Home Hemorrhoids Can Hemorrhoids Cause Pruritus Ani: 6 Facts & 4 Prevention

Can Hemorrhoids Cause Pruritus Ani: 6 Facts & 4 Prevention

6 facts and tips on how hemorrhoids can cause pruritus ani
Our recommended Product - Dr. Numb® 5% Lidocaine Cream - 30g

Pruritus Ani is familiar with hemorrhoids. A hemorrhoid is an enlargement of the veins in the rectal area that causes discomfort and pain.

Relationships between these conditions must be understood. You may experience discomfort, infection, and a lower quality of life if you do not treat pruritus ani. Avoid unnecessary pain and frustration by learning how to prevent and treat it.

In this blog post, we will explain how hemorrhoids can cause pruritus ani and what you can do to prevent it.

Key Takeaways

  1. Hemorrhoids are a common cause of pruritus ani, or anal itching, because of factors such as increased friction, moisture, muscle spasms, inflammation, skin sloughing, and bacterial or fungal infections.
  2. Anal infections and itching from hemorrhoids can lead to sloughing, irritation, inflammation, excess moisture, skin sloughing, and anal infections. Infection, inflammation, sloughing, and itching in the anal area.
  3. Other conditions, including anal fissures, viral infections, proctitis, psoriasis, parasites, food sensitivities, and cancer can cause it too.
  4. Hemorrhoids are sometimes complicated by ruptured hemorrhoids, which are characterized by symptoms like persistent anal itching, bright red bleeding, significant anal pain, swollen anus, fever, and inflammation.
  5. Thrombosed hemorrhoids, where blood clots form inside swollen veins in the anus or rectum, can be managed with some self-care, including warm sitz baths, avoiding straining, using topical ointments or medications, and in severe cases, surgical removal.
  6. Preventive measures to avoid hemorrhoids and pruritus ani include maintaining a high-fiber diet, staying hydrated, regular exercise, and following good hygiene practices.

Can Hemorrhoids Cause Pruritus Ani: 6 Facts

6 Facts about Hemorrhoids Causing Pruritus Ani

One of the most common symptoms of hemorrhoids is pruritus ani, also known as anal itching. We'll discuss pruritus ani caused by hemorrhoids in more detail.

Increased Itching Due to Hemorrhoids

Hemorrhoids can cause intense pruritus itching in the anal area for several reasons. The following factors contribute to the increased itching:

  • Hemorrhoids can rub against the sensitive skin in the anal area, causing irritation and itching in pruritus.
  • Hemorrhoids can cause the skin around the anus to become dry and chapped, leading to increased itching. Anal itching (pruritus ani) is often caused by a fungal or yeast infection.
  • Enlarged hemorrhoids cause the leakage of moisture, stool, and fungus. Repeated wiping, cleaning, scratching, and the use of harsh cleaners make the itching worse.
  • The presence of hemorrhoids can cause the muscles around the anus to spasm, leading to further irritation and itching.

Irritation in the Anal Area

The presence of hemorrhoids can also irritate the anal area, leading to pruritus ani. Factors contributing to irritation:

  • Anal itching, a symptom similar to hemorrhoids, is a common symptom of a pinworm infection.
  • Anus skin can become inflamed and sore, leading to discomfort and itching.
  • The swollen veins in the hemorrhoids can pressure the surrounding tissues, causing pain and irritation.
  • Anus hemorrhoids can cause the skin to become more sensitive, leading to increased irritation and itching.
Don't Let Hemorrhoids Hold You Back
Say goodbye to discomfort, find quick relief with our 5% lidocaine hemorrhoid cream.

Inflammation of the Hemorrhoids

Hemorrhoids can become inflamed, causing pruritus ani. Several factors contribute to inflammation:

  • Piles can become engorged with blood, leading to swelling and inflammation.
  • Hemorrhoids can become engorged with blood, leading to swelling and inflammation.
  • The inflammation of the hemorrhoids can make the skin around the anus red, swollen, and itchy.
  • Hemorrhoids can infect, leading to further inflammation, pain, and itching.
  • If your internal hemorrhoid becomes inflamed, it can leak mucus. This causes the feeling of dampness and can cause staining to your underwear.

