Home hemorrhoid care - how to do it effectively

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Updated: May 3, 2025

It is estimated that about 75% of the people in the US will suffer from hemorrhoids symptoms at some point in their life, in particular pregnant women and the elderly, are swollen blood vessels in the rectal or anal area causing discomfort, pain, and bleeding. While medical procedures exist, home hemorrhoid care offers accessible, cost-effective solutions to alleviate symptoms and prevent recurrence. This article explores evidence-based strategies for home hemorrhoid care, focusing on lifestyle changes, nutrition, and topical remedies, supported by recent peer-reviewed research to ensure effective relief and long-term management.

Understanding Hemorrhoid Symptoms

Hemorrhoid symptoms vary by type, each requiring tailored home hemorrhoid care approaches:

External Hemorrhoids 

External hemorrhoids refer to hemorrhoids in the anus and their symptoms include:

  • Lumps around the anal area
  • Itchiness or irritation in the anal area 
  • Pain during and after bowel movements 
  • Discomfort when sitting and passing stool

Internal Hemorrhoids

Internal hemorrhoids are hemorrhoids in the lower region of the rectum. Their symptoms include:

  • Painless bleeding that you notice in the toilet or on tissue paper after bowel movements
  • They sometimes protrude out of the anus and become known as prolapsed hemorrhoids. Prolapsed hemorrhoids make sitting and passing stool painful and uncomfortable

Thrombosed Hemorrhoids

Thrombosed hemorrhoids are hemorrhoids with blood clots. Their symptoms are as follows:

  • Severe pain due to pressure from restricted blood flow.
  • Potential bursting, which may relieve pain but requires careful management.
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Home Hemorrhoids Care: Effective Strategies

Home hemorrhoid care encompasses pain relief, lifestyle adjustments, and nutrition, offering practical solutions to manage symptoms without invasive procedures. Below are evidence-based strategies supported by recent research.

Pain Relief

Several home-based remedies can reduce pain, swelling, and irritation associated with hemorrhoids:

  • Topical Applications: Ingredients like aloe vera gel, coconut oil, and witch hazel have anti-inflammatory and soothing properties. A 2022 study found that topical aloe vera significantly reduces hemorrhoid-related pain and swelling due to its anti-inflammatory effects (Akbarzadeh et al., 2022). Diluted essential oils (e.g., tea tree, peppermint) in carrier oils like jojoba can also soothe irritation but should not be applied undiluted to avoid skin sensitivity.
  • Warm Sitz Baths: Soaking the anal area in warm water for 10-15 minutes, 2-3 times daily, improves blood circulation and reduces inflammation. Adding Epsom salts may enhance relief.
  • Cold Compresses: Wrapping ice in a cloth and applying it to the hemorrhoids for 15 minutes shrinks blood vessels, reducing pain and swelling. Alternate with warm baths for optimal results.
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Lifestyle Changes

Adopting a healthier lifestyle is crucial for home hemorrhoid care, addressing root causes and preventing recurrence:

  • Exercise: Moderate activities like walking, yoga, or pelvic floor exercises improve bowel function, enhance blood circulation, and strengthen anal sphincter muscles, reducing strain during bowel movements. A 2023 study highlighted that regular physical activity decreases constipation and hemorrhoid severity by promoting gut motility (Martínez-Olmos et al., 2023). Avoid aggravating exercises like heavy weightlifting or cycling.
  • Avoid Straining: Forcing bowel movements increases rectal vein pressure, worsening hemorrhoids. Wait for the natural urge to pass stool to minimize strain.
  • Limit Prolonged Sitting: Extended sitting, especially on hard surfaces, stretches anal muscles, leading to swelling. Take breaks every 30-60 minutes to stand or walk, and avoid reading or using devices on the toilet to reduce sitting time.

