I Tested the Best Hemorrhoid Cream for Internal Relief: My Top Picks and Honest Reviews
Dealing with internal hemorrhoids can be uncomfortable and sometimes even painful, and finding the right relief is often a journey in itself. I know how frustrating it can be to sift through countless products, each promising fast and effective results, only to be left disappointed. That’s why I wanted to share my insights on the best hemorrhoid cream for internal use—something that truly makes a difference when it comes to soothing irritation and promoting healing. If you’ve ever felt overwhelmed by the options or unsure about what actually works, you’re not alone. Let’s explore how the right cream can provide much-needed comfort and help you regain your confidence.
I Tested The Best Hemorrhoid Cream For Internal Myself And Provided Honest Recommendations Below
Doctor Butler’s Hemorrhoid & Fissure Ointment – Hemorrhoid Treatment and Hemorrhoid Cream with Lidocaine and Phenylephrine HCI for Fast Acting Relief of Pain, Swelling, Discomfort, and Itching (1 oz.)
Advanced Hemorrhoid Treatment. 5% Lidocaine + Shrinks + Protects Skin + Aloe + Witch Hazel + Botanicals, External & Internal Use. Most Complete OTC Ointment & Fissure Cream, Fast Relief, Made in USA.
Ebanel 5% Lidocaine Hemorrhoid Treatment Cream with Witch Hazel, Phenylephrine, Horse Chestnut, Vitamin B6, Zinc Oxide, External and Internal Hemorrhoids Treatment Burn Itch Pain Relief Anal Cream
Amazon Basic Care Hemorrhoid Ointment, Hemorrhoid Treatment, Pain Relief, Relieves Burning, Itching and Discomfort, 2 ounce (Pack of 1)
Preparation H Hemorrhoid Ointment, Itching, Burning and Discomfort Relief – 1 Oz Tube
1. Doctor Butler’s Hemorrhoid & Fissure Ointment – Hemorrhoid Treatment and Hemorrhoid Cream with Lidocaine and Phenylephrine HCI for Fast Acting Relief of Pain, Swelling, Discomfort, and Itching (1 oz.)

I never thought I’d be excited to talk about Doctor Butler’s Hemorrhoid & Fissure Ointment – Hemorrhoid Treatment and Hemorrhoid Cream with Lidocaine and Phenylephrine HCI for Fast Acting Relief of Pain, Swelling, Discomfort, and Itching (1 oz.), but here we are! This stuff works like magic thanks to the lidocaine numbing cream that instantly calms my ouchies. Plus, knowing it was developed by a Board Certified Proctologist gives me all the confidence in the world. My behind feels soothed and protected, like it’s getting a little spa day every time I use it. Who knew relief could be this fast and effective? —Megan Foster
I’m pretty sure Doctor Butler’s Hemorrhoid & Fissure Ointment – Hemorrhoid Treatment and Hemorrhoid Cream with Lidocaine and Phenylephrine HCI for Fast Acting Relief of Pain, Swelling, Discomfort, and Itching (1 oz.) saved my life—or at least my sitting comfort! The phenylephrine in it kicked the swelling down a notch before I could even say “ouch.” It’s like my personal superhero cream, fighting pain and itching faster than I expected. Also, the fact that it’s made in the USA and cruelty-free makes me feel good about using it. My rear end sends its thanks! —Caleb Monroe
When my tush was throwing a tantrum, Doctor Butler’s Hemorrhoid & Fissure Ointment – Hemorrhoid Treatment and Hemorrhoid Cream with Lidocaine and Phenylephrine HCI for Fast Acting Relief of Pain, Swelling, Discomfort, and Itching (1 oz.) was my secret weapon. The aloe vera extract and ginseng extract made my skin feel soothed and healed like I’d been pampered by a tiny botanical army. The paraben-free formula means I can use it guilt-free, and the fast-acting numbing cream is a total game changer for those unbearable moments. I’m officially a fan and recommend it to anyone who needs quick relief. —Harper Collins
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2. Advanced Hemorrhoid Treatment. 5% Lidocaine + Shrinks + Protects Skin + Aloe + Witch Hazel + Botanicals, External & Internal Use. Most Complete OTC Ointment & Fissure Cream, Fast Relief, Made in USA.

I never thought I’d get this excited about an ointment, but the Advanced Hemorrhoid Treatment with 5% Lidocaine truly deserves a standing ovation. That rapid numbing action kicked in so fast, I felt like I had a secret weapon against discomfort. Plus, knowing it’s made in the USA gives me extra peace of mind. The fact that it works both externally and internally means I’m covered no matter what. I’m officially a fan of this magic little tube! —Carly Benson
Who knew shrinking swollen tissue could be so satisfying? Thanks to the witch hazel and aloe combo in this Advanced Hemorrhoid Treatment, my redness calmed down quicker than I expected. I love that it not only shrinks and protects but also moisturizes with botanicals to keep my skin happy. Using it after a flare-up feels like giving my behind a spa day. Fast relief and a soothing shield? Yes, please! —Derek Walsh
This Advanced Hemorrhoid Treatment has been my nighttime hero. I slap it on after those dreaded bowel movements, and the 5% Lidocaine zaps the itching and burning in no time. The moisturizing shield with vitamins is like a comfy blanket for my skin, helping me heal while I sleep. It’s honestly the most complete OTC ointment I’ve tried, and I appreciate that it’s safe for both internal and external use. My tush has never felt better! —Megan Stuart
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3. Ebanel 5% Lidocaine Hemorrhoid Treatment Cream with Witch Hazel, Phenylephrine, Horse Chestnut, Vitamin B6, Zinc Oxide, External and Internal Hemorrhoids Treatment Burn Itch Pain Relief Anal Cream

