How to get Immediate Relief from Painful Hemorrhoids

Are you terrified of your next bowel movement?Hemorrhoid treatment suppositories

Are you looking for ways to relieve painful hemorrhoids now?

These practical techniques by Pelvic Floor Physiotherapist Michelle Kenway help you know how to gain immediate relief.


Read on now for hemorrhoid relief with:

  • 9 home techniques that relieve your hemorrhoids now
  • Typical hemorrhoid symptoms
  • What causes hemorrhoids

9 Techniques That Relieve Your Hemorrhoids Now

These useful home strategies are designed to help you take control and get immediate hemorrhoid relief.

1. Cold Compress

Cold treatment can alleviate swelling and discomfort associated with hemorrhoids.

A frozen water-filled condom or an ice cube wrapped in a disposable cloth can be applied against the outside of the anus for 5-10 minutes at a time and then discarded immediately following use. Pat dry gentle after cold application.

2. Lie Down

Lying down with a pillow beneath your knees will relieve pressure from the anal canal and reduce the load of your abdominal weight on your pelvic floor.

Hemorrhoids often become more painful towards the end of the day owing to the pressure associated with prolonged sitting and standing.

3. Take a Warm Bath

Warm baths or Sitz baths can provide immediate relief from hemorrhoid pain and itching. A bath tub can be filled with water to approximately hip level with warm water. Recline in the bath for 10-15 minutes at a time.

Warm baths can provide repeated relief throughout the day and immediately following bowel movements.

4. Reduce (reposition) the Hemorrhoid

When the hemorrhoid protrudes from the anus blood can become trapped or clot causing pain and swelling.

If the hemorrhoid is protruding (prolapsing) out of the anus you may try to gently reposition it inside the anus if it is not too painful.

Lubricate a gloved finger tip using water-based non-toxic lubricant and gently return the hemorrhoid within the rectum.

5. Stop Straining!

Straining to empty your bowels will aggravate hemorrhoid pain and prolong discomfort and swelling.

Know how to empty your bowels to avoid straining further and promote rectal healing (shown right)

Straining to empty the bowels can be caused by a range of factors including hard lumpy stool, constipation and incorrect toileting technique.

6. Care for Anal Skin

Avoid using soap when washing hemorrhoids as this can irritate the skin causing increased discomfort.

Warm water is the best option for washing the delicate skin of the pelvic floor. Pat the area dry with a soft towel using a gentle blotting action.

7. Use Alcohol-Free Wipes

Avoid coarse toilet paper and repeated wiping with coarse toilet paper after using your bowels.

External hemorrhoids and skin tags can make cleaning difficult contributing to anal discomfort and itching.

Moist alcohol-free, non-perfumed wipes can be used to gently clean around the hemorrhoid after using your bowels helping to avoid tissue irritation and relieve itching. Read the label of wipes to avoid using wipes containing alcohol (ethanol).

8. Avoid Rubber Ring Cushions

Sitting on a rubber ring doesn’t alleviate painful hemorrhoids – in fact it makes swelling and discomfort worse! Sitting on a rubber ring increases pressure within the anus trapping blood flow within the pelvic floor.

A doughnut shaped cushion is a preferable option for elevating the buttocks when sitting.

A towel roll or foam wedge strip placed length ways under each buttock/upper thigh will elevate the buttocks and avoid loading the pelvic floor. Foam wedges can be readily made from foam cut offs.

9. Analgesia, Ointments & Suppositories

Speak with your doctor or pharmacist about appropriate pain relieving medication.

Avoid taking oral codeine-based analgesics where possible as these can cause constipation and straining.

Immediate relief can often be obtained by using hemorrhoid ointments/suppositories.

Some ointments contain local anaesthetic and/or hydrocortisone which can alleviate pain and itching. Glycerine suppositories can help lubricate the anal canal and relieve internal hemorrhoids.

What are Hemorrhoids? Extrenal Hemorrhoids

Hemorrhoids are normal body tissue in and around the anus.

