Why Do Hemorrhoids Itch? Causes and How to Stop It (2026)
Hemorrhoids are swollen veins inside the rectum (internal) or under the skin around the anus (external). External hemorrhoids are more common, and straining can push an internal hemorrhoid out through the anus, which is called a prolapsed internal hemorrhoid.
Hemorrhoids itch because a prolapsed internal hemorrhoid produces mucus that irritates the delicate skin around the anus, and trapped moisture plus stool residue adds to it. The medical name for anal itching is pruritus ani, and hemorrhoids are one of its most common causes, though far from the only one. Here is what drives the itch and how to calm it.
See a doctor if the itching lasts more than a week or two despite home care, keeps returning, or comes with rectal bleeding, pain, or a hard lump. Persistent anal itching should be checked, since it can also point to an anal fissure, an infection, pinworms, or a skin condition rather than hemorrhoids. Cleveland Clinic notes that ongoing anal itching deserves a medical evaluation to find the underlying cause.
Why Do Hemorrhoids Itch?
Hemorrhoids are swollen veins inside the rectum (internal) or under the skin around the anus (external). External hemorrhoids are more common, and straining can push an internal hemorrhoid out through the anus, which is called a prolapsed internal hemorrhoid.
When an internal hemorrhoid prolapses, it produces mucus on the sensitive tissue around the anus, and that mucus irritates the skin. If the hemorrhoid stays prolapsed, the mucus and irritation continue. The itch gets worse when stool residue and mucus mix on skin that is already inflamed, which sets off the itch-scratch cycle that keeps pruritus ani going.
How to Stop Hemorrhoids from Itching
Anal itch is a symptom, not a diagnosis, so the first step is calming the skin while you address the hemorrhoid itself. The following measures help most flares.
Keep the Area Clean and Dry
This is the single most effective step. Moisture around external or prolapsed hemorrhoids irritates the skin and can lead to more itching and even bleeding. Clean gently after each bowel movement with water or an unscented, alcohol-free wipe, then pat fully dry. Avoid scented, medicated, or rough toilet paper.
Take Warm Sitz Baths
A warm sitz bath, a small basin that sits on the toilet seat, lets you soak the area for 15 to 20 minutes after a bowel movement. Warm water relaxes the muscle and soothes irritated skin. A soft cloth soaked in warm water, held against the area for up to 15 minutes, works too.
Use a Cold Compress
An ice pack wrapped in a thin cloth can numb the itch and reduce swelling. Use it for short periods, several times a day. Some people alternate a cold compress with a warm one for more relief.
Apply a Barrier or Itch-Relieving Product
If home care alone is not enough, a skin protectant (such as a zinc oxide ointment) shields the irritated area from stool during bowel movements. Over-the-counter creams with witch hazel, or a short course of hydrocortisone, can ease itch and inflammation. Hydrocortisone should not be used for more than about a week without a doctor's guidance, since prolonged use can thin the skin.
Other Causes of Anal Itching (Pruritus Ani)
Anal itching is not always from hemorrhoids. Other causes include anal fissures, yeast infections, contact dermatitis, sweat and moisture buildup, stool leakage, pinworms, psoriasis, and, less often, more serious conditions. According to NIDDK, rectal symptoms should be evaluated rather than assumed, especially when bleeding is involved. If your itch does not settle with basic care, a clinician can identify the real cause.
Treating the Underlying Hemorrhoid
Calming the skin helps, but the itch tends to return until the hemorrhoid itself improves. Alongside good hygiene, more fiber and water keep stools soft and reduce the straining and prolapse that drive mucus and irritation. An inside-out option like HemRid Max, with diosmin and horse chestnut, is taken daily to support vein health and works differently from a topical cream. See our complete treatment guide for the full approach.
When to See a Doctor
Most itching from a hemorrhoid flare settles within a week or two of home care. See a doctor if it lasts longer, keeps returning, or comes with rectal bleeding, pain, or a lump. Do not assume anal itching is only a hemorrhoid, since a fissure, infection, or skin condition can cause the same symptom and needs different treatment.
Frequently Asked Questions
Why do hemorrhoids itch?
Usually because a prolapsed internal hemorrhoid produces mucus that irritates the skin around the anus, with trapped moisture and stool residue adding to it. The medical term is pruritus ani.
How do I stop hemorrhoids from itching?
Keep the area clean and dry, take warm sitz baths, use a barrier ointment, and avoid scratching or scented wipes. Address the hemorrhoid itself with more fiber and water.
Is anal itching always caused by hemorrhoids?
No. Fissures, yeast infections, pinworms, contact dermatitis, and other conditions cause it too. Persistent itching should be evaluated by a doctor.
When should I see a doctor for anal itching?
If it lasts more than a week or two, keeps returning, or comes with bleeding, pain, or a lump.
References and Clinical Sources
This article is for informational purposes and does not replace professional medical advice.
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What actually works for hemorrhoids
If you're dealing with pain right now, a topical cream is a great first step — it numbs the area for fast relief. To actually get rid of the problem, HemRid Max works from the inside out to strengthen vein walls and reduce swelling. The best results come from doing both.