Why Do Hemorrhoids Keep Coming Back?

Hemorrhoids can be painful, itchy, and irritating. When these symptoms come back, it’s easy to wonder: Why are my hemorrhoids returning? What causes a flare-up after they seemed to be gone?

As we’ve discussed previously on the Hemorrhoid Help Blog, maintaining a high-fiber diet can significantly reduce hemorrhoids.

In truth, hemorrhoid flare-ups can happen for different reasons, and sometimes there’s no clear cause. However, learning about the possible triggers is the first step in managing and preventing them. In this article, we’ll look at what might cause your hemorrhoids to come back and how you can find relief.

Why Do Hemorrhoids Keep Coming Back?

What Causes Hemorrhoid Problems?

Hemorrhoids happen when the veins in the lower rectum and anus become swollen and inflamed. This can cause a lot of discomfort, including:

• Itching around the anus

• External pain

• Burning inside the rectum

• Internal pain

• Swelling of hemorrhoid tissues

• Inflammation of the rectal lining

• Painful bowel movements

• Bleeding during bowel movements

There are many reasons why hemorrhoids can form or come back. Some of the most common causes include:

• Straining during bowel movements

• Chronic constipation or diarrhea

• Sitting or standing for long periods

• Being overweight

• Low-fiber diet (A List of 10 high fiber foods)

• Lifting very heavy weights

Important: This information is for educational purposes only. It does not replace advice, diagnosis, or treatment from a qualified healthcare professional. Always talk to your doctor before making any changes to your lifestyle or starting new treatments.

Both internal and external hemorrhoids can be caused by the same factors — like straining, pregnancy, being overweight, a poor diet, and heavy lifting.

If you notice frequent flare-ups or your symptoms are getting worse (for example, heavy bleeding), it’s very important to see your doctor quickly.

Why Are My Hemorrhoid Symptoms Getting Worse?

Hemorrhoid attacks can happen suddenly, with or without warning. They can cause pain, itching, irritation, burning, and sometimes bleeding.

For many people, flare-ups are linked to stress (12 Ways to Deal With Stress) , diet, or constipation. The length and severity of a hemorrhoid attack can vary from person to person.

The good news is that there are many ways to treat hemorrhoids at home and ease the symptoms. Products like Preparation H (creams, gels, suppositories, and soothing wipes) can help reduce discomfort and promote healing.

Important: If your symptoms last longer than 7 days, even after home treatment, it’s important to see a doctor.

Can Stress Cause Hemorrhoids?

Unfortunately, yes. Stress can trigger hemorrhoid flare-ups. It affects the digestive system and can cause problems like diarrhea or constipation — both of which can lead to hemorrhoids.

If you believe stress is making your hemorrhoids worse, talk to your doctor. They might recommend counseling services to help you manage your stress. They can also give you advice on improving your gut health and preventing future hemorrhoid problems.

Here are some simple ways to protect your digestive system and avoid hemorrhoid flare-ups:

• Eat a healthy, fiber-rich diet (fruits, vegetables, whole grains)

• Drink plenty of water every day

• Exercise regularly

• Avoid straining during bowel movements

Medical Sources

• Mayo Clinic – Hemorrhoids

• Cleveland Clinic – Hemorrhoids

• American Society of Colon and Rectal Surgeons – Hemorrhoids