How to relieve hemorrhoids with natural remedies?

Hemorrhoids , a topic often considered taboo but nonetheless very common, affect a significant portion of the adult population. If you're here, it's probably because you're looking for practical solutions to relieve this uncomfortable, even painful, condition. Rest assured, you're not alone, and there are many effective natural remedies to soothe the symptoms and, above all, to prevent them .

In this article, we will explore holistic and scientifically supported approaches to regaining optimal comfort. We will discuss the causes and symptoms, topical and oral treatments, and essential lifestyle advice . My goal is to provide you with accurate information, based on my experience as a registered dietitian and nutritional supplement consultant, to help you better understand and manage hemorrhoid flare-ups .

Understanding hemorrhoids: causes and symptoms

To better prevent and treat them, it's essential to understand what hemorrhoids are. They are actually a network of blood vessels, both arterial and venous, naturally located in the anal canal and playing a crucial role in continence. The problem arises when these vessels become excessively dilated and irritated, causing what is known as a hemorrhoidal flare-up , or hemorrhoidal disease.

There are two main types of hemorrhoids: external hemorrhoids , which are visible and palpable around the anus, and internal hemorrhoids , located higher up in the anal canal. Symptoms vary depending on their location and severity. Pain, itching , burning, and a feeling of heaviness are the most common complaints. Bright red bleeding , usually painless, may also occur after bowel movements, indicating inflammation of the blood vessels.

The causes of hemorrhoids are numerous and often intertwined. Constipation is one of the predominant factors: the straining during bowel movements increases pressure on the anal veins, promoting their dilation. Conversely, episodes of diarrhea can also irritate the area. Pregnancy and childbirth are high-risk periods for women due to the pressure exerted by the uterus and hormonal changes. Being overweight, a sedentary lifestyle, lifting heavy loads, a diet low in fiber , excessive consumption of alcohol, coffee, or spices, and tissue aging also contribute to their development or worsening. An interesting anecdote to illustrate the importance of bowel movements: one of my clients, an active young man suffering from chronic constipation , saw his attacks become considerably less frequent after incorporating psyllium and increasing his water intake, which made his stools softer and less traumatic.

Natural remedies to relieve hemorrhoids

When faced with the discomfort of a flare-up , many natural remedies can provide significant relief . These approaches aim not only to soothe immediate symptoms such as pain and itching , but also to work in the long term to improve blood circulation and prevent recurrences. It is essential to incorporate them into a well-thought-out routine, always in conjunction with a healthy lifestyle .

Cold to quickly relieve hemorrhoids

Applying cold is undoubtedly one of the most immediate and effective ways to quickly relieve hemorrhoids , whether internal or external. Its vasoconstrictive action helps to constrict dilated blood vessels, thus reducing swelling and pain.

It's like a dam containing the flood: the cold restricts excessive blood flow in the affected area.

• Cold sitz baths : Immerse the anal area in a basin or bidet filled with cool water (around 10°C) for 10 to 20 minutes, two to three times a day. You can add a decoction of astringent herbs such as bistort or lesser celandine for a stronger effect.

• Cold compresses or ice packs : Apply a compress soaked in very cold water or an ice pack (always wrapped in a thin cloth to prevent burns) directly to the painful area for 10 to 15 minutes. Repeat several times a day, especially after a bowel movement.

• Using an ice cube : A properly stored ice cube wrapped in a cloth can be gently applied to external hemorrhoids . For internal hemorrhoids, a small, soaked, and frozen cotton ball can be a solution, but with extreme caution to avoid irritation.

Cold offers a triple benefit: it reduces inflammation , relieves pain thanks to its local anesthetic effect, and decreases swelling. It's a valuable first step in the event of an acute hemorrhoidal flare-up . However, avoid excessive heat (very hot baths, saunas) which can further dilate blood vessels and worsen symptoms.

Plants and their properties

Herbal medicine offers a range of solutions for treating hemorrhoids , thanks to the venotonic , anti-inflammatory, and healing properties of certain plants. My experience as a dietician has shown me how valuable plant extracts can be for long-term relief and prevention .

