Hemorrhoid Symptoms: Pain and Discomfort

Hemorrhoids, also known as piles, are cushions of veins and connective tissue in the rectum or under the skin along the anal canal. When they become swollen and inflamed, they can cause pain, discomfort, and other symptoms, such as itching and bleeding. 

Hemorrhoid pain results from pressure on the hemorrhoidal tissue, which causes inflammation and swelling. It can range from mild to severe, depending on where the hemorrhoid is located and whether it’s thrombosed (has a blood clot) or not. Pain from hemorrhoids can last for days, weeks, or longer, and it can impact everyday life, making even simple things like sitting down uncomfortable. 

Understanding why hemorrhoids hurt and how to relieve the discomfort is the first step to feeling better. While some hemorrhoids can be painless, those that cause discomfort and pain may require treatment to achieve lasting relief.

Types of Hemorrhoid Pain and Discomfort

Hemorrhoid pain varies. Some people have persistent pain and discomfort. It can feel like a constant aching or throbbing sensation that worsens when sitting down. This pain can interfere with everyday activities and make working difficult if you have to sit for long periods. 

Hemorrhoid pain can also be sharp or intense. This type of pain generally occurs during or after a bowel movement and is caused by passing a hard stool. Increasing your fiber intake and drinking more water to help prevent hard stools can help prevent or lessen this type of pain.

Why Do Hemorrhoids Hurt?

Not all hemorrhoids are painful, but when they do hurt, the pain can be a real problem. 

Hemorrhoids are either internal or external.

External hemorrhoids form under the skin around the anus. They can hurt during a bowel movement when sitting down or anytime there’s increased pressure on the hemorrhoidal tissue. 

Internal hemorrhoids develop in the rectum, which is the final section of the lower intestine. Fewer nerve endings sense pain in the rectum, so internal hemorrhoids aren’t usually painful. They can, however, slip out of the anal canal — these are known as prolapsed hemorrhoids. A prolapsed hemorrhoid, just like an external hemorrhoid, can hurt. 

Here are the main reasons why pain from hemorrhoids might flare up. 

Inflammation and Swelling from an Increase in Pressure

When the blood vessels and connective tissue in hemorrhoids undergo excessive pressure, whether from straining during exercise, prolonged sitting, or passing a stool, the swelling and inflammation can increase, causing more discomfort. 

Thrombosis (Blood Clots)

Sometimes, a blood clot forms in a hemorrhoid, which is called a thrombosed hemorrhoid. 

A clot in a hemorrhoid can block the flow of blood in the already swollen veins, causing the surrounding anal tissue to become swollen and inflamed. If a thrombosed hemorrhoid ruptures, it can become very painful, causing severe, sharp pain and bleeding. 

When to See a Doctor for Hemorrhoid Pain and Discomfort

It’s important to see a doctor for hemorrhoid pain and discomfort that doesn’t go away after one week or that’s severe. Lifestyle changes like avoiding sitting for long periods and eating more fiber can usually help relieve the pressure that’s causing hemorrhoids to swell and hurt. At-home care, such as sitz baths and over-the-counter creams and ointments, can also help. 

However, if the pain doesn’t go away, the hemorrhoids might not be healing on their own and require treatment. 

Sometimes, untreated hemorrhoids can last for weeks, months, or even years. Hemorrhoid symptoms, too, can persist, leading to embarrassment, discomfort, and a diminished quality of life, which is why getting the treatment you need to feel better is so important. 

The skilled doctors at USA Hemorrhoid Centers treat hemorrhoids with hemorrhoid artery embolization (HAE), a highly effective option for relieving hemorrhoid pain. This non-surgical procedure, which can be performed in an outpatient clinic, offers a quick recovery, a low risk of complications, and a high success rate.

Schedule a consultation at a USA Hemorrhoid Centers location near you and find out if HAE can help you get relief. 

Frequently Asked Questions

What does hemorrhoid pain feel like?

Hemorrhoid pain can feel like a throbbing, aching pain that worsens with sitting down. It can also feel like a sharp pain during a bowel movement or shortly afterward. Usually, hemorrhoid discomfort will lessen with a sitz bath or a cold compress. If pain persists beyond a few days, it is important to see a doctor. 

Can you have a hemorrhoid without pain?

Yes, you can have a hemorrhoid without pain. Internal hemorrhoids are located in the rectum, where fewer nerve endings sense pain. 

Where is hemorrhoid pain located?

Hemorrhoid pain is located around the anus. The pain can be a dull ache or a throbbing pain that is more noticeable when sitting down. It can also feel like a sharp pain in the anal canal when passing a stool. 

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I am so glad to have gone to USA Hemorrhoid Centers. My experience has been amazing. The staff are all so friendly but professional. The doctor is wonderful and in his professional manner makes you very comfortable and explains anything you have questions about. So very happy.

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Google Rating:
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USA Hemorrhoid Centers all staff were incredible. They communicated throughout and checked in frequently to ensure I was as comfortable as possible. I am happy I chose to get the treatments and look forward to the improvements.

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Alexis B.

Google Rating:
5/5

I am so glad to have gone to USA Hemorrhoid Centers. My experience has been amazing. The staff are all so friendly but professional. The doctor is wonderful and in his professional manner makes you very comfortable and explains anything you have questions about. So very happy.

USA Hemorrhoid Centers testimonial

Abe K.

Google Rating:
5/5

USA Hemorrhoid Centers all staff were incredible. They communicated throughout and checked in frequently to ensure I was as comfortable as possible. I am happy I chose to get the treatments and look forward to the improvements.

USA Hemorrhoid Centers Patient

Alexis B.


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