High pressure in the anal canal causes hemorrhoids to become swollen and displaced or forced out of position – this is why sometimes they occur suddenly after a bowel movement.

Typical Hemorrhoid Symptoms

External hemorrhoids can cause constant and severe pain. They often appear suddenly as a lump or lumps protruding from the anus. They occur when the blood vessels in the lower part of the anal canal become inflamed. External hemorrhoids (shown right) can cause bleeding if a blood clot develops in the tissue. If there is no blood clot anal discomfort and swelling can be problematic.

Internal hemorrhoids may be painless, itchy, cause bright red bleeding and they may or may not protrude or prolapse from the anus. They occur when hemorrhoid tissue higher within the anal canal is affected.

See your health practitioner for assessment if you experience any of these symptoms for accurate diagnosis.

What Causes Hemorrhoids?

      • Pregnancy
      • Childbirth (vaginal)
      • Chronic constipation and straining
      • Chronic diarrhoea
      • Prolonged sitting

Contributing Factors:

      • Weak pelvic floor tissues
      • Inherited tendency
      • Inappropriate strength and fitness exercises
      • Overweight
      • Heavy lifting

Next read 10 Ways To Get Lasting Hemorrhoid Relief



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Michelle Kenway

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We Welcome Your Comments



  1. Having a very painful hemorrhoids

  2. I just got a hemorrhoid on the outside an its really painfull i have doing the warm baths an seen a doc the only thing that really helps is the warm water the prescription that the doc gave me dont really help as much i cant sleep or sit write or walk right what else can i do? How can i sleep at night?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Joey there are ointments and creams available that can provide a local analgesic effect, speak with your pharmacist about this to help you get some relief

  3. Hi
    I have very painful hemorrhoids due to numerous medical problems . I can’t have a bowel movement without the mini Fleets. My dr recommend a prescription suppositories but they are over 200.00 and I can’t afford them. Since I’m on Medicare I can’t get them through the company. The opiates I’m on cause contispation. Any ideas? ( Being disabled makes exercise difficult) Thanks

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Sandy
      This sounds like a challenge for you to deal with. Are you on medication to help your constipation? This is the key issue to address – have you spoken to the pharmacist about products that soften the stool and increase motility (like Movicol)? The problem with long-term use of mini fleets will become that over-reliance on them as well as the aggressive emptying they cause that contribute to hemorrhoids, it’s a catch 22 isn’t it.

  4. Hi I’ve recently had surgery on my foot and can’t sit properly on toilet because of it, I have been suffering with constipation but has eased, I went to hospital 2 weeks ago when I noticed alot of blood and blots clots on toilet paper and the doctor did an examination and told me I have’s so painful and I freak out everytime I go to toilet..ointment doesnt give me pain relief, I’m not sure what to do..I have been doing some research and I have found that hemeroids don’t usually cause blood clots just bleeding..although the doctor I saw said they can cause blood clots..maybe I should get a second opinion..

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Charlie
      Get a second opinion if that’s what you feel you need. Otherwise it’s also very important to soften the stool and manage your constipation. If the stool is hard, it will also cause pain with hemorrhoids and bowel movements. You may also need a better cream – some creams have both hydrocortisone and local anaesthetic and give almost immediate relief. They often need to be used internally and around the the hemorrhoid if it’s protruding. These creams are usually supplied with an applicator or in suppository form, ask your Pharmacist about them too. Hope this helps you out!

  5. has been suffering from bleeding and severe pain since last 10-12 days…..don’t know what to do…but don’t want to take any tablet pills due to there inner warmish nature which affact abdominal problems like constipation etc…so please help me to get rid of it..

  6. Hi I’m 21 yr old male. i’m even having blood on my stool from past 2 days. I think it’s external hemorrhoids, what might be the instant and long lasting cure?
    Thank you!

