My 5 yr old daughter appears to have 1 external hemorrhoid and 1 internal, shes had them since 9 mos of age - are otc hem meds safe for her?

There's a better way: For kids we try to soften the stools rather than use hemorrhoid creams. Since these are chronic issues, I imagine your doctor is aware of the issue. There are good gentle approaches that work well for young children. Good luck!

Never see them: In more than 3 decades of practice I have never seen true hemorrhoids in a kid that age. I have seen skin tags, left over from anal fissures, but never hemorrhoids. If it truly is one it implies some significant problems in your kid. I would have you kids doc look at them at her next visit & explain what it is.