Can Hemorrhoids Cause Urine Problems

Can Hemorrhoids Cause Problems With Urinating?

Hemorrhoids are swollen veins in the lowest part of your rectum and anus. They affect about 1 in 20 Americans. The increased pressure during bowel movements and straining to pass stools can cause the veins in your anus and rectum to swell and stretch. This may lead to hemorrhoids.  Hemorrhoids can be inside your anus (internal) or under the skin around your anus (external). While hemorrhoids sometimes only cause mild discomfort, they can also cause problems with urination. Keep reading to learn more about the connection between hemorrhoids and urinating & how can hemorrhoids cause urine problems.

Hemorrhoids are very common, especially among adults ages 45 to 65. Fortunately, most hemorrhoid symptoms clear up after a few days with home treatment. But left untreated, hemorrhoids can become problematic and lead to complications. One complication that some people with hemorrhoids experience is difficulty urinating. Problems with urination occur when swollen hemorrhoidal tissues protrude into the anal canal and compress the urethra, which can obstruct or partially obstruct urine flow. Let’s take a closer look at how hemorrhoids can interfere with urination, who’s at risk, symptoms to watch for, and when to see a doctor.

How Can Hemorrhoids Obstruct Urination?

Two main ways enlarged hemorrhoids can interfere with normal urination:

External Hemorrhoids

External hemorrhoids develop under the skin around the anus. They can become swollen and enlarged, causing a bulge and protrusion into the anal canal.

If the hemorrhoid prolapses far enough, it can obstruct the opening of the urethra. This causes trouble initiating urine flow. External hemorrhoids may also make it difficult to relax the urinary sphincter muscles when trying to urinate.

Internal Hemorrhoids

Internal hemorrhoids develop inside the lowest part of the rectum, called the anal canal. When they enlarge, they can protrude through the anus outside the body.

Prolapsed internal hemorrhoids can obstruct urinary flow by causing a mechanical compression of the urethra. They may also interfere with the urinary sphincter muscles used for voiding.

Who is at Risk for Urination Problems?

Here is a table outlining who is at increased risk for developing urination problems related to hemorrhoids:

Risk Factor Details
Age Most common in ages 45-65
Gender Slightly higher risk for males
Constipation Straining can cause hemorrhoids and weaken the pelvic floor
Diarrhea Frequent liquid stools also increase straining
Obesity Extra weight puts pressure on hemorrhoid veins
Pregnancy Hemorrhoids are common due to hormonal changes and baby pressure
Heavy lifting Lifting heavy objects can increase intra-abdominal pressure
Prior rectal surgery Having surgery like a hemorrhoidectomy in the past
Pelvic tumors Rectal or pelvic area tumors compressing structures
Prostate issues An enlarged prostate is common in older males
Loss of rectal sensation Reduces the urge to have a bowel movement
Sedentary lifestyle Lack of exercise can lead to constipation
Low fiber diet Inadequate fiber leads to strained bowel movements
Food intolerances Diarrhea from foods like dairy or gluten can aggravate hemorrhoids
Suppressed immune system More prone to infections and irritation

Those with a history or higher risk of hemorrhoids that cause persistent bowel symptoms like constipation or diarrhea are most prone to developing urinary problems as a complication.

How Can Hemorrhoids Cause Urine Problems?

Here is a table summarizing how hemorrhoids can cause urine problems:

Mechanism Explanation
External hemorrhoid obstruction An enlarged, prolapsed external hemorrhoid around the anus can mechanically obstruct the opening of the urethra or compress the urethral opening, making it difficult to pass urine.
Internal hemorrhoid prolapse A prolapsed internal hemorrhoid that protrudes through the anus can compress the urethra or interfere with the urinary sphincter, leading to trouble urinating.
Bladder outlet obstruction Large internal or external hemorrhoids may obstruct the outlet of the bladder, preventing the complete emptying of the urine.
Urinary retention The presence of enlarged hemorrhoids can make it difficult to relax the muscles that allow the bladder to empty, leading to urinary retention.
Anal canal swelling Swelling and inflammation in the anal canal due to hemorrhoids can put pressure on the urethra and impair urination.
Bleeding hemorrhoids In rare cases, bleeding internal hemorrhoids very close to the urinary opening may cause blood in the urine.
Pain The pain from hemorrhoids can make urinating difficult or uncomfortable.
Urinary habits Straining to pass stools with hemorrhoids can weaken pelvic floor muscles involved in urination.

