- Acute Flaccid Myelitis
- Alzheimer’s Disease
- Arteriovenous Malformations
- Attention Deficit Hyperactivity Disorder
- Back Pain
- Brain Aneurysm
- Brain Tumors
- Carpal Tunnel Syndrome
- Childhood Brain Tumors
- Delirium
- Dementia
- Hemorrhagic Stroke
- Ischemic Stroke
- Memory
- Meningitis
- Mild Cognitive Impairment
- Movement Disorders
- Multiple Sclerosis
- Neuroblastoma
- Neuromuscular Disorders
- Parkinson’s Disease
- Polio and Post-Polio Syndrome
- Speech and Language Problems in Children
- Stroke
- Transient Ischemic Attack
- Tremor
- Walking Problems
- West Nile Virus
- A1C
- Blood Glucose
- Diabetes
- Diabetes and Pregnancy
- Diabetes Complications
- Diabetes in Children and Teens
- Diabetes Medicines
- Diabetes Type 1
- Diabetes Type 2
- Diabetic Diet
- Diabetic Eye Problems
- Diabetic Foot
- Diabetic Heart Disease
- Diabetic Kidney Problems
- Diabetic Nerve Problems
- How to Prevent Diabetes
- Hyperglycemia
- Metabolic Syndrome
- Prediabetes
- Abortion
- Breast Cancer
- Breast Diseases
- Breast Reconstruction
- Breastfeeding
- Cervical Cancer
- Cervical Cancer Screening
- Cesarean Delivery
- Childbirth
- Ectopic Pregnancy
- Endometriosis
- Female Infertility
- Health Problems in Pregnancy
- High Blood Pressure in Pregnancy
- HIV and Pregnancy
- Hormone Replacement Therapy
- HPV
- Hysterectomy
- Infections and Pregnancy
- Mammography
- Mastectomy
- Menopause
- Menstruation
- Miscarriage
- Ovarian Cancer
- Ovarian Cysts
- Ovarian Disorders
- Pelvic Floor Disorders
- Pelvic Inflammatory Disease
- Pelvic Pain
- Period Pain
- Polycystic Ovary Syndrome
- Pregnancy
- Pregnancy and Drug Use
- Pregnancy and Opioids
- Premenstrual Syndrome
- Prenatal Care
- Prenatal Testing
- Primary Ovarian Insufficiency
- Sexual Problems in Women
- Stillbirth
- Teenage Pregnancy
- Trichomoniasis
- Tubal Ligation
- Uterine Cancer
- Uterine Diseases
- Uterine Fibroids
- Vaginal Bleeding
- Vaginal Cancer
- Vaginal Diseases
- Vaginitis
- Vulvar Cancer
- Vulvar Disorders
- Yeast Infections
- Alcohol
- Calcium
- Child Nutrition
- Cholesterol
- Cholesterol Levels: What You Need to Know
- Cholesterol Medicines
- DASH Eating Plan
- Eating Disorders
- Food Allergy
- HDL: The “Good” Cholesterol
- High Cholesterol in Children and Teens
- How to Lower Cholesterol
- How to Lower Cholesterol with Diet
- Infant and Newborn Nutrition
- LDL: The “Bad” Cholesterol
- Malabsorption Syndromes
- Nutrition for Older Adults
- Pregnancy and Nutrition
- Toddler Nutrition
- Triglycerides
- VLDL Cholesterol
- Alpha-1 Antitrypsin Deficiency
- Ataxia Telangiectasia
- Brain Malformations
- Cerebral Palsy
- Charcot-Marie-Tooth Disease
- Chiari Malformation
- Cleft Lip and Palate
- Color Blindness
- Congenital Heart Defects
- Craniofacial Abnormalities
- Cystic Fibrosis
- Ehlers-Danlos Syndrome
- Fetal Alcohol Spectrum Disorders
- Friedreich Ataxia
- Genetic Counseling
- Hemophilia
- Huntington’s Disease
- Hydrocephalus
- Muscular Dystrophy
- Neural Tube Defects
- Neurofibromatosis
- Newborn Screening
- Osteogenesis Imperfecta
- Prader-Willi Syndrome
- Pregnancy and Medicines
- Rett Syndrome
- Sickle Cell Disease
- Spina Bifida
- Spinal Muscular Atrophy
- Tay-Sachs Disease
- Tourette Syndrome
- Tuberous Sclerosis
- Usher Syndrome
- Acute Lymphocytic Leukemia
- Allergy
- Animal Bites
- Ankylosing Spondylitis
- Aplastic Anemia
- Asthma
