Why Do Hemorrhoids Cause Itching
Anal itching, or pruritus ani, is a common complaint. We see patients all the time who believe they have hemorrhoids because of the severe itching and need to scratch the tender skin around their anus. Some have already tried to treat their self-diagnosed hemorrhoids, and seen little relief. Often, this is because piles are not the cause of the itching. Other times, they do suffer from a hemorrhoid, but need additional treatment to stop their symptoms.
If you suffer from pruritus ani, it is important to talk to us about your symptoms. This is especially true if you also see blood on your stool, toilet paper, or underwear. Hemorrhoids can certainly cause these symptoms, but so can other more serious health concerns. We can evaluate your condition, ensure you receive the right diagnosis, and put you on a treatment plan that offers relief and healing.
Why Do Hemorrhoids Itch
Hemorrhoids are either external or internal. External hemorrhoids are found beneath the skin surrounding the anus while internal hemorrhoids are found inside the rectum.
Sometimes straining while using the bathroom pushes an internal hemorrhoid until it protrudes through the anus. When this happens its called a prolapsed internal hemorrhoid.
When an internal hemorrhoid prolapses it brings along mucus that can irritate the sensitive area around the anus causing itching. If the hemorrhoid stays prolapsed, mucus production continues and so does the itching.
If stool mixes with the mucus, that combination can make the irritation, and thus the itching, greater.
Anal itching is also referred to as pruritus ani which could be triggered by a number of conditions aside from hemorrhoids.
These other causes include:
How To Deal With Itchy Bottom At Night
Now that you know what causes the embarrassing itchiness, it is possible to take some steps and resolve the problem. In most cases, you can treat this problem by taking simple self-care measures. Here are some simple measures to prevent your bottom itching.
1. Keep Clean and Dry
As mentioned already, one of the biggest causes of anal itching is high moisture levels around anal area. It is therefore important to take steps to keep this area clean and dry. Here is what to do:
- Use water to clean your anus gently after having a bowel movement and do the same before going to bed.
- Use only mild soap to clean your bottom to avoid skin irritation.
- Dry your bottom gently after every wash. Never rub it vigorously. Pat drying with a soft towel will do.
- Use a hair dryer if you want to be absolutely sure that your anal area is dry use it on a low heat setting.
- Use damp toilet paper after using a public toilet and pat your bottom dry.
- Place a cotton tissue in your underwear if you have a tendency to sweat a lot.
2. Self-Care Measures
Here are some other tips to keep you from dealing with itchy bottom at night.
- Always use soft toilet paper.
- Take a bath daily.
- Wear loose-fitting clothes with cotton underwear.
- Try a light duvet before going to bed at night.
- Never use scented soaps, perfumed, or bubble bath.
- Keep your fingernails trimmed and wear cotton gloves at night to avoid causing any damage when scratching unintentionally.
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What Causes An Itchy Anus
There are many different possible causes for having an itchy anus, such as:
- leakage of poo from the rectum as a result of diarrhoea, constipation, diet, food intolerance or tears in the rectum
- infections such as herpes, bacteria or tinea
- intestinal parasites such as threadworms
- haemorrhoids , warts, and in extremely rare cases, cancer of the anus
- excessive sweating
- a health condition like diabetes or underactive thyroid
- skin conditions like psoriasis and contact dermatitis, which can occur when your skin is irritated by soaps, creams or perfumed or bleached toilet paper
One of the most common causes of pruritis ani is overcleaning. Try to avoid using soap, shampoo or bubble baths in this area as they remove the natural protective oils. Long hot baths or showers can also be problematic.
Why Are Hemorrhoids Worse At Night
Sleeping at night with hemorrhoid may become irksome as the pain will increase later in the day. The anal lump caused by hemorrhoid would have to take the pressure as you lie on your back.
If you ever fall asleep, uncontrolled pressure will be put on the anal muscle and rectal passage by your movement. Thus your pain will increase and come across your sleep.
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Is Itching A Sign Of Hemorrhoids
Itching in the anus area, or why does a hemorrhoid itch can be the obvious sign that you suffer from hemorrhoids. But you also need to look for other symptoms like irritation and pain around the anus. Sometimes, these symptoms are also accompanied by the itchy or painful lump, or swelling in the affected area.
Warm And Cold Compress
Warm and cold compress involve application of warm and cold compress near the hemorrhoid lumps. You should first apply warm compress on the hemorrhoid for about 20 minutes and then replace it with the cold compress. This method can reduce itchiness in your hemorrhoids.
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Do All Hemorrhoids Itch
While all hemorrhoids have the potential to develop symptoms of itching, all hemorrhoids do not necessarily always itch.
Internal hemorrhoids may itch when they become prolapsed or if mucus caused by internal hemorrhoids leaks from the rectum.
External hemorrhoids can cause itching because of the inflammation or if there are skin tags left behind.