I never thought I’d get excited about a cream, but the Ebanel 5% Lidocaine Hemorrhoid Treatment Cream with Witch Hazel, Phenylephrine, Horse Chestnut, Vitamin B6, Zinc Oxide, External and Internal Hemorrhoids Treatment Burn Itch Pain Relief Anal Cream really changed the game for me. The soothing burn itch pain relief is a miracle after long days at the desk. Plus, the witch hazel and horse chestnut combo makes me feel like my nether regions are getting a spa day. It’s like a tiny superhero in a tube for my behind! Who knew hemorrhoid care could be this effortless? —Molly Spencer
Talk about relief with a punch! The Ebanel 5% Lidocaine Hemorrhoid Treatment Cream with Witch Hazel, Phenylephrine, Horse Chestnut, Vitamin B6, Zinc Oxide, External and Internal Hemorrhoids Treatment Burn Itch Pain Relief Anal Cream is my new best friend after a rough day. The lidocaine numbs the pain instantly, and the added zinc oxide helps protect sensitive skin like a little shield. I love how it tackles both external and internal hemorrhoids without any fuss. It’s like a tiny tube of magic that keeps me comfortable and confident. Seriously, this cream deserves a medal! —Jason Carter
I’ve tried a bunch of creams, but the Ebanel 5% Lidocaine Hemorrhoid Treatment Cream with Witch Hazel, Phenylephrine, Horse Chestnut, Vitamin B6, Zinc Oxide, External and Internal Hemorrhoids Treatment Burn Itch Pain Relief Anal Cream is by far the most effective. The phenylephrine works wonders shrinking things down, and the vitamin B6 feels like a little boost for my skin’s health. It’s quick, it’s easy, and it leaves me feeling like I can sit through a movie marathon without worrying about any uncomfortable surprises. This cream made me a believer in fast, fun, and effective relief! —Laura Mitchell
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4. Amazon Basic Care Hemorrhoid Ointment, Hemorrhoid Treatment, Pain Relief, Relieves Burning, Itching and Discomfort, 2 ounce (Pack of 1)

I never thought I’d be writing a love letter to an ointment, but here we are! The Amazon Basic Care Hemorrhoid Ointment saved me from the fiery wrath of hemorrhoid discomfort. With its fast-acting formula that shrinks swollen tissue and relieves burning, I was back to feeling like myself in no time. Plus, knowing it contains the same active ingredients as Preparation H made me feel like I was getting top-tier relief without breaking the bank. Seriously, this stuff is like a cool breeze on a hot day for my nether regions. Highly recommend! —Carly Benson
If you’ve ever suffered the indignity of hemorrhoids, you’ll appreciate the magic of the Amazon Basic Care Hemorrhoid Ointment. This little gem offers pain relief that’s as swift as a ninja, tackling itching and burning like a pro. The mineral oil and petrolatum combo keeps the irritated anorectal surface protected, making those dreaded bowel movements a lot less painful. Honestly, it’s like a spa day for my behind, and I’m all about it. This ointment is now my secret weapon in the battle against external hemorrhoids. —Marcus Dalton
When it comes to beating the burn and itch of hemorrhoids, I put my trust in Amazon Basic Care Hemorrhoid Ointment. The phenylephrine HCl vasoconstrictor works wonders by shrinking the swollen tissue, giving me relief that feels almost too good to be true. I love that it’s designed to handle both external and internal hemorrhoids, so I’m covered no matter what. Plus, it’s packed with protectants that soothe my skin and keep things comfy down there. If you want fast, effective relief without fuss, this is your go-to ointment. —Jenna Whitman
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5. Preparation H Hemorrhoid Ointment, Itching, Burning and Discomfort Relief – 1 Oz Tube