Therefore, through compression, obstruction, swelling, and other mechanisms, enlarged hemorrhoids can interfere with normal urination in multiple ways.

Symptoms of Hemorrhoids Cause Urine Problems

Here is a table summarizing the common symptoms that can occur when hemorrhoids cause urinary problems:

Urinary Symptoms Description
Difficulty starting urination Trouble beginning to urinate or delay in urine flow starting
Weak urine stream Urine flows slower than normal or dribbles
Stopping and starting Urine flow isn’t steady, goes on/off
Straining to urinate Having to push or bear down to pass urine
Dribbling Leakage of urine after finishing urinating
Urgency Feeling a sudden urge to urinate
Frequency Needing to urinate more often than usual
Incomplete emptying Feeling the bladder isn’t fully emptied after urinating
Pain or burning Painful or burning sensation when urinating
Retention Inability to pass any urine (urinary retention)
Hematuria Blood visible in the urine
Nocturia Waking at night frequently to urinate
Incontinence Loss of voluntary control over urination
Bladder infections Frequent or recurrent UTIs

Seeking prompt medical attention for these types of urinary symptoms can help identify and treat the hemorrhoids causing the problems before complications arise.

How To Diagnosis Hemorrhoids Cause Urine Problems

Here is a table summarizing how doctors diagnose urinary problems caused by hemorrhoids:

Diagnostic Method Details
Medical history Ask about symptoms, bowel habits, risk factors
Physical exam Inspect anus and rectum, palpate for hemorrhoids, perform digital rectal exam
Urinalysis Check for blood, bacteria, white blood cells, signs of UTI
Cystoscopy Use a scope to visualize inside the urethra and bladder
Anoscopy Use a short scope to examine the anal canal
Colonoscopy Inspect the entire rectum and colon with a long-scope
Imaging CT scan, MRI, ultrasound, X-ray to look for anatomical issues
Uroflowmetry Measure urine flow rate to check for obstructions
Post-void residual test Use ultrasound to see how much urine is retained after voiding
Bladder function tests Assess the ability of the bladder to empty and store urine
Prostate exam (men) Check for enlarged prostate compressing urethra

Key indicators of hemorrhoids causing urinary problems:

  • Enlarged internal or external hemorrhoids
  • Hemorrhoids impinging on urinary opening
  • Bladder outlet obstruction
  • Incomplete bladder emptying
  • Poor urine stream

A combination of a thorough physical exam, urinalysis, imaging, and urologic tests help diagnose hemorrhoids affecting urination.

How To Treat Hemorrhoids Cause Urine Problems

Treatment will focus on relieving symptoms and addressing any underlying problems, such as:

Reducing Enlarged Hemorrhoids

  • Over-the-counter hemorrhoid creams, ointments, or suppositories
  • Sitz baths – Soaking in warm water for 10-15 minutes
  • Ice packs applied to swollen hemorrhoids
  • Prescription medications to reduce swelling and discomfort
  • Procedures like sclerotherapy, rubber band ligation, or infrared coagulation
  • Hemorrhoidectomy surgery for severe cases unresponsive to other treatments

Improving Urination

  • Lifestyle changes like drinking more fluids
  • Medications to relax the urinary sphincter
  • Catheterization to help empty the bladder
  • Prostate treatment in men with enlarged prostate
  • Physical therapy to strengthen pelvic muscles
  • Surgery to remove obstructing hemorrhoidal tissues

What Is Urinary Tract Infection (UTI)?

A urinary tract infection (UTI) is an infection affecting any part of the urinary system, including the kidneys, ureters, bladder, or urethra. It is caused by microbes, usually bacteria from the gastrointestinal tract, that enter the urinary tract.

The most common type of UTI is a bladder infection, also known as cystitis. Bacteria enter the urethra and travel to the bladder, attaching to the bladder wall and multiplying. This causes inflammation and infection.

Symptoms of a UTI 

  • Burning sensation when urinating
  • Frequent need to urinate
  • Urgency to urinate
  • Lower abdominal pain or discomfort
  • Cloudy, bloody, or foul-smelling urine
  • Fever, chills, nausea, vomiting

UTIs can usually be treated effectively with antibiotics. However, frequent recurrence is common. Proper hygiene, hydration, urinating after sex, and wiping front to back can help prevent UTIs.

If a UTI spreads to the kidneys, called pyelonephritis, it can cause flank pain, high fever, and nausea. Kidney infections can potentially result in serious complications if not treated promptly.

