Internal hemorrhoids are swollen blood vessels inside your rectum that can cause bleeding, discomfort, and pressure. Getting rid of them fast means addressing the swelling and pain quickly with proven methods like stool softeners, warm baths, and over-the-counter creams. Most internal hemorrhoids improve within a few days to a week with home care, but some cases need medical treatment.
What Actually Causes Internal Hemorrhoids?
Internal hemorrhoids happen when veins in your lower rectum get stretched and swollen. The main cause is repeated pressure in that area. Straining during bowel movements is the most common trigger. Constipation and sitting on the toilet for too long both increase that pressure.
Pregnancy puts extra pressure on these veins. The growing uterus pushes down on the rectum and changes blood flow. According to the American College of Gastroenterology, about 35% of pregnant women develop hemorrhoids, mostly in the third trimester.
Other causes include chronic diarrhea, heavy lifting, and a diet low in fiber. Aging also plays a role. The tissues supporting the veins weaken over time, making them more likely to bulge. Genetics may make some people more prone to weak vein walls.
Unlike external hemorrhoids, internal ones form inside the rectum where there are fewer pain-sensing nerves. That is why they often bleed without causing much pain at first. You might notice bright red blood on toilet paper or in the bowl. That is usually the first sign.
How To Get Rid Of Internal Hemorrhoids Fast: What The Evidence Shows
The fastest relief comes from addressing both the symptoms and the underlying pressure. Research published in the journal Diseases of the Colon and Rectum found that increasing fiber intake reduces bleeding from internal hemorrhoids by about 50% within six weeks. For faster results, combine fiber with stool softeners and warm water soaks.
Warm sitz baths are one of the most effective home treatments. Sitting in warm water for 10 to 15 minutes two to three times a day relaxes the anal sphincter and improves blood flow. This reduces swelling and helps the hemorrhoid shrink. The water should be warm, not hot. Hot water can make swelling worse.
Over-the-counter creams and suppositories containing hydrocortisone can reduce inflammation quickly. Products with witch hazel or lidocaine provide temporary pain relief. These do not cure the hemorrhoid but they make the symptoms manageable while your body heals.
Oral pain relievers like acetaminophen or ibuprofen can help with discomfort. Ibuprofen also reduces inflammation, which may speed recovery. Do not use ibuprofen if you have stomach ulcers or kidney problems without checking with your doctor first.
| Treatment | How Fast It Works | What It Does |
|---|---|---|
| Warm sitz baths | Immediate relief | Reduces swelling and relaxes muscles |
| Hydrocortisone cream | 1-2 days | Reduces inflammation and itching |
| Fiber supplements | 3-7 days | Softens stool and reduces straining |
| Stool softeners | 12-72 hours | Makes bowel movements easier |
| Rubber band ligation | Same day procedure | Bands cut off blood flow to hemorrhoid |
What Home Remedies Actually Work For Internal Hemorrhoids?
Several home remedies have real evidence behind them. Psyllium husk, the main ingredient in many fiber supplements, has been studied extensively. A 2018 review in the World Journal of Gastroenterology concluded that psyllium is effective for treating hemorrhoid symptoms and preventing recurrence. It works by bulking up stool so it passes more easily.
Cold compresses can numb the area and reduce swelling. Apply an ice pack wrapped in a thin cloth for 10 minutes at a time. Do not put ice directly on the skin. That can damage the tissue.
Aloe vera gel is widely claimed to help, but strong clinical evidence is limited. Some people report soothing effects from pure aloe gel applied externally. Do not use aloe products that contain alcohol or added fragrances. Those can irritate the area.
Apple cider vinegar is a popular internet remedy. There is no clinical evidence that it works for hemorrhoids. In fact, applying undiluted vinegar to sensitive rectal tissue can cause burns and make symptoms worse. Avoid it.
Coconut oil is another home remedy people try. It has mild anti-inflammatory properties and can act as a lubricant during bowel movements. Some people find it soothing. There are no large studies confirming its effectiveness for hemorrhoids.
When Do You Need Medical Treatment?
Most internal hemorrhoids resolve with home care. But some do not. If bleeding continues after a week of home treatment, see a doctor. Bleeding can also be a sign of other conditions like anal fissures, polyps, or colorectal cancer. It is important to get it checked.
