How Long Do Hemorrhoids Last? Duration, Healing & Treatment Guide

How Long Do Hemorrhoids Last? Most mild hemorrhoids last a few days to a week, while severe or untreated cases can persist for weeks or even months. Internal hemorrhoids, external hemorrhoids, and thrombosed hemorrhoids all have different healing timelines, which also depend on treatment and lifestyle habits. According to the Mayo Clinic, most hemorrhoids improve faster with high-fiber diets, good bathroom habits, and early medical care. What Are Hemorrhoids? Hemorrhoids — sometimes called piles — are swollen veins in the lower rectum or anus. These blood vessels act like cushions, helping with stool control, but when they become inflamed or engorged with blood, they can cause discomfort, itching, bleeding, or swelling. Hemorrhoids are one of the most common rectal conditions worldwide, affecting millions of adults, especially between ages 45 and 65. They can be temporary and resolve with self-care, or persistent and require medical treatment. Types of Hemorrhoids Internal Hemorrhoids Develop inside the rectum. Usually painless, but may cause rectal bleeding during bowel movements. May prolapse (protrude outside the anus) in advanced cases. External Hemorrhoids Form under the skin around the anus. Often cause itching, pain, and swelling — especially when irritated. More likely to become thrombosed (a blood clot inside the vein), which can be very painful. Thrombosed Hemorrhoids Can be internal or external, but are most common with external hemorrhoids. Occur when blood pools and forms a clot, causing severe pain, swelling, and a bluish lump. Thrombosed hemorrhoid healing time varies from a few days to several weeks, depending on treatment and severity. Why Hemorrhoids Swell When pressure increases in the pelvic or rectal veins — such as from straining during bowel movements, pregnancy, chronic constipation, or prolonged sitting — these veins enlarge and may bulge outward, becoming swollen hemorrhoids. Quick Fact: According to the American Society of Colon and Rectal Surgeons (ASCRS), more than half of adults will experience hemorrhoids at least once in their lifetime, but most cases can be managed with diet, lifestyle changes, and prompt care. Symptoms and Causes of Hemorrhoids Hemorrhoids Symptoms The symptoms of hemorrhoids can vary depending on their type (internal, external, or thrombosed) and severity. Some people have mild symptoms that come and go, while others experience significant discomfort. Common signs and sensations include: Pain or discomfort around the anus, especially when sitting or during bowel movements. Itching or irritation (yes, hemorrhoids can be itchy) due to inflammation and moisture in the anal area. Swelling or a lump near the anus — often felt with external hemorrhoids or swollen hemorrhoids. Bleeding hemorrhoids — bright red blood on toilet paper or in the toilet bowl after bowel movements (internal hemorrhoids tend to bleed more often than external ones). What do hemorrhoids feel like? A small, tender bump or bulge; in thrombosed cases, the lump can be hard and very painful. Note: While bleeding is common with hemorrhoids, it’s important to see a doctor to rule out other conditions such as anal fissures, colorectal polyps, or cancer. What Causes Hemorrhoids? Hemorrhoids develop when pressure builds up in the rectal and anal veins, causing them to stretch and swell. Multiple lifestyle, medical, and genetic factors can contribute. Common causes include: Straining during bowel movements – often due to chronic constipation or hard stools. Chronic diarrhea – frequent loose stools can irritate and inflame the anal veins (can hemorrhoids cause diarrhea? No, but diarrhea can cause hemorrhoids). Low-fiber diet – lack of fiber makes stools harder and bowel movements more difficult. Prolonged sitting – especially on the toilet, increases vein pressure. Pregnancy – hormonal changes and increased pelvic pressure make hemorrhoids common in expectant mothers. Advancing age – tissues supporting anal veins weaken over time. Heavy lifting – repeated strain can increase rectal pressure. Chronic coughing – yes, coughing can cause hemorrhoids by creating sudden abdominal pressure. Digestive disorders – conditions like IBS can cause hemorrhoids indirectly through constipation or diarrhea. Lifestyle factors – excessive alcohol use (does alcohol cause hemorrhoids? It can contribute by causing dehydration and constipation). Genetic predisposition – are hemorrhoids genetic? Family history can increase susceptibility. Stress – while stress doesn’t directly cause hemorrhoids, it can affect digestion and bowel habits, leading to flare-ups. