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Why Do Hemorrhoids Itch?

Updated: Jan 17

Why Do Hemorrhoids Itch? - A Woman Experiencing Itchy Hemorrhoids.

Hemorrhoids, often a discomforting topic, can lead to various symptoms that significantly impact an individual's well-being. Among these symptoms, itching is a common and bothersome issue that many people with hemorrhoids face. In this article, we will delve into the reasons behind why hemorrhoids itch and explore effective ways to manage and prevent this irritating symptom.

What are Hemorrhoids?

Hemorrhoids, also known as piles, are swollen veins in the rectum and anus that can cause discomfort and bleeding. They can be internal or external, with internal hemorrhoids occurring inside the rectum and external ones developing under the skin around the anus.

What Causes Hemorrhoids?

Hemorrhoids are caused by increased pressure on the blood vessels in the rectal and anal area. This increased pressure can lead to swelling and inflammation of the blood vessels, resulting in the development of hemorrhoids. Several factors contribute to this heightened pressure and the subsequent formation of hemorrhoids:

Straining During Bowel Movements

One primary cause of hemorrhoids is the excessive strain exerted during bowel movements. This strain can result from constipation, hard stools, or prolonged periods spent on the toilet. Such actions put immense pressure on the rectal veins, leading to their inflammation.

Chronic Constipation

Constipation, characterized by infrequent and difficult bowel movements, is a significant contributor to hemorrhoids. Straining to pass hard stools increases pressure on the veins, leading to their swelling.

Chronic Diarrhea

On the flip side, chronic diarrhea can also cause hemorrhoids. The constant irritation and inflammation associated with frequent loose stools put a strain on the rectal veins, potentially resulting in the development of hemorrhoids.


Being overweight or obese can increase the likelihood of developing hemorrhoids. The excess weight puts added pressure on the pelvic area, leading to venous congestion and the formation of hemorrhoids.


Pregnancy is a significant risk factor for hemorrhoids due to several reasons. The growing uterus puts pressure on the pelvic veins, leading to congestion and swelling. Additionally, hormonal changes during pregnancy can weaken the veins, making them more susceptible to inflammation.

Prolonged Sitting on the Toilet

Extended periods spent on the toilet, whether due to excessive reading or other activities, can contribute to the development of hemorrhoids. Prolonged sitting increases pressure on the rectal veins, potentially leading to their swelling and discomfort.

Poor Dietary Habits

A diet low in fiber and high in processed foods can contribute to constipation, a significant risk factor for hemorrhoids. Insufficient fiber intake leads to hard stools, increasing the likelihood of straining during bowel movements.

Genetic Predisposition

There is a hereditary component to hemorrhoids. If close family members have experienced this condition, there may be a genetic predisposition, making an individual more prone to developing hemorrhoids.

Sedentary Lifestyle

A lack of physical activity and prolonged periods of sitting or standing can hinder blood circulation, contributing to the development of hemorrhoids. Regular movement and exercise are essential for maintaining healthy bowel function and preventing hemorrhoids.


As individuals age, the tissues in the rectum and anus may weaken and lose elasticity. This natural aging process can make the veins more susceptible to swelling, leading to the formation of hemorrhoids.

Hemorrhoids Symptoms

Pain or Discomfort

Individuals with hemorrhoids often experience pain or discomfort, especially during or after bowel movements. This discomfort may be mild or more pronounced, depending on the size and location of the hemorrhoids.

Bleeding During Bowel Movements

One of the primary symptoms of hemorrhoids is bleeding during bowel movements. Bright red blood on toilet paper or in the toilet bowl after a bowel movement is a common and often alarming symptom of hemorrhoids. This bleeding occurs when the swollen veins in the rectum or anus are irritated during the passage of stools.

Itching or Irritation

Hemorrhoids can cause itching and irritation in the anal area. This itching is often a result of the sensitive skin around the anus being irritated by swollen blood vessels. The inflammation and swelling of the veins can trigger an incessant urge to scratch, further exacerbating the discomfort. Proper hygiene and targeted treatments are essential in addressing this symptom.

Swelling or Lump Around the Anus

External hemorrhoids may cause swelling or a visible lump around the anal opening. This lump can be sensitive to the touch and may cause discomfort, especially during activities like sitting.

Mucus Discharge

In some cases, hemorrhoids may lead to the discharge of mucus from the rectum. This may be accompanied by a feeling of incomplete bowel movements and can contribute to overall discomfort. This discharge is a response to the irritation and inflammation of the affected veins.


