Frequently Asked Questions
What Exactly Are Hemorrhoids?
Hemorrhoids are swollen veins located around the anus or in the lower rectum. About 50 percent of adults experience the symptoms of hemorrhoids by the age of 50. Hemorrhoids can either be internal or external.
Internal hemorrhoids are far enough inside the rectum that you can’t usually see or feel them. They don’t generally hurt because you have few pain-sensing nerves there. Bleeding may be the only sign of them.
External hemorrhoids are under the skin around the anus, and can protrude outside the anal opening, where there are many more pain-sensing nerves, so they can tend to be very painful as well as bleed. External hemorrhoids are easily irritated and can be extremely uncomfortable.
Swollen hemorrhoids are also called ‘piles’. Hemorrhoids are one of the most common causes of rectal bleeding. They’re rarely dangerous and usually clear up in a couple of weeks – but while they are swollen, they can indeed be very painful, and require good hygiene as well as often requiring pain relief.
A blood clot can form in an external hemorrhoid, turning it purple or blue. This is called a thrombosis. It can hurt and itch a lot and could easily bleed as well. When the clot dissolves, you may still have a bit of skin left over, which could get irritated.
Hemorrhoids aren’t a rare, strange condition. Many people — men and women alike — have them. It’s only when they swell and cause problems that you realize they’re there.
Who Gets Hemorrhoids?
Just about everyone has hemorrhoids at some time. But some things may make you more likely to get them.
People whose parents had hemorrhoids may be more likely to get them, indicating the possibility of a genetic or hereditary link.
Pregnant women often get hemorrhoids because of the strain and pressure on the lower abdomen and anorectal areas from carrying the baby and as well from the strain of giving birth. Some estimates say that as many as half of all pregnant women develop hemorrhoids, especially in the mid-second and third trimesters of pregnancy.
Being very overweight or standing or lifting too much can make hemorrhoids worse, as can sitting for long periods of time, such as working in an office.
Straining frequently (such as body builders or gym rats), or people who are frequently constipated can also develop hemorrhoids easily, since they are exerting additional pressure on the veins in the anorectal area.
Approximately 50 percent of those people aged 50 years and over will require treatment. However, it is striking that only around 4 percent actually seek medical treatment! Most people treat hemorrhoids at home, but occasionally more invasive interventions may be required.
Why Do People Get Hemorrhoids?
While the exact cause of hemorrhoids remains unknown, a number of factors which increase pressure in the abdomen are believed to be involved. This may include constipation, lack of exercise, nutritional factors (low-fiber diets), diarrhea, and sitting on the toilet for a long time. Hemorrhoids are also more common during pregnancy.
Other factors believed to increase hemorrhoid risk include obesity, a chronic cough, and pelvic floor dysfunction.
Things that increase your risk:
- Constipation or diarrhea that does not go away. These conditions may lead to straining with bowel movements.
- Being overweight.
- A family history of hemorrhoids. You may inherit the tendency to get them.
- Being age 50 or older. Half of people who are older than 50 seek treatment for hemorrhoids.
- Pregnancy and labor and delivery. As the fetus grows during the last 6 months of pregnancy, blood volume and pressure on pelvic blood vessels increase. The strain of labor also can cause hemorrhoids to start or get worse.
- Liver disease, heart disease, or both. These conditions may cause blood to back up in the pelvis and abdomen.
Hemorrhoids may be made worse by:
- Prolonged sitting or standing. This may cause blood to pool in the anal area and increase pressure on the veins.
- Frequent heavy lifting or holding your breath when lifting heavy objects. This can cause a sudden increase of pressure in blood vessels.
What Are The Symptoms Of Hemorrhoids?
Hemorrhoid symptoms vary from individual to individual, usually depend on the specific location and severity of the hemorrhoids.
Internal hemorrhoids lie inside the rectum. You usually can’t see or feel these hemorrhoids, and they rarely cause discomfort. But straining or irritation when passing stool can damage a hemorrhoid’s surface and cause it to bleed.
Occasionally, straining can push an internal hemorrhoid through the anal opening. This is known as a protruding or prolapsed hemorrhoid and can cause pain and irritation.
These are hemorrhoids that appear under the skin around your anus and can present outside the anal opening. When irritated, external hemorrhoids can itch or bleed, and these are often very painful as well.