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), improving diet and bathroom habits can significantly reduce hemorrhoid risk and help manage symptoms. How Long Do Hemorrhoids Last? Most mild hemorrhoids improve within a few days to a week with proper self-care, while more severe or chronic cases may linger for weeks or even months if untreated. Healing time depends on the type of hemorrhoid, its severity, your bowel habits, and whether you seek treatment early. Mild Hemorrhoids For mild internal or external hemorrhoids, symptoms such as itching, mild swelling, and discomfort often improve in 3–7 days with at-home measures like warm baths, increased fiber, and topical creams. How long does it take for hemorrhoids to go away? In many cases, about a week or less with consistent care. How long for hemorrhoids to go away without intervention? Often 1–2 weeks, but lingering irritation can happen if bowel habits remain poor. How long does hemorrhoids last after starting self-care? Noticeable relief usually starts within a few days, but hemorrhoids healing time varies. Pain from mild cases is generally short-lived — how long does hemorrhoid pain last is typically 2–3 days. Severe or Chronic Hemorrhoids When hemorrhoids are large, recurrent, or complicated (e.g., thrombosed), symptoms can persist: Chronic hemorrhoids may flare repeatedly over months or years. Can hemorrhoids last for months? Yes, especially if the underlying cause (constipation, prolonged sitting, low fiber) is not corrected. Are hemorrhoids permanent? No — the swollen veins themselves can shrink — but the tendency for recurrence can be long-term without lifestyle changes. How Long Do Internal Hemorrhoids Last? Grade I–II internal hemorrhoids may shrink in a week or two with dietary and lifestyle changes. Grade III–IV internal hemorrhoids (those that prolapse and need manual reduction or stay prolapsed) can persist for weeks to months without medical treatment. In our clinic’s experience, early care shortens healing time dramatically. For search relevance, note: how long do hemroids last — the timeline can range from days to months depending on grade and care. How Long Do External Hemorrhoids Last? External hemorrhoids tend to cause more pain than bleeding because of the sensitive skin around the anus. Swelling may last up to 2–3 weeks, but tenderness often improves within a few days. Do external hemorrhoids go away? Yes — the swelling resolves gradually, especially with anti-inflammatory creams and sitz baths. Women may experience external female hemorrhoids during pregnancy or postpartum, which can last longer due to pelvic pressure. Thrombosed Hemorrhoid Healing Time A thrombosed hemorrhoid occurs when a blood clot forms inside an external hemorrhoid, causing severe pain and a firm lump. Pain usually peaks in 48–72 hours, then gradually eases. Without treatment, the clot may take 1–2 weeks to be reabsorbed, and the swelling may linger for a few more weeks. Quick intervention (incision and clot removal) can speed recovery significantly. Special Scenarios Pregnancy: How long do hemorrhoids last pregnancy? Often until after delivery, though symptoms can be controlled with safe home remedies. Hormonal changes and increased pelvic pressure slow healing during pregnancy. After Birth: How long do hemorrhoids last after birth? Postpartum hemorrhoids may shrink within a few weeks but can persist if constipation or straining continues. With Ointment: How long do hemorrhoids last with ointment? Topical treatments can ease symptoms in days, but full resolution may still take 1–2 weeks. If Untreated: How long do hemorrhoids last if untreated? Small ones may still heal in a week or two, but larger or thrombosed