Treatment of hemorrhoids in children

Many children suffer from recurrent digestive problems, most notably hemorrhoids, which can be painful and concerning for both the child and parents. Although hemorrhoids are more common in adults, they can also affect children, especially in certain cases related to their lifestyle or chronic health problems.

In this article, we highlight the causes of hemorrhoids in children, how to diagnose them, available treatment options, and important tips to prevent their occurrence in the future.

What are Hemorrhoids in Children?

Hemorrhoids are swollen and inflamed veins in the rectal or anal area, typically caused by repeated pressure such as from chronic constipation or prolonged sitting during bowel movements. Hemorrhoids are classified into two types:

  • Internal Hemorrhoids: Located inside the rectum; they are usually not painful but
    may cause mild bleeding.

  • External Hemorrhoids: Found around the anal opening; they tend to be more
    uncomfortable and can cause itching, pain, or noticeable swelling.
Treatment of hemorrhoids in children

Causes of Hemorrhoids in Children

Several factors can contribute to the development of hemorrhoids in children, including:

1. Chronic Constipation

The most common cause. Straining during bowel movements puts pressure on
rectal veins, leading to inflammation and swelling.

2. Prolonged Sitting on the Toilet

Children often spend extended periods in the bathroom, either due to constipation or
while using phones or toys, which increases anal pressure.

3. Low-Fiber Diet

Diets lacking in fruits, vegetables, and whole grains slow digestion and lead to
constipation.

4. Inadequate Fluid Intake

Dehydration hardens stool, making bowel movements more difficult and painful.

5. Genetic Predisposition

Children with a family history of hemorrhoids may be more susceptible to developing
the condition.

Symptoms of Hemorrhoids in Children

Parents should watch for the following signs:

  • Light bleeding during bowel movements (bright red blood on toilet paper)
  • Complaints of pain or itching around the anus
  • A noticeable swelling or small bump around the anal area.
  • Avoidance of using the toilet due to fear of pain
  • Discomfort while sitting

How Are Hemorrhoids Diagnosed in Children?

Diagnosis is typically made by a pediatrician or specialist through the following steps:

1. Physical Examination

The doctor visually inspects the anal area to identify external hemorrhoids or signs
of irritation.

2. Asking Parents about Constipation History

Parents are asked about the child’s bowel habits, stool consistency, and frequency
of constipation.

3. Anoscopy (if needed)

In rare cases, a small anal scope may be used to inspect for internal hemorrhoids.
This procedure is done carefully and is uncommon in children.

Treatment Options for Hemorrhoids in Children

The treatment plan varies based on the underlying cause and severity of the condition, and
may involve:

1. Dietary Modifications

Introduce high-fiber foods such as:

  • Fresh fruits and vegetables
  • Whole grains (e.g., oats, whole wheat bread)
  • Legumes (e.g., lentils, beans)

2. Encouraging Water Intake

Ensure the child drinks an adequate amount of water daily, according to their age
and weight, to keep their stools soft.

3. Laxatives (if prescribed)

Mild stool softeners such as lactulose or polyethylene glycol may be used for short
periods under medical supervision.

4. Topical Creams

Anti-inflammatory and soothing creams can be used to relieve pain or itching, only
under a doctor’s direction.

5. Sitz Bath

Soaking in warm water daily for 10–15 minutes, without using soap, can help soothe
inflammation and enhance blood circulation in the anal area.

6. Surgical Intervention (rare)

In severe or recurrent cases, minor surgery may be considered, although it is rarely
necessary in children and is typically reserved for cases after thorough evaluation.

Preventing Hemorrhoids in Children

Prevention is key. Here are some important strategies:

  • Encourage regular toilet habits and avoid delaying bowel movements
  • Limit time spent sitting on the toilet
  • Promote daily physical activity and movement
  • Maintain a fiber-rich, balanced diet
  • Teach healthy toileting habits—no excessive straining or rushing
  • Limit screen use during bowel movements to minimize prolonged sitting and reduce pressure on the anal area.

When should You See a Doctor?

Parents should seek medical advice if:

  • Symptoms persist for more than one week despite home care
  • Bleeding is frequent or significant
  • The child experiences intense pain while sitting or walking
  • The child consistently refuses to use the toilet

Final Thoughts

Although hemorrhoids are relatively uncommon in children, they can occur—especially in
cases of chronic constipation or poor lifestyle habits. Successful treatment depends on early
detection, healthy dietary and toileting practices, and proper medical care.

At Dr. Daad Al-Taany Clinic – Dubai, we are committed to providing comprehensive and
compassionate care using the latest diagnostic and treatment techniques. If you observe any
concerning symptoms in your child, be sure to schedule a medical consultation without
delay. Early attention makes all the difference in your child’s comfort and well-being.

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