Hemorrhoids

The Pain in the Butt You Didn’t Ask For

What Are Hemorrhoids?

Hemorrhoids—also known as piles—are swollen veins in the rectum or around the anus. They can be itchy, painful, and sometimes even bleed, making everyday activities like sitting, using the bathroom, or just existing a little less enjoyable. The good news? Hemorrhoids are incredibly common, treatable, and often preventable.

Whether you’re experiencing mild discomfort or dealing with a full-blown pain in the butt, we’re here to help you understand what’s going on, how to find relief, and when to seek medical care.

What Are Hemorrhoids?

There are two main types of hemorrhoids:

  • Internal Hemorrhoids – These develop inside the rectum and are usually painless but may cause bleeding during bowel movements.

  • External Hemorrhoids – These occur under the skin around the anus and can cause itching, discomfort, and swelling. If a blood clot forms, they can become quite painful (this is called a thrombosed hemorrhoid).

Why Do Hemorrhoids Happen?

Hemorrhoids happen when there’s increased pressure on the veins in your rectal area. Some of the most common culprits include:

  • Straining on the Toilet – If you’re pushing too hard, your veins are taking the hit.

  • Low-Fiber Diet – Fiber keeps things moving. Without it, constipation can lead to straining.

  • Sitting Too Long – Whether it’s at your desk or on the toilet, prolonged sitting puts extra pressure on your rectum.

  • Heavy Lifting – Regularly lifting heavy objects (or weights at the gym) can contribute to hemorrhoids.

  • Pregnancy – Increased abdominal pressure can make hemorrhoids more likely.

  • Obesity – Extra weight means extra pressure in the lower rectum.

Symptoms of Hemorrhoids

Hemorrhoids can range from mild to, well, miserable. Here are some common signs:

  • Itching or irritation around the anus

  • Pain or discomfort, especially when sitting or using the bathroom

  • Swelling or a lump near the anus (common with external hemorrhoids)

  • Bright red blood on toilet paper or in the toilet (don’t panic, but don’t ignore it either)

How to Prevent Hemorrhoids

A few simple changes can help keep your backside happy and hemorrhoid-free:

  • Eat More Fiber – Load up on fruits, veggies, whole grains, and legumes to keep things moving.

  • Stay Hydrated – Drinking enough water prevents constipation.

  • Get Moving – Exercise helps with digestion and circulation.

  • Don’t Strain – If it’s not happening, don’t force it. Give it time.

  • Limit Toilet Time – Scrolling on your phone while on the toilet? Not helping your cause.

How to Treat Hemorrhoids

If you’re already dealing with hemorrhoids, don’t worry—there are plenty of ways to ease the discomfort.

At-Home Remedies:

  • Sitz Baths – Soaking in warm water for 15–20 minutes a few times a day can help reduce irritation.

  • Over-the-Counter Creams & Ointments – Hydrocortisone creams or medicated wipes can relieve itching and swelling.

  • Cold Compresses – Applying ice packs can reduce swelling and numb pain.

  • Cushion the Seat – Sitting on a soft pillow or cushion can take pressure off the area.

When to See a Doctor

Hemorrhoids often improve with at-home care, but if you’re experiencing severe pain, heavy bleeding, or persistent symptoms, it’s time to check in with a doctor.

Medical treatments may include:

  • Rubber Band Ligation – A small band is placed around the hemorrhoid to cut off blood supply, causing it to shrink.

  • Sclerotherapy – A chemical injection shrinks the hemorrhoid.

  • Coagulation Therapy – Heat or laser treatment to shrink internal hemorrhoids.

  • Hemorrhoidectomy – In severe cases, surgical removal may be necessary.


Hemorrhoids might not be the most glamorous topic, but they’re nothing to be embarrassed about. With the right lifestyle habits, prevention is possible, and if you do end up with a flare-up, there are plenty of ways to find relief. If symptoms persist or worsen, don’t tough it out—talk to a doctor and take care of your health.

Your backside will thank you. ♥︎

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