hemorrhoids can last weeks to months. Single Hemorrhoid Wording: How long does it take for a hemorrhoid to go away? Usually within 7–10 days for mild cases. How long does it take for a hemorrhoid to shrink? Shrinking can begin in a few days with care. How long for hemorrhoid to go away? The range is a few days to several weeks, depending on type and severity. Factors That Affect Hemorrhoid Duration Not all hemorrhoids heal at the same pace. How long does a hemorrhoid last — or how long can hemorrhoids last — depends on a mix of personal health, lifestyle, and the severity of the condition. Here’s what matters most: 1. Severity & Grade of Hemorrhoids Mild, early-stage hemorrhoids (Grade I–II) often shrink within a week or two with home care. Advanced or prolapsed hemorrhoids (Grade III–IV) may linger for weeks or even months if not treated. Thrombosed hemorrhoids resolve more slowly and can leave residual skin tags after healing. 2. Bowel Habits & Bathroom Behavior Chronic constipation or repeated straining prolongs swelling and irritation. Spending too much time on the toilet (scrolling your phone, reading) increases vein pressure and delays recovery. Consistent, soft bowel movements help hemorrhoids heal faster. 3. Fiber Intake & Hydration A low-fiber diet leads to harder stools, worsening symptoms and slowing recovery. Drinking enough water — 8+ cups daily for most adults — keeps stools soft and reduces pressure on hemorrhoidal veins. According to NIDDK, fiber and hydration are among the most effective non-surgical measures to speed healing. 4. Posture & Sitting Time Sitting for long periods, especially on hard surfaces, increases pressure in the rectal area. Using a cushion or donut pillow and taking standing breaks every 30–60 minutes can help circulation and shorten healing time. 5. Physical Activity Gentle exercise, such as walking or swimming, improves bowel function and reduces pressure on hemorrhoidal veins. Strenuous lifting or high-intensity workouts during flare-ups can worsen swelling and extend recovery. 6. Age & Circulatory Health With age, connective tissues that support rectal veins weaken, meaning hemorrhoids may take longer to heal in older adults. Poor circulation or vascular health can further slow recovery. 7. Weight & Abdominal Pressure Excess body weight increases intra-abdominal pressure, which can prolong symptoms. Even modest weight loss can help improve healing time. 8. Pregnancy & Postpartum Changes Increased pelvic pressure, hormonal shifts, and constipation during pregnancy can extend healing times. Many pregnancy-related hemorrhoids improve after delivery but can persist for weeks postpartum. 9. Underlying GI Conditions Conditions like IBS, chronic diarrhea, ulcerative colitis, or Crohn’s disease cause repeated irritation that keeps hemorrhoids from healing. Treating the root digestive problem is key to lasting relief. Bottom line: While some cases resolve in a few days, how long can a hemorrhoid last can range from days to months depending on these factors. Addressing them early — with both lifestyle changes and medical evaluation when needed — shortens recovery and lowers the risk of recurrence. Hemorrhoid Healing Stages Understanding the hemorrhoid healing stages can help you track progress and know when to seek medical care. While the timeline varies by type and severity, most people experience three main phases. Stage 1: Onset – Pain, Itch, or Bleeding This is when symptoms first appear — swelling, tenderness, and irritation around the anus. Internal hemorrhoids may cause painless bleeding during bowel movements, while external hemorrhoids are more likely to feel itchy, sore, or tender. Thrombosed hemorrhoids cause sudden, sharp pain and a firm, bluish lump. Tip: Gentle hygiene, sitz baths, and avoiding straining help prevent the condition from worsening at this stage. Stage 2: Shrink Phase – Inflammation Goes Down With proper self-care — high-fiber diet, hydration, avoiding prolonged sitting — swelling starts to gradually shrink. Pain usually eases within a few days, though mild tenderness or itching may linger for up to two weeks. Over-the-counter creams, witch hazel pads, and warm baths can speed this