Epsom Salt for Hemorrhoids: A Complete Guide to Natural Relief

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Updated: March 27, 2025

Hemorrhoids—those pesky, swollen veins in your lower rectum or anus—can turn everyday activities into a painful ordeal. If you’re searching for a natural, affordable, and effective remedy, you’ve likely stumbled across Epsom salt. But does it really work? How do you use it? And what should you know before diving in? In this ultimate guide, we’ll explore everything you need to know about using Epsom salt for hemorrhoids, from the science behind it to step-by-step instructions, safety tips, and even complementary remedies. Whether you’re dealing with internal hemorrhoids, external hemorrhoids, or post-pregnancy flare-ups, this guide has you covered.

What Are Hemorrhoids?

Hemorrhoids, often called piles, are swollen veins in the rectum or around the anus. They can be internal (inside the rectum) or external (under the skin around the anus). According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), nearly 1 in 20 Americans experience hemorrhoids at some point, with risk factors including:

  • Chronic constipation or diarrhea
  • Straining during bowel movements
  • Sitting for long periods
  • Pregnancy and childbirth
  • Aging (weakened tissues)
  • Obesity

Symptoms range from mild discomfort to severe pain, itching, swelling, or even bleeding. While over-the-counter creams and medical procedures exist, many people turn to natural remedies like Epsom salt to ease the agony without breaking the bank.

What Is Epsom Salt and How Does It Work?

Epsom salt isn’t your typical table salt. Chemically known as magnesium sulfate, it’s a naturally occurring mineral compound named after a saline spring in Epsom, England. For centuries, it’s been used to soothe muscle aches, reduce inflammation, and promote relaxation.

When dissolved in water or applied topically, Epsom salt releases magnesium and sulfate ions. These ions are believed to:

  • Reduce inflammation: Magnesium has anti-inflammatory properties that may shrink swollen hemorrhoidal tissue.
  • Relieve pain: The warm water and magnesium combo soothes irritated nerves.
  • Improve circulation: Better blood flow can help heal damaged veins.
  • Cleanse the area: Its mild antiseptic qualities may prevent infection in external hemorrhoids.

While scientific studies specifically targeting Epsom salt for hemorrhoids are limited, its general benefits for inflammation and muscle relaxation are well-documented, making it a popular home remedy.

Can Epsom Salt Really Help Hemorrhoids? The Science Explained

You might wonder: Is this just an old wives’ tale, or is there evidence behind it? Let’s break it down.

The Magnesium Connection

Magnesium is a key player in muscle relaxation and inflammation reduction. A 2017 study published in the Journal of Inflammation Research highlighted magnesium’s role in calming inflammatory responses in the body. Since hemorrhoids involve inflamed veins, this property could theoretically ease swelling and discomfort.

Warm Water Synergy

Most Epsom salt remedies involve soaking in warm water (e.g., a sitz bath). Warm water alone increases blood flow and relaxes the anal sphincter, which can reduce pressure on hemorrhoids. Adding Epsom salt enhances this effect by delivering magnesium directly to the affected area.

Anecdotal Evidence

While clinical trials on Epsom salt for hemorrhoids are scarce, countless users swear by it. Online forums, health blogs, and even some doctors recommend it as a low-risk, cost-effective option for mild to moderate cases.

Verdict: Epsom salt isn’t a cure, but it can provide symptomatic relief for pain, swelling, and itching—especially when combined with proper hygiene and diet changes.

Benefits of Using Epsom Salt for Hemorrhoids

Why choose Epsom salt over other remedies? Here are the top perks:

  1. Natural and Affordable: A bag of Epsom salt costs just a few dollars and lasts for multiple uses.
  2. Reduces Swelling: The magnesium sulfate may shrink inflamed tissues.
  3. Soothes Pain: Warm soaks paired with Epsom salt calm irritated nerves.
  4. Non-Invasive: No need for surgery or harsh chemicals.
  5. Easy to Use: From baths to compresses, it fits into any routine.
  6. Relaxation Bonus: It doubles as a stress-reliever, which can indirectly help by reducing tension that worsens hemorrhoids.

How to Use Epsom Salt for Hemorrhoids: Step-by-Step Methods

Ready to try it? Here are three proven methods to use Epsom salt for hemorrhoid relief.

Method 1: Epsom Salt Sitz Bath

A sitz bath is the gold standard for hemorrhoid relief, and adding Epsom salt takes it up a notch.

What You’ll Need:

  • 1–2 cups of Epsom salt (unscented, pharmaceutical-grade recommended)
  • A sitz bath tub (fits over your toilet) or a regular bathtub
  • Warm water (not scalding—aim for 100–105°F or 38–40°C)

Steps:

  1. Prepare the Bath: Fill your sitz bath or tub with 4–6 inches of warm water.
  2. Add Epsom Salt: Stir in 1–2 cups until fully dissolved.
  3. Soak: Sit in the bath for 15–20 minutes, ensuring the affected area is submerged.
  4. Rinse Off: Pat dry with a clean towel—no rubbing!
  5. Repeat: Use 1–2 times daily until symptoms improve.

Pro Tip:

Add a few drops of lavender or chamomile essential oil for extra relaxation (optional).

