Anusol plus hc is suitable for when internal and external piles become inflamed painful or intensely itchy it combines the proven anusol formula with hydrocortisone an effective anti inflammatory ingredient to give rapid soothing relief whichever treatment you prefer anusol provides effective soothing relief from piles rapidly absorbed soothes and calms irritated areas relieves pain and discomfort reduces swelling note do not use longer than 7 days without seeking med