Sometimes blood may pool in an external hemorrhoid and form a clot (thrombus) that can result in severe pain, swelling, inflammation and a hard lump near your anus. These hemorrhoids can require medical intervention if they bleed.
Symptoms of hemorrhoids also often include:
- Bleeding, usually painless. The individual may notice some red on the toilet paper or in the toilet bowl.
- Itching or irritation in the anal area.
- Discomfort and pain in the anal region.
- Lumps protruding from the anal region.
- Swelling in the anal region.
- A lump near your anus, this can sometimes be sensitive.
- Feces may leak (without your wanting it to happen).
Overall, while many hemorrhoids are painless, a large number of hemorrhoids do indeed cause pain, itching and burning, and can be very discomforting.
How Do I Know If I Have Hemorrhoids?
Hemorrhoids can be painless in some cases, and you might not know you have them. If they hemorrhoids get strained and extrude through the anal opening, becoming external hemorrhoids, you will very likely know.
You may experience paid, burning and itching, and you may be able to easily feel the hemorrhoids themselves. Remember to maintain maximum personal hygiene when exploring that area to prevent causing infections or transferring bacteria from the anal region to other parts of your body, especially you face, mouth and eyes, and genitals. Always wash your hands well with warm water and soap both BEFORE and AFTER touching your anal region!
In addition, the following are also common symptoms of hemorrhoids to be aware of:
- Painless bleeding during bowel movements – you might notice small amounts of bright red (indicating fresh) blood on your toilet tissue or in the toilet.
- Itching or irritation in your anal region.
- Swelling around your anus.
- A lump near your anus, which may be sensitive or painful (this may be a thrombosed hemorrhoid).
- Pain around the anus, especially while sitting.
- Pain during bowel movements, which may often be accompanied by some bleeding.
- Have moist, pink bumps around the edge of or bulging out from your anus (these may look purple or blue, too.).
Hemorrhoid symptoms may also be similar to those of other anal and rectal problems, including anal fissures, abscesses, warts, and polyps. Always consult your physician or healthcare professional if you have any concerns or are experiencing any medical problems.
Are All Hemorrhoids The Same?
It’s important to know that not all hemorrhoids are the same. There are actually four types of hemorrhoids, and you can tell them apart by their location, symptoms and possible side effects that are scary, painful or both.
These hemorrhoids can be classified into four stages, depending on the level of the protrusion.
While the hemorrhoids are prominent, they don’t protrude into the anal canal. However, they may bleed.
Hemorrhoids prolapse outside of the canal during bowel movement, but they spontaneously move back inside.
Hemorrhoids protrude due to either bowel movement or another form of exertion, and they have to be pushed back inside the anal canal using a finger.
Hemorrhoids have prolapsed and are already found outside the anal canal. They do not remain inside the rectum and cannot be pushed back in.
If you notice bleeding during bowel movement, whether on your stool, toilet paper or toilet bowl, this is a sign that you have internal hemorrhoids. Bleeding happens when you pass stool, which scrapes off the thinned lining of the hemorrhoid.
When inflamed, an internal hemorrhoid can swell, but there’s usually not much pain. However, painful spasms of muscles surrounding your rectum and anus could happen because of this swollen hemorrhoid.
External hemorrhoids develop under the skin located around the outer portion of your anus. These hemorrhoids can be itchy or painful, feel lumpy and have a bluish or purplish color.
Common symptoms of external hemorrhoids include:
- Itching, burning and/or irritation around the anus or rectal area.
- Pain around the anus.
- Lumps near or around the anus.
- Blood in the stool.
Are Hemorrhoids Dangerous Or Life-Threatening?
Although hemorrhoids are rarely dangerous, they can be a recurrent and painful intrusion. Fortunately, there’s a lot we can do about them. By midlife, hemorrhoids often become an ongoing complaint. By age 50, about half the population has experienced one or more of the classic symptoms, which include rectal pain, itching, bleeding.
In one sense, everyone has hemorrhoids (or piles); the pillow-like clusters of veins that lie just beneath the mucous membranes lining the lowest part of the rectum and the anus. The condition most of us call hemorrhoids (or piles) develops when those veins become swollen and distended, like varicose veins in the legs.
Because the blood vessels involved must continually battle gravity to get blood back up to the heart, some people believe hemorrhoids are part of the price we pay for being upright creatures.
