Why Do Hemorrhoids Itch Worse at Night?

Updated: March 5, 2025

Why do hemorrhoids itch worse at night? This is a question many people suffering from hemorrhoids find themselves asking as they struggle to get comfortable and fall asleep. Hemorrhoid itching can be particularly bothersome during the nighttime, leading to restless nights and frustration. But what causes this increased discomfort, and what can be done to alleviate it? In this article, we will explore the reasons behind nighttime hemorrhoid itching and offer some tips for relief.

Understanding Hemorrhoids and Their Symptoms

Hemorrhoids are swollen veins located in the lower rectum or anus. They can be internal, developing inside the rectum, or external, forming under the skin around the anus. Common symptoms of hemorrhoids include pain, swelling, irritation, and itching. Itching occurs due to inflammation and moisture in the affected area, leading to discomfort and a strong urge to scratch.

Why Do Hemorrhoids Itch Worse at Night?

Why do hemorrhoids itch worse at night? The answer lies in several contributing factors, including body position, reduced distractions, and increased awareness of discomfort. Let's explore these reasons in detail:

  1. Body Position and Blood Flow
    When lying down, blood flow to the pelvic area increases. This can cause the hemorrhoids to swell slightly, intensifying the itching sensation. Additionally, gravity does not help with drainage as it does when standing or sitting, leading to more pressure and discomfort.
  2. Reduced Distractions
    During the day, various activities and distractions keep the mind occupied, making it easier to ignore mild itching. At night, when the environment is quiet and the body is at rest, the focus naturally shifts to any discomfort, including hemorrhoid itching.
  3. Increased Sensitivity at Night
    The body’s natural circadian rhythms can influence how pain and itching are perceived. Research suggests that the nervous system is more sensitive at night, which can amplify sensations of itching and discomfort.
  4. Skin Irritation and Moisture
    Sweating during sleep or residual moisture from incomplete cleaning after bowel movements can aggravate itching. This creates a moist environment that further irritates the sensitive skin around hemorrhoids.
  5. Prolonged Contact with Irritants
    Wearing certain types of clothing, such as tight-fitting underwear or non-breathable fabrics, can trap heat and moisture around the anus, worsening the itching sensation. Additionally, sitting or lying down for extended periods without movement can exacerbate discomfort.
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Managing Nighttime Hemorrhoid Itching

Why do hemorrhoids itch worse at night? Now that we understand the reasons, let's look at some effective ways to manage and reduce nighttime itching:

  1. Proper Hygiene
    Keeping the anal area clean and dry is crucial. Use gentle, unscented wipes or a bidet to clean thoroughly after bowel movements. Avoid harsh soaps that can cause irritation. Pat the area dry with a soft towel instead of rubbing.
  2. Loose, Breathable Clothing
    Wearing loose-fitting, breathable cotton underwear and pajamas can help prevent moisture buildup and reduce friction that contributes to itching. Read more: https://healyourhemorrhoids.com/managing-hemorrhoids-clothing-tips/
  3. Cold Compresses
    Applying a cold compress to the affected area can provide temporary relief by numbing the itching sensation and reducing inflammation.
  4. Topical Treatments
    Over-the-counter creams and ointments designed for hemorrhoids can help alleviate itching. Look for products containing hydrocortisone, witch hazel, or aloe vera for soothing effects.
  5. Oatmeal Baths
    A warm (not hot) bath with colloidal oatmeal can soothe irritated skin and provide relief from itching. Avoid using bubble baths or scented products that may worsen irritation.
  6. Diet and Hydration
    Prevent constipation by eating a high-fiber diet and staying well-hydrated. Soft stools reduce straining during bowel movements, minimizing irritation of hemorrhoids.
  7. Avoid Scratching
    Although it can be tempting, scratching hemorrhoids worsens irritation and can lead to infection. If itching is unbearable, apply a soothing cream or use a cold compress.
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When to See a Doctor

If hemorrhoid itching persists despite home remedies or is accompanied by severe pain, bleeding, or swelling, it is essential to consult a healthcare professional. These symptoms could indicate a more serious condition, such as an anal fissure or infection, requiring medical attention.

Why Do Hemorrhoids Itch Worse at Night? – Final Thoughts

Why do hemorrhoids itch worse at night? This question has multiple answers, from increased blood flow and sensitivity to reduced distractions and skin irritation. Understanding the causes can help individuals take effective steps to minimize discomfort and improve sleep quality. By maintaining good hygiene, wearing breathable clothing, and using appropriate topical treatments, nighttime itching can be managed effectively.

If symptoms persist or worsen, seek medical advice to rule out other underlying conditions.

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For those seeking natural relief, consider Amoils Hemorrhoid Formula, a gentle, homeopathic treatment designed to soothe hemorrhoid discomfort and itching. This formula is made with high-quality essential oils, offering a safe and effective solution for hemorrhoid sufferers.

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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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