Excessive Moisture in the Anal Area

Moisture in the anal region can also contribute to pruritus ani caused by hemorrhoids. The following factors can increase moisture:

  • Hemorrhoids keep the skin around the anus moist due to sweating, leading to increased itching.
  • Hemorrhoids can cause fecal matter to become trapped in the anal area, leading to increased moisture and irritation.
  • Certain medications or creams can also cause excessive moisture around the anals, causing pruritus ani.

Sloughing of Skin Around Hemorrhoids

Another factor contributing to pruritus associated with hemorrhoids is the sloughing off of skin around the hemorrhoids. The following factors can cause the skin to slough off:

  • Skin affected by hemorrhoids can become thin and fragile, leading to sloughing off.
  • The skin around the hemorrhoids can become dry and flaky, leading to the sloughing off of the skin.
  • Skin around hemorrhoids may become infected, resulting in dead skin.

Bacterial and Fungal Infections

The Causes of Pruritus and Bacterial and Fungal Infections

Bacterial and fungal infections can also cause pruritus ani in people with hemorrhoids. Several factors lead to infections:

  • Hemorrhoids can create an environment conducive to the growth of bacteria and fungi.
  • Scratching the anal area due to itching caused by hemorrhoids can introduce bacteria and fungi, leading to infections.
  • Hemorrhoids can cause minor cuts in the skin around the anus, allowing bacteria and fungi to enter the body and cause infections.

Can Hemorrhoids Cause Pruritus Ani: 8 Other Causes

While hemorrhoids are a known cause of pruritus ani, several other possible causes should be considered. We will explore some of the other possible causes of anal itching.

Anal Fissures

Anal fissures are small tears in the lining of the lower rectum or anal canal. They are a common cause of anal itching and can be very painful. Some of the main symptoms of anal fissures include:

  • Pain during bowel movements.
  • Bright red blood on the surface of the stool.
  • Burning or itching around the anus.

Viral Infections

Viral infections such as HPV (human papillomavirus) and herpes can also cause pruritus ani. Sexual contact typically transmits these infections, which can cause symptoms such as:

  • Painful sores or blisters around the anus.
  • Itching and burning.
  • Swollen lymph nodes.


Other causes of pruritus and proctitis can be caused by hemorrhoids

Proctitis is an inflammation of the rectum's lining that can cause anal itching. It can be caused by various factors, including infections, ulcerative colitis, and Crohn's disease. Proctitis symptoms include:

  • Pain during bowel movements.
  • Rectal bleeding.
  • Diarrhea or constipation.


Psoriasis is a chronic autoimmune condition that can cause a range of symptoms, including anal itching. This condition causes the body's immune system to attack healthy skin cells, resulting in thick, scaly, and itchy patches of skin. Common symptoms of psoriasis include:

  • Red, scaly patches of skin around the anus.
  • Itching and burning.
  • Cracked skin that can bleed.


Parasitic infections such as pinworms and lice can also cause pruritus ani. These infections are typically spread through contact with contaminated surfaces or bedding. Infections caused by parasitic infections include.

  • Intense itching around the anus, especially at night.
  • Visible worms or eggs around the anus.
  • Irritation and inflammation of the skin around the anus.
Don't Let Hemorrhoids Hold You Back
Say goodbye to discomfort, find quick relief with our 5% lidocaine hemorrhoid cream.

Food Sensitivities

Certain foods may also cause pruritus ani in some people. Common triggers include spicy foods, caffeine, and alcohol. In addition, some individuals may be sensitive to certain food additives such as MSG. A few symptoms of food sensitivities include:

  • Itching and burning around the anus.
  • Rash or hives on the skin.
  • Stomach upset or diarrhea.

Anal Cancer

While rare, anal cancer can also cause pruritus ani. Anus cancer develops in the tissues of the anus and can cause a variety of symptoms, such as:

  • Lymph nodes around the anus or in the groin may be swollen.
  • Pain and discomfort during bowel movements.
  • Rectal bleeding.
  • Swelling or lumps around the anus.

