What does it feel like to have a hemorrhoid?

Hemorrhoids are swollen veins in the rectum or anus that can cause a variety of sensations depending on their type and severity. Here’s what you may feel:

Internal hemorrhoids … mainly painless with bright-red bleeding or a protruding mass

Internal hemorrhoids usually don’t cause pain because the rectal lining lacks pain receptors. You may not realize you have one until you notice bright‑red blood on the toilet paper or in the toilet bowl after a bowel movement an internal hemorrhoid prolapses (slips outside the anus), you might feel a soft mass that can be gently pushed back inside.

External hemorrhoids … itching, soreness, or a tender lump

External hemorrhoids develop under the skin around the anus. This area has many nerve endings, so they often feel itchy or irritated. You may notice a tender lump or swelling, and sitting can cause a dull ache or pain. The skin outside the anus is more sensitive than inside, making external hemorrhoids more painful than internal ones. Some people don’t experience any symptoms, but others feel discomfort and a sense of fullness.

Thrombosed hemorrhoids … sudden, severe pain

A thrombosed hemorrhoid occurs when a blood clot forms in an external hemorrhoid. This causes sudden, intense swelling, pain, and a purple or blue lump. The discomfort may peak after a day or two and then gradually improve as the body reabsorbs the clot.

Other sensations and symptoms

• Burning or irritation: inflamed skin around the anus can burn or feel irritated.
• Pressure or fullness: especially if the hemorrhoid is large or prolapsed.
• Bleeding: bright‑red blood during or after a bowel movement is common, but see a doctor if bleeding persists.

Relieving discomfort

Most hemorrhoids improve with simple measures:

• Warm sitz baths: soaking the area in warm water for 10 – 15 minutes several times a day can soothe irritation.
• Over‑the‑counter creams: products containing hydrocortisone or witch hazel can relieve itching and pain.
• High‑fiber diet: eating fiber‑rich foods and drinking plenty of water softens stools and reduces straining.
• Avoid straining: don’t linger on the toilet; respond to the urge to go, and avoid pushing hard.

When to see a doctor

See a healthcare professional if you experience severe pain, persistent bleeding, or if home treatments don’t improve your symptoms. They can check for other causes of rectal bleeding and offer additional treatments if needed.

By understanding how hemorrhoids feel and how to relieve discomfort, you can recognize symptoms early and take steps to improve your condition.