Easy-to-use spray for haemorrhoid symptoms.

Perinal Spray is a cutaneous (affecting the skin) treatment for haemorrhoid symptoms. It can be applied directly to the affected area to relieve pain, discomfort and itching caused by piles.
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Perinal is a spray treatment for haemorrhoid symptom relief. It contains the active ingredients hydrocortisone (a corticosteroid) and lidocaine (an anaesthetic), and can be applied directly to your anus to relieve the discomfort caused by piles.
Haemorrhoids (often called piles) are a common condition where lumps form inside and around your anus. Symptoms include itching and pain around the affected area, sometimes accompanied by discomfort after you’ve been to the toilet. Often, people with piles feel like they need to empty their bowels immediately after they’ve just been. Bleeding is another common symptom.
Applying a corticosteroid like Perinal several times a day won’t cure your piles, but it can soothe the uncomfortable symptoms you get throughout the day. If your haemorrhoids don’t clear up within 7 days, our clinicians will give you advice about the best ways of getting further treatment.
Perinal combines two active ingredients, a corticosteroid (hydrocortisone) and an anaesthetic (lidocaine). Corticosteroids are steroids that tackle inflammation, and are different from the ones used to increase muscle mass (anabolic steroids). Lidocaine creates a numbing effect in the areas it’s applied to, which can reduce soreness and the urge to itch your bottom.
Perinal comes in a 30ml tube, with a fitted spray pump attached to it.
The usual dose is one spray over the affected area, up to three times a day. You should avoid using the spray for longer than a week, as it can aggravate your skin and increase your chances of developing dermatitis or other complications.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
You should only spray Perinal around the affected area, to avoid causing any skin irritation on other parts of your body.
Prime the pump on the tube by pressing the top of it a couple of times. To use the spray:
Your Perinal tube will work when held in any position, so don’t worry if you feel like you’re holding it upside down. Replace the cap whenever you use your spray, and wash your hands after each application.
You can use your Perinal spray a maximum of three times a day. You should avoid overusing it and stick to applying the medication exactly as it’s been prescribed.
Always keep the spray away from your eyes, nose and mouth. If some spray accidentally gets into your eyes, rinse them out with water immediately.
If you forget to apply Perinal when you normally would, just pick up where you left off the next time you come to use it. You don’t need to apply more or try to double your usual dose.
How we source info.
When we present you with stats, data, opinion or a consensus, we’ll tell you where this came from. And we’ll only present data as clinically reliable if it’s come from a reputable source, such as a state or government-funded health body, a peer-reviewed medical journal, or a recognised analytics or data body. Read more in our editorial policy.
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Quantity | Starting from |
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30 ml | £34.95 |
Quantity | Starting from |
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30 g | £39.95 |
Quantity | Starting from |
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30 g | £28.95 |
Quantity | Starting from |
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20 g | £42.95 |
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Haemorrhoids: Here are some other options.
Cream that gives targeted relief from internal and external piles.
Available as an ointment or suppository. Relieves discomfort and irritation.
Puts a stop to the pain and discomfort from piles. Choose from an ointment or suppository.
Ointment that targets piles immediately. Short-term treatment.
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Disclaimer: The information provided on this page is not a substitute for professional medical advice, diagnosis, or treatment. If you have any questions or concerns about your health, please talk to a doctor.
“Hemorrhoids: From Basic Pathophysiology to Clinical Management.” World Journal of Gastroenterology, vol. 18, no. 17.
“Natural Remedies for Hemorrhoids.” Harvard Health.
“Haemorrhoids: An Update on Management.” Therapeutic Advances in Chronic Disease, vol. 8, no. 10, June 2017, pp. 141–47.
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