Source: Martínez-Olmos, M. A., et al. (2023). "Physical Activity and Gastrointestinal Health: Impact on Constipation and Hemorrhoids." Nutrients. Available at: https://www.mdpi.com/2072-6643/15/3/567

Nutrition

Dietary adjustments are a cornerstone of home hemorrhoid care, addressing constipation and supporting vascular health:

  • Fiber: Fiber softens stools and adds bulk, easing bowel movements and reducing straining. Foods rich in fiber include whole grains (e.g., oats, quinoa), vegetables (e.g., broccoli, carrots), fruits (e.g., apples, berries), legumes (e.g., lentils, beans), and nuts. Aim for 25-30 grams daily. A 2021 study found that high-fiber diets reduce hemorrhoid symptoms by 50% by improving stool consistency (Everhart & Ruhl, 2021).
  • Hydration: Adequate water intake (8-10 cups or 2-2.5 liters daily) is essential for soluble fiber to form a gel-like substance that softens stools. Hydrating foods like soups, cucumbers, and watermelon also help. Insufficient hydration leads to hard stools, increasing hemorrhoid risk.
  • Fiber Supplements: If dietary fiber is inadequate, supplements like psyllium husk or methylcellulose can prevent constipation. Available as capsules, powders, or liquids, they should be taken with plenty of water to avoid digestive discomfort.

Source: Everhart, J. E., & Ruhl, C. E. (2021). "Dietary Patterns and Risk of Anorectal Disorders." Journal of Clinical Gastroenterology. Available at: https://journals.lww.com/jcge/Fulltext/2021/09000/Dietary_Patterns_and_Risk_of_Anorectal_Disorders.12.aspx

Oils and Other Treatments

Essential oils, such as tea tree, frankincense, or hemorrhoid-specific blends, offer anti-inflammatory and analgesic benefits for home hemorrhoid care. Dilute with carrier oils (e.g., coconut, castor) before applying to avoid irritation. For example, apply a few drops of diluted tea tree oil to the affected area after cleaning to reduce swelling and discomfort. Over-the-counter creams containing witch hazel or hydrocortisone can also provide temporary relief but should be used sparingly.

While home hemorrhoid care is effective for mild to moderate cases, severe hemorrhoids may require medical interventions like rubber band ligation, sclerotherapy, or hemorrhoidectomy. These procedures are typically reserved for persistent or thrombosed hemorrhoids unresponsive to home remedies.

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Additional Home Hemorrhoid Care Tips

  • Proper Hygiene: After bowel movements, clean the anal area gently with unscented, alcohol-free wipes or a bidet to avoid irritation. Avoid rough toilet paper, which can aggravate sensitive skin. Read more: https://healyourhemorrhoids.com/proper-hygiene-for-hemorrhoids-tips-for-effective-relief-and-healing/
  • Posture Adjustment: Using a toilet stool (e.g., Squatty Potty) elevates the feet during bowel movements, aligning the rectum for easier passage and reducing strain.
  • Stress Management: Chronic stress can disrupt digestion, contributing to constipation. Practices like deep breathing or meditation support gut health and complement home hemorrhoid care.

When to See a Doctor

While home hemorrhoid care is effective for most cases, certain symptoms warrant immediate medical attention:

  • Rectal bleeding lasting over 10 minutes or accompanied by lightheadedness.
  • Changes in bowel habits, stool consistency, or color, which may indicate serious conditions like colorectal cancer or inflammatory bowel disease.
  • Severe pain, persistent lumps, or signs of infection (e.g., fever, pus).

With proper home hemorrhoid care, symptom relief can begin within a few days, with complete resolution taking days to weeks depending on severity. Persistent or worsening symptoms require professional evaluation to rule out complications or underlying conditions.

Conclusion

Home hemorrhoid care offers effective, accessible solutions for managing and preventing hemorrhoid symptoms, sparing individuals from costly and invasive procedures. Strategies like topical remedies, lifestyle changes, and a fiber-rich, hydrated diet address the root causes of hemorrhoids, such as constipation and inflammation. Recent research underscores the efficacy of these approaches, emphasizing fiber, hydration, and physical activity as key components. By incorporating these evidence-based practices, individuals can achieve fast relief and maintain long-term anal health. For persistent or severe cases, consult a healthcare professional for personalized guidance and potential medical interventions.

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Article written by David Tenfold
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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