How to Use a Hemorrhoid Suppository

A hemorrhoid suppository is medication designed to deliver active ingredients directly to inflamed tissues inside the rectum. It is composed of a base that melts at body temperature, releasing medication such as vasoconstrictors, local anesthetics, or protective agents to shrink swelling and soothe discomfort. This method provides targeted relief from the pain, itching, and burning associated with internal hemorrhoids. The suppository bypasses the digestive system, allowing the medication to concentrate at the affected site.

Preparing for Suppository Use

Before application, thoroughly wash your hands with soap and warm water to prevent introducing bacteria. Gather all necessary items, including the suppository, a water-based lubricant if needed, and a clean wipe or tissue.

If the suppository is soft, briefly chill it in the refrigerator or run it under cool water while still in its wrapper to help it firm up for easier handling. Completely remove the wrapper just before use, as the medication melts quickly once exposed to body heat. Choose a comfortable position for insertion, such as lying on your side with the top leg bent toward your stomach, or standing with one foot elevated on a stable surface.

Step-by-Step Insertion Guide

Positioning yourself comfortably allows the muscles to relax. If the suppository tip is not pre-lubricated, apply a small amount of water-soluble jelly to the pointed end for smoother entry. Avoid using petroleum jelly, as it prevents the suppository from dissolving correctly.

Using your finger, gently insert the suppository into the anus, pointed end first, until it passes the muscular barrier of the anal sphincter. For adults, this typically requires pushing the suppository about one inch into the rectum, or up to the knuckle of your finger. If the suppository is not inserted past the sphincter, the muscle may involuntarily push it back out.

Once the suppository is fully inside, remain in your position and briefly hold your buttocks together for a few seconds. This action helps ensure the medication is retained and does not slip out before the base dissolves and releases the ingredients.

Post-Application Care and Expectations

After insertion, remain lying down or still for about 15 to 20 minutes to maximize retention and absorption. This rest period allows the medication to melt and coat the inflamed tissue before movement can cause it to be expelled. Following this, immediately wash your hands with soap and warm water.

Avoid having a bowel movement for at least one hour after application so the medication can work effectively. Suppositories should be used according to the frequency listed on the packaging, usually up to four times per day, often after a bowel movement. Expect localized relief from symptoms like pain and itching as the medicine is delivered.