Natural Remedies for Hemorrhoids

Hemorrhoids refer to the swollen and inflamed veins in the rectum and anus. They are a common medical condition affecting many people of all ages. Depending on their location, hemorrhoids can be internal or external. Internal hemorrhoids occur inside the rectum, while external ones develop around the anus. The most common causes of hemorrhoids include straining during bowel movements, chronic constipation, pregnancy, obesity, and prolonged sitting or standing. Hemorrhoids can cause discomfort, itching, and pain, which can affect your quality of life.

The use of natural remedies in the treatment of hemorrhoids has become a popular alternative to conventional medical treatments, which may sometimes be invasive. Natural remedies are safe, effective, and affordable, and they work by reducing inflammation, easing pain, and improving digestive health. Natural remedies include dietary or lifestyle changes, home remedies, herbal remedies, and essential oils. The importance of natural remedies cannot be ignored since they offer a holistic approach to managing hemorrhoids. In the next sections of this article, we will delve deeper into each of these natural remedies for hemorrhoids.

Lifestyle Changes for Hemorrhoids

Lifestyle changes are the first line of treatment for hemorrhoids and can significantly improve the symptoms. The following are some of the recommended lifestyle changes that can help prevent and manage hemorrhoids:

Increase Fiber Intake

Eating high-fiber foods can help soften stools and reduce straining during bowel movements. Fresh fruits, vegetables, and whole grains are excellent sources of fiber. Some examples of fiber-rich foods include beans, lentils, spinach, kale, broccoli, apples, pears, whole-grain bread, and brown rice. Fiber supplements can also be taken.

Drink Plenty of Water

Drinking plenty of water can prevent constipation and help soften stools, which can reduce the strain on the rectum and anus during bowel movements. Doctors recommend drinking at least 8-10 glasses of water daily to help treat and prevent hemorrhoids.

Exercise Regularly

Regular exercise can promote bowel regularity and prevent constipation. Exercise also helps improve blood flow and prevent the formation of blood clots, reducing the risk of hemorrhoids. Simple exercises such as walking, cycling, and swimming are recommended.

Avoid Sitting for Long Periods

Sitting for prolonged periods can increase pressure on the rectal veins and lead to the formation of hemorrhoids. It is essential to take frequent breaks and walk around or stand up every few hours, particularly if you have a desk job. Also, avoid sitting on hard surfaces for an extended period as it can cause discomfort.

By making these lifestyle changes, it is possible to manage hemorrhoids and prevent them from getting worse. However, if symptoms persist, seek medical attention promptly.

Home Remedies for Hemorrhoids

Home remedies are often used to help alleviate the symptoms of hemorrhoids and can provide natural relief. Here are some of the effective home remedies that can help:

Warm Sitz Bath

A warm sitz bath is a shallow bath that covers the hips and buttocks. It can help relieve the itching, pain, and discomfort associated with hemorrhoids. Fill a bathtub with a few inches of warm water and add Epsom salt or baking soda, which can help promote healing. Sit in the tub for 20 minutes, three times a day.

Ice Packs

Ice packs can help reduce swelling and pain associated with hemorrhoids. Wrap a few ice cubes in a soft cloth and apply it to the affected area for 15 minutes, several times a day. Avoid applying ice directly to the skin as it can cause frostbite.

Aloe Vera

Aloe vera has anti-inflammatory properties and can help soothe the irritation, burning, and itching associated with hemorrhoids. Apply pure aloe vera gel to the hemorrhoids for a few minutes, several times per day. This can also help promote healing and reduce inflammation.

Witch Hazel

Witch hazel is a natural astringent that can help reduce swelling, inflammation, and discomfort associated with hemorrhoids. Apply witch hazel to a cotton ball and gently dab the affected area. Repeat several times a day.

Apple Cider Vinegar

Apple cider vinegar is a natural anti-inflammatory agent that can help reduce swelling and inflammation associated with hemorrhoids. Apply a few drops of apple cider vinegar to a cotton ball and apply it to the affected area. Leave it on for 10-15 minutes and rinse it off with warm water.