• Horse chestnut ( Aesculus hippocastanum ): This plant is a go-to remedy for hemorrhoids . Its seeds contain aescin and aesculin, saponins and tannins that strengthen the tone of vein walls, reduce inflammation, and decrease edema. A study published in the Journal of Clinical Pharmacology (2022) highlighted the effectiveness of horse chestnut extract in reducing the symptoms of venous insufficiency, including hemorrhoids, thanks to its effect on capillary permeability. It is often recommended in capsule or tincture form.

• Red vine ( Vitis vinifera ): Rich in flavonoids and anthocyanosides, red vine is a powerful venotonic and vascular protector. It improves blood circulation and capillary resistance. It is particularly recommended for heavy leg problems and hemorrhoids . You can consume it as an infusion (2 to 3 cups per day) or in dry extract form. It is one of the few plants that can be considered during pregnancy with medical advice.

• Witch hazel ( Hamamelis virginiana ): Thanks to its astringent tannins and flavonoids, witch hazel is effective in reducing bleeding, itching , and inflammation. It can be used as a hydrosol (one tablespoon diluted in one liter of water to be drunk daily for three weeks) or applied topically using soaked compresses. Its local healing properties make it an excellent supplement.

• Butcher's broom ( Ruscus aculeatus ): This powerful venotonic acts on the smooth muscles of the vein walls, promoting their contraction and reducing dilation. It is known for its effect on venous congestion in the pelvic region, often associated with hemorrhoids , particularly before menstruation. Available as herbal teas or capsules.

• Ginkgo biloba : Known for its antioxidant flavonoids and proanthocyanidins, ginkgo biloba protects the vascular endothelium and thins the blood. It is particularly beneficial for hemorrhoids , especially in seniors, as it also acts on microcirculation and may improve memory and concentration.

• Blackcurrant ( Ribes nigrum ): Blackcurrant leaves, rich in flavonoids and OPCs, are anti-inflammatory and venotonic . They are beneficial for painful hemorrhoids and can be combined with horse chestnut or butcher's broom in dietary supplements.

• Sweet clover ( Melilotus officinalis ): Thanks to its flavonoids, sweet clover has antioxidant, venotonic and lymphatic drainage properties, useful in cases of painful hemorrhoidal crisis linked to thrombosis.

• Aloe vera : Aloe vera gel , applied topically, offers a soothing, healing, and decongestant effect. It helps reduce inflammation and irritation. It is a valuable ally for relieving external symptoms .

• Psyllium : Psyllium seeds, rich in mucilage, act as bulk-forming laxatives. They absorb water and increase stool volume, making it softer and easier to pass. This reduces constipation and straining, thus preventing the onset or worsening of hemorrhoids . A study published in the World Journal of Gastroenterology (2014) demonstrated that psyllium significantly improves stool consistency and bowel movement frequency, thereby reducing bleeding and pain associated with hemorrhoids.

It is crucial to always consult a healthcare professional before incorporating these plants into your routine, especially if you are taking other medications or are concerned about pregnancy , chronic conditions, or allergies.

Effective essential oils

Essential oils (EOs) offer a powerful and rapid solution for relieving the pain and inflammation of hemorrhoids thanks to their anti-inflammatory, healing, and decongestant properties. However, they must be used with caution and always diluted in a carrier oil.

Here are some particularly effective essential oils :

• Pistachio mastic essential oil ( Pistacia lentiscus ): This is a must-have for circulatory problems. It is a powerful venous and lymphatic decongestant, reducing edema and pain. Dilute 1 drop of essential oil in 1 drop of calophyllum or sesame vegetable oil and apply topically after each bowel movement and in the evening.

• Cypress essential oil ( Cupressus sempervirens ): An excellent vein tonic and decongestant, it is also anti-inflammatory and promotes healing. It can be combined with rockrose (Cistus ladaniferus) for bleeding. Dilute 1 drop of essential oil in 9 drops of calendula carrier oil and massage 3 times a day.