Some patients are lucky enough to not experience the symptoms of itching with their hemorrhoids, but any type of hemorrhoid may come with this uncomfortable side effect.
Try a hemorrhoid supplement like HemRid to stop that hemorrhoid itching and burning for good.
What Causes Pruritus Ani
Pruritus ani is usually not caused by poor hygiene. Rather, the overuse of soaps and other topical products to clean the anal region or vigorous scrubbing with a washcloth or rough toilet paper can cause irritation. A hypersensitivity reaction may occur if perfumed powders, lotions, creams, ointments, or other products are applied in the anal region.
Excess perspiration or moisture may become trapped in the anal area if constricting or tight-fitting underwear is worn. Some foods and beverages, such as carbonated drinks, caffeinated beverages and spicy or acidic foods have been linked to the condition. Having frequent bowel movements or infrequent ones may also play a role.
Other causes of pruritus ani include:
Also Check: Why Am I Getting Hemorrhoids
How Long Do Itchy Hemorrhoids Last
There is no set duration for hemorrhoids. Small hemorrhoids may clear up without any treatment within a few days. Large, external hemorrhoids may take longer to heal and can cause significant pain and discomfort. If hemorrhoids have not resolved within a few days, it is best to see a doctor for treatment.
- Eat high-fiber foods. Eat more fruits, vegetables and whole grains.
- Use topical treatments. Apply an over-the-counter hemorrhoid cream or suppository containing hydrocortisone, or use pads containing witch hazel or a numbing agent.
- Soak regularly in a warm bath or sitz bath.
- Take oral pain relievers.
Best Sleeping Position To Prevent Itchy Hemorrhoids
Hemorrhoids itch at night and create a huge discomfort while sleeping. You can try these simple sleeping positions to reduce the discomfort due to itchy piles:
- If you are suffering from piles, you should not apply any pressure on your anus and rectal region. It can worsen your condition.
- It is advisable not to sleep on your back. Sleeping on your back will lead to accumulation of your whole weight at a single point and create a lot of pressure on the anus region.
- You can try any relaxing activity before going to sleep such as reading books, watching TV. Relaxing activity helps to fall asleep easily and provide a deep sound sleep.
- The best sleeping position to prevent itchy hemorrhoids is sleeping on your stomach.
- You can try placing a pillow near your hip region. This can elevate your butt area and reduce the pressure on the rectal and anus region. This position insures that you do not roll over and hurt yourself.
- If sleeping on your stomach is creating some discomfort, you can try sleeping on any of your sides.
- Those women who are pregnant and suffering from hemorrhoids should not sleep on their left side. It is preferred to sleep on their right side. Read about hemorrhoids in pregnancy.
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How To Stop Hemorrhoid Itching:
1) First, stop scratching! I know its easy said than done, but it is important. If you are scratching the anus, you are aggravating the tissue and likely worsening your condition.
2) Take A Sitz Bath! Go straight to your bathroom and draw a warm bath. If you have some epsom salt, throw it in. Within minutes you will feel better. If you do not have a bath, take a warm shower, gently spread your buttocks and let the water run down anal region. You will get immediate relief.
3) Purchase a Hemorrhoid Cream, Wipe and Supplement!
You donât even need to go to the store. If your too embarrassed to go to the store, then go on Amazon and get name brand hemorrhoid products like Preparation H cream, Tucks Wipes and HemRid supplement. You will likely receive all three the next morning and all for under $40. You canât beat it.
Itchy hemorrhoids are the worst! That itch can drive you crazy. Fortunately, there are great anti-itch products out there like Preparation H, Tucks and HemRid to help.
In addition to great products there are also great home remedies for itchy hemorrhoids like taking a sit bath. Be sure to take a sit bath as frequent as possible. Most importantly, do your best not to scratch and irritate your hemorrhoids more. Hemorrhoid sufferers have reported greater itching after scratching.
Could The Itchiness Be A Sign Of Anything Else
If you mainly experience itchiness at night when in bed, then it could be associated with a threadworm infection. Whilst this is more common in children, as they do seem to get their sticky fingers into places that an adult would stay clear of, it isnt unheard of for adults to get this too.
The way to spot threadworm is by looking at your stool before you flush. If you notice what looks like pieces of white thread in the stool, then that may well be threadworm. A quick trip to the pharmacy will sort this out with over the counter medicine. Its important to treat everyone in the household to make sure there has been no cross contamination.
It is very unusual for an itchy bum to be related to anything more serious like cancer, but if it does persist then it is best to get examined by your GP. Other causes of irritation include inflammatory dermatoses such as eczema, psoriasis or lichen planus, for example, which might require onward referral to a dermatologist for an opinion and treatment advice.
If you are unsure of what your symptoms may mean, get in touch with one of our advisors for a discreet chat. Please call us on or for more contact details.