- Asthma in Children
- Childhood Leukemia
- Childhood Vaccines
- Chronic Lymphocytic Leukemia
- COVID-19 Vaccines
- Cryptosporidiosis
- Eosinophilic Disorders
- Eosinophilic Esophagitis
- Giant Cell Arteritis
- Hay Fever
- HIV
- HIV and Infections
- HIV in Women
- Hodgkin Lymphoma
- Infectious Diseases
- Infectious Mononucleosis
- Juvenile Arthritis
- Kawasaki Disease
- Lymphedema
- Lymphoma
- Multiple Myeloma
- Pemphigus
- Pneumocystis Infections
- Rheumatoid Arthritis
- Scleroderma
- Sjogren’s Syndrome
- Tonsillitis
- Vaccines
- Viral Infections
- Adhesions
- Ankle Injuries and Disorders
- Arm Injuries and Disorders
- Back Injuries
- Brachial Plexus Injuries
- Burns
- Chest Injuries and Disorders
- Concussion
- CPR
- Dislocated Shoulder
- Dislocations
- Elbow Injuries and Disorders
- Eye Injuries
- Facial Injuries and Disorders
- Finger Injuries and Disorders
- Foot Injuries and Disorders
- Fractures
- Hand Injuries and Disorders
- Heel Injuries and Disorders
- Hip Injuries and Disorders
- Inhalation Injuries
- Insect Bites and Stings
- Jaw Injuries and Disorders
- Knee Injuries and Disorders
- Leg Injuries and Disorders
- Mosquito Bites
- Neck Injuries and Disorders
- Rotator Cuff Injuries
- Shoulder Injuries and Disorders
- Spinal Cord Injuries
- Sprains and Strains
- Tick Bites
- Toe Injuries and Disorders
- Traumatic Brain Injury
- Wrist Injuries and Disorders
- Acute Bronchitis
- Bird Flu
- Chronic Bronchitis
- COPD
- COVID-19 (Coronavirus Disease 2019)
- Croup
- E-Cigarettes
- Fistulas
- Flu
- Granulomatosis with Polyangiitis
- H1N1 Flu (Swine Flu)
- Legionnaires’ Disease
- Lung Cancer
- Mesothelioma
- Pneumonia
- Pulmonary Hypertension
- Respiratory Syncytial Virus Infections
- Sleep Apnea
- Smoking
- Tuberculosis
- Whooping Cough
- Anatomy
- Assisted Reproductive Technology
- Birth Control
- Chlamydia Infections
- Circumcision
- Erectile Dysfunction
- Genital Herpes
- Genital Warts
- Gonorrhea
- Herpes Simplex
- Infertility
- Male Infertility
- Penis Disorders
- Prostate Cancer
- Prostate Cancer Screening
- Prostate Diseases
- Reproductive Hazards
- Sexual Health
- Sexual Problems in Men
- Sexually Transmitted Diseases
- Syphilis
- Testicular Cancer
- Testicular Disorders
- Vasectomy
- Abdominal Pain
- Bad Breath
- Bleeding
- Breathing Problems
- Bruises
- Chest Pain
- Choking
- Chronic Pain
- Constipation
- Cough
- Diarrhea
- Dizziness and Vertigo
- Edema
- Fainting
- Fever
- Frostbite
- Gas
- Gastrointestinal Bleeding
- Headache
- Heartburn
- Heat Illness
- Hives
- Hypothermia
- Indigestion
- Itching
- Jaundice
- Nausea and Vomiting
- Pain
- Rare Diseases
- Raynaud’s Disease
- Sciatica
- Speech and Communication Disorders
- Stuttering
Hemorrhoids
Summary
What are hemorrhoids?
Hemorrhoids are swollen, inflamed veins around your anus or the lower part of your rectum. There are two types:
- External hemorrhoids, which form under the skin around your anus
- Internal hemorrhoids, which form in the lining of your anus and lower rectum
What causes hemorrhoids?
Hemorrhoids happen when there is too much pressure on the veins around the anus. This can be caused by:
- Straining during bowel movements
- Sitting on the toilet for long periods of time
- Chronic constipation or diarrhea
- A low-fiber diet
- Weakening of the supporting tissues in your anus and rectum. This can happen with aging and pregnancy.
