Help Patients Navigate Treatments for Hemorrhoids

Questions often come up about how to manage hemorrhoids.

Remind patients of the basics. Recommend to avoid straining or prolonged bowel movements...manage constipation or diarrhea with fiber, fluids, etc...and consider med culprits (anticholinergics, iron, etc).

Tailor the choice of OTC topicals based on symptoms, dosage form, cost, etc. There's no evidence one works better than another.