RectiCare: what it is and how to use it

Published 13 March 2026 ·Last reviewed 13 March 2026 by the editorial team ·How we create our content

At a glance

RectiCare is a lidocaine-based topical product marketed for hemorrhoid and anorectal discomfort. Its primary benefit is pain relief through local anaesthesia — it numbs the area temporarily, reducing the sensation of pain and itching.

It is available over the counter in some markets and is one of several topical options people consider for hemorrhoid symptom management. This guide covers what it contains, how to use it, and where it fits among other options.

What it contains

The active ingredient in RectiCare is lidocaine — a widely used local anaesthetic. Lidocaine works by temporarily blocking nerve signals in the area where it is applied, reducing the sensation of pain and itching.

RectiCare is available in two forms:

  • Cream — applied directly to the perianal area
  • Medicated wipes — pre-moistened wipes with lidocaine for cleaning and symptom relief

How to use it

Application

  1. Clean the area gently with warm water and pat dry
  2. Apply a thin layer of cream to the affected external area
  3. Do not insert into the rectum unless specifically directed by a clinician
  4. Wash hands before and after application
  5. Apply as needed — typically up to six times daily, following product instructions

Timing

People commonly describe applying RectiCare:

  • After bowel movements — when discomfort is often at its peak
  • Before bed — to help with comfort during sleep
  • Before activities that worsen symptoms — sitting for long periods, exercise

What it does and does not do

What it does

  • Provides temporary pain relief — the numbing effect typically lasts 30 minutes to a few hours
  • Reduces itching — the anaesthetic effect dulls the itch sensation
  • Offers immediate comfort — faster-acting than anti-inflammatory treatments

What it does not do

  • Reduce swelling — RectiCare does not contain anti-inflammatory agents
  • Treat the underlying cause — it manages symptoms, not the condition
  • Promote healing — it does not contain healing or reparative ingredients
  • Address internal hemorrhoids — it is for external use

Compared to other options

ProductActive approachPain reliefAnti-inflammatoryBarrier protection
RectiCareLocal anaesthetic (lidocaine)StrongNoNo
AnusolAstringent (zinc, bismuth)MildMildYes
GermoloidsLocal anaesthetic (lidocaine) + zincStrongMildYes
Preparation HVarious formulationsVariableSome formulationsYes
SudocremGeneral antiseptic (zinc oxide)Very mildNoYes

RectiCare’s strength is focused pain relief. For people whose primary issue is pain rather than swelling or irritation, it may be the most directly effective topical option.

Practical considerations

  • Not a standalone solution — RectiCare works best alongside other management (diet, hydration, sitz baths, toilet habits)
  • Temporary use — if you need it consistently for more than a week or two, the underlying condition needs attention
  • Sensitivity — some people develop sensitivity to lidocaine with repeated use; if you notice increased irritation, stop using it
  • Availability — RectiCare may not be available in all markets; ask a pharmacist about equivalent lidocaine-based products
  • Cost — typically more expensive than basic options like Anusol; whether the targeted pain relief justifies the cost depends on your primary symptom

Common questions

What is RectiCare?

RectiCare is an over-the-counter topical product that contains lidocaine, a local anaesthetic. It is designed to provide temporary relief from pain, itching, and discomfort associated with hemorrhoids and other anorectal conditions. It is available as a cream and as medicated wipes.

How does RectiCare work?

The active ingredient in RectiCare is lidocaine, which works by temporarily numbing the nerve endings in the area where it is applied. This provides relief from pain and itching for a limited period. It does not treat the underlying condition or reduce swelling — it manages the symptoms of discomfort.

How do you use RectiCare?

Clean the affected area gently with warm water and pat dry. Apply a small amount of the cream to the external perianal area. It can typically be applied up to six times daily, though following the specific product instructions is important. Wash hands before and after application.

Is RectiCare safe to use long term?

RectiCare is designed for temporary symptom relief. Prolonged use of any lidocaine product without clinical guidance is not recommended. If you are relying on RectiCare regularly for more than a week or two, it is worth discussing your symptoms with a clinician to address the underlying cause.

