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Anusol HC suppositories are a particularly powerful way of treating internal piles. They contain the same formulation as regular Anusol suppositories, but with the addition of hydrocortisone which shrinks the swollen internal piles. Use these when your internal piles are particularly swollen, but use for a maximum of one week. If after one week your symptoms have not improved, you should consult your doctor. If your symptoms are improving after one week but you still need to continue treatment, then you should switch to the regular Anusol suppositories (see above).