How to get Immediate Relief from Painful Hemorrhoids

Are you looking for ways to relieve painful hemorrhoids now?

These practical hemorrhoid relief techniques by Pelvic Floor Physiotherapist Michelle Kenway help you relieve pain fast at home.

This Physiotherapy video and information teaches you:

  • 9 ways to relieve hemorrhoids fast
  • Typical hemorrhoid symptoms
  • What causes hemorrhoids

Pelvic Floor Recovery and Safe Exercise Products

With Pelvic Floor Physiotherapist Michelle Kenway

9 Ways to Relieve 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

Hemorrhoid 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
  • Chronic constipation and straining to empty
  • Chronic diarrheoa
  • 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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We Welcome Your Comments


  1. What can I do to Eliminate my swallowing piles in my Anus… Very painful

  2. how long do a hemmrroid last

  3. Hi Michelle,‍♂️
    What a great site especially with the people who send you texts and your replies to them. Have learned alot. THANK YOU!!!

  4. My name is sachin and I am feeling something out of my butt from past 1 years but it is painless .now I am feeling uncomfortable due to this.can you please give me advice.

  5. How to get rid off it

  6. I have a hemmorid it was pretty large I would say grape size I did get perpetuation H cream and in taking baths with those bath salts the pharmacist told me I got it about 6 days ago 1st 2 days was very painful it’s still uncomfortable and still sore but defiently alot better than it was it is slowly going down but still large I’ve only been using the cream today will be day 5 days it says use for a week now my question is will this gradually go away on it’s own I have no blood no other issues I’m just annoyed I cant really do what i usually do in a day its slowly me down

  7. I’ve had hemroids for many yrs. it’s gotten so bad that sometimes the blood is a dark red as if one of them has bursted… I can’t afford to go to the dr right now but I’m concerned because I bleed often ,sometimes it’s teally dark…I know it can’t be good but if I can deal with the pain,will I be ok til I can see a dr??

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Chuck
      Rectal bleeding needs to be investigated – never assume its just due to hemorrhoids. If you can’t afford to go to the doctor can you access assistance at a public hospital? Do this as a matter of priority.

  8. My grandmother undergone multiple surgeries for hemorrhoids having much discomfort in that particular area.

    • Patricia says

      I sometimes bleed when i use the bathroom because i push too hard but recently i haven’t been using the bathroom for that reason and when i wipe its little spots of blood and a bump around my anal hole. Should i be concern? It kinda itches but not crazy and I’m not in pain.

      • Author: Michelle Kenway Pelvic Floor Physiotherapist says

        Patricia always seek a medical assessment with rectal bleeding, this is an important precaution to take

  9. Hi I went to see my primary OB regarding an external hemorrhoid and she took a picture of it and set it to a physicians office. The physician advise I come in for colorectal ( not sure what that is, kind of scared). I believe I’ll be needing surgery however due to Covid-19 hemorrhoid surgery isnt considered essential or life and death so I dont know when it will happen, but I am in excruciating pain. It’s hard not to sit when I just had a baby I try to move around, I’ve tried all the otc (tucks, preparation H, Tylenol). I have been prescribed “retal rockets” and those are the most uncomfortable things ever and they’re hard to keep in. I am lost i dont know what to do I’ve been dealing with this now over a week, please help.

  10. Hello, I’m an 18 year old guy who has just recently had issues with what I believe to be a hemorrhoid. About a week ago, I noticed some sort of growth on my anus, and believed it to be some kind of acne, however it continued to grow and was causing me major discomfort if prodded or touched at all, just walking or sitting was eventually causing me pain. Today I went to use the toilet and before hand I was in quite a bit of pain, so I decided to look downstairs in the mirror. Bring a hairy guy, I noticed the hair in the area was matter down and glistening, so I wiped with toilet paper, and when I looked at the result, the paper was completely soaked with blood. After about 10 minutes of wiping with both dry and wetted toilet paper after the dry became too painful, I was able to clean up most of the blood, however my boxers that I was wearing are ruined. After some searching online, I have concluded that I have an external hemorrhoid, and my searching has led me here. I’m not sure if this comment is exactly appropriate for the forum and I’m sorry if it isn’t, but I’m not sure where else to talk about this. I’m currently sitting in a hot bath, and it is very relieving, and has temporarily eased the pain. I’m here to ask what I should do, preferably I want to handle this by myself, as it is very embarrassing to tell my parents about something like this. But I’m not sure what to do, as I was bleeding so severely just minutes ago, and was in agonizing pain, and still am bleeding lightly. Any remedies that you can suggest would be greatly appreciated, and I can get my parents involved, but it isn’t preferable. Thanks for taking the time reading this if you have, I’m sorry if this comment is inappropriate to the forum. Thanks

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Jon Yes I can understand you feeling embarrassed. You really need to get this assessed by a doctor, while it’s easy to assume that bleeding is caused by a hemorrhoid it may be something else causing the problem. The best thing to do is to get this medically assessed by a doctor who can then advise you on the most appropriate treatment. Can you tell your parents you’d like to see a doctor about a personal issue? I’m sure they want the best to help you out, as you would for them. All the best to you Jon

