Aesculus hippocastanum: When this remedy is needed, haemorrhoids are sore and aching, with a swollen feeling. Pain may last for hours after the bowels have moved. People who need this remedy often have the sensation of a lump, or a feeling that a lot of small sharp sticks are inside the rectum, poking them. Sharp and shooting pains may be felt in the rectum and back. A person who needs this remedy may also have low back problems.

Aloe: Haemorrhoids that are swollen and protrude “like a bunch of grapes” and are soothed by cold soaks or compresses may be helped with this remedy. Haemorrhoids may alternate with diarrhoea, and the person may have a lot of flatulence.

Arnica montana: Sore, bruised-feeling haemorrhoids may be relieved with this remedy, especially when straining or over-exertion (for instance, childbirth or heavy lifting) has brought on the haemorrhoids.

Calcarea fluorica: This remedy may be indicated for haemorrhoids with bleeding and itching in the anal region, or internal haemorrhoids causing soreness in the very low back and sacrum. The person may also have problems with flatulence and constipation.

Graphites: Burning haemorrhoids with soreness, cracks, and itching in the anal region suggest a need for this remedy. A person who needs Graphites is often overweight, has difficulty concentrating, and tends toward skin eruptions.

Hamamelis: A raw, sore feeling in the anus, with bleeding haemorrhoids, indicates a need for this remedy. Pulsation may be felt in the rectum, and the lower back often aches. Symptoms may be worse from warmth.

Ignatia: Haemorrhoids accompanied by spasms and stabbing pain in the rectum suggest a need for this remedy—especially if the person is sensitive and emotional. Stitching pains can be felt in the rectal area when coughing. Bleeding and pain are often worse when the stool is loose, and rectal prolapse sometimes follows bowel movements.

Nux vomica: Itching, painful haemorrhoids, a feeling of constriction in the rectum, and chronic constipation with ineffectual urging are indications for this remedy. People who need Nux vomica are usually impatient, tense, and irritable, and often have a tendency toward heavy use of stimulants, strong foods, and alcohol or drugs.

Pulsatilla: When this remedy is indicated, haemorrhoids are itchy and uncomfortable, with sticking pains. They are likely to protrude, with improvement after lying down. Warmth often aggravates the symptoms. This is a very helpful remedy for haemorrhoids that appear during pregnancy or around the menstrual period.

Sulphur: Itching, burning, oozing haemorrhoids accompanied by a feeling of fullness and pressure in the abdomen suggest a need for this remedy. The anus is inflamed and red and may protrude significantly. The person may feel worse from warmth and bathing, and have flatulence with a strong, offensive odour.