phase. If you’re wondering, “how do I know if hemorrhoids are healing?” — look for reduced swelling, less frequent bleeding, and easier bowel movements. Stage 3: Resolution or Recurrence – Final Outcome In complete resolution, the hemorrhoid tissue returns to normal size, symptoms disappear, and skin around the anus feels normal again. In some cases, skin tags or mild residual swelling remain but are symptom-free. Recurrence is common if contributing factors (constipation, low fiber, prolonged sitting) aren’t addressed — which is why prevention habits are crucial. According to the American Society of Colon and Rectal Surgeons, recurrent flare-ups may worsen over time and require medical procedures. Bottom line: Each phase can last anywhere from a couple of days to several weeks. Recognizing the hemorrhoid healing stages helps you take timely action — and acting early often means shorter recovery. Home Remedies to Speed Up Recovery While some cases require medical intervention, many people can speed up hemorrhoid recovery with consistent at-home care. These methods help relieve pain, reduce swelling, and prevent flare-ups from worsening. 1. Sitz Baths – Soothing Warm Water Therapy Sitting in a few inches of warm water for 15–20 minutes, 2–3 times daily can ease pain, reduce inflammation, and improve blood flow to speed healing. Many patients ask if they can enhance the bath — and yes, Epsom salt is good for hemorrhoids. It may help reduce swelling and soothe irritation. Avoid adding soaps or bubble bath, as they can cause further irritation. 2. Ice Packs for Swelling Relief Applying a wrapped ice pack or frozen gel pack to the area for 10–15 minutes can numb pain and decrease swelling, especially in external hemorrhoids. Alternate between cold therapy and warm sitz baths for best results. 3. Gentle Cleaning After Bowel Movements Instead of dry toilet paper, use unscented, alcohol-free wipes or rinse with a hand-held bidet. Pat — don’t rub — the area to avoid further irritation. 4. Boost Fiber Intake Aim for 25–30 grams of fiber daily from whole grains, vegetables, fruits, beans, and nuts. A high-fiber diet softens stools, reduces straining, and shortens healing time. Fiber supplements like psyllium husk can help if your diet falls short. 5. Stay Hydrated Drink 8–10 glasses of water per day to keep stools soft and bowel movements regular. Limit caffeine and alcohol, as they can contribute to dehydration and constipation. 6. Avoid Straining & Limit Toilet Time Straining puts direct pressure on hemorrhoid veins and can delay healing. Avoid sitting on the toilet for more than 5 minutes — prolonged sitting increases blood pooling and swelling. 7. Use Cushions for Sitting Comfort If you must sit for long periods, use a donut cushion or soft pillow to reduce pressure on the rectal area. Avoid hard seating surfaces whenever possible. 8. Adjust Sleep Positions Wondering how to sleep with hemorrhoids? Side-sleeping with a pillow between your knees can ease rectal pressure. If you must sleep on your back, place a small pillow under your lower back to elevate your hips slightly. 🛑 Myth-Busting Infobox: What NOT to Do Apple cider vinegar: Some online tips suggest applying ACV directly — but it can burn and irritate already sensitive tissue. No credible medical source recommends it. Aggressive wiping: Scrubbing or using rough toilet paper worsens irritation and delays healing. Scented wipes or harsh soaps: These can cause allergic reactions and skin inflammation. Stick to fragrance-free, gentle options. Tip from Manhattan Medical Arts: Most mild to moderate hemorrhoids improve within days to weeks with these home strategies — but if symptoms persist or worsen, a medical evaluation ensures you’re not dealing with a more serious condition. Medical Treatment Options (Information Only) At Manhattan Medical Arts, we provide comprehensive evaluation and guidance for hemorrhoids — but we are not a procedural clinic. Our role is to assess your symptoms, confirm the diagnosis, and refer you to trusted specialists when needed. We perform a focused physical exam and, if necessary, anoscopy to view the inside of the anal canal. The results help determine whether