Feeling like you constantly need to have a bowel movement, even when your bowels are empty, can be an unsettling experience. This persistent sensation is a common concern for individuals with hemorrhoids.
Hemorrhoids and the Sensation of Needing to Poop
Hemorrhoids are swollen, enlarged veins that develop inside your rectum or under the skin around your anus. Similar to varicose veins, they form due to increased pressure on the veins in the anal and rectal area. This pressure can result from straining during bowel movements, prolonged toilet sitting, chronic constipation or diarrhea, and pregnancy.
The physical presence of swollen hemorrhoidal tissue within the anal canal or rectum can create a sensation of fullness. Inflammation and irritation of the tissue surrounding the hemorrhoids also contribute to this persistent urge, known as tenesmus.
Internal hemorrhoids, which are located inside the rectum, often cause this feeling of incomplete evacuation or a continued need to pass stool. Because the rectum has fewer pain-sensing nerves, these internal hemorrhoids may not cause pain but can trigger the sensation of pressure or fullness, especially if they prolapse or bulge outside the anus. External hemorrhoids, located under the skin around the anus, typically cause more pain due to the presence of numerous pain-sensing nerves, but can also contribute to discomfort and the feeling of a lump.
Other Common Hemorrhoid Symptoms
Beyond the sensation of needing to poop, hemorrhoids can present with other symptoms. Many individuals experience bright red blood after a bowel movement, which may be seen on toilet paper or in the toilet bowl.
Itching or irritation around the anal region is another common symptom. Pain or discomfort, particularly when sitting, and the presence of a tender lump near the anus are also common indicators of hemorrhoids.
Relieving the Sensation and Managing Hemorrhoids
Alleviating the sensation of needing to poop and managing hemorrhoids involves lifestyle adjustments and home remedies. Increasing your dietary fiber intake and staying well-hydrated help soften stools and promote easier bowel movements, reducing strain.
Avoiding straining during bowel movements and not sitting on the toilet for extended periods can also help. Warm sitz baths, where you soak the anal area for 10 to 20 minutes several times a day, can soothe discomfort and reduce swelling. Over-the-counter creams, ointments, or suppositories containing ingredients like witch hazel or hydrocortisone can provide relief from itching and inflammation. Applying a cold compress or ice pack wrapped in a towel to the affected area can also help reduce swelling and pain.
When to Seek Medical Advice
While many hemorrhoid symptoms can be managed at home, consult a healthcare professional if your symptoms worsen, become severe, or do not improve after a week of home care. Significant bleeding, or if you notice dark red, black, or tarry stools, warrants immediate medical attention. These symptoms may indicate more serious underlying conditions requiring professional diagnosis and treatment.