To remove a hemorrhoid using rubber band ligation, a health care provider inserts a small tool called a ligator through a lighted tube, called a scope, into the anal canal and grasps the hemorrhoid with forceps. Sliding the ligator cylinder upward releases rubber bands around the base of the hemorrhoid. Rubber bands cut off the hemorrhoid's blood supply, causing the hemorrhoid to wither and drop off. I use a plain cotton facial cleansing pad and douse it in the Witch Hazel, then pop it by the painful area and leave it there (bum cheeks keep it in place!). Nothing has been anywhere near this effective for me.” (Tried and tested by Mumsnet user SilentPanic) According to the NHS, you should expect to see an improvement after seven days of home treatment. If you’ve been using a haemorrhoid cream for longer than seven days and there are no signs of the treatment working, then you should book an appointment with your GP. What cream is best for haemorrhoids?

Anusol Cream is a medicine that relieves the pain, swelling, and irritation of internal and external haemorrhoids. It includes ingredients such as zinc oxide, balsam peru, and bismuth oxide. Anusol Cream contains a vanishing base, which means it's rapidly absorbed and can be used for both internal and external haemorrhoids. Germoloids Cream There are a number of things that you should consider before purchasing haemorrhoid creams or remedies. Treatment type: Cream | Active ingredients: Zinc Oxide, Benzyl Alcohol, Benzyl benzoate, Benzyl Cinnamate and Lanolin (hypoallergenic) | Daily dose: Apply a thin layer as required | Safe for pregnancy?: Not specified What we loveinfrared coagulation: an infrared light is used to cut the blood supply to your piles to make them shrink Complications also can include bleeding, troubles emptying the bladder and pain. A rare complication is a life-threatening blood infection called sepsis. A local anaesthetic numbs the pain and halts the itching while the cream gets to work shrinking down the haemorrhoid. What makes Germoloids stand out from our other recommendations is that it’s suitable for treating external and internal piles and even comes with a handy nozzle for easy application. Each product will be different, so make sure you read the instructions carefully before use. Before applying the cream or treatment, always ensure the area is clean and dry. You should also wash your hands thoroughly with soap before application.

For internal haemorrhoids: The product comes with an applicator for applying the ointment inside the bowel. Coagulation. Coagulation techniques use laser or infrared light or heat. They cause small, bleeding internal hemorrhoids to harden and shrivel. Coagulation has few side effects and usually causes little discomfort. Sclerotherapy. With sclerotherapy, your health care provider injects a chemical solution into the hemorrhoid tissue to shrink it. While the injection causes little or no pain, it might be less effective than rubber band ligation. Preparation H Wipes are a [lifesaver] and soothing when cleansing the area.” (Tried and tested by Mumsnet user jalopy) Our verdict For bleeding that doesn't stop or for painful hemorrhoids, your health care provider might recommend one of the other minimally invasive procedures available. These treatments can be done in your provider's office or another outpatient setting. They don't usually require numbing medicine.Eat high-fiber foods. Eat more foods that are high in fiber. This helps softens the stool and increases its bulk, which will help you avoid straining. Add fiber to your diet slowly to avoid problems with gas. Care Haemorrhoid Relief Ointment contains zinc oxide, which is an antiseptic and has soothing and protective properties. Easy to use, it will help to relieve pain and swelling associated with haemorrhoids. Fybogel Orange Flavoured Laxative Sachets Designed to complement haemorrhoid treatment creams such as Anusol or Germaloids, the wipes contain Witch Hazel and aloe vera to soothe and hydrate itching and irritated skin.