Medicines can ease symptoms of piles but do not remove the cause. Fibre, fluids and avoiding straining remain the base of treatment.

Common options

Fibre supplements and stool softeners: psyllium husk (isabgol) or lactulose, to soften stool and reduce straining
Soothing creams and ointments: to relieve itching and discomfort. Some contain a mild local anaesthetic or a short course of steroid.
Suppositories: inserted into the rectum for relief
Painkillers: paracetamol is usually safest for pain. Avoid codeine-type painkillers, as they cause constipation.
Flavonoids: these vein-supporting medicines are used in some countries for bleeding. Evidence is mixed, so ask your doctor.

Cautions

Do not use steroid creams for more than about 7 days without medical advice. Long use thins the skin.
Avoid strong laxatives for long periods.
Check with a doctor before using any medicine in pregnancy or for a child.
Tell your doctor about all medicines, including blood thinners.
Avoid "guaranteed cure" products and unregulated powders or pastes.

Procedures if medicines are not enough

Medicines and products for piles

Introductory Summary