Preparation H CreamRapid, soothing hemorrhoid pain relief Smooth cream formula Shrinks swollen hemorrhoidal tissue Relieves external discomfort Preparation H Cream relieves both internal and external hemorrhoidal symptoms. It is effective at shrinking swollen hemorrhoidal tissue and gives prompt soothing relief from painful burning, itching and discomfort. Preparation H Cream is a smooth cream formula that is effective at relieving external hemorrhoidal symptoms.