conservative care will be enough, or if a specialist referral for procedural treatment is the best path. Over-the-Counter (OTC) Treatments Hydrocortisone creams/ointments – Reduce inflammation and itching; available in 1% strength OTC or higher strength by prescription. Lidocaine gels – Provide numbing pain relief. Witch hazel pads – Have a mild astringent effect to soothe swelling. Note: All are regulated by the U.S. Food and Drug Administration (FDA) for safety when used as directed. In-Office Minimally Invasive Procedures (Specialist Care) Rubber Band Ligation (RBL) – A tiny band is placed at the hemorrhoid’s base to cut off blood flow, shrinking it within a week. Recovery: Mild discomfort for 1–2 days; normal activity often resumes the same day. Sclerotherapy – Injection of a chemical solution to shrink the hemorrhoid. Recovery: Usually no downtime; best for small internal hemorrhoids. Infrared Coagulation or Electrocoagulation – Uses heat or electrical current to seal hemorrhoidal blood vessels. Recovery: Minimal discomfort; short office procedure. Advanced & Surgical Options (For Severe or Persistent Hemorrhoids) Hemorrhoid Artery Embolization (HAE) – Minimally invasive, catheter-based procedure that blocks blood supply to hemorrhoids. Recovery: Return to light activity in 1–2 days; less pain than surgery. Hemorrhoidectomy – Surgical removal; most effective for large, prolapsed, or thrombosed hemorrhoids. Recovery: 2–4 weeks; pain control is important during early healing. Hemorrhoidopexy (Stapled Hemorrhoidectomy) – Staples the hemorrhoidal tissue back in place and cuts off blood flow. Recovery: 1–2 weeks; often less painful than traditional surgery. Pro Tip: If you’re wondering “how to get rid of prolapsed hemorrhoids without surgery,” procedures like RBL, sclerotherapy, and HAE may be viable options — but only a specialist can confirm which is right for you. When to See a Doctor While many hemorrhoids improve with home care, some symptoms require professional evaluation to rule out complications or more serious conditions. Seek medical attention promptly if you notice: Bleeding that persists beyond a few days or worsens over time Severe or worsening pain that isn’t relieved by OTC treatments Prolapse that won’t reduce (hemorrhoid tissue that stays outside the anus) Fever, chills, or signs of infection around the anal area Persistent symptoms that don’t improve within a week of self-care Red Flags That May Signal Other Conditions Some symptoms blamed on hemorrhoids can be caused by other gastrointestinal issues, including anal fissures, colorectal polyps, inflammatory bowel disease (IBD), or even colorectal cancer. If you experience: Changes in bowel habits (chronic diarrhea, constipation, pencil-thin stools) Unexplained weight loss Black or tarry stools Blood mixed into the stool rather than just on toilet paper …it’s essential to see a doctor immediately for a full evaluation. Why It Matters: Early diagnosis can prevent complications and ensure that any underlying condition is treated promptly. Pro Tip: If you’re unsure whether it’s “just a hemorrhoid” or something more, it’s better to err on the side of caution and get checked — especially if you’ve never had a confirmed hemorrhoid diagnosis before. Complications If You Ignore Hemorrhoids Ignoring hemorrhoids won’t necessarily be life-threatening in most cases — but delaying care can make symptoms worse, increase the risk of complications, and mask more serious health issues. 1. Anemia from Chronic Bleeding Repeated bleeding from hemorrhoids can slowly deplete your body’s iron stores, leading to iron-deficiency anemia. Symptoms may include fatigue, weakness, shortness of breath, and dizziness. While rare in mild cases, long-term untreated bleeding hemorrhoids can cause this over time. 2. Strangulated Hemorrhoid In severe cases, internal hemorrhoids can prolapse and have their blood supply cut off. This is called a strangulated hemorrhoid — it’s extremely painful and may require urgent medical intervention. 3. Rupture and Burst Hemorrhoids Many patients ask, “Can hemorrhoids burst?” Yes — especially thrombosed external hemorrhoids (clots under the skin) can rupture if pressure builds, leading to sudden bleeding. While the bleeding often relieves pressure, it can be alarming and still needs evaluation to ensure no infection or deeper injury. 