The pain, itching, or irritation has returned, and you’re probably thinking, “what did I do to deserve this?” The truth is, the causes of flare-ups vary depending on the person. Hemorrhoidal discomfort is a condition where your hemorrhoids, blood vessels in your lower rectum and around your anus, are swollen, dilated and inflamed. The bottom line: Knowing the different possible causes of this swelling, dilation, or inflammation is the first step in learning to manage them.

The causes of hemorrhoidal discomfort

1. Straining during bowel movements
2. Straining due to chronic constipation or diarrhea
3. Sitting or standing for long periods of time
4. Being overweight
5. Pregnancy or childbirth
6. Exerting yourself with heavy lifting*

* This information is provided for informational purposes only and is not intended as a substitute of any kind for professional medical advice, diagnosis or treatment of a qualified professional as required. Speak to your healthcare professional before making any changes to your lifestyle, or beginning or discontinuing any course of treatment. Never disregard professional medical advice or delay in seeking it because of something you have read on this site.

Hemorrhoidal discomfort can include:

• External itch
• External pain
• Internal burning
• Internal pain
• Swelling of hemorrhoidal tissue
• Surface inflammation
• Painful bowel movements
• Bleeding

Why did my condition flare-up?

Flare-ups can occur at any time with or without warning. They can cause pain, itching, irritation, burning and sometimes bleeding. For some, flare-ups are related to things like stress, diet, and constipation. The length and severity of a flare-up varies by person. Luckily, there are many options for treating flare-ups and relieving your symptoms.