In more severe cases, internal hemorrhoids may protrude outside the anus during bowel movements, a condition known as prolapse. This can cause significant discomfort and may require medical attention.

Discomfort During Sitting

Individuals with hemorrhoids may experience discomfort or pain when sitting, especially for prolonged periods. This discomfort is a result of increased pressure on the engorged veins in the rectum and anus.

Why Do Hemorrhoids Itch?


  • When hemorrhoids become swollen or inflamed, the increased blood flow to the affected area can lead to heightened sensitivity and itching.


  • Excessive moisture in the anal region, often resulting from poor hygiene practices, can contribute to itching. Keeping the area clean and dry is crucial in preventing irritation.

Skin Irritation

  • Harsh toilet paper or excessive wiping can irritate the delicate skin around the anus, leading to itching. Using soft, unscented toilet paper and practicing gentle cleaning can help reduce irritation.

Prolonged Sitting

  • Remaining seated for extended periods can impede proper air circulation in the anal area, creating a warm and potentially moist environment. This environment can contribute to itching and discomfort.

Fecal Residue

  • Residual fecal matter left on the skin after bowel movements can irritate the area and cause itching. Thorough cleaning and proper hygiene practices can help prevent this.

Skin Sensitivity

  • Individuals with hemorrhoids may experience heightened skin sensitivity due to the presence of swollen blood vessels. This sensitivity can make the skin more prone to itching.

Chronic Diarrhea or Constipation

  • Changes in bowel habits, such as chronic diarrhea or constipation, can irritate the hemorrhoidal veins, making them more prone to itching. Consistent straining or frequent loose stools can exacerbate the condition.

Other Causes of Anal Itching

Some common reasons for anal itching include:

Fungal Infections

  • Infections caused by fungi, such as Candida, can lead to itching in the anal area. These infections may result from factors like moisture, heat, or the use of antibiotics.

Bacterial Infections

  • Bacterial infections, especially those related to skin conditions, can cause anal itching. Conditions like folliculitis or impetigo may contribute to discomfort.

Skin Conditions

  • Dermatological conditions like psoriasis or eczema can affect the skin around the anus, causing itching. Managing these skin conditions is crucial for relieving symptoms.

Parasitic Infections

  • Infections caused by parasites, such as pinworms, can lead to anal itching, especially at night. Proper diagnosis and treatment are necessary to address parasitic infections.

Hygiene Practices

  • Poor hygiene, inadequate cleaning after bowel movements, or using harsh soaps and wipes can irritate the skin and cause itching. Maintaining proper hygiene is essential.

Dietary Factors

  • Certain foods, especially those with spicy or irritating components, can contribute to anal itching. Dietary modifications may help alleviate symptoms.


  • Allergic reactions to certain foods, topical products, or laundry detergents can lead to itching in the anal region. Identifying and avoiding allergens is key.

Medical Conditions

  • Conditions such as diabetes or autoimmune disorders can affect skin health and contribute to itching. Managing the underlying medical condition is important.


  • Some medications may have side effects that include anal itching. If you suspect a medication is contributing to the issue, consult with your healthcare provider.

Do Hemorrhoids Smell?

Hemorrhoids themselves typically do not have a strong odor. The presence of hemorrhoids is often associated with symptoms such as pain, bleeding, and itching rather than a noticeable smell. However, in certain situations, there are factors related to hemorrhoids that may contribute to a faint odor:

Bleeding: If hemorrhoids bleed, the presence of blood can impart a slight metallic smell. This is more likely to be noticeable during or after bowel movements.

Infection: In rare cases, external hemorrhoids can become irritated or infected, leading to the development of an abscess. In such cases, there might be a localized unpleasant smell associated with the infection.

Are Hemorrhoids Genetic?

Yes, there is a genetic component to the development of hemorrhoids. If your parents or close family members have a history of hemorrhoids, you may be more predisposed to developing them. The genetic influence on hemorrhoids may involve factors such as the strength and integrity of the connective tissues within the anal and rectal areas. Individuals with a family history of weak vein walls or vascular issues may be more susceptible to developing hemorrhoids.

Are Hemorrhoids Contagious?

No, hemorrhoids are not contagious. Hemorrhoids develop due to internal and external factors related to increased pressure on the blood vessels in the rectum and anus. This increased pressure can result from various causes such as straining during bowel movements, obesity, pregnancy, or a genetic predisposition.

Unlike infectious diseases caused by bacteria, viruses, or parasites, hemorrhoids are not caused by pathogens that can be transmitted from person to person. They are a result of individual factors and lifestyle choices.

How are Hemorrhoids Diagnosed?

