You’ll find fast, soothing relief in 2026’s best hemorrhoid gels through choosing targeted formulas that calm itching, burning, swelling, and pain. Top picks include Herbal Hemorrhoid Cream for gentle itch and burn relief, Ariella Hemorrhoid Treatment Suppository Gel for internal pain and bleeding, obel Hemorrhoid and Fissure Gel for cooling care, Preparation H Ointment for shrinking tissue, and Natureplex Cooling Gel for witch hazel plus aloe comfort. Next, you’ll see which formula fits your exact symptoms and needs.
| Herbal Hemorrhoid Cream for Itching and Burning |
| Gentle Daily Soother | Application Area: External hemorrhoids only | Primary Symptom Relief: Itching, burning, swelling discomfort | Key Soothing Ingredients: Aloe vera, rich moisturizers, herbal components | VIEW LATEST PRICE | Read Our Analysis |
| Ariella Hemorrhoid Treatment Suppository Gel (6 Count) |
| Best for Internal Relief | Application Area: Internal and external hemorrhoids | Primary Symptom Relief: Itching, burning, pain, bleeding, anal fissures | Key Soothing Ingredients: Sophora, Cortex, essential oils, aloe, plant-based herbs | VIEW LATEST PRICE | Read Our Analysis |
| obel Hemorrhoid and Fissure Treatment Gel | Piles Treatment |
| Fast Multi-Symptom Relief | Application Area: Internal and external hemorrhoids | Primary Symptom Relief: Pain, burning, itching, bowel-movement discomfort | Key Soothing Ingredients: Natural ingredients including witch hazel | VIEW LATEST PRICE | Read Our Analysis |
| PREPARATION H Hemorrhoid Relief Ointment 2 oz Tube |
| Doctor-Trusted Classic | Application Area: Internal and external hemorrhoids | Primary Symptom Relief: Itching, burning, general hemorrhoid discomfort | Key Soothing Ingredients: Hemorrhoid ointment actives (typical vasoconstrictor/protectant formula) | VIEW LATEST PRICE | Read Our Analysis |
| Natureplex Hemorrhoidal Cooling Gel 4-Pack |
| Cooling Budget Pick | Application Area: External hemorrhoids only | Primary Symptom Relief: Itching, burning, irritation, pain | Key Soothing Ingredients: Witch hazel, phenylephrine HCl, aloe vera | VIEW LATEST PRICE | Read Our Analysis |
More Details on Our Top Picks
Herbal Hemorrhoid Cream for Itching and Burning
In case you’re managing with external hemorrhoids that itch, burn, and swell, this herbal hemorrhoid cream is customized to give you fast, gentle relief. You get a smooth, non-greasy formula that absorbs quickly and can deliver a light cooling sensation right where you need it.
Made with soothing natural ingredients like aloe vera and rich moisturizers, it hydrates sensitive skin without harsh synthetic additives. Each 20g tube (in a handy 2-pack) helps calm itching, burning, and swelling. For fewer flare-ups, pair it with more fiber and water, avoid long sitting, use moist wipes, and cleanse gently after bowel movements.
- Application Area:External hemorrhoids only
- Primary Symptom Relief:Itching, burning, swelling discomfort
- Key Soothing Ingredients:Aloe vera, rich moisturizers, herbal components
- Texture & Sensation:Smooth, non-greasy cream with possible cooling feel
- Hemorrhoid Shrinking Action:Helps reduce swelling via soothing, moisturizing formula
- Package Format:20 g tubes, 2-pack
- Additional Feature:Aloe-based natural formula
- Additional Feature:Rich skin moisturizers
- Additional Feature:Gentle daily care tips
Ariella Hemorrhoid Treatment Suppository Gel (6 Count)
Ariella Hemorrhoid Treatment Suppository Gel (6 Count) stands out in case you desire plant-based relief that targets both pain and bleeding. You get fast soothing for itching, burning, and discomfort while the formula helps shrink swollen hemorrhoids and calm other anorectal issues.
