Why do hemorrhoids hurt and itch?

Generally, the occurrence of pain and itching caused by hemorrhoids may be related to prolonged sitting or standing, consumption of spicy food, thrombosed external hemorrhoids, prolapsed internal hemorrhoids, perianal eczema, and other factors. It is recommended to seek timely medical consultation to identify the underlying cause and receive symptomatic treatment under the guidance of a qualified physician. Detailed explanations are as follows:

1. Prolonged Sitting or Standing

Maintaining the same posture for extended periods, such as sitting or standing, can lead to poor blood circulation and hindered venous return in the anal area, resulting in hemorrhoids and causing pain and itching. It is recommended to perform appropriate anal lift exercises to promote blood circulation in the anal region.

2. Spicy Diet

Spicy foods can easily irritate the anal area, causing congestion and swelling, which may lead to hemorrhoids and result in pain and itching. It is advisable to maintain a light diet and avoid excessive consumption of spicy foods.

3. Thrombosed External Hemorrhoids

Thrombosed external hemorrhoids are usually caused by local inflammatory stimulation. When veins in the anal area rupture, blood accumulates under the skin, forming a blood clot (thrombus), which causes pain and itching. This condition is often accompanied by a foreign body sensation in the anal area, restricted movement, and discomfort while sitting or lying down. Follow medical advice to use medications such as Ma Ying Long Musk Hemorrhoid Ointment, Yunnan Baiyao Hemorrhoid Ointment, or Diosmin tablets for treatment.

4. Prolapsed Internal Hemorrhoids

When internal hemorrhoids progress to a certain stage, they may protrude from the anus during bowel movements or other activities. The prolapsed hemorrhoid can irritate the anal area, leading to pain and itching. This is often accompanied by symptoms such as difficulty in defecation, rectal bleeding, and anal heaviness. Follow medical advice to use medications such as Compound Fucus栓 (Compound Alginate Suppository), Chlorhexidine Acetate Suppository, or Maren Runchang Pills for treatment.

5. Perianal Eczema

Perianal eczema is typically caused by poor hygiene or irritation in the anal area. Eczema leads to intense pain and itching in the anal region and may also present with symptoms such as redness, papules, and erosion. Under a doctor's recommendation, medications such as Flufenamic Acid Butyl Ester Ointment, Hydrocortisone Butyrate Cream, or Cetirizine Hydrochloride Tablets can be used for treatment.

In daily life, avoid prolonged sitting or standing, and change positions regularly to promote blood circulation in the anal area.