In the Ayurvedic tradition as well as tribal lore of the Uttar Pradesh region of Tibet and Nepal neem is the recommended treatment for hemorrhoids. Neem helps avoid hemorrhoids by soothing the bowel and avoiding constipation by promoting elimination of waste. If hemorrhoids already exist, neem cream or extract of neem bark applied topically to external hemorrhoids becomes a soothing and lubricating salve that also helps control bleeding and itching. It provide anti-bacterial, anti-inflammatory and paint-relieving properties desirable when treating hemorrhoids. During flare-ups, daily doses of neem tea twice a day will work their way through the digestive system to help avoid constipation and help reduce internal hemorrhoids.