1. Medical History Review

  • The healthcare provider will inquire about your symptoms, including any pain, bleeding, itching, or discomfort in the anal area.

  • Information about your family history, bowel habits, diet, and lifestyle may also be discussed.

2. Physical Examination

  • The healthcare provider will conduct a physical examination, which may include a visual inspection of the anal area to look for external hemorrhoids, swelling, or any signs of irritation.

  • For internal hemorrhoids, a digital rectal examination (DRE) may be performed. During a DRE, the doctor inserts a lubricated, gloved finger into the rectum to feel for abnormalities.

3. Proctoscopy or Anoscopy

  • In some cases, a proctoscopy or anoscopy may be performed to examine the lower part of the rectum and anus more closely.

  • A proctoscope or anoscope is a tube-like instrument with a light that allows the doctor to visualize the internal structures and identify any internal hemorrhoids.

4. Sigmoidoscopy or Colonoscopy

  • If there are concerns about the extent of the hemorrhoids or if bleeding is a significant symptom, the doctor may recommend a sigmoidoscopy or colonoscopy.

  • These procedures involve the use of a flexible tube with a camera to examine the entire colon and rectum.

5. Imaging Tests

  • Advanced imaging tests, such as ultrasound or magnetic resonance imaging (MRI), may be used to assess blood flow in the pelvic region and identify potential abnormalities contributing to hemorrhoids. These tests provide valuable insights for a more comprehensive evaluation.

6. Stool Sample Analysis

  • Analyzing stool samples can help rule out other potential causes of rectal bleeding, such as gastrointestinal infections or inflammatory conditions. This test contributes to the differential diagnosis process.

7. Differential Diagnosis

  • Since symptoms of hemorrhoids can overlap with those of other conditions, healthcare professionals may perform a differential diagnosis. A differential diagnosis is a critical step in the diagnostic process, helping healthcare providers distinguish between hemorrhoids and other conditions with similar symptoms. This comprehensive analysis ensures accurate identification and appropriate treatment.

Hemorrhoid Treatment Options

Hemorrhoid treatment options vary based on the severity of symptoms and the type of hemorrhoids. Here are common approaches to manage and alleviate hemorrhoidal discomfort:

Over-the-Counter Creams and Ointments

  • Topical treatments containing ingredients like hydrocortisone can help reduce itching, inflammation, and discomfort.

  • Medicated pads with witch hazel can provide soothing relief.

Warm Baths (Sitz Baths)

  • Soaking in a warm bath, also known as a sitz bath, for about 15 minutes can provide relief, reduce swelling, and promote healing.

High-Fiber Diet

  • Increasing fiber intake through fruits, vegetables, and whole grains helps soften stools, easing bowel movements and reducing strain.


  • Staying well-hydrated helps prevent constipation, making it easier to pass stools without straining.

Topical Analgesics

  • Applying numbing agents like lidocaine can help alleviate pain associated with hemorrhoids.

Medical Procedures

For more severe cases or persistent symptoms:

  • Rubber Band Ligation: Placing rubber bands around internal hemorrhoids to cut off blood supply.

  • Sclerotherapy: Injecting a solution to shrink hemorrhoid tissue.

  • Infrared Coagulation: Using heat to shrink internal hemorrhoids.

  • Surgical Hemorrhoidectomy: In extreme cases, surgical removal of hemorrhoids may be considered.

Are There Any Home Remedies for Itchy Hemorrhoids?


  • Gentle cleaning after bowel movements with mild, fragrance-free soap and water can reduce irritation.

Cold Compress

  • Applying a cold compress or ice pack to the affected area can reduce inflammation and alleviate itching.

Aloe Vera

  • Aloe vera gel, known for its soothing properties, can be applied topically to alleviate itching and discomfort.

Witch Hazel

  • Witch hazel, available in various forms, can be applied to the affected area to reduce itching.

Use of Moist Wipes

  • Gentle, fragrance-free moist wipes can be used for cleaning the anal area after bowel movements, reducing irritation.

Warm Baths

  • Regular warm baths, not just sitz baths, can also help soothe the affected area and reduce itching.

Coconut Oil

  • Applying coconut oil may help moisturize the area and alleviate dryness and itching.

How Can You Prevent Itchy Hemorrhoids?

Maintain Good Hygiene

  • Proper cleaning of the anal area after bowel movements is crucial to prevent irritation and itching.

High-Fiber Diet

  • Maintaining a diet rich in fiber promotes regular bowel movements and reduces the risk of constipation and straining.


  • Drinking an adequate amount of water helps keep stools soft and promotes healthy bowel movements.

