment forms are typically applied topically to provide relief from symptoms such as itching, burning, and discomfort. The suppositories are designed for internal use and help alleviate internal hemorrhoids. Anusol’s formulation provides a combination of protective and soothing properties, making it a reliable option for relieving piles symptoms.

3. Witch Hazel:

Witch hazel is a natural astringent with potent anti-inflammatory properties. It has been used for centuries to treat various skin conditions, including piles. best ointments for piles Witch hazel helps reduce swelling, soothe itching, and alleviate discomfort associated with piles. It can be applied topically to the affected area using a cotton ball or gentle application pad. Look for pure witch hazel extract or products that contain it as an active ingredient. Witch hazel is considered safe for most individuals and is well-tolerated, making it a popular choice among those seeking natural remedies for piles.

4. Aloe Vera Gel:

Aloe vera is a well-known plant with numerous healing properties. It has soothing and anti-inflammatory effects that can provide relief from piles symptoms. Applying pure aloe vera gel directly to the affected area can help reduce itching, inflammation, and discomfort. Aloe vera gel can be extracted directly from the plant’s leaves or obtained as a commercially available product. It is important to choose pure aloe vera gel without any added fragrances or chemicals to avoid potential irritants. Aloe vera is a gentle and natural option that many individuals find beneficial in managing piles.

5. Calendula Cream:

Calendula cream, derived from marigold flowers, is known for its anti-inflammatory and wound-healing properties. It can help reduce inflammation, promote healing, and provide relief from discomfort caused by piles. Calendula cream is available in various formulations, and it is advisable to choose a product with a high concentration of calendula extract for maximum benefit. Applying the cream topically to the affected area can help soothe and alleviate piles symptoms. Calendula cream is well-tolerated by most individuals and can be a valuable addition to the management of piles.

It’s important to note that individual responses to ointments may vary, and what works for one person may not work as effectively for another. It’s always a good idea to consult with a healthcare professional before using any new ointment or treatment option, especially if you have any underlying health conditions or are currently taking medications. They can provide personalized advice and recommendations based on your specific needs and circumstances.

In addition to considering ointments, it’s essential to explore other treatment options, lifestyle modifications, and preventive strategies

to effectively manage piles and reduce the likelihood of recurrence. Taking a holistic approach that combines suitable ointments, natural remedies, and preventive measures can help alleviate symptoms, promote healing, and improve overall well-being.

Understanding Common Symptoms

Best Ointments for Piles

1. Rectal Bleeding: One of the most noticeable symptoms of piles is rectal bleeding. You may notice bright red blood on the toilet paper after wiping or in the toilet bowl after a bowel movement. The bleeding is usually painless and is caused by the rupture of blood vessels.

2. Itching and Irritation: Piles can cause persistent itching and irritation in the anal area. This itching can be quite uncomfortable and can often worsen with excessive scratching.

3. Pain and Discomfort: Piles can be accompanied by pain and discomfort, especially during bowel movements. The pain may vary from mild to severe, depending on the size and location of the hemorrhoids. Sitting for extended periods or applying pressure to the affected area can exacerbate the discomfort.

4. Swelling and Inflammation: Hemorrhoids can cause swelling and inflammation around the anus. You may feel a lump or a soft bulge in the anal area. This swelling can be tender and painful to touch.

5. Prolapse: In some cases, internal hemorrhoids can protrude outside the anus, causing a condition known as prolapsed hemorrhoids. Prolapsed hemorrhoids can be painful and may require manual reduction to push them back inside.

It is important to note that these symptoms can vary from person to person, and not everyone with piles will experience all of them. In some cases, the symptoms may be mild and resolve on their own, while in others, they may persist and require medical intervention.

If you experience persistent bleeding or severe pain, or if your symptoms do not improve with conservative measures, it is important to seek medical advice. A healthcare professional can provide an accurate diagnosis and recommend appropriate treatment options based on the severity and nature of your piles.

In the next sections of this article, we will explore the best ointments for piles, natural remedies, and prevention strategies to help manage this condition effectively. Remember that while ointments and natural remedies can provide relief, it is always advisable to consult with a healthcare professional for a comprehensive evaluation and personalized treatment plan.

Natural Remedies and Prevention Strategies

1. Sitz Baths:

   One of the most soothing natural remedies for piles is taking sitz baths. A sitz bath involves sitting in warm water that covers the hips and buttocks. 

