October 28th 2025
By Ari Parker
Hemorrhoids are more common as we age. Discover the most effective OTC hemorrhoid medicine options for seniors, plus common natural remedies.
Hemorrhoids are a common and uncomfortable condition that many older adults experience. They occur when veins around the rectum or anus become swollen, leading to itching, pain, burning, and sometimes bleeding. Hemorrhoids may be caused by constipation, prolonged sitting, straining during bowel movements, or simply—aging tissue. While not an immediate health concern, hemorrhoids are uncomfortable and can interfere with your daily life.
The good news? There are several over-the-counter (OTC) hemorrhoid creams that can relieve symptoms safely and effectively. Many are available at your local pharmacy, and if you have an OTC benefit through your Medicare Advantage plan, you may be able to get these products at no cost.
As always, speak with your doctor before trying new medications or topical treatments—especially if you’re on other medications or have sensitive skin.
OTC hemorrhoid creams like Preparation H, Tucks, and RectiCare can reduce pain, swelling, and itching.
Medicare does not cover OTC hemorrhoid creams, but many Medicare Advantage plans include OTC benefits that can help pay for them.
Natural remedies like witch hazel, aloe vera, and warm sitz baths can also soothe discomfort.
Persistent or severe hemorrhoid symptoms should be evaluated by a healthcare professional.
As we age, our tissues lose elasticity and our digestive systems slow down. This can lead to increased strain during bowel movements, which is why hemorrhoids are more common among older adults. Other contributing factors include dehydration, sitting for long periods, or low-fiber diets.
Hemorrhoids are simply uncomfortable. People report itching, burning, mild bleeding during bowel movements, and feeling a sense of fullness around their anus. Though hemorrhoids are rarely dangerous, they can be extremely uncomfortable. They’re also sometimes mistaken for other conditions, which is why getting checked by your doctor is always a good idea.
There are several brands of OTC hemorrhoid creams, and like most OTC products, you can usually find generic options offered by your convenience or pharmacy store. Below are some of the common brands.
One of the most trusted names in hemorrhoid relief, Preparation H offers several formulas that reduce swelling, soothe pain, and relieve itching. Some contain phenylephrine, which shrinks swollen blood vessels, while others include lidocaine or hydrocortisone for pain and inflammation. You can get Preparation H cream, wipes, or suppositories to fit your symptoms and application preference.
Tucks products often contain witch hazel, a natural astringent that cools and soothes irritated skin. The pads are especially convenient for gentle cleaning and relief after bowel movements.
This cream contains 5% lidocaine, a topical anesthetic that numbs pain and itching. It provides quick relief and is often recommended for those experiencing significant discomfort.
Available in 1% strength over the counter, hydrocortisone creams help reduce itching and inflammation. Since it’s a steroid cream, it should be used for short-term relief (typically no more than a week) and only on external hemorrhoids unless directed by a doctor. Many different brands offer hydrocortisone creams, including Aveeno.
In general, Medicare does not cover OTC medications, including hemorrhoid creams and wipes. These products do not require a prescription and are considered non-essential medical supplies.
However, many Medicare Advantage plans offer OTC benefits that can be used to purchase certain creams, wipes, and pain relievers. Check your plan’s OTC catalog or contact your insurer to see which items are eligible for the OTC benefit.
You can also use MyOTC.com by Chapter to get free delivery or OTC-eligible items.
Many people prefer to start with gentle, non-drug remedies. Here are a few options that can help:
Witch hazel: Available as pads or liquid, witch hazel can reduce itching, burning, and swelling.
Aloe vera: Aloe has natural anti-inflammatory properties that can soothe irritated skin.
Warm sitz baths: Sitting in warm water for 10–15 minutes a few times a day can relieve pain.
Fiber supplements: Increasing fiber intake with foods like oats, fruits, vegetables, or supplements (like psyllium husk) helps prevent constipation, which is a major cause of hemorrhoids.
Stay hydrated: Drinking enough water supports healthy digestion and helps reduce straining that can cause hemorrhoids.
While most hemorrhoids improve with OTC treatments and self-care, you should see your doctor if you notice:
Persistent or severe pain, bleeding, or swelling
Blood in your stool or on toilet paper that lasts more than a few days
Changes in bowel habits
Symptoms that don’t improve with home treatment
Your doctor may suggest prescription-strength medication or minor procedures to shrink or remove troublesome hemorrhoids.
Hemorrhoids are uncomfortable, but you don’t have to suffer without treatment. Whether you choose a trusted OTC cream like Preparation H or Tucks, or prefer gentle natural remedies like witch hazel and sitz baths, there are safe, effective ways to find relief.
Always consult your doctor before starting new treatments, especially if you’re managing other health conditions or taking multiple medications. The right care can help you get back to feeling like yourself again, comfortably and confidently.
