How and when to use hydrocortisone for piles and itchy bottom

You'll usually use most hydrocortisone treatments for piles and itchy bottom several times a day – first thing in the morning, last thing at night and after you've done a poo. Check the leaflet which comes with the product you're using.

How to use cream or ointment for external piles

Read the instructions in the leaflet that comes with the cream or ointment.

1. Wash your hands before and afterwards.
2. Squeeze the tube of cream or ointment and put a small amount on your finger.
3. Apply the cream or ointment around the outside of your anus with your finger.

How to use spray for external piles and itchy bottom

Read the instructions in the leaflet that comes with the spray.

Before using the spray for the first time you need to get it ready. Push the pump down once or twice to do this.

1. Wash your hands before and after applying the spray.
2. Separate your buttocks and spray the area once.

How to use suppositories for internal piles

Read the instructions in the leaflet that comes with the suppositories.

1. Go to the toilet first if you need to.
2. Wash your hands before and after inserting the suppository. Also clean around your anus with mild soap and water, rinse and pat dry.
3. Unwrap the suppository.
4. Stand with one leg up on a chair or lie on your side with one leg bent and the other straight.
5. Gently push the suppository into your anus with the pointed end first. It needs to go in about 2cm to 3cm (1 inch).
6. Sit or lie still for about 15 minutes. The suppository will melt inside your anus.

How long to use it for

Do not use hydrocortisone treatments for more than 7 days.

Make an appointment to see your doctor if your symptoms:

• have not got better after 7 days
• come back quickly after treatment

If you forget to use it

If you forget a treatment, use it as soon as you remember, unless you do not remember until a few hours before you're due to use it again. In this case, just skip the missed treatment and then go back to your usual treatment routine.

If you use too much

Using more than the recommended dose of hydrocortisone treatments for piles and itchy bottom is unlikely to cause problems.

Speak to a pharmacist or doctor if you're worried, or if your child has used too much.