Caustic Hemorrhoids

We went to a call at 2am for a 21-year-old female with hemorrhoids stating that she “can’t walk” due to pain. I ask the patient what she’s be treating her hemorrhoids with and she responds “Tiger Balm” which is a somewhat caustic topical that is NOT designed for hemorrhoids. We bring her to the ER and the triage nurse summed up our response by saying, “Oh my god…WHY!!??”