  11. Hello!
    I recently gave birth to my son he is now 1 month old but ever since delivery I have had issues with bowel movements due to hemorrhoids. I haven’t had a bowel movement since without pain or blood in the stool, I have been on Colace and been taking ibuprofen for pain and have also been putting hydrocortisone cream and Vaseline. I have been having trouble trying to get an appt with the doctor because of this covid19. I have lost sleep at night and I really struggle on the toilette, grasping onto anything I can to squeeze out of agony…what else can I do, I can’t really bathe because I have stitches…

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Amy
      I’m sorry to read that you’re doing it tough right now! There are creams specifically for hemorrhoids I assume this is what you’re using? I think it would be worth having an assessment to see whether you have an anal fissure or other issue going on too. A fissure is a split in the tissue that can occur – there is no panic, these can heal over time but often take a long time to heal. They bleed and they are also very painful when the stool passes over them. The issue is that every time the stool passes, healing can be slowed (hemorrhoids or fissure). There are creams for fissure too. So get assessed if you can as a priority so that you’re sure about what you’re dealing with. You should be able to use warm salty water to bathe the area and pat dry, this may give you some relief. Keep the stool soft – hard stool is very painful to pass as you’re no doubt aware so this involves eating foods to soften the stool if necessary. Use the bowel emptying technique I have online here – it’s very important to relax the anal sphincter when emptying the bowel, this video shows you how. Wipe with alcohol free baby wipes (they must be alcohol free) – this is much easier to use than toilet paper with this type of condition. Hoping this info helps you – this does and will get better Amy, all the best

      • You use to be able to get Anusol suppository over the counter in the US. They were better than Preperation H because they had pain relieving medicine inside. However Anusol is still available on Amazon maybe its coming from Canada? I swear by it. Has your Dr. Prescribed medicine for you? A prescription strength remedy is far better for pain but can be expensive now if your insurance doesn’t cover it. I don’t know why Anusol suppositories are harder to find now but they heal, reduce swelling and are pain relieving. Far superior product to Tucks or Preperation H. I hope you get the relief you need. The surgeries for internal and external issues are much more advanced now using small rubber bands. The actual procedure is said to take a few minutes. I read they use a much gentler suction cup method. Ive never had it but I’m glad for the advances.

    • Hi I have successfully managed to reduce pain and size recently using raw garlic. I literally just put it in my bottom.. it stings for like 5 mins but after you will be relieved . I know this pain, discomfort and down right bad timing is probably getting you down, but you will get over it. Make sure you eat food easy to pass too. Oil the area with organic coconut oil or black seed oil take one clove of garlic and peel (take off any sharp edges) honestly I thought life as I knew it had finished till the garlic,,, too around 4-6 days to really feel better, oh and try to stay laying down as much as possible, too much standing or sitting in the same position can force piles down.

  12. Hi Michelle,
    I am a 40 year old man and have developed hemorrhoids since a few months ago after a bad constipation and straining too much to pass very dry and lumpy stool. I have tried home remedies and some OTC products but have not provided a lasting solution.
    My main problem is not the physical discomfort but its impact on my social life . I give off a bad odor especially when the hemorrhoids are irritated , even though I take good care of my hygiene and never have incontinence . I don’t know what causes the offensive odor as I have no trace of leaking.
    This has crippled my social life as I’ve had to isolate myself at home . some people pick up the smell from some distance when I’m out and signal or hint at me that I have hemorrhoids. Very embarrassing. Any idea how I can overcome this problem ?

    • Author: Michelle Kenway Pelvic Floor Physiotherapist says

      Hi Jeff Thank you for your question, I’m sorry to read of your difficulty and if it helps at all, you’re definitely not alone with this issue. You may have stool trapped under the hemorrhoid tags in which case wiping with alcohol free wipes around the tag can help with cleaning after bowel movements (and perhaps at the moment intermittently during the course of the day). It does sound as though you may be having some incontinence of stool or gas perhaps both even though you’re not aware of it. Strengthening the pelvic floor muscles with Kegel exercises for menis important especially focusing on the external anal sphincter (I’ll be updating this video in the next few weeks on site and on YouTube). Psyllium husks are great for mopping up faecal matter in the bowel, usually start with 1 teaspoon per day increasing to 2 teaspoons daily if well tolerated. Finally see a pelvic floor physio if you require further assistance with this issue. I do hope this helps you make a start Jeff, all the best

  13. Hi Michelle,
    I recently went to the doctor and was diagnosed with a prolapsed hemorrhoids. It was gong away and I mistakenly went for a 30 minute run at the gym and now it has flared up again as in mostly internal swelling. Am I ever going to be able to go back to running which I love? Is this going to go away on its own? How much rest before I can run again?


  14. Having a very painful hemorrhoids

  15. 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

    • Walk every hour and make walking your habit. You will feel pain in the beginning but after walking to a relatively long distance you will feel better. After that lie down on bed.
      Neither sit nor stand for prolonged periods of time.

  16. 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.

  17. 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!

  18. 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..

  19. 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.

  20. 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.

  21. 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 ?

  22. 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.

  23. 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

  24. 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?

  25. 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.

  26. 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

  27. 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.

  28. 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?

  29. 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.

  30. 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