Indicated for Hemorrhoids, Back pain, Irritability. Aesculus hipposcastanum is a homeopathic remedy often used for painful hemorrhoids with accompanying backache and irritability. The rectum feels swollen and like it is full of small sticks. There is much pain after stool. There may also be sharp shooting pains up the back with the hemorrhoids as well as chills up and down back. Patients needing this remedy are often worse in the morning on awaking, and from any motion including walking, from moving bowels, after eating, afternoon, and standing. They tend to be better in cool open air. This homeopathic remedy is made from Horse Chestnut. Active ingredient: Aesculus hippocastanum [HPUS]. Inactive ingredients: Sucrose/lactose pellets.