• Italian helichrysum essential oil ( Helichrysum italicum ): Nicknamed "immortelle," it is renowned for its anti-hematoma, circulatory, and healing properties. It is invaluable for very swollen and painful hemorrhoids . It regulates blood circulation problems. Dilute 1 drop in half a teaspoon of calophyllum vegetable oil and apply topically.

• Peppermint essential oil ( Mentha piperita ): It provides an immediate cooling effect and has vasoconstrictive and analgesic properties that help soothe pain and itching . Caution: it is very potent and should be used sparingly. Dilute 1 drop in a teaspoon of carrier oil and apply as needed.

• Rockrose ( Cistus ladaniferus ) essential oil: Known for its hemostatic (anti-bleeding) and healing properties, it is useful in cases of bleeding . Dilute 2 drops in half a teaspoon of vegetable oil and apply 4 times a day, for a maximum of 2 days.

• Common myrtle ( Myrtus communis ) essential oil: Studies have shown that it can improve pain, irritation, and bleeding associated with hemorrhoids . Dilute 8 drops in 10 ml of St. John's wort oil and massage. It can be combined with lemon and juniper essential oils.

• German chamomile ( Matricaria recutita ) essential oil: Recommended for anal itching and irritation due to its anti-inflammatory and anti-allergic properties. Chamomile floral water is also a gentle option for topical application.

Precautions and side effects: The use of essential oils is not recommended for pregnant or breastfeeding women, children under 6 years of age, or people suffering from respiratory allergies (asthma) or epilepsy, except on medical advice. Some essential oils may interact with anticoagulants (lemon, rockrose, and cineole rosemary essential oils) or be contraindicated in cases of hormone-dependent conditions (cypress, juniper, mastic, and myrtle essential oils). It is essential to perform an allergy test on the inside of the elbow 24 hours before any application. An overdose or improper dilution may cause irritation, redness, or burning sensations. Common side effects may include nausea or bloating if taken orally without expert guidance. Always consult your doctor or pharmacist.

Three main benefits of essential oils for hemorrhoids:

1. Fast and Targeted Pain Relief : Essential oils such as peppermint or Italian helichrysum act directly on the affected area, providing an anesthetic and vasoconstrictive effect that reduces pain and burning sensation almost instantly.
2. Anti-inflammatory and healing action : Oils such as mastic or cypress promote tissue decongestion, soothe inflammation and accelerate the repair of damaged mucous membranes, which is crucial in case of bleeding.
3. Improved Local Blood Circulation : Their venotonic properties strengthen the walls of blood vessels, helping to prevent congestion and the recurrence of attacks. It's like repairing a malfunctioning irrigation system so that water (blood) circulates smoothly.

Tips for incorporating this into your routine: After gently and carefully cleansing the anal area, apply your blend of diluted essential oils. For an added numbing effect, store your bottle of essential and carrier oils in the refrigerator. Massages should be gentle. Use finger cots for application to ensure impeccable hygiene and prevent contamination.

Other natural remedies to consider

Beyond herbs and essential oils, other natural and practical remedies can contribute to the relief and prevention of hemorrhoids . These methods complement a holistic approach for better management of this condition.

