The two most common are those made with psyllium seed, such as Metamucil, and those made with methlycellulose, such as Citrucel. A few teaspoons in a glass of water each morning is usually sufficient. Some patients also benefit from taking a stool softener such as docusate sodium, one brand of which is Colace. All of these substances are safe for long term use and not habit forming like other laxative products. Salves and suppositories may soothe hemorrhoids until the tissues around them can heal, but they don't make hemorroids disappear.
Cortisone products can reduce inflammation.
Witch Hazel, a natural astringent, bought separately, or as pre-moistened Tucks Pads, may reduce swelling. Infrared Coagulation Infrared Coagulation is a new nonsurgical technique that has revolutionized the treatment of symptomatic internal hemorrhoids. Much like a laser, this device focuses infrared light on hemorrhoid tissues, coagulating them. By gradually cutting off the blood supply, the hemorrhoid shrinks and symptoms subside. This technique is now offered in our office.