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Why Does Hemorrhoids Itch Then
Before answering this question, it is important to understand that hemorrhoids can be external or internal.
Internal hemorrhoids take place inside the rectum. Meanwhile, the external hemorrhoids take place surrounding the anus skin.
In some cases, patients who are suffering from internal hemorrhoids could possibly extend the severity of the condition by straining when the bowel movement happens. What happens next is that the internal hemorrhoid is pushed through the anus. It happens when the patients strain too hard when attempting to pass the stools. When this happens, it is called prolapsed internal hemorrhoids.
The internal hemorrhoids that prolapse is the real culprit of extreme itching. It is because these hemorrhoids bring mucus which is not friendly with the anus skin. It triggers irritation so that the itching is inevitable. If the prolapse is left untreated, the mucus production will proceed and will just prolong the itching.
Most of the time, stools can mix with the mucus. So, whenever the patients pass their stools, mucus can be left behind, causing the itching to be more significant.
Itching in the anal part can also be from stool leakage, yeast infection, anal fissures, genital warts, scabies, herpes, and so on.
Since the real culprit here is the mucus, it is also fair to say that itching reactions can happen to people with poor hygiene lifestyles. So, you will need to improve the cleanliness of your sensitive area to avoid itching from happening.
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Do Internal Hemorrhoids Itch
If you suffer from prolapsed internal hemorrhoids, you may experience severe itchiness in your piles. When an internal hemorrhoid slips down through the anus, it can release mucus and cause irritation on the sensitive skin near the hemorrhoid lump. Such a condition leads to experience of activity-limited itchy piles.
If the hemorrhoids are prolapsed, their surrounding mucosa layer produces excess mucus and irritates the skin. Inflamed internal hemorrhoid can also lead to itchy piles.
What Causes An Itchy Bum And Vagina Or Penis At Night
Additionally, common symptoms of several sexually transmitted diseases may include itching of the vagina, penis, and anus. If youre sexually active, participate in regular STD testing.
Nighttime sex can also be a contributor to vaginal itchiness at night. If you are noticing extra itchiness after intercourse, consider the following tips:
Read Also: What Do Internal Hemorrhoids Look Like
Time To Choose The Best Soap:
Never apply a scented soap on your rectal region. They contain way too many chemicals which is undoubtedly too bad for your skin. Try applying a mild soap with good cleansing properties. There should be absolutely no trace of soap hanging around in that region after you have washed it.
If you sweat a lot, then try inserting clean cotton pads in your underwear. Wear loose and one hundred percent cotton underpants. This is going to soak the excessive moisture and keep you itch-free while you sleep.
Soothing The Symptoms Of Hemorrhoids
Dear Dr. Roach: Any suggestions for hemorrhoids? D.K.
Dear D.K.: Hemorrhoids are normal veins located in the lower rectum. They are only a problem when they get dilated. Internal hemorrhoidal veins have no pain fibers and are therefore painless, but external hemorrhoids have lots of pain receptors and can be exquisitely painful in some circumstances, such as when a blood clot forms.
At any given time, about 5% of the population has symptomatic hemorrhoids, and they are most often seen in people in their 60s and 70s. Men and women are equally affected.
Symptoms of hemorrhoids are most commonly bleeding, itching or pain. Hemorrhoidal veins become dilated, especially if subjected to high pressure, such as pregnancy or straining from constipation. The dilated veins can be easily damaged by a bowel movement and will then bleed. The bleeding is usually painless.
Itching can arise due to several causes. The lining of hemorrhoids produces mucus, which can cause irritation and itching of the anus. The area may be hard to clean, and many people are overly vigorous in cleaning and irritate the skin.
Pain in a hemorrhoid often means a blood clot, which may require urgent intervention. Otherwise, the clot gets “organized” and partially reabsorbed within a few days.
If these self-care treatments don’t work, it’s time to go see your doctor.
The third is to say that you are 86 and haven’t had any problems and maybe it’s better to keep this small dose of a short-acting drug.
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How To Stop Itching After Hemorrhoid Surgery
Because skin itches as it heals, the itching that accompanies hemorrhoid surgery may make it feel as though your hemorrhoids have not been removed.
Hemorrhoid surgery can be a cause of infection in the anal region. Make sure you check for signs of infection post-surgery.
Experts, like those at Augusta University, often recommend a sitz bath up to three times a day. The sitz bath will help deal with the itching following surgery, without irritating the surgical site so it can continue to heal.
Creams To Get Rid Of That Itch:
The market is brimming with lotions, gels and creams to take care of the itching hemorrhoids. The presence of steroids in the hemorrhoid creams can do a much faster and effective job. You should consult a doctor before getting that.
The most natural and organic way to cure the itching is aloe vera gel. It has anti-inflammatory, anti-fungal, antiseptic and anti-microbial properties. In short everything that you need to keep the problem of itching caused due to hemorrhoids away.
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