Why Do Hemorrhoids Cause Anal Itching?
Hemorrhoids, also known as piles, can cause anal itching for several reasons. Here’s a breakdown of why this itching occurs:
Why this itching occurs
Inflammation and Irritation: Hemorrhoids are swollen blood vessels in the rectum and anus. When these vessels become inflamed or irritated, it can lead to itching. The swollen tissue may rub against the surrounding skin, causing discomfort and a persistent itching sensation.
Mucous Leakage: In some cases, hemorrhoids can cause mucous discharge. This mucous can irritate the skin around the anus, leading to itching. The constant moisture in the anal area can exacerbate the problem and make the itching more pronounced.
Skin Friction: External hemorrhoids, which form under the skin around the anus, can cause friction between the swollen tissue and the surrounding skin. This friction can lead to chafing and irritation, resulting in itching.
Poor Hygiene: Individuals with hemorrhoids may be hesitant to clean the anal area thoroughly due to pain or sensitivity. Inadequate hygiene can lead to the accumulation of fecal residue, which can irritate the skin and cause itching.
Straining During Bowel Movements: Hemorrhoids often develop or worsen due to straining during bowel movements, which is commonly associated with constipation. Straining can lead to small tears in the anal tissue, causing discomfort and itching.
Hemorrhoid Creams and Medications: Ironically, some creams and ointments used to alleviate hemorrhoid symptoms may contain ingredients that, for some individuals, can cause skin irritation and itching.
Secondary Infections: Scratching the irritated area due to itching can introduce bacteria from the fingernails to the anal region, potentially leading to secondary infections. Infections can further contribute to itching and discomfort.
Also Read: Piles 10 Bad Habits
Managing Anal Itching from Hemorrhoids
Good Hygiene: Maintain proper hygiene by gently cleaning the anal area after bowel movements using mild, unscented soap and water. Avoid using rough toilet paper.
Topical Creams: Over-the-counter creams or ointments containing hydrocortisone can help alleviate itching and inflammation.
Warm Sitz Baths: Soaking the anal area in warm water for about 15 minutes several times a day can help reduce irritation and provide relief.
Avoid Scratching: Although it may be tempting, scratching can worsen the irritation. Keep the nails short and consider using a cold compress or anti-itch cream instead.
Consult a Piles Surgeon: If the itching persists or is accompanied by other concerning symptoms, it’s important to seek medical advice. A Piles Specialist can provide a proper diagnosis and recommend appropriate treatment options.
Remember that individual experiences with hemorrhoids may vary, and what works for one person may not work for another. If you’re experiencing persistent anal itching or other symptoms associated with hemorrhoids, it’s advisable to consult with the Piles Doctor in Kolkata for personalized advice and treatment.
About Docor
Dr. Azhar Alam
MBBS (Honours), MRCS A (UK),
DNB General Surgery
FIAGES (Gastro Intestinal Surgery)
FMAS (Minimal Access Surgery),
MNAMS (New Delhi)
Consultant Gastrointestinal, Advanced Laparoscopic and Laser Surgeon
Assistant Professor of Surgery, KPC Medical College and Hospital
