For those who prefer to avoid pharmaceutical treatments or want to complement their medical treatment with gentler options, natural remedies offer effective relief for hemorrhoid symptoms. Many of these remedies have been used for centuries and are now supported by modern research demonstrating their anti-inflammatory, astringent, and soothing properties.
This guide explores the most effective natural remedies for hemorrhoids, explaining how each works, how to use them safely, and what results you can realistically expect. Whether you're dealing with mild discomfort or looking for complementary treatments alongside conventional options, these natural approaches can provide meaningful relief.
Witch Hazel: Nature's Astringent
Witch hazel (Hamamelis virginiana) is perhaps the most well-known natural remedy for hemorrhoids, and for good reason. This plant-derived astringent has been used medicinally for hundreds of years by Native Americans and later adopted into Western medicine.
How It Works
Witch hazel contains tannins, compounds that have natural astringent properties. When applied to hemorrhoid tissue, it helps:
- Reduce swelling by tightening and constricting tissue
- Decrease inflammation and irritation
- Stop minor bleeding from hemorrhoids
- Provide cooling relief from itching and burning
How to Use
Witch hazel is available in several forms for hemorrhoid treatment:
- Pre-moistened pads: Products like TUCKS pads can be applied directly to the affected area after bowel movements
- Liquid witch hazel: Apply to a soft cotton pad and gently dab onto external hemorrhoids
- Witch hazel cream: Use products that combine witch hazel with other soothing ingredients
For enhanced cooling relief, store your witch hazel pads or liquid in the refrigerator. The cold temperature adds an extra soothing element when applied to irritated tissue.
Aloe Vera: The Healing Plant
Aloe vera has been used for thousands of years to treat skin conditions, burns, and wounds. Its gel contains compounds that make it particularly effective for hemorrhoid relief.
How It Works
Aloe vera gel contains acemannan and other polysaccharides that provide:
- Anti-inflammatory effects to reduce swelling
- Soothing relief from burning and itching sensations
- Moisturising properties that prevent tissue from drying and cracking
- Wound-healing support for damaged hemorrhoid tissue
How to Use
For hemorrhoid treatment, use pure aloe vera gel without added fragrances or alcohol:
- Apply pure aloe vera gel directly to external hemorrhoids 2-3 times daily
- If using a fresh aloe leaf, cut it open and extract the clear gel from the inside
- Look for products containing high concentrations of aloe vera (ideally 95% or higher)
- Perform a patch test on your inner arm before first use to check for sensitivity
Only use pure aloe vera gel for hemorrhoid treatment. Avoid products with added colours, fragrances, or alcohol, as these can irritate sensitive tissue. Also, only apply aloe vera to external hemorrhoids unless specifically directed by a healthcare provider.
Sitz Baths: Warm Water Therapy
A sitz bath involves sitting in warm water that covers your hips and buttocks. This simple remedy is one of the most effective natural treatments for hemorrhoids and is often recommended by doctors alongside other treatments.
How It Works
Warm water sitz baths provide relief through several mechanisms:
- Improved blood circulation to the affected area, promoting healing
- Relaxation of the anal sphincter muscle, reducing spasm and pain
- Gentle cleansing of the area without irritating friction
- Reduction of inflammation and swelling
How to Take a Sitz Bath
- Fill your bathtub with 3-4 inches of warm (not hot) water, or use a sitz bath basin that fits over your toilet
- The water temperature should be comfortable, approximately 37-40°C
- Sit in the water for 15-20 minutes
- Repeat 2-3 times daily, or after each bowel movement
- Gently pat the area dry with a soft, clean towel afterward
- Epsom salts (1/2 cup per bath) - helps reduce inflammation
- Chamomile tea (steeped and cooled) - adds soothing properties
- Witch hazel (2-3 tablespoons) - enhances astringent effects
- Plain warm water works well on its own
Essential Oils for Hemorrhoid Relief
Certain essential oils have properties that may help with hemorrhoid symptoms, though they should always be properly diluted before use on sensitive tissue.
Tea Tree Oil
Tea tree oil has natural antiseptic and anti-inflammatory properties. Research suggests it can help reduce swelling and prevent infection. Always dilute tea tree oil with a carrier oil (like coconut oil) at a ratio of about 2-3 drops per tablespoon before applying.
Lavender Oil
Lavender oil is known for its calming and anti-inflammatory effects. It may help reduce pain and irritation when properly diluted and applied topically. Mix 2-3 drops with a tablespoon of carrier oil.
Cypress Oil
Cypress oil is believed to help with circulation and has astringent properties that may reduce bleeding. Dilute appropriately before use.
Never apply undiluted essential oils to hemorrhoids or any mucous membranes. Always perform a patch test first, and discontinue use if you experience any irritation. Pregnant women should consult their healthcare provider before using essential oils.
Dietary Natural Remedies
Some natural remedies work from the inside out, supporting healthy digestion and reducing constipation that can worsen hemorrhoids.
Psyllium Husk
Psyllium is a soluble fibre derived from the seeds of Plantago ovata. It absorbs water in the intestines and helps form soft, bulky stools that are easier to pass without straining. Take as directed with plenty of water.
Flaxseed
Ground flaxseed is rich in both soluble and insoluble fibre, plus omega-3 fatty acids with anti-inflammatory properties. Add 1-2 tablespoons to smoothies, oatmeal, or yogurt daily.
Prunes and Prune Juice
Prunes contain natural sorbitol, a sugar alcohol that acts as a gentle laxative. They also provide fibre and antioxidants. Eating 4-5 prunes daily or drinking a glass of prune juice can help maintain regular bowel movements.
Coconut Oil
Coconut oil has gained popularity as a natural hemorrhoid remedy due to its moisturising and anti-inflammatory properties.
How It Works
Coconut oil contains medium-chain fatty acids, particularly lauric acid, which has antibacterial and anti-inflammatory effects. It also provides excellent lubrication that can ease the passage of stools and protect irritated tissue.
How to Use
- Apply solid coconut oil directly to external hemorrhoids (it melts at body temperature)
- Can be applied before bowel movements to ease passage
- Use organic, virgin coconut oil for best results
Creating a Natural Treatment Routine
For best results, combine multiple natural remedies in a consistent daily routine:
Morning
- Take fibre supplement (psyllium or flaxseed) with breakfast
- Drink at least 2 glasses of water
After Bowel Movements
- Take a 15-minute sitz bath
- Gently pat dry and apply witch hazel or aloe vera
Evening
- Take another sitz bath if needed
- Apply coconut oil or aloe vera before bed for overnight healing
When Natural Remedies Aren't Enough
While natural remedies are effective for many people, they have limitations. Consider seeking medical treatment if:
- Symptoms persist after 1-2 weeks of consistent natural treatment
- You experience significant bleeding
- Pain is severe or worsening
- You notice a hard lump that may indicate a thrombosed hemorrhoid
Natural remedies can often be used alongside conventional treatments for enhanced relief. For more treatment options, explore our product comparison tool to find remedies that match your preferences, including products with natural ingredient profiles.