Can i use preparation h sapasotory and proctosol cream for external walls ?

Yes: 35 year old gentleman with hemorrhoids and symptoms wants to use over the counter remedies. Of course, you can use these over the counter remedies. However, you should see your doctor for a full exam. Another thing to consider is to eat a diet high in vegetables and fiber, stay hydrated, and avoid straining. Hemorrhoids have several stages and you can get banding and other indicated treatments.