Digestive Wellness

Understanding Hemorrhoids: Causes, Treatment & Natural Relief

10 min read
MARM Health Team

A comprehensive guide to hemorrhoid symptoms, conventional treatments, and evidence-based naturopathic approaches for lasting relief and prevention.

Natural lifestyle health issue. Everyday problem and physical symptom.

Hemorrhoids are one of the most common health concerns, affecting millions of people worldwide. Despite being so prevalent, many people feel embarrassed to discuss symptoms or seek treatment. The good news is that hemorrhoids are highly treatable, and with the right combination of conventional care and naturopathic support, you can find lasting relief.

At MARM Health, we take a compassionate, integrative approach to hemorrhoid management—addressing both immediate symptom relief and the underlying factors that contribute to their development.

What Are Hemorrhoids?

Hemorrhoids (also called piles) are swollen blood vessels in the rectum and anus, similar to varicose veins in the legs. They develop when increased pressure causes the veins to stretch, swell, and sometimes bulge.

Internal Hemorrhoids

Located inside the rectum. Usually painless but may cause bleeding during bowel movements. Can prolapse (protrude) through the anus in more severe cases.

External Hemorrhoids

Located under the skin around the anus. More likely to cause pain, itching, and discomfort. Can develop blood clots (thrombosed hemorrhoids) causing severe pain.

Recognizing Hemorrhoid Symptoms

Bleeding

Bright red blood on toilet paper, in the bowl, or on stool surface

Itching & Irritation

Persistent itching or burning sensation in the anal area

Pain & Discomfort

Pain during bowel movements or when sitting for extended periods

Swelling

Swelling or a hard lump near the anus that may be tender

Prolapse

Tissue protruding from the anus during bowel movements

Mucus Discharge

Mucus leakage after bowel movements causing irritation

What Causes Hemorrhoids?

Hemorrhoids develop when pressure in the lower rectum increases. Understanding the contributing factors helps us create an effective prevention and treatment plan:

Straining During Bowel Movements

Often due to constipation or hard stools

Prolonged Sitting

Especially on the toilet or at a desk job

Pregnancy & Childbirth

Increased abdominal pressure and hormonal changes

Obesity

Extra weight puts pressure on pelvic veins

Heavy Lifting

Increases intra-abdominal pressure repeatedly

Low-Fiber Diet

Leads to constipation and straining

Dehydration

Inadequate water intake hardens stool

Aging

Tissues supporting veins weaken over time

Conventional Treatment Options

Treatment depends on severity. Most mild to moderate hemorrhoids respond well to conservative measures:

Over-the-Counter Remedies

  • Topical creams and ointments (hydrocortisone, lidocaine)
  • Medicated suppositories
  • Witch hazel pads for soothing
  • Stool softeners to ease bowel movements

Minimally Invasive Procedures

  • Rubber band ligation – Cuts off blood supply to hemorrhoid
  • Sclerotherapy – Injection to shrink hemorrhoid tissue
  • Infrared coagulation – Heat treatment for internal hemorrhoids

Surgical Options (Severe Cases)

  • Hemorrhoidectomy – Surgical removal of hemorrhoid tissue
  • Hemorrhoid stapling – Blocks blood flow to hemorrhoidal tissue

Naturopathic & Natural Approaches

A naturopathic approach focuses on addressing root causes, supporting tissue healing, and preventing recurrence. Here's how we support hemorrhoid care naturally:

Dietary Strategies

High-Fiber Foods

Aim for 25-35g daily from:

  • • Vegetables (broccoli, Brussels sprouts)
  • • Fruits (berries, pears, apples with skin)
  • • Whole grains (oats, quinoa, brown rice)
  • • Legumes (lentils, chickpeas, beans)
  • • Ground flaxseed or chia seeds

Hydration

Essential for soft, easy-to-pass stools:

  • • Drink 8-10 glasses of water daily
  • • Herbal teas (chamomile, peppermint)
  • • Limit caffeine and alcohol
  • • Water-rich fruits and vegetables

Supplements & Herbal Support

Fiber Supplements

Psyllium husk, acacia fiber, or ground flaxseed to bulk stools gently

Horse Chestnut

Supports vein health and reduces swelling; often used for venous insufficiency

Butcher's Broom

Traditional herb that supports vascular tone and circulation

Bioflavonoids

Diosmin, hesperidin, and rutin strengthen blood vessel walls

Vitamin C

Essential for collagen production and vein integrity

Probiotics

Support healthy gut motility and regular bowel movements

Topical & Soothing Treatments

Sitz Baths

Warm water soaks for 15-20 minutes, 2-3 times daily:

  • • Add Epsom salts for muscle relaxation
  • • Witch hazel for astringent properties
  • • Chamomile or calendula for soothing

Natural Topicals

  • Aloe vera gel – Cooling and anti-inflammatory
  • Coconut oil – Moisturizing and antimicrobial
  • Witch hazel – Natural astringent
  • Calendula cream – Promotes tissue healing

Prevention & Lifestyle Tips

Healthy Bathroom Habits

  • • Don't delay when you feel the urge
  • • Avoid straining—never force a bowel movement
  • • Limit time on the toilet (no phone scrolling!)
  • • Consider a squatty potty for better positioning

Stay Active

  • • Regular exercise promotes healthy bowel function
  • • Avoid prolonged sitting—take movement breaks
  • • Walking, swimming, and yoga are gentle options
  • • Practice proper form when lifting heavy objects

Support Circulation

  • • Elevate legs when resting
  • • Avoid crossing legs when sitting
  • • Wear loose, breathable clothing
  • • Maintain a healthy weight

Mind-Body Connection

  • • Stress can affect bowel function
  • • Practice relaxation techniques
  • • Address anxiety around bowel movements
  • • Establish regular bathroom routines

When to Seek Medical Care

While hemorrhoids are common and usually not serious, certain symptoms warrant prompt medical evaluation:

  • Significant or persistent rectal bleeding
  • Dark or tarry stools
  • Changes in bowel habits
  • Severe pain not relieved by home care
  • Symptoms lasting more than a week
  • Signs of infection (fever, increasing pain)

Rectal bleeding should always be evaluated to rule out other conditions, especially if you're over 40 or have risk factors for colorectal cancer.

Key Takeaways

  • Hemorrhoids are common and treatable—don't suffer in silence
  • A high-fiber diet and adequate hydration are foundational
  • Sitz baths and natural topicals provide soothing relief
  • Supplements like bioflavonoids support vein health
  • Lifestyle changes prevent recurrence long-term
  • Seek care for persistent bleeding or severe symptoms

Ready for Personalized Support?

At MARM Health, our naturopathic doctors provide compassionate, integrative care for digestive concerns including hemorrhoids. We'll work with you to create a personalized plan addressing root causes and providing lasting relief.