Can hemorrhoids cause sores?

Understanding Hemorrhoids and Sores: Can Hemorrhoids Cause Sores?

What are Hemorrhoids?

Hemorrhoids are natural swellings that form in the lining of the anus and lower rectum region. Also referred to as piles, hemorrhoids are a result of the normal process of human anatomy – whereby the veins around the anus region enlarge to accommodate bowel movements.

Normally, hemorrhoids are not considered harmful and usually don’t cause any complications. However, at times, they may become swollen, inflamed or contain blood clots, leading to different degrees of pain, itchiness, bleeding, and even anal sores.

Can Hemorrhoids Cause Sores?

Yes, hemorrhoids can indeed lead to the formation of sores, ulcers, or cuts around the anal area. This usually happens in the case of external hemorrhoids due to continuous friction with clothing or skin, leading to irritation and itchiness. Here, the affected skin breaks down and gets inflamed, leading to the development of anal sores.

Add to that the fact that hemorrhoids cause intense itching, especially during bowel movements, and it is easy to understand how they can lead to anal sores.

However, it is important to note that while hemorrhoids can cause sores, not all anal sores are caused by piles. Some sores can be caused by other conditions such as anal fissures or rare types of cancer, calling for a proper diagnosis by a qualified healthcare professional.

How Do You Treat Hemorrhoid-Related Sores?

The first step to treat hemorrhoid-related sores is to deal with the underlying hemorrhoids. Depending on the severity of your condition, your healthcare provider may recommend a combination of non-surgical or surgical treatment methods such as:

  • Over-the-counter topical creams or ointments to reduce itching, inflammation, or swelling.
  • Stool softeners or fiber supplements to ease bowel movements and reduce strain on the rectum.
  • Hemorrhoid banding or coagulation, where the swollen or protruding hemorrhoid is tied off and shrinks in size.
  • Surgical Hemorrhoidectomy, which involves removing the swollen tissue altogether.

For the anal sores themselves, your healthcare provider may prescribe an antibiotic cream or ointment to prevent infection, especially if the sore is deep or has bled. Additionally, they may prescribe pain-relieving suppositories or topical numbing ointments to ease pain during bowel movements.

Also, while it may be tempting to scratch, rubbing, or irritate the sore due to intense itching, it is advisable to avoid doing so, which can lead to further irritation and delayed healing chances.

How Can You Prevent Hemorrhoid-Related Sores?

You can prevent the development of hemorrhoid-related sores by taking necessary measures to prevent or treat hemorrhoids. Here are some strategies to keep in mind:

  • Incorporate fiber-rich foods or supplements in your diet to soften stool, making it easier to pass without straining and reducing pressure on the rectum.
  • Drink plenty of water daily to keep the stool soft and avoid dehydration, which can lead to constipation.
  • Avoid sitting or lying down in one position for too long, which can reduce blood flow to the rectal area and increase the risk of hemorrhoids.
  • Don’t strain during bowel movements, and take your time to evacuate the bowels naturally.
  • Keep the anal area clean and dry, especially after bowel movements, by using mild soaps and wiping the area gently with a moist towel.
  • Avoid using hard and scented toilet papers which can irritate the anal area.
  • Avoid wearing tight-fitting clothes that cause friction and pressure on the rectum.

When is it Time to See a Doctor?

If you suspect that you have hemorrhoids or anal sores, and the condition persists, it’s advisable to see a qualified healthcare professional. In particular, seek medical attention if:

  • You experience constant pain or bleeding during bowel movements.
  • You notice a lump or protrusion around the anal area.
  • Your condition doesn’t improve with home remedies or over-the-counter medications.
  • You notice changes in stool color, consistency, or smell.
  • You experience symptoms such as fever, chills, or abdominal pain.

Final Thoughts

Although hemorrhoids are not life-threatening, they can cause a lot of discomforts, and even anal sores if not treated properly. Luckily, most people respond positively to non-invasive treatment methods such as creams, supplements, or lifestyle changes. However, if your symptoms persist or worsen, it’s advisable to seek medical attention to rule out any underlying conditions.


1. Can excessive cleaning cause anal sores?

Yes, excessive cleaning of the anal area with hard soaps or scrubbers can cause anal sores. Instead, you can use mild soap and water to clean the area gently.

2. Can anal fissures cause hemorrhoids?

No, anal fissures and hemorrhoids are not directly related conditions. However, the symptoms of anal fissures such as itching or pain are similar to hemorrhoids, leading to confusion in diagnoses.

3. Can hemorrhoids cause constipation?

Yes, hemorrhoids can cause constipation due to inflammation, swelling, or internal bleeding, making it painful or uncomfortable to pass stool. This leads to the retention of feces in the colon, making it difficult or impossible to empty the bowels.

4. How long does it take for hemorrhoids to heal?

The healing time for hemorrhoids depends on the severity of your condition and the treatment method applied. Mild cases of hemorrhoids that respond well to home remedies usually heal within a few days, while severe cases that require surgery may take weeks or even months to heal completely.

5. Can hemorrhoids go away on their own?

Yes, mild cases of hemorrhoids can go away on their own without any intervention. However, it’s advisable to incorporate lifestyle changes such as healthy eating or exercise to speed up the healing process and avoid complications such as anal sores.