Why hemorrhoids itch

Updated: January 23, 2022

In the USA, about 75% of people have suffered from hemorrhoids at some particular point in their lives. In fact, it may be argued that everyone has hemorrhoids which are the pillow-like clustered veins in the rectum and anus. They only become a problem when the veins get distended or swollen and get uncomfortable or itchy. But why hemorrhoids itch?

Hemorrhoids, commonly known as piles, are swollen veins in the lower part of the rectum and anus. They are associated with strained bowel movements and sitting too long on the toilet. This causes the interference of blood flow so blood pools and enlarges the vessels in the anal and rectal areas.

There are internal and external hemorrhoids. External hemorrhoids are found in the folds of the skin around the anus while internal hemorrhoids are found in the rectum. 

Why Hemorrhoids Itch?

When you strain while emptying your bowels, an internal hemorrhoid may be pushed out until it appears in the anus. This is known as a prolapsed internal hemorrhoid.

A prolapsed internal hemorrhoid comes out with mucus from the mucous membranes that line the lower rectum. This mucus may irritate the sensitive area of the anus and cause itching. If the prolapsed internal hemorrhoid remains protruding, mucus will continue to be produced, causing further irritation.

The itch can also get worse if the mucus mixes with stool. This anal itching is referred to as pruritus ani. 

Other Causes of Pruritus Ani  

Ironically, you can develop an anal itch because of being too clean! When you use wipes with chemicals, cleansers, or creams to vigorously clean your bottom, it causes irritation.

They strip the anal of natural oils and leave it dry to a point it develops cracks or tears so this causes an itchy and burning sensation. Other conditions that may lead to pruritus ani include:

  • Leakage of stool
  • Yeast infection
  • Excessive sweating
  • Anal cracks
  • Herpes 
  • Genital warts
  • Skin conditions like contact dermatitis and psoriasis
  • Scabies
  • Body lice
  • Intestinal parasites like pinworms, threadworms, and hookworms
  • Ringworms
  • In some rare cases, anal cancer

Additional Symptoms of Anal Itching

The symptoms that accompany the itch due to hemorrhoids include:

  • Rectal pain
  • Bleeding which is detected by seeing blood in the stool
  • Itching

Home Remedies for Anal Itching


This can be done in a bathtub or sitz bath (a shallow basin of water fitted over a toilet).  Fill either of them with warm water and sit in it for it to soak your anus. This will help to improve blood circulation and heal the swelling. You can also add two tablespoons of Epsom salts or baking soda to make the remedy more effective. Find it on Amazon HERE

Witch Hazel

It is very helpful in easing pain and itching. It also has anti-inflammatory properties to reduce swelling. It can be applied directly to the hemorrhoids or can be found in soaps or wipes. Find it on Amazon HERE

Cold Compress

Put ice in a cloth or paper towel and place it on your anus for about 15 minutes. It will help in relieving the pain of the external hemorrhoids. Find Hemorrhoid treatment ice pack on Amazon HERE

Aloe Vera

Aloe vera is renowned for its anti-inflammatory properties so it will help in reducing irritation and swelling. You can apply freshly-extracted aloe vera gel on the hemorrhoids. However, do a patch test first in case it causes an allergic reaction. Find Aloe Vera gel on Amazon HERE

Stool Softeners

Softening stool will help in reducing constipation which is associated with hemorrhoid formation. It can be done using stool softeners or fiber supplements, for example, psyllium. Stool softeners are made in capsule, liquid, or powder form that you can swallow every day. Find it on Amazon HERE

Soothing wipes

Toilet paper can be harsh on hemorrhoids and may irritate them further. Soothing wipes made with anti-itch ingredients like aloe vera and witch hazel will help in cleaning without making hemorrhoids worse. 

If hemorrhoids itch is affecting the way you live your life, consider any of the treatment options above, and remember to seek a doctor’s help if the symptoms get worse.  Find them on Amazon HERE

H-Hemorrhoids formula

The H-Hemorrhoids formula is a natural solution for hemorrhoids. Use on external hemorrhoids / internal hemorrhoids, easily applied topically to the area. Helps to provide fast pain relief and shrink hemorrhoids by reducing swelling.*

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  • Quickly reduce swelling. Fast hemorrhoid relief*
  • FDA listed, manufactured in the USA*
  • External hemorrhoids, prolapsed, thrombosed, minor bleeding*
  • Natural alternative to painful hemorrhoid surgery*

Treatment Options of Anal Itching

Anal itching is a very uncomfortable, even embarrassing experience so you may desperate to finally ease it. This can be done in various ways:

Topical Applications

Over-the-counter creams that will help in easing the pain are available in your local drug store or online stores. They contain local anesthetic that temporarily eases the pain.

Your physician may also recommend the use of a topical protectant that creates a barrier for sensitive skin against irritants like stool. Examples of topical products you can use include Sensi Care, Desitin, Calmoseptine, Hydraguard, anddiaper cream preferably with zinc oxide. 

Rubber Band Ligation

This is a procedure performed by a doctor to remove an internal hemorrhoid. First, a viewing device is inserted into the anus to locate the hemorrhoids. Then, a device known as a ligator is used to grasp and put a rubber band around the base of the hemorrhoids. This cuts off their blood supply; they die and fall off after about a week. 


This is a surgical procedure to remove large external hemorrhoids or internal hemorrhoids that recur after band ligation. Incisions are made on the hemorrhoids and the distended blood vessels are removed. It’s a painful procedure so patients are put under general anesthesia. Recovery takes about 7-10 days and you can return to your normal duties.

Stapled Hemorrhoidopexy

It’s a procedure used by doctors to treat prolapsed internal hemorrhoids or bleeding hemorrhoids. A stapling device is used to reposition hemorrhoids to their original place. It’s painful so general anesthesia is used.

Treat the Clot

External hemorrhoids sometimes form blood clots which can be very painful. A minor surgical procedure can be used to remove the clots from the vein.


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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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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.