- Frequently lifting heavy objects
What are the symptoms of hemorrhoids?
The symptoms of hemorrhoids depend on which type you have:
With external hemorrhoids, you may have:
- Anal itching
- One or more hard, tender lumps near your anus
- Anal pain, especially when sitting
Too much straining, rubbing, or cleaning around your anus may make your symptoms worse. For many people, the symptoms of external hemorrhoids go away within a few days.
With internal hemorrhoids, you may have:
- Bleeding from your rectum – you would see bright red blood in your stool, on toilet paper, or in the toilet bowl after a bowel movement
- Prolapse, which is a hemorrhoid that has fallen through your anal opening
Internal hemorrhoids are usually not painful unless they are prolapsed. Prolapsed internal hemorrhoids may cause pain and discomfort.
How can I treat hemorrhoids at home?
You can most often treat your hemorrhoids at home by:
- Eating foods that are high in fiber
- Taking a stool softener or a fiber supplement
- Drinking enough fluids every day
- Not straining during bowel movements
- Not sitting on the toilet for long periods of time
- Taking over-the-counter pain relievers
- Taking warm baths several times a day to help relieve pain. This could be a regular bath or a sitz bath. With a sitz bath, you use a special plastic tub that allows you to sit in a few inches of warm water.
- Using over-the-counter hemorrhoid creams, ointments, or suppositories to relieve mild pain, swelling, and itching of external hemorrhoids
When do I need to see a health care provider for hemorrhoids?
You should see your health care provider if you:
- Still have symptoms after 1 week of at-home treatment
- Have bleeding from your rectum. Hemorrhoids are a common cause of bleeding, but other conditions can also cause bleeding. They include Crohn’s disease, ulcerative colitis, colorectal cancer, and anal cancer. So it’s important to see your provider to find the cause of the bleeding.
How are hemorrhoids diagnosed?
To make a diagnosis, your health care provider:
- Will ask about your medical history
- Will do a physical exam. Often providers can diagnose external hemorrhoids by looking at the area around your anus.
- Will do a digital rectal exam to check for internal hemorrhoids. For this, the provider will insert a lubricated, gloved finger into the rectum to feel for anything that is abnormal.
- May do procedures such as an anoscopy to check for internal hemorrhoids
What are the treatments for hemorrhoids?
If at-home treatments for hemorrhoids don’t help you, you may need a medical procedure. There are several different procedures that your provider can do in the office. These procedures use different techniques to cause scar tissue to form in the hemorrhoids. This cuts off the blood supply, which usually shrinks the hemorrhoids. In severe cases, you may need surgery.
Can hemorrhoids be prevented?
You can help prevent hemorrhoids by:
- Eating foods that are high in fiber
- Taking a stool softener or a fiber supplement
- Drinking enough fluids every day
- Not straining during bowel movements
- Not sitting on the toilet for long periods of time
NIH: National Institute of Diabetes and Digestive and Kidney Diseases
National Institute of Diabetes and Digestive and Kidney Diseases
Find an Expert
- American Society of Colon and Rectal Surgeons American Society of Colon and Rectal Surgeons
Diagnosis and Tests
- Anal Itching Mayo Foundation for Medical Education and Research
- Anoscopy National Library of Medicine
- Flexible Sigmoidoscopy National Institute of Diabetes and Digestive and Kidney Diseases
- Gastrointestinal (GI) Bleeding National Institute of Diabetes and Digestive and Kidney Diseases
Patient Handouts
- Anoscopy Medical Encyclopedia
- Hemorrhoid removal — discharge Medical Encyclopedia
- Hemorrhoid surgery Medical Encyclopedia
- Hemorrhoids Medical Encyclopedia
Encyclopedia
- Black or tarry stools Medical Encyclopedia
Clinical Trials
- ClinicalTrials.gov: Hemorrhoidectomy National Institutes of Health
- ClinicalTrials.gov: Hemorrhoids National Institutes of Health
Related Issues
- Fiber: How to Increase the Amount in Your Diet American Academy of Family Physicians
Treatments and Therapies
- Hemorrhoid surgery – series — Normal anatomy Medical Encyclopedia
- Horse Chestnut National Center for Complementary and Integrative Health
Start Here
- Hemorrhoids American Academy of Family Physicians
- Hemorrhoids National Institute of Diabetes and Digestive and Kidney Diseases