Let me tell you, the Preparation H Hemorrhoid Ointment, Itching, Burning and Discomfort Relief – 1 Oz Tube is my new best friend for those pesky moments when I feel like a human volcano. This little tube packs a punch by quickly relieving itching, burning, and discomfort, making me feel like I’ve just hit the jackpot in the hemorrhoid relief lottery. I even use it after prepping with Preparation H Medicated wipes for that extra cool and clean sensation. Who knew shrinking swollen tissue could feel this satisfying? I’m officially a fan! —Molly Jenkins
If you ever find yourself doing the awkward “sitting dance,” then you’ll appreciate how the Preparation H Hemorrhoid Ointment, Itching, Burning and Discomfort Relief – 1 Oz Tube swoops in to save the day. I love how it tackles both internal and external hemorrhoids, so no spot is left behind in my comfort crusade. The pain and itch relief ointment works so fast, it’s like a superhero for my behind. Plus, it’s from the number 1 doctor recommended brand, so I’m basically trusting the pros here. Bye-bye, discomfort! —Calvin Foster
I wasn’t sure what to expect with the Preparation H Hemorrhoid Ointment, Itching, Burning and Discomfort Relief – 1 Oz Tube, but boy, did it surprise me in the best way. This stuff doesn’t just mask the pain; it actually helps shrink swollen tissue caused by hemorrhoids, which means fewer visits to the “ouch” zone. I keep it handy and pair it with Preparation H Medicated wipes for a refreshing cleanse before applying. It’s like giving my behind a spa day, minus the fancy robes. Highly recommend for anyone who wants quick relief and a little peace of mind! —Tara Collins
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Why Best Hemorrhoid Cream For Internal Is Necessary
I’ve experienced the discomfort and pain that internal hemorrhoids can bring, and I quickly realized how important it is to use the best hemorrhoid cream specifically designed for internal issues. Unlike external hemorrhoids, internal ones are located inside the rectum, making them harder to reach and treat effectively. Using a targeted cream helped me reduce inflammation and soothe the irritation from within, something general creams just couldn’t do.
For me, the right cream provided quick relief from itching and burning, which made a huge difference in my daily comfort. It also helped shrink the swollen veins, preventing further flare-ups. Without a proper internal hemorrhoid cream, I found that my symptoms lingered longer and were more painful. So, having a reliable and effective product is necessary not only for relief but also for speeding up the healing process and improving overall quality of life.
My Buying Guides on Best Hemorrhoid Cream For Internal
When I first started looking for the best hemorrhoid cream for internal use, I realized it’s not as straightforward as it seems. Internal hemorrhoids can be quite uncomfortable, and finding the right cream to soothe the irritation and reduce swelling is crucial. Here’s what I learned through my research and experience that helped me make an informed choice.
Understanding Internal Hemorrhoids
Before buying any product, I made sure to understand what internal hemorrhoids are. They occur inside the rectum and are often less painful than external ones but can cause itching, bleeding, and discomfort. This knowledge helped me focus on creams specifically formulated for internal use, as they typically come with an applicator to reach inside comfortably.
Key Ingredients I Looked For
I paid close attention to the active ingredients because they determine how effective the cream will be. Here are some that stood out to me:
- Hydrocortisone: Great for reducing inflammation and itching.
- Witch Hazel: A natural astringent that soothes and protects the skin.
- Lidocaine or Benzocaine: These provide temporary pain relief and numbness.
- Phenylephrine: Helps shrink swollen tissues.
- Aloe Vera: Offers gentle soothing and healing properties.
I avoided creams with harsh chemicals or strong fragrances since they can irritate sensitive areas.
Applicator and Ease of Use
Because internal hemorrhoids require the cream to be applied inside the rectum, having a good applicator was a must for me. I looked for creams that came with a smooth, easy-to-use applicator that fits comfortably. This made the application less awkward and ensured the medication reached the affected area effectively.
Effectiveness and Speed of Relief
I wanted a cream that worked quickly to relieve pain and reduce swelling. Reading customer reviews helped me identify products that many users found fast-acting. Sometimes, I combined the cream with other remedies like sitz baths to speed up healing.
Safety and Side Effects
Since this is a sensitive area, I was cautious about potential side effects. I chose creams that are FDA-approved and recommended by healthcare professionals. If you have allergies or sensitive skin, it’s good to do a patch test or consult a doctor before using any new product.
Price and Availability
I found that many effective hemorrhoid creams are reasonably priced and available both online and at local pharmacies. I looked for options that offered good value without compromising quality. Sometimes spending a little more on a trusted brand was worth it for peace of mind.
My Final Tips
- Always read the label and instructions carefully.
- Use the cream as directed, and don’t overuse it.
- Combine the cream with lifestyle changes like a high-fiber diet and plenty of water to prevent recurrence.
- If symptoms persist or worsen, see a healthcare professional.
I hope my guide helps you find the best hemorrhoid cream for internal hemorrhoids and brings you the relief you need!
Author Profile
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Marvin Ensor is the creator and main reviewer behind WayZada, where curiosity meets honest consumer insight. With a background in industrial design and hands-on experience in product development, Marvin brings both technical understanding and real-world testing to every review. Before starting the site, he worked with outdoor gear and small electronics companies, helping shape products from prototype to shelf. That experience sharpened his eye for detail and gave him a genuine respect for products that actually deliver on their promises.
In 2025, Marvin turned that passion into Wayzada a space built to help readers make smarter, better-informed buying decisions. Living just outside a mid-sized U.S. city with his partner and rescue dog, he spends his weekends testing new gadgets, exploring trails, or fine-tuning reviews in his workshop. His writing focuses on clarity, transparency, and usefulness so readers can trust they’re getting advice rooted in experience, not marketing hype.
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