Hemorrhoids are fairly common, especially among people ages 45 to 75 (some studies show people as young as their 20s and 30s experience hemorrhoids – especially pregnant women, those who do frequent strenuous exercise, and those who have a sedentary lifestyle or job, like driving a truck, or sitting at a desk all day). Most hemorrhoid symptoms, such as itching, burning or pain, can usually be treated at home with over-the-counter products (such as HemAway Fast Hemorrhoid Relief Cream).
But there are times when a trip to the doctor is warranted – and many people do seek medical help, such as more specific medication or, in some cases, simple hemorrhoid surgery. Approximately 3.2 million hospital visits and 2 million prescriptions are written for hemorrhoid treatments each year, not including surgery, which is an option in severe cases.
Severe complications of hemorrhoids are quite rare, but it’s important to know when to see your doctor.
Anytime you have bleeding, you feel a lump in the anus, or have rectal pain you should see a doctor to make sure you don’t have a more serious cause of the symptoms.
Are Hemorrhoids Cancerous?
Colon cancer and hemorrhoids are very different conditions, but both can produce blood in the stool. Seeing blood in the stool can be alarming, especially if you have never experienced it before. Most likely, you may have been straining when having a bowel movement and the bleeding is due to a hemorrhoid.
Hemorrhoids are common, but hemorrhoids symptoms that do not clear up quickly with home care or that keep coming back do need to be evaluated. The best place to start is with your primary caregiver. In many cases, a primary caregiver can make the right diagnosis and start you on the best treatment. If you need a diagnostic evaluation by a specialist, you may be sent to a gastroenterologist or a colon and rectal surgeon.
Knowing the differential diagnosis of hemorrhoid symptoms can help you prevent a minor complaint from becoming a serious problem.
You should seek treatment for hemorrhoid symptoms if:
- You have heavy rectal bleeding.
- You have rectal bleeding that is not responding to home care.
- You have other hemorrhoid symptoms, such as pain, pressure, itching, and burning, that do not respond to home care after a few days.
- You have hemorrhoid symptoms along with other symptoms such as fever, weight loss, abdominal pain, or a change in bowel habits.
Do Hemorrhoids Go Away? Is There A Cure?
Unfortunately, hemorrhoids won’t go away without using any treatment options.
So many factors will aggravate the condition, and some of them including straining during bowel movement, sitting for long periods, constipation, frequent diarrhea, overuse of laxatives, poor diet, pregnancy, heredity factors and infection of the rectum.
Do hemorrhoids go away on their own? No, they don’t.
They may come and go, or become enlarged under pressure or during periods of high stress, physical exertion or other illness, but once the tissues in which the veins become enlarged and swollen, they are very prone to recurrences of painful hemorrhoids.
The next question is usually, “How long do hemorrhoids last?” There is no single answer to this question though. Most people feel better after a couple of weeks of flare-ups, but that’s not the same for all. They may last until you go for surgery. Pain, itching and tenderness may persist because there is always pressure on rectal veins during bowel movements. Different factors may contribute to healing though.
- Small internal or external hemorrhoids may heal within a week or so, but enlarged internal hemorrhoids may take at least a couple of months to improve.
- Your hemorrhoids may heal faster if you’re experiencing them for the first time. However, it will usually take longer for recurrent hemorrhoids to heal.
Now you know the answer to “Do hemorrhoids go away on their own?” You may be looking for how to treat the condition. Here’s what you can do about it.
- Try to sit in a tub with a few inches of warm water at least three times a day for 20 minutes each to reduce the inflammation. Be sure to dry the anal area afterwards. This is usually not practical for everyone, especially those who have a job or are not able to bathe three times a day.
- Be sure to drink plenty of water and add more fiber to your diet. This may prevent constipation that always aggravates your hemorrhoids. By avoiding constipation, you will be able to reduce pressure on your rectum, which in turn will reduce further discomfort, swelling and bleeding.
- You may use stool softeners to prevent flare-ups, but once you have hemorrhoids, even liquid stools may lead to infection and inflammation of the anus.
- Don’t sit for extended hours or try to sit on a rubber or air donut. Be sure to stay active and exercise regularly to relieve constipation and improve your blood circulation. Be sure to have a bowel movement as soon as you have the urge. Delaying it will put strain on the hemorrhoidal veins and may even cause constipation.
