Can Hemorrhoids Cause Constipation?

Hemorrhoids and constipation are common health issues that can exist independently of one another. However, they can also be linked.

This article provides helpful information for anyone who has experienced either or both conditions.

Understanding Hemorrhoids

Before discussing the connection between hemorrhoids and constipation, it's helpful to understand what hemorrhoids are. Hemorrhoids are swollen veins in the rectum or anus. They’re similar to the varicose veins that can develop in a person’s legs, but in a more sensitive area. They can occur internally, inside the rectum, or externally, under the skin around the anus.

Multiple factors can contribute to the development of hemorrhoids, including straining during bowel movements, chronic constipation, prolonged sitting, pregnancy and a low-fiber diet. Symptoms can include itching and irritation, pain, swelling and bleeding during bowel movements.

The Hemorrhoid-Constipation Connection

Many people who experience constipation (meaning infrequent and difficult bowel movements) understand that straining can cause hemorrhoids. However, the reverse can also be true: Hemorrhoids can cause or worsen constipation. This occurs for multiple reasons, including:

Discomfort/Pain

Hemorrhoids that are inflamed or contain a blood clot can make the act of having a bowel movement very painful. Consequently, people experiencing hemorrhoids may avoid having bowel movements. This reluctance causes stool to remain in the large intestine for a longer period, hardening and becoming more difficult to pass.

Obstruction

Large hemorrhoids, especially those protruding outside the anus, can partially block the anal canal, making it more difficult for stool to pass. They can also cause the feeling that a bowel movement isn’t complete, causing a person to strain to complete it, which can create additional hemorrhoids or worsen existing ones.

Muscle Spasms

Hemorrhoid pain can cause the muscles around the anus to spasm or tighten involuntarily. This can make it difficult for the rectum to relax sufficiently for a bowel movement, leading to a feeling of obstruction and difficulty passing stool.

It’s common for hemorrhoids and constipation to become an ongoing cycle, with each condition aggravating the other. Fortunately, there are steps you can take to break the cycle.

Tips for Avoiding Constipation and Hemorrhoids

• Increase dietary fiber to bulk and soften stools.
• Stay well-hydrated to keep stools soft.
• Engage in regular physical activity to promote bowel function.
• Avoid prolonged sitting on the toilet.
• Don’t strain during bowel movements; consider a squatting position.
• Respond promptly when you feel the urge to have a bowel movement.
• Use over-the-counter stool softeners or hemorrhoid creams when needed.

Get Help With Hemorrhoids and Constipation From Baptist Health

Hemorrhoids and constipation are common conditions. If you experience them infrequently, they might not be a concern. However, if either or both affect you frequently, you should talk with your healthcare provider. They can determine the cause and recommend ways to avoid the discomfort, pain and inconvenience these conditions can cause.

Visit our provider directory if you don’t have a Baptist Health provider.

Next Steps and Useful Resources

Learn More About Gastroenterology Care at Baptist Health
Preventing and Treating Hemorrhoids
How to Make Yourself Poop 
Why Does My Stomach Hurt?