P-Cool Cream 20 gm is a combination medicine used to treat pain and bleeding associated with anal fissures and haemorrhoids (piles). An anal fissure is a small tear in the mucosa that lines the anus. Haemorrhoids, also known as piles, are the inflamed and swollen veins in the rectum and anus that cause pain, discomfort, and bleeding.
 
P-Cool Cream 20 gm is a combination of three drugs, namely: Calamine (anti-pruritic), phenylephrine (sympathomimetic agent), and lidocaine (local anaesthetic). Calamine has antiseptic and anti-pruritic properties. Phenylephrine decreases swelling by shrinking the blood vessels in the affected area. Lidocaine blocks the pain signals from the nerves to the brain, thereby decreases the sensation of pain. 
 
In some cases, you may experience certain common side-effects such as burning sensation, irritation, itching and redness at the application site. Most of these side effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side effects persistently.
 
Let your doctor know if you are using prescription/nonprescription drugs and herbal products before starting P-Cool Cream 20 gm. If you are known to be allergic to any of the components in P-Cool Cream 20 gm, please inform your doctor. Consult your doctor before using P-Cool Cream 20 gm if you are pregnant or breastfeeding. P-Cool Cream 20 gm should not be used in children unless prescribed by a doctor. 

P-Cool Cream 20 gm is a combination of three drugs, namely: Calamine, phenylephrine, and lidocaine. P-Cool Cream 20 gm is used to treat pain and bleeding associated with anal fissures, external or internal haemorrhoids (piles), post-haemorrhoidectomy pain (pain after operation done to remove piles), and minor degrees of proctitis (inflammation of the rectum). Calamine has antiseptic and anti-pruritic properties. Phenylephrine is a sympathomimetic agent which decreases swelling by shrinking the blood vessels in the affected area. Lidocaine is a local anaesthetic that blocks the pain signals from the nerves to the brain, thereby decreasing the pain sensation.

• Burning sensation
• Irritation
• Itching
• Redness

Do not use P-Cool Cream 20 gm if you are allergic to any of its components. Inform your doctor if you have high blood pressure, diabetes, thyroid problems, porphyria, fits, heart, kidney, or liver problems. Consult your doctor if you are pregnant or breastfeeding. Let your doctor know if you are using prescription/nonprescription drugs or herbal products before starting P-Cool Cream 20 gm.

Drug-Drug Interactions: No interactions found/established.

Drug-Food Interactions: No interactions found/established.

Drug-Disease Interactions: No interactions found/established.

• Eat fiber-rich food and drink plenty of fluids. This helps to keep the stools soft.
• A warm bath helps in easing pain and itching.
• Keep your bottom dry and clean.
• Regular exercise is recommended.
• Avoid or limit alcohol and caffeinated products to prevent constipation.
• Empty your bowels whenever your body tells you to.
• Avoid pushing too hard while pooping as it can cause tearing of tissues.
• Include vegetables, fruits, and whole wheat grains in your diet.

• Clean and dry the affected area before using P-Cool Cream 20 gm.
• If P-Cool Cream 20 gm comes in contact with eyes, nose, or mouth, rinse with water immediately.
• Wash your hands before and after using P-Cool Cream 20 gm.

Piles: Hemorrhoids, also known as piles, are the inflamed and swollen veins in the rectum and anus that cause pain, discomfort, and bleeding. Haemorrhoids can be external or internal. Internal haemorrhoids develop within the rectum and anus, whereas external haemorrhoids develop outside of the anus region. Piles cause pain, itching and bleeding. They also cause trouble in sitting. Symptoms include itching, irritation, pain around the anus, swelling near the anus region, painful bowel movements, and blood in stools.

Anal fissure: Anal fissure is a small tear in the mucosa that lines the anus. This causes pain and bleeding during or after a bowel movement. Anal fissures generally heal on their own. If the condition lasts for more than 8 weeks, it can be considered chronic. Sometimes surgery may also be needed depending on the condition. Symptoms include tear of skin around the anus region, burning sensation, pain, and blood during bowel movement.