- Try a cream that can relieve pain and help shrink hemorrhoidal tissue, like HemAway Cream. Remember, it won’t cure hemorrhoids but HemAway’s Lidocaine 5% and Phenylephrine formulation will numb the area to relieve pain, burning and itching, decrease swelling and inflammation, and help shrink and heal swollen and inflamed tissue.
What If I Don't Treat My Hemorrhoids?
Untreated Hemorrhoids Don’t Go Away On Their Own
Unfortunately, hemorrhoids very rarely go away on their own. Chances are if you simply ignore the problem, your untreated hemorrhoids will continue to cause you pain and may even get worse. You can make changes to your diet and experiment with home remedies, but the truth is that hemorrhoids seldom go away on their own.
In the past, doctors have treated hemorrhoids using surgery and other invasive and often painful procedures. Now, thanks to non-surgical, pain-free treatments, you may be able to get rid of hemorrhoids once and for all, if home treatment isn’t enough, or your hemorrhoids are so severe that this step is required.
A mild case of hemorrhoids may clear up on its own in a few short days with trying some form of home treatment; for example, using HemAway Fast Hemorrhoid Relief Cream. This is because they are only very small veins that have become irritated, so it is much easier for them to simply go down on their own and disappear with a little help from an effective cream like HemAway.
However, major cases may take weeks to clear up, if they do at all, on their own. In these cases especially, a powerful cream like HemAway, which contains both prescription-strength Lidocaine 5% and Phenylephrine to help shrink hemorrhoidal tissue should easily provide the relief you are seeking.
What Treatments Exist For Hemorrhoids?
You don’t need to see a doctor for quick ways to ease your itching and pain, or for ongoing fixes to keep the discomfort from getting worse, unless you experience severe continuous bleeding, or your hemorrhoids are so severe they require surgical removal.
The best treatments for hemorrhoids are often things you can do at home. If you use a home treatment, make sure you use one that contains ingredients that BOTH relieve pain (such as the anesthetic Lidocaine 5% in HemAway), AND help shrink swollen veins (such as the vasoconstrictor Phenylephrine in HemAway).
Many of these tips will also help you avoid constipation and make it easier to go. That can stop hemorrhoids before they form, too, or at least dampen the potential for irritating them more.
Take Warm Baths
Soak in a bathtub filled with a few inches of warm water for about 15 minutes at a time. Do it two or three times a day and after every bowel movement. If you want to wash the area, too, use unscented soap and don’t scrub.
Pat gently afterward to dry. You can even use a blow dryer on a cool setting if that feels better.
There are also special “Sitz baths” you can put directly on your toilet seat to make soaking easier.
Over-the-counter wipes or creams with witch hazel may help somewhat to soothe pain and itch with no side effects. Don’t use one with hydrocortisone for more than a week unless your doctor says it’s OK.
Put a small cold pack on the trouble spot several times a day. It can dull pain and bring down the swelling for a little while.
An over-the-counter medicine, like acetaminophen, aspirin, or ibuprofen, could help with soreness. ALWAYS check with your doctor before using any medication, even common pain treatments like aspirin or ibuprofen!
You could damage the skin and make the irritation – and the itching – worse, and you could tear a swollen vein, which could lead to a worse condition or trigger an infection.
Wear loose, soft underwear made of 100% cotton. It keeps the area aired out and stops moisture from building up, which can bother your hemorrhoids.
Good Bathroom Habits
Limit Your Time On The Throne
If you don’t go after a few minutes, don’t wait or force something to happen. Try to get into a routine where you go at the same time every day.
If toilet paper is irritating, try dampening it first. Or use pre-moistened wipes, cotton balls, or alcohol-free baby wipes.
Don’t Hold It In
When you feel like you have to go, do it. Don’t wait for a better time or place. Stool can back up. And that can lead to straining and more pressure. Go as soon as you can when you feel the urge.
Try A Squat Position
Put a short bench or a stack of phone books under your feet when you go to the bathroom. Raising your knees as you sit on the toilet changes the position of your inner workings and could make bowel movements easier.
Bump Up The Fiber
It softens your stools and makes them move through your body more easily. You’ll find it in beans, whole-grain breads and cereals, and fresh fruits and veggies. You may also want to try a supplement if you can’t get enough from foods. Add fiber slowly to help avoid gas and bloating.