   – Fill a bathtub or basin with warm water (not too hot) to a level that covers your hips and buttocks.

   – You can enhance the soothing effect by adding Epsom salts or witch hazel to the bathwater. Epsom salts help reduce inflammation and provide relief, while witch hazel acts as an astringent and can help shrink hemorrhoids.

   – Sit in the warm water for about 10 to 15 minutes, ensuring that the affected area is fully submerged.

   – Repeat this process several times a day, especially after bowel movements, to experience maximum relief.

2. Dietary Modifications:

best ointment for hemorrhoids

   Making certain dietary changes can greatly help in preventing and managing piles. Here are some tips to consider:

   – Increase Fiber Intake: Consuming a diet rich in fiber helps soften stools and promotes regular bowel movements, reducing the risk of straining during bowel movements. Include foods such as fruits, vegetables, whole grains, legumes, and nuts in your daily meals.

   – Stay Hydrated: Drinking an adequate amount of water is essential for maintaining soft and easy-to-pass stools. Aim to drink at least eight glasses of water per day to keep your body hydrated and your stools soft.

   – Limit Processed Foods: Processed foods tend to be low in fiber and high in refined carbohydrates and unhealthy fats. These can contribute to constipation and exacerbate piles. Reduce your intake of processed foods, such as fast food, sugary snacks, and packaged meals, and focus on whole, unprocessed foods instead.

   – Herbal Remedies: Some herbs have natural laxative properties and can help alleviate constipation. Psyllium husk, flaxseed, and fenugreek are examples of herbs that can be added to your diet to increase fiber intake and promote regular bowel movements. These herbs can be consumed as powders, added to smoothies, or taken in capsule form. However, it’s important to consult with a healthcare professional before starting any herbal supplements, especially if you have any underlying medical conditions or are taking medications.

3. Regular Exercise:

   Engaging in regular physical activity is not only beneficial for your overall health but also helps prevent and manage piles. Exercise stimulates bowel movements, improves circulation, and reduces the risk of constipation. Consider incorporating exercises such as walking, swimming, yoga, or cycling into your daily routine.

4. Hygiene Practices:

   Maintaining proper anal hygiene is crucial for preventing further irritation and infection.

   – Gentle Cleansing: After bowel movements, gently clean the anal area using soft, fragrance-free toilet paper or wipes. Avoid rough or scented toilet paper, as they can cause further irritation. You may also consider using a bidet or rinsing with warm water for a more thorough cleansing.

   – Pat Dry: After cleaning, gently pat the area dry with a clean, soft towel. Avoid rubbing, as it can further irritate the sensitive skin.

   – Avoid Excessive Wiping: Excessive wiping can irritate the hemorrhoids and lead to discomfort. Instead, try using moistened wipes or consider using a bidet for a gentler cleaning process.

5. Avoid Straining:

   Straining during bowel movements puts pressure on the rectal area, exacerbating piles and causing additional discomfort. To prevent straining:

   – Don’t Delay Bowel Movements: When you feel the urge to have a bowel movement, try to go as soon as possible. Ignoring the urge can lead to harder stools, making them more difficult to pass.

   – Stool Softeners: If you’re having difficulty passing stool or experiencing constipation, consider using stool softeners as recommended by your healthcare professional. Stool softeners help add moisture to the stool, making it easier to pass without straining.

   – Proper Positioning: While on the toilet, adopt a squatting position or use a footstool to elevate your feet. This position helps straighten the rectum, making it easier to pass stools.

   It’s important to note that natural remedies may provide relief and improve symptoms, but they may not cure piles entirely. If your symptoms persist or worsen despite trying natural remedies, it’s advisable to consult with a healthcare professional for further evaluation and treatment options.


Piles can be a source of significant discomfort, but with the right approach, relief is within reach. By understanding the symptoms, exploring the best ointments for piles, and adopting natural remedies and preventive measures, you can effectively manage this condition. Remember to consult with a healthcare professional for personalized advice and recommendations. With the right combination of treatments and lifestyle adjustments, you can find relief and improve your quality of life.


The information provided in this article is for educational purposes only and does not constitute medical advice. It is not intended to diagnose, treat, cure, or prevent any disease or health condition. Always consult with a qualified healthcare professional or physician before starting any new medical treatment, including the use of ointments or natural remedies for piles.

Author Contribution: Reviewed by Dr. Ram Reddy, MD – General Physician, and Rajeshwar Rao, Pharm D.

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