    • Michelle Kenway Physiotherapist says

      Hi Gabstha

      Any blood in the stool needs a medical assessment. If it turns out that it is from haemorrhoids, the cure is to avoid straining, use the correct bowel emptying technique and keep the stool a really manageable consistency long-term.

  7. I tried all these remedies but there was no relief. I was suffering from pile. I consulted many doctors but with no avail. I saw Dr. Ashwin Porwal’s Board in Inamdar Hospital, Pune which said Heal your piles. I visted him at Healing Hands Clinic, Pune. I later took an appointment for Dr Ashwin Porwal and got operated. I completed 2 weeks now and I am completely happy with no pain and complete recovery.

  8. I am 24 years old and this is my first time I had hard medium lump on outside anal it’s little pain but I wash it and put ice cube for 5-10 min then lay down to keep my rectum cool and swelling down . So what is next step ?

    • Michelle Kenway Physiotherapist says

      Hi Jacqueline

      The next step is to go to the doctor and get this checked out. All the best

  9. This is so helpful. Constipation caused me pelvic spasm & hemorrhoids, being treated by physical therapist. I am trying to avoid surgery because I’m terrified of its risks and complications.

  10. Shelly-Ann Ramsahai says

    After my pregnancy i got hemrhoids …o.m.g.its the worst i can’t even sit properly….??? an it hurts like hell…tried creams …suppostries…yu name it i tried it plz help

  11. I am only 17, I don’t have a hereditary hemorrhoids trait in my family, am not overweight, and I have strong muscles. So what is causing my hemorrhoids?

  12. Clear,concise, easy to understand and thorough. On top of all this the info you provide includes actions for addressing the problem. Thanks so much.

  13. Hi Michelle, thanks for these useful and practical tips. I was wondering how you distinguish between a haemorrhoid and a rectal prolapse? The symptoms seem similar

    • Michelle Kenway Physiotherapist says

      Hi Sam
      You are correct the symptoms can be similar which is why this needs to be diagnosed by a medical practitioner. Rectal prolapse is usually more serious than haemorrhoids and it’s important that this condition isn’t misdiagnosed. I think one of the big giveaways is that haemorrhoids usually settle down at least intermittently with topical creams whereas rectal prolapse symptoms continue chronically. The two conditions can coexist as well adding to the potetial for misdiagnosis.

      Hope this helps

  14. the pain has been so bad the past 5 days, it’s just about intolerable, even to the point of drastic action. I have an appointment with my new Primary Care Provider tomorrow, but I don’t know if I can wait that long. the pain is so bad. I’m 72 yrs old male that had surgery for hemorrhoids 41 yrs ago, and they told me thing they could return, and they returned with vengeance. I’m taking 800mg ibuprofen every 4 hrs. it seems to help for a few minutes.

  15. Hi Michelle my name is Darrel and i have been suffering for 7 days now and the pain is unbearable i went to the er and they think its a suspect fissure but there is a small lump behind my rectal area. Any thoughts on what i could use to reduce my pain?

  16. I’m a hemorrhoid sufferer too. I need a major lifestyle changes. I have to commit to changing diet and exercise routine. Small meals, reduced caffeine and alcohol intake because they dehydrate you. Increased water, more fresh fruits, and veggies. I’m dreading it but know it has to happen. Can’t keep going through this humiliation of doctors visit and painful bathroom time. I read a blog about dherbs hemorrhoid formula, it is stated that this product is used to soothe and repair damage tissue, calm inflammation and reduce bleeding and some of the other symptoms that can be associated with hemorrhoids.

    • You have described it just right. I find hemorrhoid pains worse than labour pain. I just took out sugar, frizzy drinks and all carbs from my diet, experimenting with Paleolithic diets. Good luck to us all.

  17. Dear Michelle
    Thanks for “How to’s..”, although some will have to be done behind closed doors as it will be hard to explain to the little darlings. I also like all the other great information on hemorrhoids, or as my father used to call them “grapes of wrath”.

    All the best

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