Itchy Hemorrhoids are among the most uncomfortable problems affecting millions globally, especially pregnant women. Itchy hemorrhoids occur when veins in the lower part of the rectum and anus become swollen and inflamed, leading to discomfort and irritation. Factors such as obesity, pregnancy, and prolonged sittings may cause hemorrhoids.
As the hemorrhoids enlarge, it exerts pressure on nearby nerves, producing itching and a burning sensation. Moreover, the increased blood flow is a potential cause of itchiness. Furthermore, the irritation can cause the hemorrhoids to swell further and pinch nerve endings, intensifying the itchiness.
Hemorrhoids or piles can be classified as internal (inside the anus) or external hemorrhoids (outside the anus).
Why do Hemorrhoids Itch?
There are several reasons behind the itchy hemorrhoids:
Inflammation
- Hemorrhoid growth may increase the chances of bleeding and bacterial attraction, which may increase infection risks.
- As bacteria begin to multiply, it causes inflammation and further irritation.
Friction
Rubbing too much anal area causes friction that leads to itching. Most external hemorrhoids are susceptible to itch due to contact with the following things:
- Washcloths
- Toilet paper
- Clothing
- Skin-to-skin rubbing
- Other irritants
External hemorrhoids may develop a blood clot that usually disappears but may leave behind the skin tag that itches. The skin tag also traps feces and makes it challenging to maintain proper hygiene. Rubbing these skin tags through cleaning or whipping worsens the symptoms.
Natural production of mucus
Excessive mucus discharge may be one of the hemorrhoid symptoms. In addition, accidental mucus leakage during gas passage may cause irritation and itching.
Passing feces
- Diarrhea irritates the skin around the anus, while constipation causes straining that worsens the symptoms of hemorrhoids.
- Fecal leakage caused by hemorrhoids irritates the skin around the anus.
Allergic Reaction
Itchy hemorrhoids may indicate an allergic reaction to an irritant that may come in contact with the skin.
Treatment for Itchy Hemorrhoids
Hydrocortisone Cream
Hydrocortisone creams, lotions, or gels relieve itchy hemorrhoids. You may ask your doctor to recommend steroid gels for severe symptoms.
Sitz Bath
A sitz bath is a warm water in a small tub. Fill a tub with warm water and sit in it for 20 minutes. Repeat it three to four times a day and after every bowel movement. It will relieve itching and irritation.
Hemorrhoid Suppositories
Most suppositories contain phenylephrine which belongs to the class of drugs called sympathomimetic amines. Suppositories are inserted into the anus directly or either with anal tampons. They temporarily constrict blood vessels in the affected area and relieve swelling, itching, burning, and pain.
Aloe vera Gel
Aloe vera is a natural antiseptic. It reduces itching hemorrhoids and other causes of anal itching, including anal fissures and psoriasis.
Topical Creams & Ointments
Topical ointments relieve itchy piles and prevent skin irritation because they contain any of the following ingredients:
- Zinc oxide
- Petrolatum
- Witch hazel
- Xylocaine
Numbing Creams
Lidocaine-containing creams and ointments can be used to numb the area.
Green Teabags
Green tea has anti-inflammatory properties that reduce inflammation and alleviate itchy skin.
- Soak 3-4 green tea bags in warm water for 2 minutes.
- Lightly squeeze them and then apply them to the itchy area.
Essential Oils
Essential oils can be used to treat itchy hemorrhoids.
- Mix 2-4 drops of essential oil with two fluid ounces of base oil ( almond or castor oil) and apply directly to hemorrhoid.
- Tea tree oil, lavender oil, cypress oil, or avocado oil can be used to reduce itchiness and promote healing of the irritated skin area.
Surgery
It is only recommended in severe cases to reduce or shrink hemorrhoids.
Prevention of Itchy Hemorrhoids
The following are the preventive measures:
- Apply a cold compress as it helps in helps in reducing inflammation and swelling. It also numbs the area and relieves itching.
- Wash your genital area with a bidet to prevent hemorrhoids.
- Use hemorrhoid cream or ointment to reduce inflammation and irritation.
- Drink plenty of fluids to keep your skin hydrated, and it also helps to reduce itching sensations.
- Eating high-fiber food improves hemorrhoid symptoms and prevents them from returning.
- Bathing in Eposm salts relief swelling and reduces irritation and itching.
- Use hemorrhoid pillows as they are designed to give you extra support and for reducing discomfort & pressure.
- Avoid sitting for long periods as it intensifies hemorrhoid symptoms.
- Avoid scented soaps, wipes, or toilet paper, and wear baggy clothes to prevent hemorrhoids from itching.
- If you are pregnant or postpartum, avoid putting strain on your hemorrhoids.
- Visit a healthcare provider if your hemorrhoids are genetic.
Frequently Asked Questions
How long do itchy hemorrhoids last?
Depending upon the symptoms, it may last for a few days, and the person may feel pain due to swollen hemorrhoids for 5-12 days.
Do internal hemorrhoids itch?
Yes. Internal hemorrhoids can cause itching due to the increased production of mucus by the body, which can irritate the sensitive lining of the rectum. Furthermore, if internal hemorrhoids become prolapsed, it can cause skin irritation around the anus, resulting in itching.
Do external hemorrhoids itch?
Yes. External hemorrhoids are developed under the skin around the anus. The patient feels extreme pain as most pain-sensing nerves are in this area. In addition, inflammation in this area results in irritation and itching.
Why do hemorrhoids itch at night?
- Your certain pre-sleep activities are the root cause behind the itchy hemorrhoids. For example, before going to sleep, just like everyone, you may have a bowel movement, which could irritate you.
- Certain people have the habit that when they have nothing to do, they start scratching their hemorrhoids, which results in itchy hemorrhoids.
- Enterobius Vermicularis infection also makes anal itching worse at night.
How do I stop the hemorrhoid itch at night?
You can use the following:
- Piles itching cream (such as Zinc oxide)
- Wearing comfortable and loose night suits
- Maintaining proper hygiene
- Controlling diarrhea if you are suffering from it
Do hemorrhoids itch when healing?
No. Inflammation causes itching in hemorrhoids. However, as the hemorrhoids start healing, itchiness decreases. Conversely, if your itchiness increases, hemorrhoids worsen due to increased inflammation. Consult your doctor if you still feel itching hemorrhoids even after proper treatment.