• Apple cider vinegar : This old wives' remedy is often cited for its astringent and anti-inflammatory properties. You can add a glass of apple cider vinegar to a cold sitz bath, or apply it topically to external hemorrhoids using a soaked cotton ball (diluted if you experience intense stinging). It is said to promote healing and stimulate blood circulation .
• Aloe vera : Applied as a pure gel, aloe vera is soothing, healing, and anti-inflammatory. It is particularly effective at calming itching and burning sensations. Choose an organic aloe vera gel without additives for maximum effectiveness.
• Green clay : As a cold poultice, superfine green clay is known for its absorbent, decongestant, and healing properties. It can help reduce inflammation and soothe pain. Mix the clay with a little water to form a paste and apply to the affected area for 15 to 20 minutes, then rinse.
• Probiotics : An imbalance in the gut flora (dysbiosis) can contribute to constipation , a major factor in hemorrhoids . Probiotic supplementation, or the consumption of fermented foods, can help rebalance the gut microbiota, promote regular bowel movements, and thus prevent hemorrhoid flare-ups . This is a fundamental strategy for optimal digestive health.
• Milk thistle : This plant is renowned for its hepatoprotective properties. In naturopathy, it is often said that "the anus is the eye of the liver." An overloaded liver can lead to congestion of the portal vein, impacting the anal area and contributing to hemorrhoids . Milk thistle supports liver function and helps prevent this venous stasis.
• Birch sap cure : In spring, a birch sap cure can help drain the body and improve circulation, offering overall support that can be beneficial for the prevention of hemorrhoids .
• Chaste tree : Less directly linked to hemorrhoids , chaste tree is sometimes mentioned for its hormonal action which can help some women suffering from hemorrhoids related to their menstrual cycle.
• Rutin : This flavonoid, found in foods like buckwheat, grapes, and unpeeled apples, strengthens the walls of blood vessels. Rutin- based dietary supplements can be an excellent way to tone veins and prevent dilation.

The effectiveness of these natural remedies often depends on regular use and a good understanding of their interactions. A combined approach, using several of these solutions, offers the best results for lasting relief and effective prevention of hemorrhoid flare-ups .

Adapting your lifestyle to prevent hemorrhoid flare-ups

Treating hemorrhoids isn't just about relieving symptoms ; it also, and perhaps most importantly, involves adapting your lifestyle . As a specialist, I always emphasize the importance of these fundamental changes. They are the foundation for effective and lasting prevention of hemorrhoid flare-ups .

Diet: the key to avoiding constipation

Diet plays a crucial role in preventing hemorrhoids , primarily by combating constipation . Regular bowel movements and soft stools reduce pressure on the anal veins.

• Increase your fiber intake: Fiber is key to good digestion. It increases stool volume and softens stools, making them easier to pass. Aim for at least 25 to 30 grams of fiber per day. Prioritize fresh fruits and vegetables (broccoli, artichokes, leeks, unpeeled apples, berries), legumes (lentils, chickpeas), and whole grains (oats, brown rice, whole-wheat bread). For immediate and effective results, blond psyllium is a valuable ally. A tablespoon diluted in a large glass of water, followed by a second glass of plain water, can work wonders.
• Adequate hydration: Water is essential for fiber to do its job. Drink between 1.5 and 2 liters of water per day, spread throughout the day, without waiting until you feel thirsty. Herbal teas (red vine, sweet clover) can also contribute to this hydration while offering additional benefits.
• Avoid irritants: Certain foods and drinks can worsen hemorrhoids . Limit your consumption of alcohol, coffee, and tea, as well as foods that are too fatty, too salty, and especially too spicy (chili pepper, black pepper, paprika, curry). These substances can irritate the digestive lining and promote the dilation of blood vessels.
• Support your liver: An overloaded liver can impact blood circulation and contribute to hemorrhoids . Incorporate detoxifying foods such as black radish, artichoke, and broccoli, and consider liver-protective herbs like milk thistle .
• The importance of antioxidants: Foods rich in antioxidants , particularly flavonoids (such as rutin found in buckwheat, grapes, and blackcurrants ), help strengthen blood vessel walls. Berries, citrus fruits, green tea, and leafy green vegetables are excellent sources.

The importance of physical activity

A sedentary lifestyle is an aggravating factor for hemorrhoids . Regular physical activity is a fundamental pillar for improving overall blood circulation and preventing constipation .