Drink Lots Of Fluids
Stay well hydrated to keep stools soft so they’re easier to pass. Water is the best choice. Drink plenty throughout the day. Prune juice is a natural laxative and can help you go.
Even brisk walking 20-30 minutes every day can help keep you from getting stopped up.
You can try softly dabbing witch hazel on irritated hemorrhoids, or use medicated pads. HemAway Fast Hemorrhoid Relief Cream is an excellent and proven topical cream that contains BOTH a prescription-strength pain reliever and a maximum strength vasoconstrictor to shrink swollen veins, that is fast-acting and long-lasting. Suppositories are also an option to help soften stool.
Your doctor can inject an internal hemorrhoid with a solution to create a scar and close off the hemorrhoid. The shot hurts only a little.
Rubber Band Ligation
This procedure is often done on prolapsed hemorrhoids; internal hemorrhoids that can be seen or felt outside. Using a special tool, the surgeon puts a tiny rubber band around the hemorrhoid, which shuts off its blood supply almost instantly. Within a week, the hemorrhoid will dry up, shrink, and fall off.
Coagulation Or Cauterization
With an electric probe, a laser beam, or an infrared light, your doctor will make a tiny burn to remove tissue and painlessly seal the end of the hemorrhoid, causing it to close off and shrink. This works best for prolapsed hemorrhoids.
For large internal hemorrhoids or extremely uncomfortable external hemorrhoids, your doctor may want to do a traditional hemorrhoidectomy to remove them, or a newer technique using staples.
Medical treatments can be effective, but unless you change your diet and lifestyle, hemorrhoids may come back regardless. Most often, and in the majority of cases, using a pain relieving cream that can also help shrink the swollen inflamed tissue is your best option.
Frequently Asked Questions
What Exactly Is HemAway Cream?
HemAway Fast Hemorrhoid Pain Relief Cream With Lidocaine 5% is a unique non-greasy, odorless, non-staining PATENTED formulation that contains TWO powerful prescription strength ingredients (we use the maximum strength allowed without requiring a prescription!) to address the two main complaints about hemorrhoids:
HemAway contains prescription strength Lidocaine 5% – a powerful topical anesthetic – for fast numbing pain, itching and burning relief as soon as it’s applied. HemAway is both fast-acting AND long-lasting, to provide the maximum pain relief and comfort possible for hemorrhoid sufferers.
SHRINK AND SOOTHE INFLAMED TISSUE
HemAway also contains maximum-strength Phenylephrine – a highly proven ‘vasoconstrictor’, which is the gold standard for helping to reduce swelling and inflammation, and shrink inflamed hemorrhoidal tissue quickly.
How Does HemAway Cream Work?
HemAway Lidocaine 5% Fast Hemorrhoid Relief Cream is a unique fast-acting, long-lasting formula available without a prescription, containing two powerful ingredients that temporarily relieve the pain, burning and itching due to hemorrhoids, anal fissures and other anorectal discomforts that can disrupt your life.
HemAway contains prescription-strength Lidocaine 5%, a powerful topical anesthetic that quickly relieves pain, itching and burning on external and intra-anal hemorrhoids. Lidocaine is a well-proven local anesthetic which prevents pain by blocking the signals at the nerve endings in the skin; thus providing relief for your anorectal maladies. This is especially helpful for people who sit for long periods of time, such as office workers, truck drivers, taxi drivers and bus drivers, as well as anyone who suffers from hemorrhoids.
HemAway also contains maximum-strength Phenylephrine, a powerful vasoconstrictor to reduce swelling and inflammation of blood vessels, and help shrink hemorrhoidal tissue quickly. Hemorrhoids are enlarged and swollen blood vessels located in the lower part of the rectum and the anus, making sitting and daily activities uncomfortable. The blood vessels, specifically the veins in this area, become swollen due to increased internal pressure, often times making daily life uncomfortable, and often unbearable for many people.
This formula also contains Permeation Enhancers for quick absorption & fast-acting relief. HemAway’s ability to deliver its pain-reducing and inflammation-reducing ingredients quickly into the affected area gives you the benefit of fast relief of the pain, itching and burning of hemorrhoids. And HemAway provides not only fast-acting relief, its effects are also long-lasting.
What Are The Ingredients In HemAway Cream?