Severe pain is not typical for internal hemorrhoids. If you have significant pain, you may have a thrombosed hemorrhoid, which means a blood clot has formed inside. This requires medical attention. A doctor can remove the clot in a simple office procedure.
Internal hemorrhoids are graded on a scale of 1 to 4 based on how far they prolapse, or protrude from the rectum. Grade 1 hemorrhoids stay inside. Grade 2 prolapse during bowel movements but go back on their own. Grade 3 need to be pushed back in. Grade 4 stay prolapsed and cannot be pushed back in.
For grade 2 and 3 hemorrhoids, rubber band ligation is the most common in-office treatment. The doctor places a small rubber band around the base of the hemorrhoid. This cuts off blood flow, and the hemorrhoid shrinks and falls off within a week. The procedure takes about a minute and does not require anesthesia.
Sclerotherapy is another option. A chemical solution is injected into the hemorrhoid, causing it to shrink. Infrared coagulation uses heat to create scar tissue that cuts off blood supply. Both are effective for smaller internal hemorrhoids.
Surgery is reserved for grade 4 hemorrhoids or when other treatments fail. Hemorrhoidectomy removes the hemorrhoid tissue. Recovery takes one to two weeks and can be painful. Stapled hemorrhoidopexy is a less painful alternative for some cases.
What To Avoid While Treating Internal Hemorrhoids
Straining during bowel movements is the number one thing to avoid. It increases pressure on the veins and makes hemorrhoids worse. Do not sit on the toilet for more than five minutes at a time. Read somewhere else, not on the toilet.
Spicy foods do not cause hemorrhoids, but they can irritate existing ones. Some people report increased burning and discomfort after eating spicy meals. If you notice this pattern, cut back until symptoms resolve.
Alcohol and caffeine can be dehydrating. Dehydration leads to harder stool and more straining. Drink plenty of water instead. Aim for eight to ten glasses per day when you have active symptoms.
Do not use dry toilet paper. It can rub and irritate the area. Use moist wipes or a bidet instead. If you use wipes, choose ones without alcohol or fragrance. Pat the area dry gently, do not rub.
Heavy lifting puts direct pressure on the rectal veins. If you lift weights, reduce the load until symptoms improve. If you must lift something heavy, exhale as you lift and do not hold your breath. Holding your breath increases intra-abdominal pressure.
Sitting for long periods compresses the veins in your rectum. If you have a desk job, stand up and walk around every 30 minutes. Use a donut cushion if sitting is uncomfortable. The cushion takes pressure off the rectal area.
Common Misconceptions About Internal Hemorrhoids
One widespread myth is that hemorrhoids are caused by poor hygiene. That is not true. Hemorrhoids are caused by increased pressure in the veins, not by being unclean. Overcleaning with harsh soaps can actually make symptoms worse by irritating the skin.
Another myth is that only older people get hemorrhoids. While they become more common with age, people in their 20s and 30s get them too. About half of all adults have had hemorrhoids by age 50, according to the National Institute of Diabetes and Digestive and Kidney Diseases.
Some people believe that hemorrhoids can turn into cancer. They cannot. Hemorrhoids are swollen blood vessels, not tumors. However, the bleeding from hemorrhoids can look similar to bleeding from colorectal cancer. That is why any rectal bleeding should be evaluated by a doctor, especially if you are over 45.
There is also a belief that exercise makes hemorrhoids worse. Moderate exercise actually helps by improving circulation and preventing constipation. The key is to avoid heavy straining exercises like squats or deadlifts while symptoms are active. Walking, swimming, and cycling are fine.
Frequently Asked Questions
How long does it take for internal hemorrhoids to go away?
Most internal hemorrhoids improve within 3 to 7 days with home treatment. Complete healing can take 2 to 6 weeks depending on the severity.
Can internal hemorrhoids go away on their own?
Yes, grade 1 and some grade 2 internal hemorrhoids can resolve without treatment if you stop straining and increase fiber intake.
What is the fastest way to shrink internal hemorrhoids?
Rubber band ligation performed by a doctor shrinks internal hemorrhoids the fastest, usually within a week. For home treatment, sitz baths and fiber supplements work fastest.
Is it safe to push an internal hemorrhoid back in?
If it prolapses, you can gently push it back in with a lubricated finger. If it does not go back easily or causes pain, see a doctor.