It’s packed with herbal ingredients like Sophora, Cortex, essential oils, and aloe to support healing and protect sensitive tissue. The rounded applicator makes internal use cleaner and easier, especially at night. It’s particularly helpful should you be postpartum, sit a lot, or struggle with constipation. With a doctor recommendation and refund guarantee, you’re well covered.
- Application Area:Internal and external hemorrhoids
- Primary Symptom Relief:Itching, burning, pain, bleeding, anal fissures
- Key Soothing Ingredients:Sophora, Cortex, essential oils, aloe, plant-based herbs
- Texture & Sensation:Gel consistency, lubricating, calming
- Hemorrhoid Shrinking Action:Effectively shrinks swollen hemorrhoids
- Package Format:6 suppository gel tubes (about 1-week treatment)
- Additional Feature:Stops internal bleeding
- Additional Feature:Specialized rounded applicator
- Additional Feature:Full refund guarantee
obel Hemorrhoid and Fissure Treatment Gel | Piles Treatment
stands out as a strong option in case you’re managing both painful hemorrhoids and anal fissures and want fast, cooling relief. You get quick soothing of pain, burning, and itching thanks to its natural, calming ingredients that cool irritated skin.
Witch hazel works as an astringent to help shrink swollen hemorrhoidal tissue, so you’re not just masking symptoms. The formula also reduces inflammation, making bowel movements less stressful and more comfortable. Because it’s safe for both external and internal use, you can target relief precisely where you need it, while still keeping treatment gentle.
- Application Area:Internal and external hemorrhoids
- Primary Symptom Relief:Pain, burning, itching, bowel-movement discomfort
- Key Soothing Ingredients:Natural ingredients including witch hazel
- Texture & Sensation:Gel that provides cooling relief
- Hemorrhoid Shrinking Action:Witch hazel astringent helps shrink hemorrhoidal tissue
- Package Format:Single gel tube for hemorrhoid and fissure treatment
- Additional Feature:Targets anal fissures
- Additional Feature:Cooling relief sensation
- Additional Feature:Safe internal application
PREPARATION H Hemorrhoid Relief Ointment 2 oz Tube
Preparation H Hemorrhoid Relief Ointment, in the convenient 2 oz tube, suits you in case you want fast, targeted relief for both internal and external hemorrhoid symptoms. You’re managing itching, burning, and discomfort, and this ointment goes to work promptly to calm those sensations.
You get soothing protection right where you need it, while the formula temporarily shrinks swollen hemorrhoidal tissue and helps shield skin from further irritation. You can pair it with Preparation H Medicated Wipes to cleanse, cool, and enhance comprehensive relief. It’s from a doctor-recommended hemorrhoid brand and is HSA- and FSA-eligible for easier budgeting.
- Application Area:Internal and external hemorrhoids
- Primary Symptom Relief:Itching, burning, general hemorrhoid discomfort
- Key Soothing Ingredients:Hemorrhoid ointment actives (typical vasoconstrictor/protectant formula)
- Texture & Sensation:Ointment, protective coating, soothing
- Hemorrhoid Shrinking Action:Temporarily shrinks swollen hemorrhoidal tissue
- Package Format:2.0 oz ointment tube
- Additional Feature:Doctor-recommended brand
- Additional Feature:HSA/FSA eligible purchase
- Additional Feature:Use with medicated wipes
Natureplex Hemorrhoidal Cooling Gel 4-Pack
Natureplex Hemorrhoidal Cooling Gel, sold here as a 4-pack of 0.9 oz tubes, suits you in case you want fast, cooling relief you can keep within multiple bathrooms, a travel bag, or a work drawer. You’ll feel an instant cooling sensation that helps calm itching, burning, irritation, and pain from external hemorrhoids.
This gel combines witch hazel and phenylephrine HCl to shrink swollen tissue and restore comfort, while aloe vera moisturizes and helps protect sensitive skin. The formula stays gentle yet fast-acting, so you can reapply as directed without harshness. It’s made in the USA by Natureplex, a trusted OTC brand.
