Hemorrhoids itch primarily because of swelling and inflammation of the blood vessels around the anus and lower rectum. This inflammation triggers the immune system to release histamine, causing itching and irritation. The presence of excess moisture, mucus discharge from prolapsed internal hemorrhoids, and irritation from wiping or poor hygiene can also worsen the itching. Scratching the itch can worsen inflammation, creating a cycle of more itching and discomfort. External hemorrhoids, located outside the anus, are more prone to itching because the sensitive skin can become dry and irritated, while internal hemorrhoids cause itching when prolapsed and discharging mucus that irritates surrounding skin. The itchiness can be intensified at night due to warmth and moisture.

Reasons Hemorrhoids Cause Itching

• Inflammation causing release of histamine
• Moisture and mucus discharge irritating skin
• Poor hygiene or wiping with irritating materials
• Friction and swelling around the anus
• Prolapsed internal hemorrhoids leaking mucus

Impact of Itching

• Persistent discomfort and irritation
• Potential worsening from scratching
• Difficulty keeping the area clean without additional irritation

These factors explain why hemorrhoids often cause itching sensations around the anal area. Proper hygiene, avoiding irritants, and treatments to reduce inflammation and swelling can help relieve the itch.

If itching persists or worsens beyond a week, medical consultation is advisable to manage symptoms effectively.