Preparation is key for effective application
Before you begin, proper preparation of the area is essential for both hygiene and ensuring the cream works effectively. According to instructions from institutions like Mayo Clinic, starting with a clean area is the first step.
Step-by-step preparation
- Go to the bathroom: It is best to have a bowel movement before applying the cream. This ensures the medication is not accidentally wiped away and remains in place for several hours.
- Cleanse the area: Wash the affected area gently with mild soap and warm water. A Sitz bath can also be a soothing way to clean the area before application.
- Dry thoroughly: Pat or blot the area dry with a soft cloth or toilet tissue. Avoid rubbing, as this can cause further irritation.
- Wash your hands: Always wash your hands thoroughly with soap and water before and after application to prevent the spread of bacteria.
Applying anorectal cream: External vs. internal
The method of application depends on whether you are treating external or internal symptoms. Always refer to the product packaging or your doctor's instructions for specific guidance, as some creams are for external use only.
External application
For symptoms affecting the skin around the anus, external application is the right approach.
- Squeeze a small amount of cream (about a pea-sized dot) onto your fingertip or a finger cot.
- Gently smooth the thin layer of cream over the affected external area.
- Wash your hands immediately after you finish.
Internal application with an applicator
For internal hemorrhoids, a rectal applicator is often included to deliver the medication precisely.
- Attach and lubricate: Remove the cap from the cream tube and screw the provided applicator tip onto the tube. Squeeze a small amount of cream out to lubricate the tip.
- Insert gently: Lie on your side with your knees bent, or kneel with your upper body leaning forward. Gently insert the applicator tip just 1/2 to 1 inch (1.5 to 2.5 centimeters) into the rectum. Do not force it or insert it deeper.
- Apply medication: Squeeze the tube slowly and steadily to apply the cream. Once the cream is applied, gently remove the applicator.
- Clean the applicator: For reusable applicators, wash with soap and warm water after each use. For single-use applicators, dispose of them safely.
- Wash hands: Wash your hands thoroughly with soap and water.
Comparison of common anorectal creams
Different anorectal creams contain various active ingredients that treat symptoms in different ways. Below is a comparison of some common types based on their primary active ingredients and function.
| Feature | Lidocaine 5% Cream (e.g., RectiCare) | Hydrocortisone Cream (e.g., Anusol-HC) | Phenylephrine Cream (e.g., Preparation H) |
|---|---|---|---|
| Mechanism | Numbing agent (local anesthetic) that blocks nerve signals. | Anti-inflammatory agent (corticosteroid) to reduce swelling and itching. | Vasoconstrictor that shrinks swollen blood vessels. |
| Primary Benefit | Fast-acting relief for pain, itching, and burning. | Reduces inflammation and redness associated with the issue. | Shrinks swollen hemorrhoidal tissues. |
| Application | External or internal application (with applicator) up to 6 times daily. | Typically applied externally, but some formulations include applicators for internal use. | External application, with some products formulated for internal use. |
| Duration | Short-term relief, typically lasting 1–3 hours. | Often used for short-term treatment; prolonged use is not recommended without doctor's approval. | Provides temporary relief for a few hours. |
Safety precautions and tips for effective relief
To maximize the benefits and minimize risks, follow these safety tips:
- Read the label: Always follow the specific directions on the product packaging, as dosages and application methods can vary.
- Do not use for too long: Most over-the-counter anorectal creams are for short-term use (typically 7 days or less). Long-term use of steroid-based creams can worsen the problem and should be done under a doctor's supervision.
- Watch for allergic reactions: Discontinue use and consult a doctor if you experience increased redness, irritation, swelling, or pain.
- Avoid broken skin: Do not apply the cream to open wounds, severely inflamed skin, or areas of broken skin unless specifically directed by a healthcare provider.
- Prevent accidental contact: Be careful to avoid contact with eyes, ears, and mouth. If contact occurs, wash thoroughly with water.
- Talk to a doctor: If symptoms persist for more than seven days, worsen, or if you experience rectal bleeding, consult your doctor immediately.
Potential side effects
While many people experience no side effects from anorectal creams, some may occur. Side effects can include mild irritation, stinging, or redness at the application site. More serious, though rare, side effects can include allergic reactions or, with excessive or prolonged use, systemic effects. It is important to be aware of the signs and to stop using the medication if they appear.
Conclusion
Knowing how to use anorectal cream correctly is vital for finding effective and safe relief. By properly preparing the area, following the appropriate application method (external or internal with an applicator), and adhering to safety precautions, you can treat symptoms with confidence. Always consult a healthcare professional if your condition does not improve or if you experience any concerning side effects or bleeding. For more information, consult the resource on drug information from the Mayo Clinic.
