Hemorrhoids also known as piles can be described as a large and swollen veins or lumps situated inside the rectum or around the anus, that causes discomfort and in some severe cases, rectal bleeding. The rectum is the chamber that starts from the end of the large intestine following the sigmoid and colon and stops at the anal region.

As a part of our normal anatomy as humans, we all possess what is called hemorrhoidal tissue. This tissue lies within the anal region and the perinanal region and it consist of a small amount of muscle, blood vessels and connective tissue. The hemorrhoidal tissues swell slightly during bowel movements. Pressure on the anal canal can cause an enlargement which results to piles, which can occur both inside and outside the anus ( in the rectum or outside the anus). During the enlargement of the hemorrhoidal tissue, it stretches in such a way that the veins bulge and become very very irritating, especially during defecating. They usually go away on their own and sometimes, can also be controlled with treatments.


Hemorrhoids can be classified into two. Internal and external hemorrhoids. In severe cases, one can develop both internal and external hemorrhoids at the same time.

INTERNAL HEMORRHOIDS: these types of hemorrhoids is usually located or situated inside the rectum. They are not visible from the anus. They barely results to pain or discomfort. You can experience a painless bleeding called RECTAL BLEEDING during defecation or bowel movement ( discharge of blood in the toilet). Sometimes the internal hemorrhoids shoots out of the anus due to weak muscles around the anus which can bring about pain. This is known as PROLAPSED HEMORRHOIDS. The internal hemorrhoids are in four stages depending on how severe the case may be.

  1. First stage: hemorrhoid stay inside the rectum without being visible.
  2. Second stage: Hemorrhoids prolapse (shoot-out) when defecating then return back inside its own.
  3. Third stage: Hemorrhoids prolapse and doesn’t go back in until it is pushed.
  4. Fourth stage: Hemorroid prolapse and does not going even whenever it is pushed back.

External hemorrhoids: This is a swelling of veins, the hemorrhoidal tissue, muscles and blood vessels around the anus such that they become a big lump, prolapse out of the anus and can result to bleeding and sometimes itching.


Before I proceed to answer this question(CAN ANAL SEX CAUSE HEMORRHOIDS ), what is anal sex?
Anal sex is the act of inserting a penis or other objects into a partner’s anus. Some people find it enjoyable while some other people find it painful and discomforting due to lack of lubrication which results to tearing of tissue in the anus since the anus is not capable of producing lubrication on its own like the vagina.

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Now, back to the question.

Can anal sex cause Hemorrhoids ?

A lot of people think anal sex is what causes Hemorrhoids but the answer is no!

Anal sex is not likely to initiate Hemorrhoids but is most likely to aggravate or worsen existing hemorrhoids. This happens because, when the penis is inserted into the anus, pressure is exerted on the anal canal which also stretches the hemorrhoidal tissue, veins and muscles around the anus which can result to swelling and weakening of muscles around the anus and irritation of the hemorrhoids leading to pains and bleeding.


Other causes of hemorrhoids include:

  1. Straining during bowel movements
  2. Sitting for a long period of time especially on the toilet.
  3. Pregnancy
  4. Obesity or overweight
  5. Low-fibre diet
  6. Regular lifting of heavy objects
  7. Constipation or diarrhoea
  8. Aging


  1. Increase your intake of fluids: drinking enough water helps to ease digestion help by making your physics soft and preventing constipation.
  2. Use the toilet as soon as possible when you need to: When you want to stool and don’t go immediately you stool can dry and result to constipation.
  3. Regular exercise: Stay active to avoid constipation and reduce pressure on your veins.
  4. Avoid too much sitting especially on the toilet: This helps to reduce the pressure exerted on your anal region.
  5. Avoid excess straining during bowel movement


  1. Seeing blood in your stool or in the toilet
  2. Pain in the anal region
  3. Itching in the anal region
  4. Pain during bowel movement
  5. Lump in the anus


These are possible remedies to help get rid of hemorrhoids. Sometimes they go away by themselves but they do not go away as fast as you want you can apply any of these tips.

  1. Avoid constipation
  2. Eat foods with lots of fibre avoid laxatives soak regularly in warm bath 1-3 times a day
  3. Apply an hemorrhoid cream containing hydrogcartison or lidocaine.

If hemorrhoids persist even after applying all these tips aforementioned, it is important that you see your doctor as quick as possible which sometimes might result to considering surgical options.

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