- Application Area:External hemorrhoids only
- Primary Symptom Relief:Itching, burning, irritation, pain
- Key Soothing Ingredients:Witch hazel, phenylephrine HCl, aloe vera
- Texture & Sensation:Cooling gel with refreshing sensation
- Hemorrhoid Shrinking Action:Witch hazel and phenylephrine HCl help shrink swollen tissue
- Package Format:0.9 oz gel tubes, 4-pack
- Additional Feature:Instant cooling formula
- Additional Feature:Phenylephrine swelling reducer
- Additional Feature:Made in the USA
Factors to Consider When Choosing Hemorrhoid Gels
In case you’re comparing hemorrhoid gels, you’ll want to look closely at the active ingredients and their strength, as well as whether each formula is intended for internal or external use. You should also consider texture, absorption, all-around comfort on your skin, and how gentle the formula is in case you’re prone to irritation. Finally, pay attention to the application method and how often you’ll need to reapply so the product fits your routine.
Active Ingredients And Strength
Although packaging and marketing can be persuasive, the active ingredients and their strength ultimately determine how well a hemorrhoid gel works for you. Look closely at what’s actually in the tube. Natural soothing agents like aloe vera, witch hazel, and essential oils calm inflammation and moisturize fragile skin, which helps reduce irritation.
You’ll also see astringent ingredients, especially witch hazel or phenylephrine. These work through constricting blood vessels and tightening tissue, so swollen hemorrhoids shrink and symptoms ease faster. Stronger concentrations usually bring quicker relief from itching, burning, and pain, but they can be harsher in case your skin’s very sensitive.
Should you react easily to products, prioritize gels with more plant-based components and fewer synthetic additives to keep the formula as gentle as possible.
Internal Vs External Use
How do you know whether a hemorrhoid gel belongs within or only on the skin’s surface? Start at reading the label closely. Gels meant for internal use usually come with a narrow applicator for insertion so you can reach internal hemorrhoids and treat bleeding or deeper tissue damage. These formulas often contain healing agents that act on internal mucosal tissue.
External hemorrhoid gels are made for the outer anal area. You gently spread them on the skin to calm itching, burning, and swelling and to protect irritated tissue. Never assume an external gel is safe within; some ingredients or concentrations can irritate or damage internal tissue. Choosing the correct internal or external product gives you more precise relief and reduces the risk of harm.
Texture, Absorption, And Comfort
Because hemorrhoid gel sits on some of the most sensitive skin on your body, its texture and the way it absorbs can make the difference between relief and more irritation. You’ll want a smooth, non-greasy formula that spreads easily, feels light, and doesn’t leave a sticky film on your skin or underwear.
Fast absorption matters, too. At the point a gel sinks in quickly, it can deliver relief sooner and avoids trapping excess moisture against tender tissue, which often worsens discomfort. Look for a texture that’s thick enough to stay where you put it, but not so heavy that it clumps or drips.
Many of the best 2026 formulas add a gentle cooling sensation and light hydration that soothes without clogging pores.
Safety And Skin Sensitivity
Comfort on contact only matters in case the formula actually treats your skin gently, so safety and sensitivity should guide your choice just as much as texture. You’ll want hemorrhoid gels that skip harsh synthetic additives, dyes, and strong fragrances, since these can sting, burn, or trigger rashes on already inflamed tissue.
Prioritize formulas built around calming botanicals like aloe vera and witch hazel, which soothe, hydrate, and support your skin’s barrier instead of stripping it. In the event a gel is labeled for both external and internal use, check that it’s tested safe for mucous membranes to limit discomfort and allergic reactions.
Provided your skin’s very sensitive or damaged, always patch test initially to catch potential irritation before full use.
Application Method And Frequency
During the period you’re comparing hemorrhoid gels, pay close attention to how and how often you’ll need to apply them, since practicality affects both comfort and results. Initially, check whether a gel is for internal use, external use, or both. Using the wrong type can reduce effectiveness and increase irritation.
Should you be treating internal hemorrhoids, look for a product that includes an applicator so you can apply it precisely and with less mess.
Next, review the recommended frequency. Some gels are once or twice daily, while others are for nighttime use only. Stick to the stated dosage and duration to avoid overuse or under-treatment. Finally, quick-absorbing, non-greasy formulas make application more convenient and discreet, without residue on skin or clothing.