Before using any medication, it is important to consult with a healthcare provider. The following information is for general knowledge only and should not be taken as medical advice.
Hemorrhoids, which are swollen veins in the anus and lower rectum, can be a source of significant discomfort, including itching, pain, and bleeding. Fortunately, many over-the-counter options like Preparation H provide effective relief for these symptoms. However, the key to effective treatment lies in proper application, which differs based on the type of hemorrhoid being treated. This article will demystify the correct usage of Preparation H products, specifically addressing the question of internal application.
Understanding Internal and External Hemorrhoids
Before deciding on the application method, it's crucial to understand the two main types of hemorrhoids:
- External hemorrhoids: These develop under the skin around the anus. They can be painful and cause burning and itching, especially when thrombosed (a blood clot forms).
- Internal hemorrhoids: These develop inside the rectum. They are often not painful because there are fewer nerve endings in that area, but they can bleed during a bowel movement or, if prolapsed, bulge out of the anus, causing pain and irritation.
Many Preparation H products, such as the ointment, are formulated to treat both internal and external hemorrhoids. However, other products, like certain creams, may be intended only for external use. Always read the specific product's packaging and instructions carefully.
Can You Put Preparation H Inside?
Yes, with certain products and proper application. The Preparation H Hemorrhoidal Ointment, for example, is specifically designed for both external and internal use and comes with a nozzle applicator for internal application. The suppository forms of Preparation H are also designed for internal use, inserted directly into the rectum.
For products that are meant for internal use, following the directions meticulously is vital for safety and effectiveness. Products designed only for external application, such as some maximum strength creams, should not be inserted internally. The formula may be too strong for the sensitive internal rectal tissue, and application without a designated nozzle can be ineffective or harmful.
How to Apply Preparation H Internally
For internal hemorrhoids, a dedicated applicator is necessary to ensure the medication reaches the right area without causing further irritation.
Step-by-Step Internal Application:
- Preparation: Wash your hands thoroughly with soap and water before and after application. It is recommended to have a bowel movement beforehand if possible. Cleanse the affected area gently and pat it dry.
- Attach the Applicator: Remove the protective cover from the applicator and screw it onto the tube of ointment.
- Fill the Applicator: Squeeze the tube to fill the applicator with the ointment.
- Lubricate: Lubricate the applicator well with the ointment itself or another lubricant like petroleum jelly to ensure smooth insertion.
- Insert: Gently and slowly insert the applicator about one-half to one inch into the rectum. Some sources suggest inserting only as far as the base of the cap. Do not insert it too deeply. Stop if you feel resistance or pain.
- Apply Medication: Squeeze the tube to release the ointment inside the rectum.
- Remove and Clean: Carefully remove the applicator. Thoroughly cleanse the applicator with warm, soapy water after each use and replace the protective cover.
- Wait: Remain still for a few minutes and try to avoid a bowel movement for at least one to three hours to allow the medication to work.
Internal vs. External Application of Preparation H
| Feature | Internal Application | External Application |
|---|---|---|
| Hemorrhoid Type | Used for internal or prolapsed hemorrhoids. | Used for external hemorrhoids. |
| Method | Requires a special applicator included with the product. | Applied directly to the skin around the anus using a finger. |
| Product Type | Applicable for certain ointments and suppositories. | Applicable for creams, gels, and ointments. |
| Key Benefit | Reaches the internal source of symptoms, reducing swelling and discomfort. | Provides soothing relief for pain, burning, and itching on the outer area. |
| Safety Note | Always use the provided applicator and follow instructions carefully to avoid injury. | Generally straightforward, but always wash hands thoroughly before and after. |
Safety and Precautions
While Preparation H is a safe and effective over-the-counter treatment for many, there are important safety considerations to keep in mind:
- Read the Label: Always read and follow the instructions on the specific product packaging. Some formulations are for external use only. For example, some maximum-strength creams or certain wipe products are not designed for internal application.
- Seek Medical Advice: If you experience rectal bleeding, severe pain, or worsening symptoms, stop using the product and see a doctor. While rare, some serious side effects or allergic reactions can occur.
- Underlying Health Conditions: Individuals with certain health issues like heart disease, high blood pressure, diabetes, or thyroid disease should consult a doctor before using products containing vasoconstrictors like phenylephrine (a common ingredient in some Preparation H formulations).
Conclusion
In summary, yes, you can put some versions of Preparation H inside, specifically the ointments and suppositories designed for internal use, and only with the provided applicator. For effective and safe use, it is crucial to first determine whether you have internal or external hemorrhoids and to select the appropriate product and application method. Always follow the product's directions carefully and consult a healthcare professional if you have persistent or worsening symptoms. Proper care and application can lead to significant relief and a quicker recovery.