Signs of Ruptured Hemorrhoid

Hemorrhoids, though common and usually not serious, can sometimes lead to complications such as a ruptured hemorrhoid. Recognizing the signs of a ruptured hemorrhoid is important for prompt medical attention and management. Here are some key signs and symptoms to watch out for:

  • Anal Itching: One of the common symptoms of a ruptured hemorrhoid is persistent anal itching. This itching may be accompanied by a burning sensation and general discomfort in the anal area.
  • Bright Red Bleeding: Bright red blood on toilet paper, in the toilet bowl, or on stool surfaces is a classic sign of a ruptured hemorrhoid. The bleeding may occur during bowel movements or persist throughout the day.
  • Anal Pain: Ruptured hemorrhoids can cause significant anal pain, ranging from mild discomfort to sharp, shooting pain. This pain may worsen during bowel movements or when sitting for prolonged periods.
  • Lumps Around Your Anus: The presence of lumps or swelling around the anus is another indicator of a ruptured hemorrhoid. These lumps may be sensitive to touch and can contribute to the overall discomfort.
  • Fever: Sometimes, a ruptured hemorrhoid may lead to a low-grade fever. If you experience unexplained fever and other symptoms, seeking medical evaluation is essential.
  • Bleeding: Besides bright red bleeding, a ruptured hemorrhoid can also cause more significant bleeding, leading to blood clots or continuous bleeding that requires attention from a healthcare provider.
  • Severe Pain: Severe pain in the anal region, especially if it persists or worsens over time, could indicate a complication like a ruptured hemorrhoid. This pain may interfere with daily activities and quality of life.
  • Lightheadedness: Experiencing lightheadedness, dizziness, or feeling faint in conjunction with other symptoms of a ruptured hemorrhoid may signal the need for immediate medical assessment.
  • Inflammation: Ruptured hemorrhoids often result in inflammation of the affected area, causing redness, warmth, and swelling. This inflammation can exacerbate pain and discomfort.

Treatment Steps for Thrombosed Hemorrhoids

A thrombosed pile is a condition in which a blood clot forms inside a swollen vein, leading to painful symptoms. Managing thrombosed hemorrhoids involves a combination of self-care strategies and medical interventions aimed at alleviating discomfort and promoting healing. Here are detailed steps for treating thrombosed hemorrhoids effectively:

Self-Care Strategies

Warm Sitz Baths

One of the most effective ways to relieve the discomfort associated with thrombosed hemorrhoids is to take warm sitz baths. Soaking the affected area in warm water several times a day can help reduce swelling, ease pain, and promote healing.

Topical Ointments

Over-the-counter creams and ointments designed explicitly for hemorrhoids can provide relief from itching, burning, and pain. These topical treatments often contain hydrocortisone or witch hazel ingredients that help soothe the affected area.

Avoid Straining

Straining during bowel movements can exacerbate symptoms of thrombosed hemorrhoids. It's essential to avoid straining and take your time when passing stools to prevent further irritation and discomfort to the affected veins.

Medical Interventions

Topical Hemorrhoid Medications

Where self-care measures are insufficient, healthcare providers may recommend prescription-strength topical medications to ease symptoms. These medications can help reduce inflammation, pain, and itching associated with thrombosed hemorrhoids.

Surgical Removal

For severe or persistent cases of thrombosed hemorrhoids, surgical intervention may be necessary. In a procedure known as hemorrhoidectomy, a surgeon removes the blood clot and any damaged tissue around the hemorrhoid. This surgical approach is typically reserved for situations where conservative treatments have not provided adequate relief.

Can Hemorrhoids Cause Pruritus Ani: 4 Prevention Tips

One of the common complications associated with hemorrhoids is pruritus ani (itchy anus). We will focus on some of the essential prevention tips you can follow to prevent hemorrhoids and pruritus ani.

Fiber-rich Diet

Hemorrhoids and Pruritus Prevention Tips with Fiber-Rich Diets

A high-fiber diet is critical in preventing hemorrhoids and pruritus ani. Fiber is a vital nutrient that promotes healthy digestion by softening the stool, making it easy to pass. It also prevents constipation, a primary cause of hemorrhoids and pruritus ani. Here are some of the top fiber-rich foods you should consider adding to your diet:

  • Fruits such as apples, raspberries, bananas, and oranges.
  • Vegetables like broccoli, spinach, carrots, and sweet potatoes.
  • Whole grains like oatmeal, brown rice, and whole-grain bread.
  • Legumes like beans, lentils, and chickpeas.