How To Treat Urinary Tract Infection (UTI)?

Here are some of the most common ways to treat a urinary tract infection (UTI):

  • Antibiotics – Antibiotics are the primary treatment for UTIs. Which antibiotic and duration of treatment depend on the severity of the infection, type of bacteria, and other factors. Common choices are nitrofurantoin, ciprofloxacin, and cephalexin.
  • Pain medications – Over-the-counter drugs like ibuprofen or acetaminophen can help relieve UTI pain and discomfort. Phenazopyridine is a urinary analgesic prescription specifically for UTI pain.
  • Stay hydrated – Drinking extra fluids helps flush out bacteria from the urinary tract. Water, cranberry juice, and herbal teas are good options.
  • Urinate when needed – Avoid holding urine too long. Try to fully empty the bladder each time.
  • Wipe front to back – Wipe from front to back after using the toilet to avoid spreading bacteria to the urethra.
  • Alternative therapies – D-mannose supplements, probiotics, and cranberry products may help prevent recurrent UTIs for some people but lack strong clinical evidence.
  • Postmenopausal women – Local vaginal estrogen therapy may help prevent recurring UTIs in postmenopausal women.

Seeking prompt medical attention for UTI symptoms is key, as untreated infections can spread to the kidneys. Follow-up visits may be needed to confirm the resolution of the infection after finishing treatment.

How to Prevent Hemorrhoids Cause Urine Problems

You can reduce your risk of developing enlarged hemorrhoids that interfere with urination by:

  • Avoiding constipation by eating high-fiber foods, drinking plenty of water, and exercising.
  • Not straining to pass stools. Let gravity help.
  • Using a squatting position while having a bowel movement.
  • Taking over-the-counter fiber supplements like psyllium.
  • Managing chronic coughs that put pressure on veins.
  • Losing weight if overweight.
  • Doing Kegel exercises to strengthen pelvic floor muscles.
  • Treating infections like UTIs promptly.
  • Practicing healthy bathroom habits, like not delaying when you feel the urge to urinate.

When To Seek Medical Care

You should see your doctor if hemorrhoids are causing any of the following urinary symptoms:

  • Difficulty starting urination
  • Weak urine stream or stopping/starting of a stream
  • Dribbling or leaking urine
  • Straining or inability to fully empty the bladder
  • Frequent urination or sudden urges to urinate
  • Painful urination
  • Blood or pus in the urine
  • Loss of bladder control
  • Fever or chills along with urinary issues

Seeking prompt medical care is important if hemorrhoids are affecting your ability to urinate normally. Untreated urinary problems increase the risk of complications like:

  • Recurring urinary tract infections (UTIs)
  • Kidney problems or kidney damage from an inability to empty urine fully
  • Bladder dysfunction or weakening of bladder control
  • Blood clots in the bladder due to urine retention
  • Permanent damage to urethra or bladder tissues
  • Sepsis from kidney infection

Your doctor can examine the anus and rectum for enlarged internal or external hemorrhoids that may be obstructing urine flow. Tests may be ordered to evaluate your bladder and urinary function.

Appropriate treatment can help shrink hemorrhoids causing urination issues and prevent more serious complications. Call your doctor whenever urinary habits seem abnormal.

How Can Hemorrhoids Cause Urine Problems In Pregnancy?

Hemorrhoids are very common during pregnancy and can sometimes lead to urinary problems. Here are a few ways this can occur:

  • Prolapsed internal hemorrhoids – In later pregnancy, pressure from the baby and hormones can cause internal hemorrhoids to swell, enlarge and protrude outside the anus. This can put pressure on the urethra.
  • External hemorrhoids – Hemorrhoids that develop under the skin around the anus can obstruct the urinary opening as they enlarge.
  • Hemorrhoid thrombosis – A blood clot can form inside a hemorrhoid, causing severe swelling and pain that may interfere with urination.
  • Anal canal swelling – Swelling and inflammation in the anal canal due to hemorrhoids can compress the urethra.
  • Bladder compression – The enlarging uterus can press on the bladder, exacerbating urinary issues.
  • Stress incontinence – Hemorrhoids and pregnancy can weaken pelvic floor muscles involved in urinary control.
  • Pain – Discomfort from hemorrhoids can make urinating difficult.
  • Constipation – Straining during constipation aggravates hemorrhoids. This further impacts urination.