Can RectiCare be used for fissures?

Some people describe using RectiCare for anal fissure pain. The lidocaine can provide temporary numbing of the affected area. However, RectiCare does not address the sphincter spasm that is a key factor in fissure persistence. It may be used alongside other treatments as directed by a clinician.

When to seek care Heavy bleeding or feeling faint? Get emergency help now. Emergency: 911

Not sure how urgent it is? Get help today.

  1. Emergency

    Heavy bleeding, black tarry stools, feeling faint, severe pain or trouble breathing.

    Call 911 or go to the ER.

  2. Today

    Fever, pain getting worse, a hot swollen lump, or trouble passing urine.

    Call your doctor or go to urgent care.

  3. Soon

    Bleeding or bowel changes nobody has checked, or anything lasting 3 weeks.

    Book a doctor’s appointment.

Feeling overwhelmed? Call or text 988, any time.

See all the signs

For this topic, get medical advice if you notice:

  • Rectal bleeding — always worth getting checked
  • Unexplained weight loss
  • Persistent change in bowel habits
  • Severe or worsening pain

Recording how you feel is not the same as being checked. These are the signs that need a doctor’s attention.

Call 911 or go to the emergency room now if you have:

  • bleeding that will not stop, a lot of blood (the toilet water turns red, or you pass large clots), or any bleeding with feeling faint or dizzy
  • fainting, a racing heart or trouble breathing
  • confusion or slurred speech, extreme shivering, no urine in a day, or blotchy skin
  • sudden severe belly pain, or a swollen, hard belly with vomiting or not passing stool or gas
  • you cannot pass urine at all, or your bladder feels full and painful and you can’t empty it
  • redness, swelling or severe pain spreading quickly around your anus, genitals or groin, especially with a fever or feeling very ill
  • a fever with a painful swelling near your anus if you have diabetes or a weakened immune system (for example, from chemotherapy or transplant medicines)
  • black, tarry stools

Call your doctor or go to urgent care today (or the ER if you can’t be seen today) if you have:

  • a temperature of 100.4°F (38°C) or higher, chills, vomiting, or feeling generally unwell
  • pain that is getting worse over days, or severe pain that stops you sitting or sleeping
  • a hot, swollen or very tender lump near your anus or at the top of the crease between your buttocks, or foul-smelling discharge
  • trouble urinating
  • bleeding that is getting heavier or more frequent, or blood mixed into your stool
  • feeling much more tired than usual, looking pale, or getting out of breath more easily than you used to
  • not passing stool for several days, or new belly pain

Make an appointment with your doctor if:

  • you have never had these symptoms checked by a doctor or nurse — whatever your age
  • you have had rectal bleeding for more than 3 weeks
  • your bowel movements have been looser, thinner or more frequent than usual for 3 weeks or more, or you have lost weight without trying
  • symptoms have not settled after a week or so, or keep coming back
  • you notice a new lump near your anus, between your buttocks or in your belly, or an itch or discharge that does not clear
  • you have new leakage or trouble controlling your bowels
  • you are 45 or over, or have a family history of bowel cancer or inflammatory bowel disease, and any of these symptoms are new for you

If you are unsure, it is always reasonable to ask. If things feel overwhelming, call or text 988 (Suicide & Crisis Lifeline) or chat at 988lifeline.org, any time. If you don’t feel safe, call 911.

Showing US care routes. Change region at the foot of the page.

Discreet symptom tracking

Symptoms that come and go? Keep track, day by day.

For hemorrhoids, fissures, fistulas and other anal and rectal problems. A short, discreet email asks how things have been, and saves each answer, so you can look back at every flare and every good week in your own words. If you haven’t had your symptoms checked, see your doctor first.

  • About ten seconds a check-in. No app, no password.
  • Nothing in the subject or preview says what it’s about.
  • Each Sunday, a link to your week, ready for your next appointment.

Your notes

Your check-in

Takes about ten seconds.

20:00
Example. Nothing on the lock screen hints at symptoms or conditions.

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