Drinking Plenty of Water

Staying hydrated is another crucial prevention tip for hemorrhoids and pruritus. Drinking plenty of water helps to keep the stool soft and easy to pass, thus reducing the risk of constipation. Water also helps to flush out toxins from the body and keep bowel movements regular. You should aim to drink at least eight glasses of water every day.

Regular Exercise

Leading a sedentary lifestyle is also a significant risk factor for hemorrhoids and pruritus. Regular exercise helps promote healthy bowel movements, essential in preventing constipation and hemorrhoids. Exercise also helps to improve blood circulation, reducing the risk of inflammation in the veins around the rectal area. You can try the following exercises:

  • Walking.
  • Running.
  • Cycling.
  • Hemorrhoids can be treated with swimming and water-based activities that relieve pain and inflammation.
Don't Let Hemorrhoids Hold You Back
Say goodbye to discomfort, find quick relief with our 5% lidocaine hemorrhoid cream.

Good Hygiene Practices

Maintaining hygiene around the rectal area can also help prevent hemorrhoids and pruritus. After a bowel movement, gently clean the area with warm water or mild soap. Avoid using harsh soaps or wipes that can irritate the skin. It is also advisable to wear loose-fitting clothing to allow air to circulate freely, thus reducing the risk of moisture buildup.


While hemorrhoids can be a source of pruritus ani, you can take plenty of steps to prevent and manage both conditions. By prioritizing good hygiene practices, staying hydrated, and eating a healthy diet, you can reduce your risk of developing both hemorrhoids and pruritus ani.

You should always seek medical attention if you experience persistent or severe symptoms. Don’t be embarrassed to talk to your doctor about discomfort or concerns. Your health and well-being should always come first.

Our recommended Product - Dr. Numb® 5% Lidocaine Cream - 30g
Matt Callard
I am a passionate traveler, as if traveling were my full-time job. I like to change my surroundings and environment, like changing desktop wallpaper. Nature increases the concentration in my writing, which helps brainstorming flow in my blood. I have a cat named Kitana. She is the most desperate about traveling, more than any other cat. How do I know? If I miss any tour in any week, she literally destroys my clothing with her wolverine nails.

I and my cat also participate in extreme activities like surfing, biking, hill tracking, paragliding, boating, etc. She was always there in my accidents, injuries, and stitches. She always sits on my lap when it hurts me most. The funniest part is that she has experienced all my tattoos. She sleeps on my blanket when I go through any painful experience.

My hobbies and lifestyle added many pain and injuries to my life. That is why I have a lot of experience in dealing with different levels of pain and burn. It influenced me to become a pain expert and share primary suggestions to handle any unwanted situations that hurt.


  • How Can Pruritus Ani Caused By Hemorrhoids Be Treated?

    Hemorrhoids that cause pruritus ani require different treatments depending on their severity. Mild acne may improve with lifestyle changes, such as avoiding irritants and maintaining good hygiene.

    Inflammation and itching can also be reduced with topical creams and ointments. Surgical procedures may be needed in more severe cases to eliminate hemorrhoids and alleviate pruritus and symptoms.

  • How Can Pruritus Ani After Hemorrhoid Treatment Be Treated?

    Treatment for pruritus ani after hemorrhoid treatment depends on the severity of the condition. Simple measures like keeping the area clean, using fragrance-free wipes, and avoiding harsh soaps can help. Your doctor may recommend topical medications like corticosteroids and analgesics in more severe cases. Keeping the area dry and calm is essential to reduce itching and irritation.

  • How Do I Know If Hemorrhoids Cause My Pruritus Ani?

    If you have hemorrhoids and are experiencing itching or discomfort in the anal area, the hemorrhoids may be causing your pruritus ani. It is always recommended to consult with a healthcare provider to receive an accurate diagnosis and appropriate treatment plan.

  • How Long Does It Take For A Thrombosed Hemorrhoid To Heal?

    A thrombosed external hemorrhoid develops under the skin surrounding the anus and causes discomfort because a blood clot is present in the vein. Thrombosed hemorrhoids may improve within 7-10 days without surgery and disappear within 2-3 weeks.

Back to blog
More Content