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Herbs provide alternatives to harsh topical creams and over-the-counter medications. People develop hemorrhoids when repeated straining, while moving the bowels, causes varicose veins to develop in the rectal and anal regions. People who experience hemorrhoids often experience, at the same time, episodes of frequent diarrhea or constipation.

Witch hazel pads are topical remedies that are widely available in stores. The herb-soaked pads are wiped over the anus, bringing cooling, soothing relief. In addition, witch hazel, a tree whose bark brings astringent and healing to the tissues, nourishes blood vessels that are failing.

White oak bark, along with comfrey root, may be used to create suppositories. Herbalists take equal parts of the two herbs and mix them with cocoa butter, to create suppositories that are about the length and width of the pinkie finger. After refrigerating the suppositories overnight, patients insert one suppository before bed, into the rectum. As cocoa butter melts, the released herbs break up blood clots, and disinfect and purify swollen tissues.

Some people use aloe vera for external or internal hemorrhoids treatment. Some patients use an organic gel of plant extracts, or use the leaf from the plant itself. The plant, if used, should be cleansed with water, so that bacteria and dirt are removed. Then, after breaking the leaf, patients should insert the pieces into the anus.

Hemorrhoid symptoms may be decreased by the use of bilberry tablets. Herbalists speculate that bilberry thickens the collagen that occurs naturally in capillaries, and decreases their permeability. Usually, patients take between 240 and 480 milligrams of bilberry daily, and do not continue treatment for longer than three weeks.

A blend of butcher’s broom and Vitamin C may shrink and tone veins that have become enlarged. Vitamin C is to be taken three times daily, at doses of 1,000 milligrams each, while butcher’s broom is to be taken once daily, at doses of 150 milligrams each. Adding a topical ointment made of St. John’s wort may relieve pain, and help swollen veins to recover more rapidly.

Many herbalists recommend a drink made of honey, cayenne pepper, and apple cider vinegar, to prevent hemorrhoids. Two to four cups of hot distilled water are mixed with one cup of honey and one cup of apple cider vinegar. Herbalists then mix in 1/4 teaspoon cayenne pepper, and place the mix in the refrigerator. The mix may be consumed cold, and is effective even if not reheated.

Patients should take care not to strain the anal sphincter as they move their bowels. Anal veins are often weakened by pregnancy, or by jobs that require long periods of standing or sitting. In addition, the condition tends to affect people more as they get older, because the sphincter muscles begin to lose their tone.

Changes in diet may be the most useful natural remedies for hemorrhoids. A diet consisting of legumes, grains, vegetables, and fruits may prevent the condition, or keep it from worsening. Also, one tablespoon of psyllium or ground flaxseed, in one eight-ounce glass of water, may help to remedy a hemorrhoid flare-up.