While home remedies can be useful for alleviating the symptoms of hemorrhoids, it is essential to see a medical professional if symptoms persist or worsen. There are medical treatments available that can provide more comprehensive relief.

Herbal Remedies for Hemorrhoids

In addition to lifestyle modifications and home remedies, there are also herbal remedies that can help alleviate symptoms of hemorrhoids. These remedies have been used for centuries and have been shown to be effective in reducing inflammation, numbness and relieving pain. Here are a few of the top herbal remedies for hemorrhoids:

Butcher's Broom

Butcher's broom is a traditional remedy for hemorrhoids. Its anti-inflammatory properties help to shrink swollen blood vessels and reduce inflammation. This herb contains ruscogenin, which strengthens the walls of the veins, alleviating the symptoms of hemorrhoids. You can take it as a supplement or prepare a tea with it.

Horse Chestnut

Horse chestnut is another herb that is effective in treating hemorrhoids. It supports the veins and capillaries, making them more elastic and less likely to rupture. It also reduces inflammation and swelling of the affected area. An extract of horse chestnut can be applied topically to the affected area or taken orally in the form of capsules.

Psyllium Seeds

Psyllium seeds are a rich source of fiber and are particularly effective in reducing constipation, which is often the underlying cause of hemorrhoids. Constipation can be harmful since it increases rectal pressure, causing the veins to bulge. Consuming psyllium seeds can help regulate bowel movements and reduce straining, which in turn helps relieve the symptoms of hemorrhoids. They can be taken as a supplement or added to food.


Calendula is a potent anti-inflammatory herb that promotes wound healing. In addition to reducing inflammation, calendula oil also has therapeutic effects on skin problems like burns, bruises, and eczema. It's available in ointment, cream or oil form, and can be applied to the affected area of the skin to reduce pain and inflammation.


Chamomile has been used for centuries to treat various ailments, including hemorrhoids. It contains flavonoids, apigenin, and luteolin that work to reduce inflammation and promote healing. Drinking chamomile tea directly relaxes the intestinal muscles, making bowel movements more comfortable and easing the pain and inflammation of hemorrhoids.

Herbal remedies can have side effects and can interact with other medications you may be taking. Therefore, it is recommended that you consult your doctor before embarking on any herbal treatment especially if you are pregnant or on medication. It’s also important to note that herbal remedies should be used as complementary treatment, alongside medical treatment, and not as a substitute.

Essential Oils for Hemorrhoids

Essential oils are highly concentrated plant extracts that have a wide range of therapeutic properties. They are effective in treating numerous medical conditions, including hemorrhoids. Here are a few essential oils that can be used to alleviate hemorrhoid symptoms:

Tea Tree Oil

Tea tree oil is a potent antiseptic and anti-inflammatory agent that works wonders in reducing the swelling, itching and pain associated with hemorrhoids. Applying a few drops of diluted tea tree oil directly onto the affected area, can soothe and reduce inflammation. Be careful not to apply undiluted tea tree oil onto the skin, it can cause skin irritation.

Lavender Oil

Lavender oil is a natural anti-inflammatory agent that calms the body and soothe the symptoms of hemorrhoids. When applied topically, lavender oil helps to reduce pain and itching caused by hemorrhoids. Mix a few drops of lavender oil with your preferred carrier oil and apply it directly to the affected area to find relief.

Cypress Oil

Cypress oil is renowned for its therapeutic effects on the circulatory system. It improves blood flow, reducing the swelling associated with hemorrhoids. Its anti-spasmodic and anti-inflammatory properties help to reduce pain and itching. Apply a few drops of diluted cypress oil directly to the affected area and massage gently several times a day.

Peppermint Oil

Peppermint oil has a cooling effect that can help reduce swelling and inflammation associated with hemorrhoids. It contains menthol, which has a calming effect on the body that helps soothe pain and itching. Apply diluted peppermint oil topically to the perianal area to reduce inflammation and find relief.