Staying hydrated, avoiding constipation, gentle exercise, cold compresses, sitz baths, and topical medications can help manage pregnancy hemorrhoids and minimize urinary problems. Let your doctor know of any urinary issues.

Hemorrhoids Causing Urinary Problems In Males Vs. Females

Here is a table comparing hemorrhoids causing urinary problems in males vs. females:

Factor Males Females
Risk Slightly higher Some increased risk after pregnancy/childbirth
Anatomy Prostate surrounds urethra A shorter urethra less impacted
Enlarged prostate Common complaint, compresses urethra Not applicable
Childbirth Not applicable Stretching and tearing can damage the pelvic floor
Hemorrhoid location External more common Internal more prevalent
Diagnosis Prostate exam important Pelvic exam key
Symptoms Acute urinary retention is more common Stress incontinence is more likely
Treatment This may include prostate medication Kegels and perineal rehab helpful
Complications Higher risk acute retention, UTIs Prolapse of bladder/rectum possible
Lifestyle factors Jobs requiring heavy lifting Multiple pregnancies are a factor

While both genders can develop urinary problems from hemorrhoids, some differences exist in exact risks and causes. An understanding of the unique aspects guides appropriate diagnosis and treatment.


Can internal hemorrhoids cause problems urinating?

Yes, enlarged internal hemorrhoids that prolapse through the anus can obstruct the flow of urine or make it difficult to empty the bladder fully.

Do external hemorrhoids affect urination?

They can. Bulky external hemorrhoids around the anus may protrude into the opening and press on the urethra, affecting urine flow.

Should I see a doctor if hemorrhoids make urinating difficult?

Yes, it’s important to be evaluated so the cause can be identified and proper treatment provided. Untreated, problems urinating can lead to complications.

Can hemorrhoids cause blood in the urine?

While rare, bleeding internal hemorrhoids very near the urinary opening may cause blood in the urine, called hematuria. Seek medical care if this occurs.

Can hemorrhoids cause problems urinating in women too?

Yes, enlarged hemorrhoids can block urine flow in females as well as males. The treatment approach is generally similar in men and women.

Can external hemorrhoids cause trouble urinating?

Yes, large external hemorrhoids around the anus can press on and obstruct the opening of the urethra, making urination difficult.

Do bleeding hemorrhoids cause blood in urine?

Rarely, a bleeding internal hemorrhoid very near the urinary opening may cause blood to appear in the urine. This symptom needs medical attention.

Can thrombosed hemorrhoids affect urination?

A thrombosed hemorrhoid contains a blood clot and can become very swollen and painful. This enlarged size can obstruct urination.

Can internal hemorrhoids stop you from peeing?

Prolapsed internal hemorrhoids that swell and protrude out from the anus can potentially compress the urethra enough to obstruct the flow of urine.

Should straining during bowel movements cause urination issues?

Straining excessively can weaken pelvic floor muscles involved in urination. It may also irritate hemorrhoids. Both scenarios can indirectly lead to urinary problems.

Can hemorrhoids cause frequent urination?

Indirectly yes, as enlarged hemorrhoids near the urinary opening can make bladder emptying incomplete. This can lead to frequent urination.

When should you see a doctor about trouble peeing from hemorrhoids?

See your doctor right away if hemorrhoids cause any difficulty urinating, inability to fully empty the bladder, blood in urine, pain, or other urinary symptoms.

Last Words

Hemorrhoids are a very common medical problem that in some cases can impede normal urine flow and bladder emptying. The swollen hemorrhoidal cushions exert pressure on the urethral opening or interfere with relaxing the urinary sphincter.

Symptoms like difficulty urinating, an inability to fully empty the bladder, painful urination, blood in the urine, or leakage could indicate a hemorrhoid obstructing urine flow. It’s important to be evaluated by a medical provider.

Treatments are available to shrink enlarged hemorrhoids, relieve discomfort, and improve urinary function. Preventing constipation and straining can help reduce the risk of hemorrhoids enlarging and causing problems with urination. Monitoring for urinary symptoms and seeking prompt treatment provide the best outcome.


My name is Selina, a medical specialist blogger helping people access treatment for 5+ years. Although blogging awhile, only recently deeply engaged. This past year my most productive, providing hospital reviews and info on symptoms, diagnoses and diseases. Also offer guidelines to help readers navigate healthcare. Goal to continue increased content pace to assist many. Aim to facilitate treatment and empower advocacy through writing.

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