Internal hemorrhoids are from veins that swell inside the anal canal. The anal canal is the last four centimeters of your bowels that empties feces out into the outside world, preferably the toilet bowl. They are generally not at all painful. The symptoms that you do get are usually bright red blood on the stool, in the toilet water or on your toilet tissue. They become painful only when the drop out and then they are known as protruding hemorrhoids.

Even though the internal hemorrhoids do not cause pain and itching, they still need to be addressed and one way to tend to them is through the use of medication. If you research and learn about the different medications that are available then you will know which ones to use for your own personal need and thus choose the best one for you to ease the symptoms. With the right medication you should be able to shrink the hemorrhoids and to get them to stop bleeding and causing problems for you.

Most often internal hemorrhoids are in the anal canal and are small, swollen veins. They can at times become large and will sag and bulge from your anus. If your anus passes gas, or stool or you clinch down then these internal hemorrhoids will respond with pain. If they are protruding and the blood supply gets clamped off then your hemorrhoids can give you a throbbing pain in your bottom.

Toners

Toners are also called astringents and are used by people with internal hemorrhoids. They contain medications that are very effective in causing clumping or a coagulating of proteins in the cells of anal canal lining. This simple action will encourage the skin around the anal opening to dry up and thus it will help with pain, itching and burning. Some over the counter, non prescription medications are: Witch Hazel, Zinc Oxide and Calamine.

Protectants

Protectants are another group of medication that is recommended to treat internal hemorrhoids. When you use these drugs they provide a physical barrier that will allow the tissues not to be irritated by stool that passes through the rectum, in doing that they reduce itching, pain, irritation and that annoying burning. The hemorrhoids then have time to heal and shrink and cause no problems. Drugs in this group contain aluminum hydroxide gel, glycerin, mineral oil, cocoa butter, Starch, zinc oxide, cod liver oil and lanolin.

Vasoconstrictors

Vasoconstrictors are also used to ease symptoms of internal hemorrhoids. They work by making the blood vessels smaller and thus the swelling and irritation decreases. They also may reduce itching and pain by their mild anesthetic effect. Drugs in this group include ephedrine sulfate and Phenylephrine hydrochloride. Before you use this kind of medication, make sure to seek your doctors' advice and ensure that you have no medical conditions that might be aggravated by the use and cause a harmful reaction.

Local anesthetics

This group of medication will numb the area that you apply it to and relieve most of your symptoms of burning, itching and pain. They do not treat the hemorrhoid itself merely give you some relief. Local anesthetics can cause allergic reactions so if any of your symptoms increase or more is added then stop the medication. Drugs in this group: Benzocaine, Lidocaine and Pramoxine.

Analgesics

Analgesic products work by depressing pain sensation. Drugs that are used include: Juniper Tar, Camphor and Menthol



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