• Get regular exercise: A brisk 30- to 45-minute walk each day, swimming, yoga, or cycling are gentle activities that stimulate bowel movements and venous return. This acts like a natural pump, helping blood flow back up and preventing venous stasis in the anal region.
• Avoid strenuous activity: During a hemorrhoid flare-up , it's best to avoid sports that put excessive strain on the abdominal area or involve lifting heavy objects. These activities can increase intra-abdominal pressure and worsen symptoms . Weight management is also crucial, as excess weight puts additional pressure on the anal veins.
• Avoid sitting or standing for too long: If your job requires you to sit or stand for extended periods, take regular breaks to walk around for a few minutes. This promotes blood circulation and reduces pressure on the anal area.

Good toilet habits

Adopting good toilet habits is a simple but crucial step for the prevention and relief of hemorrhoids .

• Establish a routine: Try to go to the toilet at fixed times, ideally after a meal, to get your body used to a regular rhythm. This helps prevent constipation and reduces the feeling of "having to hold it in".
• Don't strain: Avoid pushing too hard or staying on the toilet too long. Prolonged straining increases pressure on the anal veins, which can trigger or worsen a hemorrhoid flare-up . A squatting stool can help you adopt a more natural (squatting) position that facilitates bowel movements.
• Gentle anal hygiene: After each bowel movement, clean the anal area with moist toilet paper, without harsh soap, or wash with lukewarm water. Dry thoroughly by patting. Soothing chamomile floral water can be used for cleansing. Opt for loose-fitting cotton underwear for better ventilation and to prevent moisture buildup.

These lifestyle tips , combined with natural remedies , are the cornerstones of effective hemorrhoid treatment and prevention . They require consistency and patience, but the benefits for your comfort and digestive health are considerable.

When should you consult a doctor?

While many natural remedies can provide relief from hemorrhoids , it's crucial to know when a medical consultation is necessary. A hemorrhoid flare-up , although usually benign, can sometimes mask more serious conditions or require specific treatment. Your health is our priority, and my role as a specialist advisor is also to guide you toward the appropriate healthcare professionals.

You should consult a doctor in the following situations:

• Heavy or persistent bleeding: If you experience heavy bleeding , bright red blood in your stool, or if the bleeding doesn't stop after a few days, you should consult a doctor. Although often associated with hemorrhoids , anal bleeding can be a sign of other conditions, including more serious ones, especially after age 50.
• Intense and persistent pain: If the pain is very severe, debilitating, or if it does not decrease despite natural treatments and lifestyle changes, it is essential to seek medical advice. Hemorrhoidal thrombosis (the formation of a blood clot) may be the cause and sometimes requires prompt intervention.
• Appearance of a bluish swelling or fever: A painful, bluish swelling around the anus, or the onset of fever along with hemorrhoidal symptoms , are signs that require urgent consultation to rule out infection or complication.
• Symptoms that worsen or do not go away: If your symptoms (pain, itching , swelling) persist for more than a few days or worsen despite your efforts, it's time to see a doctor. The doctor will be able to make an accurate diagnosis and offer appropriate treatment , whether it be medication or, in some cases, surgery.
• First hemorrhoidal crisis: If this is the first time you have suffered from hemorrhoids , a medical diagnosis is recommended to confirm that it is indeed this condition and to rule out any other pathology with similar symptoms (anal fissure, prolapse, etc.).
• Hemorrhoids during pregnancy: Hemorrhoids are common during pregnancy . If symptoms are severe, it is important to consult your doctor or midwife, as some treatments may be contraindicated. They can guide you towards safe solutions for you and your baby.
• Chronic bowel disorders: Chronic constipation or diarrhea associated with hemorrhoids should be evaluated by a healthcare professional to identify the underlying cause and implement a long-term treatment plan .

A general practitioner can refer you to a proctologist if necessary. Don't let embarrassment or fear prevent you from seeking help. Early intervention is often key to avoiding complications and improving your quality of life. Remember, natural remedies can be a valuable support, but they are not a substitute for medical advice when the situation requires it.

Marie, a dietician and nutritional supplement consultant at Pleine Forme, has fifteen years of experience dedicated to helping her clients achieve better health. Her extensive expertise allows her to offer sound and reliable advice, particularly in the area of ​​natural solutions for various wellness issues.