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Can Hemorrhoids Get Infected?

August 18, 2025

Hemorrhoids, commonly known as piles, are swollen veins in the lower rectum or anus, similar to varicose veins. They can be extremely uncomfortable, but are hemorrhoids at risk of infection? The answer isn’t straightforward and requires an understanding of hemorrhoidal anatomy and potential complications. In this blog, we’ll explore whether hemorrhoids can get infected, the symptoms to look out for, and how to treat an infected hemorrhoid effectively.

What are Hemorrhoids?

Hemorrhoids are classified into two types: internal, which occur inside the rectum, and external, which occur under the skin around the anus. They typically cause symptoms such as pain, itching, and bleeding during bowel movements. While hemorrhoids themselves are not infections, they can lead to complications that may mimic or promote infection.

Can Hemorrhoids Get Infected?

Under normal circumstances, hemorrhoids are not prone to infection. However, they can become complicated by what is known as perianal cellulitis or abscess formation, which can occur if the tissue around the hemorrhoids becomes irritated and infected. This risk is especially prevalent in cases of poor hygiene or existing cuts or abrasions in the anal area.

What are the Symptoms of an Infected Hemorrhoid?

If a hemorrhoid becomes infected, symptoms might intensify beyond the usual discomfort associated with hemorrhoids. Here are signs that may indicate an infection:

  • Increased pain and swelling
  • Redness around the anus
  • Pus or discharge, possibly indicated by a hemorrhoid with a white spot
  • Fever and chills, though rare, can occur in severe cases

These symptoms require prompt medical attention to prevent further complications.

Why Don’t Hemorrhoids Usually Get Infected?

The area around the anus has a rich blood supply, which helps to prevent infection from setting in. The blood flow carries immune cells to the region, fighting off potential infections. Moreover, the mucus membrane around the rectum is designed to withstand bacterial exposure from stool.

Treating Infected Hemorrhoids

If you suspect an infection, consult a healthcare provider immediately. Treatment may involve the following:

Antibiotics for Hemorrhoids

While hemorrhoids themselves do not require antibiotics, if an infection occurs, your doctor may prescribe antibiotics to clear up any bacterial infections that have taken hold in the surrounding tissues.

Home Care

Maintaining cleanliness is crucial. Gently clean the anal area after each bowel movement using wet wipes or rinse with water. Applying ice packs can reduce swelling, and over-the-counter pain relievers can help manage discomfort.

Medical Procedures

In severe cases, surgical intervention might be necessary, especially if there is abscess formation. Procedures may involve draining the abscess or removing the affected hemorrhoidal tissue.

When to Worry About a Hemorrhoid Infection

While rare, certain conditions can make hemorrhoids more susceptible to infection. For example, if an external hemorrhoid develops a thrombosis (blood clot), the skin around it can break and become infected. Additionally, poor anal hygiene can increase the risk of bacteria entering small tears in the skin caused by strained bowel movements, potentially leading to infection.

Directly, hemorrhoids do not cause fever. However, if a fever and symptoms of infection are present, it might indicate a more serious complication like an abscess or a systemic infection, which requires immediate medical intervention.

Prevention: Best Practices

Preventing hemorrhoids from becoming a problem in the first place is key to avoiding complications like infection. Here are some tips:

  • Increase dietary fiber to soften stools and minimize straining.
  • Stay hydrated.
  • Practice good hygiene, especially after bowel movements.
  • Avoid prolonged sitting or standing to reduce pressure on the anal veins.

Summary

While hemorrhoids themselves typically do not get infected, complications arising from them can lead to symptoms that are similar to an infection. Understanding the signs of potential complications and maintaining good hygiene are critical in managing hemorrhoids and preventing infection. If you experience any signs of infection, such as increased pain, discharge, or fever, it is crucial to seek medical advice to ensure appropriate treatment and prevent further issues.