HemAway contains prescription-strength Lidocaine 5%, a powerful topical anesthetic that quickly relieves pain, itching and burning on external and intra-anal hemorrhoids. Lidocaine is a well-proven local anesthetic which prevents pain by blocking the signals at the nerve endings in the skin; thus providing relief for your anorectal maladies.
HemAway also contains maximum-strength Phenylephrine, a powerful vasoconstrictor to reduce swelling and inflammation of blood vessels, and help shrink hemorrhoidal tissue quickly. Hemorrhoids are enlarged and swollen blood vessels located in the lower part of the rectum and the anus, making sitting and daily activities uncomfortable.
This formula also contains Permeation Enhancers for quick absorption & fast-acting relief. HemAway’s ability to deliver its pain-reducing and inflammation-reducing ingredients quickly into the affected area gives you the benefit of fast relief of the pain, itching and burning of hemorrhoids.
HemAway also contains Aloe, Grape Skin Extract, and Vitamin E to further heal and soothe the irritated sensitive area. Swollen tissue in and around the anus can be extremely uncomfortable. These additional ingredients provide increased relief and help heal the inflamed area quickly.
HemAway is a Petroleum-Free formulation that is non-greasy, odorless, and non-staining.
Is HemAway Cream Safe?
Applied properly, HemAway Fast Hemorrhoid Relief Cream is indeed safe. Of course, you are always reminded and encouraged to consult your doctor or healthcare professional if you have any concerns, other medical conditions, have any questions or experience unusual symptoms or excessive anal bleeding.
If you think you may have a medical emergency, call your doctor, go to the emergency department, or call 911 immediately.
Always follow the proper and recommended Directions For Use, which can be read here.
Is HemAway Cream Effective?
The active ingredients in HemAway Fast Hemorrhoid Relief Cream have been proven both safe and effective for relieving pain and for soothing and healing inflamed hemorrhoidal tissue in many millions of people.
While one or the other of these ingredients (Lidocaine 5% or Phenylephrine) are used in many other brands of hemorrhoid treatment creams, HemAway is the ONLY cream that combines BOTH ingredients to provide maximum pain relief AND maximum soothing and healing.
How Is HemAway Different Than Preparation H®?
While Preparation H® is the market leader and best-known brand in over-the-counter hemorrhoid creams, it does NOT contain Lidocaine 5% (as HemAway does) to quickly relieve pain. It does contain Phenylephrine to help soothe inflamed tissue, but soothing may not be enough relief for many hemorrhoid sufferers who are looking for fast-acting pain relief – the most common form of relief sought by hemorrhoid sufferers.
HemAway Fast Hemorrhoid Relief Cream is the ONLY over-the-counter cream that contains BOTH maximum strength ingredients without a prescription required.
Does HemAway Cream Have Side Effects?
When used properly, and according to directions, and when you follow any restrictions in use as per the Medical Warnings provided here, the most common side-effect might be sensitivity to the ingredients in HemAway. Do not use HemAway if you are allergic to any of its ingredients.
The most prominent side effect is, frankly, fast pain relief and reduction of swollen hemorrhoidal tissue.
Do I Need A Prescription For HemAway?
NO. While HemAway contains prescription-strength Lidocaine 5%, and maximum-strength Phenylephrine, you do NOT need a prescription to purchase HemAway.
How Do I Use HemAway Cream?
Adults: When practical, cleanse the affected area with mild soap and warm water. Rinse thoroughly. Gently dry by patting or blotting with toilet tissue or a soft cloth before application of this product.
Adults and Children 12 years and Older: apply externally to the affected area up to 4 times a day.
Children Under 12 Years of Age: consult a doctor prior to use.
- To secure child-resistant cap: screw cap tightly.Then turn cap in opposite direction. If clicking sound is not heard, repeat procedure.
How Fast Will HemAway Cream Work?
The prescription-strength topical anesthetic Lidocaine 5% in HemAway goes to work quickly, and thanks to Permeation Enhancers in the patented HemAway formulation, it is absorbed quickly for fast-acting pain relief. You can experience pain relief within as little as 15 minutes, but in some cases it may take up to 20 to 30 minutes for maximum effect.
How Long Will The Pain Relief Last?
The pain relieve effect of the topical anesthetic prescription-strength Lidocaine 5% in HemAway can last for hours, based on proper use and following the Directions For Use provided here.
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