There are several different types of topical treatments for hemorrhoids. Oftentimes, one can use an ointment, which helps to soothe an irritated area, may have some anti-inflammatory property, or it may have some pain relief components such as Lidocaine. There are also over the counter preparations, which actually contain a corticosteroid. And one word of advice is that you should always use these medications according to guidelines on the box or on the label. And you should not use any steroid preparation for no longer than five to seven days because they can have significant side effects with prolonged usage.