Why Do Hemorrhoids Itch

Hemorrhoids form when blood vessels around your anus and the very end of your intestine become swollen. This is similar to what happens to blood vessels in the legs when you have varicose veins.

Things that increase pressure in this area increase your risk of hemorrhoids. This includes things like straining during bowel movements, pregnancy, and frequent heavy lifting.

Itching is a common symptom of hemorrhoids. Let's look at why hemorrhoids itch and some simple things you can do to treat hemorrhoids.

What causes hemorrhoids to itch?

It's normal for hemorrhoids to itch. Itching from hemorrhoids can happen at any time. But many people notice itching more at night when there's less to distract from the discomfort.

Below are four common reasons why hemorrhoids can cause an itching sensation.

1. Dryness and irritation around the anus

As veins swell, they put pressure on the nearby tissue. This can make the skin nearby become sensitive and itchy.

2. Feces buildup

When hemorrhoids are very swollen and painful, it can be hard to wipe completely after bowel movements. Fecal material (poop) that isn't cleared away can irritate your skin and cause anal itching.

3. Excessive cleaning

On the flip, frequent wiping can also irritate the area around hemorrhoids, leading to itching. And some hemorrhoid cleansers can irritate your skin and cause itching.

4. Mucus leakage

The anal glands make mucus to keep the anus lubricated and moist. But some people may experience mucus leakage from the anus when they have hemorrhoids. This mucus can irritate your skin and cause itching.

How do you relieve itchiness from hemorrhoids?

There's no way to completely keep hemorrhoids from itching. But there are plenty of things you can do to calm itching from hemorrhoids and help them heal faster.

If you're struggling with itchy hemorrhoids, try these five remedies.

1. Hemorrhoid creams

There are several different types of hemorrhoid creams available over the counter. Creams that contain the steroid hydrocortisone (like Anusol-HC) can help decrease inflammation and itching.

2. Cool compresses

Cool temperatures can help reduce sensation and temporarily relieve itching. Wrap ice in a towel and apply it for 10 minutes at a time.

3. Sitz baths

A sitz bath uses warm water to soak your bottom, helping to relax muscles and improve blood flow. Try making a sitz bath at home. You can use a sitz bath for 10 to 20 minutes at a time to help heal hemorrhoids.

4. Astringents

Over-the-counter (OTC) products that contain witch hazel (like Tucks and Preparation H Cooling Gel) act as astringents, meaning they help shrink blood vessels to temporarily make hemorrhoids smaller and less itchy. These products don't usually include harsh chemicals that can worsen itching. Try keeping witch hazel in your refrigerator for added cooling relief.

5. Stool softeners

The easier it is for stool to pass, the faster your hemorrhoids can heal. Help your body make soft stools by getting plenty of water, fiber, and physical activity. OTC stool softeners or laxatives can also be helpful.

What else can cause anal itching?

Hemorrhoids often cause anal itching, but not all anal itching is from hemorrhoids. Other conditions that can cause an itchy bottom include:

• Irritation from products like lotions, soaps, and powders

• Yeast infections

• Tears in the skin of your anus (anal fissures)

• Genital warts

• Pinworm infections

Talk with your primary care provider if you're not sure what's causing your anal itching or if you have anal itching along with any of these symptoms:

• A rash or lump near your anus

• A fever

• Bleeding or discharge from your anus

• Symptoms that don't get better with home treatments

When should you seek care for hemorrhoids?

Most of the time, hemorrhoids will go away on their own. But you should seek medical care for hemorrhoids if you have:

• Bleeding from your rectum or blood in your stools

• Severe pain that you can't manage at home

• Symptoms that don't get better after one week of home treatment

These are signs that you might need prescription treatment or a medical procedure to help heal your hemorrhoids.