4. Infection and Abscess Formation A damaged or ruptured hemorrhoid can allow bacteria to enter, leading to infection or perianal abscess. Symptoms may include swelling, redness, pus, fever, or chills — all of which need urgent care. 5. Residual Skin Tags When external hemorrhoids heal, stretched skin may remain, forming skin tags. These aren’t harmful but can cause hygiene challenges and discomfort. 6. Misattribution to More Serious Diseases Not all rectal bleeding is from hemorrhoids — colorectal cancer, polyps, inflammatory bowel disease, and anal fissures can cause similar symptoms. Assuming it’s “just hemorrhoids” could delay early detection of life-threatening conditions. 7. Other Concerns & Common Questions Can hemorrhoids kill you? Not directly, but complications like severe infection or massive bleeding are dangerous. Do hemorrhoids smell? Infected or prolapsed hemorrhoids can cause odor due to mucus leakage or poor hygiene from pain. Can hemorrhoids cause stomach pain or headaches? No, but pain, stress, or straining can cause general discomfort. Are hemorrhoids contagious? No — they’re not caused by bacteria or viruses. Can babies get hemorrhoids? Rarely, but constipation and straining in toddlers can cause anal swelling. Bottom line: While hemorrhoids themselves are usually manageable, neglecting them can lead to complications that require more invasive treatment. If symptoms persist or worsen, see a doctor early. Prevention & Long-Term Habits While hemorrhoids are common, the right daily habits can dramatically reduce the risk of flare-ups and speed recovery if you’ve already experienced them. The key is to keep bowel movements regular, minimize straining, and support healthy blood flow in the pelvic area. 1. Aim for the Right Fiber Intake Most adults need 25–38 grams of fiber per day (per USDA recommendations) from foods like: Whole grains (brown rice, oats, quinoa) Fruits (berries, pears, apples with skin) Vegetables (broccoli, carrots, leafy greens) Legumes (beans, lentils, chickpeas) Fiber softens stool and increases its bulk, making it easier to pass without straining — one of the biggest triggers for hemorrhoids. 2. Stay Hydrated 8–10 cups of water daily helps stool stay soft. Limit dehydrating drinks like alcohol or excessive coffee, which can worsen constipation. 3. Keep Moving Sitting for long periods puts pressure on the veins in your rectum and anus. Aim to: Take standing/walking breaks every 30–60 minutes. Include 20–30 minutes of light-to-moderate exercise most days. Avoid prolonged heavy lifting without proper technique. 4. Use Healthy Bathroom Habits Go when you feel the urge — waiting makes stool harder and drier. Don’t strain or hold your breath. Limit toilet sitting to under 5 minutes — scrolling on your phone encourages prolonged pressure. Consider a squat posture (using a small footstool) to align the rectum for easier passage. 5. Manage Weight & Core Pressure Excess body weight, chronic coughing, and frequent heavy lifting increase abdominal pressure, which can worsen or trigger hemorrhoids. Managing your weight and addressing cough, constipation, or IBS helps prevent recurrence. 6. Ongoing Lifestyle Checks Wear breathable, loose-fitting underwear to reduce irritation. Manage stress — tension can influence bowel habits. Avoid overuse of laxatives unless prescribed. FAQs about How Long Do Hemorrhoids Last How long do hemorrhoids last? Most mild hemorrhoids improve within a few days to a week with home care. More severe or thrombosed cases may take 2–3 weeks or longer to resolve. How long does it take for hemorrhoids to go away? With fiber, hydration, and topical care, many improve within 7–10 days. Persistent pain or bleeding warrants medical evaluation. How long does it take for a hemorrhoid to shrink? Swelling often reduces in 3–5 days with sitz baths, ice, and anti-inflammatory treatments, but complete healing may take longer. How long do internal hemorrhoids last? Mild internal hemorrhoids may resolve in a week, while advanced grades (III–IV) may