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Method 2: Epsom Salt Compress

No time for a soak? A compress is quick and targeted.

What You’ll Need:

  • 1/4 cup Epsom salt
  • 1 cup warm water
  • A clean washcloth

Steps:

  1. Mix: Dissolve the Epsom salt in warm water.
  2. Soak the Cloth: Dip the washcloth in the solution and wring out excess liquid.
  3. Apply: Place the compress on the hemorrhoid area for 10–15 minutes.
  4. Repeat: Do this 2–3 times daily as needed.
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Method 3: Epsom Salt Paste

For external hemorrhoids, a paste offers direct application.

What You’ll Need:

  • 2 tablespoons Epsom salt
  • 1 tablespoon water or coconut oil (for a smoother texture)

Steps:

  1. Mix: Combine Epsom salt with water or oil to form a thick paste.
  2. Apply: Gently spread a thin layer over the hemorrhoid using clean fingers or a cotton pad.
  3. Wait: Let it sit for 10–15 minutes.
  4. Rinse: Wash off with lukewarm water and pat dry.
  5. Frequency: Use once daily—overdoing it can dry out skin.
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How Long Does It Take for Epsom Salt to Work on Hemorrhoids?

Results vary based on severity. For mild cases, you might feel relief within 1–2 sessions (a few hours to a day). Moderate hemorrhoids may take 3–7 days of consistent use. Severe cases, especially with bleeding or prolapsed hemorrhoids, might require medical attention alongside Epsom salt for faster healing.

Patience is Key: Epsom salt reduces symptoms but doesn’t “cure” the underlying vein issue. Pair it with fiber, hydration, and lifestyle changes for lasting results.

Safety Tips and Precautions

Epsom salt is generally safe, but follow these guidelines:

  • Don’t Overdo It: Excessive soaking (over 30 minutes) can dry out skin or worsen irritation.
  • Check Water Temperature: Too hot can burn sensitive skin; too cold won’t relax muscles.
  • Avoid Open Wounds: If hemorrhoids are bleeding heavily, skip the salt and consult a doctor.
  • Hydrate: Magnesium can have a laxative effect if absorbed in large amounts—drink water post-soak.
  • Patch Test: If using a paste, test on a small area first to rule out sensitivity.
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Who Should Avoid Epsom Salt for Hemorrhoids?

While Epsom salt is safe for most, avoid it if you:

  • Have kidney disease (magnesium overload risk).
  • Are pregnant with complications (consult your doctor first).
  • Have severe bleeding hemorrhoids or infections (seek medical care).
  • Are allergic to sulfates (rare but possible).
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Complementary Remedies to Pair with Epsom Salt

Boost your relief with these add-ons:

  • Witch Hazel: A natural astringent to shrink hemorrhoids.
  • Aloe Vera: Soothes inflammation and speeds healing.
  • Fiber-Rich Diet: Prevents constipation (think oats, fruits, and veggies).
  • Hydration: 8–10 glasses of water daily softens stools.
  • Exercise: Improves circulation and reduces pressure on veins.
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Epsom Salt vs. Other Hemorrhoid Treatments

TreatmentProsCons
Epsom SaltCheap, natural, easySlow, not a cure
OTC Creams (e.g., Preparation H)Fast relief, targetedCostly, chemicals
Surgery (Hemorrhoidectomy)Permanent fixInvasive, recovery time
Witch HazelNatural, quickMay sting, less potent

Frequently Asked Questions (FAQs)

1. Can Epsom salt cure hemorrhoids permanently?
No, it relieves symptoms but doesn’t address the root cause (e.g., vein damage).

2. Is Epsom salt safe during pregnancy?
Yes, in moderation, but consult your doctor, especially if you have preeclampsia.

3. Can I use scented Epsom salt?
Unscented is best—fragrances might irritate sensitive skin.

4. How often should I use Epsom salt for hemorrhoids?
1–2 times daily for 15–20 minutes until symptoms ease.

Where to Buy High-Quality Epsom Salt

Look for 100% pure, unscented Epsom salt. Top picks:

  • Amazon: Brands like Dr Teal’s, Better Bath Better Body or Epsoak.
  • Walmart/Target: Budget-friendly bulk options.
  • Pharmacies: CVS or Walgreens carry USP-grade Epsom salt.
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Final Thoughts: Is Epsom Salt Right for You?

Epsom salt is a simple, low-cost way to manage hemorrhoid discomfort. It’s not a miracle cure, but for mild to moderate cases, it’s a soothing addition to your self-care toolkit. Combine it with a healthy lifestyle, and you’ll be on your way to relief. Have questions or success stories? Drop them below—we’d love to hear from you!

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Epsom salt - sitz soak
Brand: Better Bath Better Body
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Article written by Heal Your Hemorrhoids
Hemorrhoids are and can be very painful and annoying. Therefore we have dedicated our site healyourhemorrhoids.com to help people to find the reasons why they have got hemorrhoids and how they can find a solution for curing Hemorrhoids in the fastest and most convenient way!

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Disclaimer
This website is aimed to serve you best available information regarding Hemorrhoids and Anal Fissures treatment.
This website is not intended as a substitute for the medical advice of doctors or physicians.The reader should consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. You are liable for any injuries or ailments – and you are responsible for your overall medical condition.
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