Important information: Doctor Butler’s Hemorrhoid & Anal FIssure Ointment



1. Apply Doctor Butler’s internally (and externally as necessary) before and after bowel movements and again at bedtime, up to 3 times daily.

2. Drink 6-8 glasses of water daily and follow a high fiber diet which includes whole wheat cereals, bran, fruits and vegetables. Try to avoid spicy foods, nuts, seeds, corn, popcorn, caffeine, milk and alcohol.

3. Use a “psyllium” bulking agent available at grocery stores.

4. Drink 2 Tablespoons of mineral oil daily as a lubricant (for 2 weeks only since it has been known to decrease vitamin absorption when taken long term).

5. Between applications of Doctor Butler’s Hemorrhoid & Fissure Ointment, the following options should be considered for specific conditions to “Leave the Pain Behind”

a. If you have a sudden onset of external hemorrhoids, soak cotton balls in comfortably warm witch hazel and apply for 15 minutes 3 to 4 times daily. For quick temporary relief from pain, consider applying a small amount of ointment containing menthol. Consider use of an ice pack or “Doctor Butler’s Orthopedic Memory Foam Seat Cushion” with cold gel insert.

b. For external irritation use a zinc oxide ointment and oatmeal “sitz” baths.

6. If using a wipe, it is beneficial to apply a thin layer of Doctor Butler’s Hemorrhoid & Fissure Ointment to the wipe. We recommend using Doctor Butler’s Organic Soothing Wipes which are Pure, Natural & Chemical Free.

7. If symptoms continue to persist, mix Doctor Butler’s Hemorrhoid & Fissure Ointment with an over the counter antibiotic ointment. Insert using a gloved finger.

a. If irritation occurs, stop external use and reduce the amount of Doctor Butler’s Hemorrhoid & Fissure Ointment being applied internally. If condition becomes worse, discontinue use.

b. More than 2 bowel movements a day can be a symptom of irritability which can create a high level of acidity. This can affect the ability to heal. Avoid caffeine, milk and excessive alcohol. Using an over the counter “anti-diarrhea” medication may reduce the frequency of bowel movements on a temporary basis.

Important Information

Long standing external hemorrhoids represent skin which has been stretched over time. It’s a problem for some people since there is extra skin in the area which causes difficulty for proper hygiene. Doctor Butlers applied internally will shrink internal blood vessels which actually cause external flare ups to begin. While Doctor Butler’s will prevent further progression in most cases, the only way eliminate chronic long standing stretched out skin is by removing it. Starting with Doctor Butlers when someone first notices symptoms will, in most cases, prevent this from occurring since tissue which becomes swollen and stays swollen becomes stretched out. Skin which is swollen from underlying dilated blood vessels will go back to normal, but only if treated early enough.

Safety Information
*For external and/or intrarectal use *Do not exceed recommended dose unless directed by a doctor. *Ask a doctor before use if you have: Allergies to any of the components of this product. Difficulty in urination due to enlargement of the Prostate, Diabetes, Heart Disease, High Blood Pressure, Thyroid Disease Presently taking a prescription for high blood pressure, or depression

Helps relieve the anorectal symptoms associated with hemorrhoids (pain, soreness, burning, itching). Temporarily reduces the swelling associated with irritated hemorrhoidal tissue and other anorectal disorders.

Lidocaine USP 4.0% Analgesic (pain relief), Phenylephrine HCl 0.25% (vasoconstrictor)Inactive Ingredients: Algae Extract, Aloe Vera Oil, Ascorbic Acid, Calendula Oil, Cholecalciferol, Ginseng Extract, Gotu Kola Extract, Horse Chestnut Extract, Hyaluronic Acid, Hydrocortisone USP, Lysine HCl, Methylparaben, Mineral Oil, Octyldodecanol, PEG-8 Dimethicone, Petrolatum, Pomegranate Extract, Propylene Glycol, Propylparaben, Pyridoxine HCl, Retinyl Palmitate, Silica, Sodium Propoxyhydroxypropyl Thiosulfate Silica, Stearic Acid, Tocopheryl Acetate, Zea Mays (Corn) Oil, Zinc Oxide

Adults apply to the affected area up to 3 times daily. Clean affected area with mild soap and warm water, rinse thoroughly, and then gently dry (pat or blot with tissue or soft cloth before use). The ointment can be applied using a gloved finger or finger cot. To use dispensing applicator, open tube seal with top of cap, attach applicator to tube, lubricate well, gently insert part way into anus and squeeze tube to deliver medication. Cleanse applicator with an alcohol soaked cotton ball. Apply Doctor Butler’s to soothe, protect, and reduce swollen tissue.

Legal Disclaimer
Actual product packaging and materials may contain more and different information than what is shown on our website. We recommend that you do not rely solely on the information presented and that you always read labels, warnings, and directions before using or consuming a product.

While we work to ensure that product information is correct, on occasion manufacturers may alter their ingredient lists. Actual product packaging and materials may contain more and/or different information than that shown on our Web site. We recommend that you do not solely rely on the information presented and that you always read labels, warnings, and directions before using or consuming a product. For additional information about a product, please contact the manufacturer. Content on this site is for reference purposes and is not intended to substitute for advice given by a physician, pharmacist, or other licensed health-care professional. You should not use this information as self-diagnosis or for treating a health problem or disease. Contact your health-care provider immediately if you suspect that you have a medical problem. Information and statements regarding dietary supplements have not been evaluated by the Food and Drug Administration and are not intended to diagnose, treat, cure, or prevent any disease or health condition.

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Dr. Cutler has more than 30 years of experience as a practicing physician.

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