Eucalyptus Oil

Eucalyptus oil is a natural anti-inflammatory and analgesic, and it can be used to relieve the symptoms of hemorrhoids. It has cooling properties that can help reduce itching, swelling, and pain. Eucalyptus oil can be applied topically to the affected area in diluted form or used in a sitz bath for maximum relief

It's essential to seek medical advice before using essential oils, especially if you have sensitive skin, are on medication or are pregnant. Essential oils should never be ingested, as they are highly concentrated, and can cause adverse reactions if not used appropriately. When used correctly, essential oils can be an effective natural remedy for hemorrhoids.

Medical Treatments for Hemorrhoids

While natural remedies can provide relief for hemorrhoid symptoms in many cases, there are also various medical treatments available. Medical treatment for hemorrhoids usually begins with lifestyle changes, followed by over-the-counter medications and prescription-strength treatments. For severe cases, invasive procedures may be necessary.

Over-the-Counter Medications

  • Topical creams and ointments: There are numerous topical treatments available over the counter, all of which are designed to reduce swelling and inflammation. These creams and ointments usually contain hydrocortisone, witch hazel, or other active ingredients that provide relief from itching, burning, and pain.
  • Sitz baths: A sitz bath is a device that fits over the toilet and allows you to soak your anal area in warm water. Sitz baths may be filled with medicated solutions such as witch hazel, Epsom salt, or baking soda. Using a sitz bath for 10-15 minutes several times a day will help to promote healing and reduce swelling.
  • Stool softeners: A stool softener may be recommended to help ease bowel movements and prevent straining, which can make hemorrhoids worse. Stool softeners work by drawing water into the colon, making the stool easier to pass.

Prescription Medications

  • Suppositories: A suppository is a medication that is inserted into the rectum to provide relief from hemorrhoid symptoms. Suppositories may contain hydrocortisone or other active ingredients that help reduce inflammation and pain.
  • Prescription-strength creams and ointments: In some cases, prescription-strength creams and ointments may be necessary to relieve severe hemorrhoid symptoms. These creams are applied topically and typically contain a stronger dosage of an active ingredient such as hydrocortisone.

Invasive Procedures

  • Banding: Rubber band ligation is a procedure in which a rubber band is placed around the base of the hemorrhoid, cutting off blood flow and causing the hemorrhoid to shrivel and fall off within a few days.
  • Sclerotherapy: Sclerotherapy involves injecting a chemical solution into the blood vessels of the hemorrhoid, causing it to shrink and eventually go away.
  • Hemorrhoidectomy: A hemorrhoidectomy is a surgical procedure in which the hemorrhoid is removed using a scalpel or laser. This procedure is usually reserved for severe hemorrhoid cases that do not respond to other treatments.


Hemorrhoids are a common and often uncomfortable condition, but fortunately, there are many natural remedies that can help alleviate symptoms. In this article, we have discussed numerous holistic remedies for hemorrhoids, including lifestyle changes, home remedies, herbal remedies, essential oils, and medical treatments.

Summary of Natural Remedies

  • Lifestyle changes such as increasing fiber intake, drinking plenty of water, exercising regularly, and avoiding periods of extended sitting can help reduce the frequency and severity of hemorrhoid symptoms.
  • Home remedies such as warm sitz baths, ice packs, aloe vera, witch hazel, and apple cider vinegar can provide relief from itching, burning, and pain associated with hemorrhoids.
  • Herbal remedies including butcher's broom, horse chestnut, psyllium seeds, calendula, and chamomile can help reduce inflammation and promote healing.
  • Essential oils such as tea tree oil, lavender oil, cypress oil, peppermint oil, and eucalyptus oil can help reduce swelling and inflammation and promote healing.
  • Medical treatments including over-the-counter medications, prescription medications, and invasive procedures are available for severe cases of hemorrhoids.

Importance of Consultation with Medical Professionals

While natural remedies can provide relief in many cases, it is important to consult with a medical professional for severe or persistent symptoms. A doctor can help diagnose the severity of the condition and recommend appropriate treatment options, including referral to a specialist if necessary.

William H. McDaniel, MD

Dr. Robert H. Shmerling is the former clinical chief of the division of rheumatology at Beth Israel Deaconess Medical Center (BIDMC), and is a current member of the corresponding faculty in medicine at Harvard Medical School.

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