Regular Exercise

  • Physical activity supports healthy blood circulation, reducing the likelihood of developing hemorrhoids.

Avoiding Prolonged Sitting

  • Taking breaks and avoiding extended periods of sitting minimizes pressure on the rectal veins.

Avoiding Harsh Products

  • Using mild, fragrance-free products for personal hygiene reduces the risk of irritation.

How Long Do Hemorrhoids Last?

The duration of hemorrhoids can vary widely depending on factors such as the severity of symptoms, the type of hemorrhoids, and the effectiveness of treatment. In many cases, hemorrhoids can resolve on their own or with simple home remedies. Here is a general guideline for how long hemorrhoids may last:

Mild Cases

  • Hemorrhoids with mild symptoms, such as occasional discomfort, itching, or minor bleeding, may improve within a few days to a couple of weeks with proper care and lifestyle adjustments.

Moderate Cases

  • If symptoms are more persistent or moderate, it may take a few weeks to a month for hemorrhoids to improve. Consistent use of over-the-counter creams, dietary changes, and practicing good hygiene can contribute to relief.

Severe Cases

  • Severe or chronic hemorrhoids may take a longer time to resolve. In some cases, medical procedures or surgery may be recommended for effective treatment.

Medical Interventions

  • Procedures like rubber band ligation, sclerotherapy, or infrared coagulation can provide relief for internal hemorrhoids and may result in a faster recovery.

Surgical Hemorrhoidectomy

  • If surgical intervention, such as hemorrhoidectomy, is necessary, the recovery period may be longer, typically ranging from a few weeks to several weeks.

It's essential to note that while symptoms may improve relatively quickly with proper care, the underlying factors that contribute to hemorrhoids, such as lifestyle habits and genetic predisposition, should be addressed to prevent recurrence.

When to See a Doctor

Knowing when to see a doctor for hemorrhoids is crucial for timely intervention and appropriate management. Consider consulting a doctor if you experience:

  • Persistent Symptoms: If hemorrhoid symptoms, such as pain, bleeding, or itching, persist despite home remedies and lifestyle changes.

  • Severe Pain: Intense or persistent pain that is not relieved by over-the-counter medications or home treatments.

  • Excessive Bleeding: Profuse bleeding during bowel movements or if you notice blood in the toilet bowl consistently.

  • Prolapsed Hemorrhoids: If internal hemorrhoids prolapse (extend outside the anal opening) and cannot be pushed back in manually.

  • Blood Clots: Formation of blood clots within external hemorrhoids, leading to severe pain, swelling, and inflammation.

  • Changes in Bowel Habits: Any significant changes in bowel habits or if you notice unusual stool color or consistency.

  • Lumps or Masses: Detection of unusual lumps or masses around the anal area.

  • Fever or Infection: If you develop a fever, experience signs of infection, or notice increasing redness, warmth, or drainage from the anal area.

  • First-Time Symptoms: If you are experiencing hemorrhoid symptoms for the first time or if you are unsure about the cause of your symptoms.

  • Pre-existing Conditions: If you have pre-existing health conditions, such as heart disease or diabetes, that may impact the choice of medications or treatments.

If you're dealing with the discomfort of hemorrhoids or any other gastrointestinal concerns, Center One Medical is here to provide compassionate and personalized care. Our experienced healthcare professionals specialize in comprehensive diagnosis, effective treatment options, and ongoing support. Don't let hemorrhoids disrupt your life. Contact us and schedule an appointment with Center One Medical today and experience personalized and expert care.


In conclusion, understanding the root cause of why hemorrhoids itch allows for targeted and effective management. Incorporating lifestyle changes, utilizing over-the-counter remedies, and seeking professional help when needed are pivotal steps in ensuring long-term relief from hemorrhoidal discomfort.


1. Can hemorrhoids lead to more serious health issues?

  • While rare, complications like blood clots or strangulation may occur, underscoring the importance of early intervention.

2. Is surgery the only option for severe hemorrhoids?

  • While surgery may be recommended for severe cases, less invasive procedures are often effective.

3. Can stress contribute to hemorrhoid symptoms?

  • Stress can indirectly affect hemorrhoids by impacting bowel habits; managing stress may help alleviate symptoms.

4. How can I ease hemorrhoid itching at home?

  • Applying cold compresses, using witch hazel or aloe vera, and maintaining proper hygiene practices can help alleviate itching.

5. When should I see a doctor for hemorrhoids?

  • Consult a doctor if you experience persistent symptoms, severe pain, or bleeding during bowel movements. Early intervention ensures effective management.

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