Constant Pain? Why Hemorrhoids Flare and Medically Approved Next Steps

If you're dealing with constant pain from hemorrhoids, you're not alone. Hemorrhoids are extremely common, especially in adults over 40, pregnant women, and people who struggle with constipation. While they can be uncomfortable and even alarming, most hemorrhoids are not dangerous. That said, ongoing or worsening pain should never be ignored.

Here's what causes hemorrhoids to flare, what constant pain may mean, and what medical experts recommend you do next.

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What Are Hemorrhoids?

Hemorrhoids are swollen veins in the lower rectum or anus. They're similar to varicose veins but occur in a more sensitive area.

There are two main types:

• Internal hemorrhoids – Located inside the rectum. These may cause painless bleeding.
• External hemorrhoids – Found under the skin around the anus. These are more likely to cause pain, itching, and swelling.

In some cases, a hemorrhoid can become thrombosed, meaning a blood clot forms inside it. This often causes severe, constant pain.

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Why Do Hemorrhoids Flare Up?

Hemorrhoids usually flare because of increased pressure in the lower rectum. Several common triggers include:

1. Constipation and Straining

This is the most frequent cause. Straining during bowel movements increases pressure in rectal veins.

If you're experiencing ongoing issues with hard stools or infrequent bowel movements, use this free Constipation symptom checker to identify potential causes and get personalized guidance on managing your symptoms effectively.

2. Chronic Diarrhea

Repeated bowel movements and irritation can inflame hemorrhoids.

3. Sitting Too Long

Prolonged sitting, especially on the toilet, increases pressure on anal veins.

4. Pregnancy

Hormonal changes and pressure from the growing uterus increase the risk.

5. Obesity

Excess weight places additional pressure on pelvic veins.

6. Heavy Lifting

Repeated straining from lifting can trigger or worsen hemorrhoids.

7. Low-Fiber Diet

Without enough fiber, stools become hard and difficult to pass.

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Why Is the Pain Constant?

Most mild hemorrhoids cause discomfort that comes and goes. Constant pain often means one of the following:

Thrombosed Hemorrhoid

A blood clot has formed inside the hemorrhoid. Symptoms include:

• Severe, steady pain
• A hard lump near the anus
• Swelling and inflammation
• Possible bluish discoloration

This pain can be intense but usually improves within 1–2 weeks with proper care.

Strangulated Hemorrhoid

If an internal hemorrhoid prolapses (bulges out) and its blood supply becomes cut off, it can cause significant pain and swelling.

Ongoing Irritation

Repeated wiping, diarrhea, or infection can keep hemorrhoids inflamed.

Constant pain is a sign that your body needs attention. While many cases are manageable at home, severe or persistent symptoms deserve medical evaluation.

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Medically Approved Next Steps

If you're experiencing constant hemorrhoid pain, here's what doctors typically recommend:

1. Increase Fiber Intake

Fiber softens stool and reduces straining.

Aim for:

• 25–38 grams of fiber daily
• Whole grains
• Fruits (like pears and berries)
• Vegetables
• Legumes

If needed, a fiber supplement may help.

2. Stay Hydrated

Drink plenty of water throughout the day. Proper hydration works with fiber to prevent hard stools.

3. Use Warm Sitz Baths

Sitting in warm (not hot) water for 10–15 minutes:

• Improves blood flow
• Reduces muscle tension
• Relieves pain and itching

This can be done several times daily.

4. Apply Over-the-Counter Treatments

Common doctor-approved options include:

• Hydrocortisone creams (short-term use only)
• Witch hazel pads
• Lidocaine creams for pain relief
• Suppositories for internal hemorrhoids

Avoid using steroid creams longer than recommended, as they can thin the skin.

5. Avoid Straining

• Don't sit on the toilet for long periods.
• Go when you feel the urge—don't delay.
• Consider elevating your feet on a small stool during bowel movements to improve posture.

6. Use Cold Compresses

Applying a wrapped ice pack for short intervals can reduce swelling.

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When to See a Doctor

While most hemorrhoids improve with conservative treatment, you should speak to a doctor if you experience:

• Rectal bleeding (especially if heavy or persistent)
• Severe pain that doesn't improve
• Fever
• Pus or signs of infection
• Black or tarry stools
• Unexplained weight loss
• Symptoms lasting more than a week despite treatment

Rectal bleeding should never be automatically assumed to be from hemorrhoids. Conditions like colorectal cancer, inflammatory bowel disease, or anal fissures can have similar symptoms. A proper exam ensures nothing serious is missed.

If anything feels severe, unusual, or life-threatening, seek urgent medical care immediately.

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Medical Procedures for Persistent Hemorrhoids

If home treatments fail, doctors may recommend procedures such as:

Rubber Band Ligation

A small band cuts off blood supply to the hemorrhoid, causing it to shrink.

Infrared Coagulation

Heat is used to shrink internal hemorrhoids.

Sclerotherapy

A chemical solution shrinks the hemorrhoid.

Surgical Hemorrhoidectomy

Reserved for severe or recurrent cases.

These treatments are generally safe and effective when performed by trained professionals.

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Preventing Future Hemorrhoid Flares

Long-term prevention focuses on reducing pressure in the rectal veins:

• Eat a high-fiber diet daily
• Drink adequate water
• Exercise regularly
• Avoid prolonged sitting
• Maintain a healthy weight
• Address constipation early

If constipation is recurring, don't ignore it. Chronic bowel strain is one of the biggest risk factors for ongoing hemorrhoids.

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A Balanced Perspective

Hemorrhoids are uncomfortable, and constant pain can disrupt daily life. But in most cases, they are manageable and treatable. The key is addressing the root cause—usually bowel habits and pressure.

At the same time, don't dismiss persistent symptoms. Pain and bleeding should always be evaluated if they continue. Early medical assessment can rule out serious conditions and give you peace of mind.

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The Bottom Line

Constant pain from hemorrhoids usually signals inflammation, clotting, or ongoing strain. The good news is that most cases improve with:

• Increased fiber
• Proper hydration
• Sitz baths
• Over-the-counter treatments
• Reduced straining

If symptoms persist, worsen, or include significant bleeding, speak to a doctor promptly. Some causes of rectal pain or bleeding can be serious or even life-threatening, and only a medical professional can provide a proper diagnosis.

You don't have to suffer in silence. Hemorrhoids are common, treatable, and manageable with the right steps—and timely medical care when needed.