require procedural treatment. How long do external hemorrhoids last? Pain and swelling peak in the first few days and usually subside within 1–2 weeks, but a skin tag may remain. Will hemorrhoids go away on their own? Yes, in many mild cases they do—but without preventive lifestyle changes, they can return and sometimes worsen over time. How do I know if hemorrhoids are healing? Healing typically moves from pain, swelling, and irritation → gradual shrinkage → complete symptom resolution. Signs of improvement include less bleeding, reduced swelling, and decreased discomfort during bowel movements. What kind of doctor treats hemorrhoids? You can start with a primary care physician for evaluation and initial treatment. For persistent, complex, or surgical cases, gastroenterologists or colorectal surgeons are the specialists who manage hemorrhoids. How long does hemorrhoid pain last? Pain typically peaks in 48–72 hours and lessens over a week. Thrombosed pain may last longer without drainage. How long do hemorrhoids bleed? Minor bleeding may occur intermittently for several days; prolonged or heavy bleeding needs evaluation. Are hemorrhoids permanent? Most hemorrhoids improve or go away with proper self-care and treatment, but they can return if underlying causes—like constipation, low fiber intake, or prolonged sitting—aren’t addressed. Chronic or severe cases may persist and require medical intervention. What is the healing time for a thrombosed hemorrhoid? If untreated, pain from a thrombosed hemorrhoid often peaks within 48–72 hours, and swelling may take 2–3 weeks to fully resolve. Surgical removal can relieve pain faster and shorten recovery time. What is the treatment for hemorrhoids? Hemorrhoid treatment ranges from home care—such as eating a high-fiber diet, taking sitz baths, and using over-the-counter creams—to medical procedures like rubber band ligation, sclerotherapy, or surgical removal. How can I get rid of hemorrhoids? You can often relieve hemorrhoids with lifestyle changes and home remedies, but persistent or severe cases may require in-office or surgical treatment from a healthcare provider. What are internal hemorrhoids? Internal hemorrhoids develop inside the rectum. They are usually painless but may cause bleeding, and can prolapse outside the anus in advanced stages. What is an external hemorrhoid? An external hemorrhoid forms under the skin around the anus. It can be itchy, tender, and more painful—especially if it becomes thrombosed (develops a clot). What are the symptoms of hemorrhoids? Common symptoms include rectal bleeding (bright red blood on toilet paper or in the bowl), itching, swelling, pain or discomfort, and a feeling of a lump or protrusion near the anus. What are hemorrhoid symptoms in females? In women, symptoms are the same as in men—bleeding, itching, swelling, pain, and possible protrusion—though pregnancy and childbirth can increase the risk and severity. What are hemorrhoid symptoms in males? Men experience the same symptoms as females, including bleeding, itching, swelling, pain, and protrusion, often related to straining, lifting, or prolonged sitting. What do hemorrhoids look like on a woman? They often appear as swollen, bluish or skin-colored lumps near the anal opening. Internal hemorrhoids may not be visible unless they prolapse. What are external female hemorrhoids? These are hemorrhoids located under the skin around the anus in women. They can look like small, tender bumps that may swell, darken, or develop a clot (thrombosed). What are external hemorrhoids in females? The appearance is essentially the same as in males—raised, swollen lumps around the anus, sometimes with a purplish or bluish hue if a clot is present. What causes hemorrhoids? Hemorrhoids develop when pressure builds in the rectal veins—often from straining during bowel movements, chronic constipation or diarrhea, low-fiber diets, pregnancy, prolonged sitting, heavy lifting, or aging. How do you get hemorrhoids? They form when swollen rectal veins are irritated by repeated strain or pressure, causing them to bulge internally or externally. What do hemorrhoids feel like? They can feel like tender lumps, swelling, or a