Hemorrhoid basics
Hemorrhoids are enlarged veins in the lower rectum and around the anus. They commonly develop from pressure on these veins when you strain during bowel movements. Hemorrhoids are a widespread issue.
They can be either internal or external. When an internal hemorrhoid protrudes (bulges outward) through the anus, it can drag mucus with it, increasing irritation and causing itching. Passing stool may further irritate the area and intensify the itch.
You might be able to ease itching and support healing with home measures. Apple cider vinegar is touted as a home remedy for many ailments. But is it effective for hemorrhoids? Read on to examine the evidence and learn ways to manage hemorrhoids at home.
Why apple cider vinegar?
Apple cider vinegar has long been used in folk medicine and has recently gained popularity online as a remedy for a wide range of issues.
It’s produced by fermenting apple sugars in a two-stage process that converts them into acetic acid — the main active component in vinegar.
Acetic acid acts as an astringent, meaning it can contract tissues like skin. Apple cider vinegar has also demonstrated antibacterial activity, which might benefit certain skin problems.
Advocates say apple cider vinegar may help reduce inflammation as well. In theory, that could lessen the swelling and irritation associated with hemorrhoids.
Does it work?
Personal reports suggest apple cider vinegar can offer quick relief from hemorrhoid-related pain and itching. However, there’s no solid scientific research confirming this effect.
Medical professionals caution that applying apple cider vinegar undiluted to the skin can worsen irritation or cause chemical burns. There have been documented instances of vinegar causing burns when used on the skin.
While apple cider vinegar may be helpful for some conditions, using it directly on the skin to treat hemorrhoids — whether internal, external, or pregnancy-related — is not advisable. Safer and more effective options are available.
Can you use it other ways?
Diluting apple cider vinegar with water lowers the chance of skin irritation and burns and may offer some relief for itchy hemorrhoids.
You can mix apple cider vinegar with water and freeze the solution in an ice cube tray. Even if the vinegar itself isn’t acting, the cold may soothe the area and temporarily reduce pain, swelling, and itching.
If you prefer, try a warm apple cider vinegar soak: add 2 cups of vinegar to a bathtub of warm — not hot — water and soak for 15 to 20 minutes. Rinse your skin with a shower afterward.
Ready to try? Purchase apple cider vinegar here.
Other home remedies
Below are additional home treatments for hemorrhoids. These alternatives are more likely to ease symptoms and shrink hemorrhoids without causing burns or exacerbating the problem.
Sitz bath
Health professionals frequently recommend this approach for hemorrhoids. Sit in warm water for about 15 minutes several times a day, especially after bowel movements.
A sitz bath is a shallow basin that fits over your toilet; you can buy one online or at a pharmacy. Alternatively, you can sit in a bathtub with a few inches of warm water.
Epsom salt and glycerin
You can create a paste to apply to the affected area for temporary relief.
Try this method:
- Combine equal parts Epsom salt and glycerin to form a paste (about 2 tablespoons of each should suffice).
- Place the paste on a gauze pad and set it on the sore area.
- Keep it on for 20 minutes.
- Repeat every six hours until your discomfort eases.
Find Epsom salt and glycerin online.
Aloe vera
Aloe vera possesses anti-inflammatory qualities that may reduce swelling and ease hemorrhoid pain.
Although direct evidence for hemorrhoids is limited, aloe vera has been shown to be beneficial in treating other inflammatory skin disorders and aiding wound healing.
Use pure aloe vera gel and avoid products with added ingredients that could irritate the area.
Find aloe vera products online.
Witch hazel
Research indicates witch hazel offers anti-inflammatory, antibacterial, and astringent effects. While studies don’t specifically confirm it as a hemorrhoid treatment, these characteristics may help alleviate pain, itching, and swelling without worsening symptoms.
Want to try witch hazel? You can buy it here.
Psyllium husk
A psyllium fiber supplement, such as Metamucil, increases dietary fiber and softens stools, making them easier to pass.
This won’t provide immediate symptom relief, but it helps prevent constipation and hard stools that can cause or aggravate hemorrhoids.
If you start a psyllium supplement, increase the dose gradually and drink plenty of water to minimize gas, bloating, and other side effects.
When to see your doctor
If you’re confident hemorrhoids are the cause of your symptoms, see a healthcare provider if home treatments don’t help after a week. Also seek care if your pain is intense or if you experience frequent bleeding from hemorrhoids.
Although pain and bleeding during bowel movements are typically linked to hemorrhoids, other serious conditions can produce similar symptoms.
If you’re uncertain whether hemorrhoids are responsible, don’t assume — get a medical evaluation to obtain an accurate diagnosis.
Go to the emergency room for heavy rectal bleeding or bleeding accompanied by faintness or light-headedness.
The bottom line
Apple cider vinegar contains antibacterial and anti-inflammatory components that may benefit certain skin issues. It’s also associated with other health effects related to cholesterol, heart function, and blood sugar control.
That said, for hemorrhoids you’re better off choosing home remedies that won’t burn or further irritate the skin. If you need information on different hemorrhoid types, see types of hemorrhoids.
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