burning/aching sensation around the anus. Internal hemorrhoids may cause a sense of fullness or pressure rather than pain. Are hemorrhoids itchy? Yes—skin irritation, inflammation, and mucus leakage can make hemorrhoids itchy. Do hemorrhoids bleed? Yes—bright red blood may appear on toilet paper, in the toilet bowl, or on stool, especially after bowel movements. How long does hemorrhoid swelling last? Most swelling improves in 2–3 days with self-care; full healing usually takes 1–2 weeks (longer if thrombosed or if bowel habits don’t change). Can hemorrhoids last for months? Yes — chronic cases can persist for months without proper treatment. How long do hemorrhoids last with ointment? Topical treatments can reduce symptoms in days and speed healing over 1–2 weeks. How long do hemorrhoids last after birth? Postpartum hemorrhoids may resolve in a few weeks but can linger if constipation persists. How long do hemorrhoids last pregnancy? They often improve after delivery but may persist throughout pregnancy due to pressure changes. How long do hemorrhoids last if untreated? Mild cases may self-resolve; others can last weeks to months without care. Can hemorrhoids cause headaches? No — headaches are not a direct symptom; if present, another cause is likely. Can hemorrhoids cause constipation? Hemorrhoids don’t directly cause constipation, but the pain they create can make you avoid bowel movements, which can lead to constipation or worsen it. Can hemorrhoids cause diarrhea? Hemorrhoids themselves don’t cause diarrhea, but irritation from hemorrhoids—or overuse of certain treatments like laxatives—can trigger loose stools. Can hemorrhoids burst? Yes — ruptured hemorrhoids may bleed heavily; seek medical attention if this occurs. Do hemorrhoids smell? Not usually, unless there is poor hygiene or associated infection. Are hemorrhoids contagious? No — they are not caused by infection and cannot be spread. Are hemorrhoids genetic? There is a genetic predisposition to weak vein walls that may increase risk. Can hemorrhoids cause stomach pain? Not directly, but discomfort can radiate or coexist with GI conditions. How to sit with hemorrhoids? Sit on a cushioned or “donut” pillow to relieve pressure, keep your back straight, and take breaks to stand or walk every 30–60 minutes. Avoid sitting on hard surfaces for long periods to reduce pain and swelling. How to sleep with hemorrhoids? Sleep on your stomach or side to reduce pressure on the anal area, and use a pillow or cushion for support. Wearing loose cotton underwear and taking a warm sitz bath before bed can also ease pain and swelling for better rest. Can babies get hemorrhoids? Rarely — more common in older children or adults with chronic constipation. Can hemorrhoids cause cancer? No — but some symptoms mimic colorectal cancer, so screening is important. How to get rid of prolapsed hemorrhoids without surgery Mild prolapse may be managed with fiber, fluids, and topical therapy; advanced prolapse often requires procedures. Is Epsom salt good for hemorrhoids? Yes — in sitz baths, it may reduce inflammation and discomfort. Can IBS cause hemorrhoids? Yes — frequent diarrhea or constipation from IBS increases hemorrhoid risk. Can coughing cause hemorrhoids? Chronic coughing increases abdominal pressure and can worsen hemorrhoids. Does alcohol cause hemorrhoids? Excess alcohol may dehydrate you and worsen constipation, indirectly increasing hemorrhoid risk. What’s the difference between hemorrhoids and anal fissures? Hemorrhoids are swollen veins in the rectum or anus, while anal fissures are small tears in the anal lining. Hemorrhoids often cause lumps, itching, or bleeding; fissures cause sharp pain and bleeding during bowel movements. Disclaimer This blog is for informational & educational purposes only and does not intend to substitute any professional medical advice or consultation. For any health-related concerns, please consult with your physician, or call 911. Medically Reviewed About The Author Dr. Syra Hanif M.D. Board Certified Primary Care Physician Dr. Syra Hanif is a board-certified Primary Care Physician (PCP) dedicated to providing compassionate, patient-centered healthcare. Read More