Is soaking hemorrhoids in sodium bicarbonate (baking soda) effective?

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Last updated: May 22, 2025View editorial policy

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From the Guidelines

Soaking hemorrhoids in baking soda is not a recommended medical treatment and should not be relied upon as a primary therapy. While baking soda may provide temporary relief from itching and discomfort due to its mild alkaline properties, it is not a proven medical treatment for hemorrhoids 1. The cornerstone of medical therapy for hemorrhoids, especially first-degree ones, is adequate intake of fiber and water, as well as the use of topical corticosteroids and analgesics for managing perianal skin irritation 1.

Some key points to consider for hemorrhoid management include:

  • Adequate intake of fiber and water to prevent constipation and reduce strain during bowel movements
  • Use of topical corticosteroids and analgesics for managing perianal skin irritation
  • Avoiding prolonged use of potent corticosteroid preparations due to potential harm 1
  • Considering over-the-counter medications like hydrocortisone creams, witch hazel pads, or hemorrhoid-specific ointments for more effective symptom management

If symptoms persist beyond a week, worsen, or include bleeding, it is crucial to consult a healthcare provider for further evaluation and potential prescription-strength treatments or medical procedures 1.

From the Research

Treatment Options for Hemorrhoids

  • Medical management, such as stool softeners and topical over-the-counter preparations, is a common initial therapy for hemorrhoids 2
  • Dietary modifications, including increased fiber and water intake, can also help alleviate symptoms 2
  • Behavioral therapies, such as sitz baths, are also recommended as part of initial therapy 2

Natural Products for Hemorrhoid Relief

  • Natural products, including polyphenols and flavonoids, terpenes, and polysaccharides, have shown potential in improving hemorrhoid symptoms 3
  • These products have anti-inflammatory, antibacterial, and tissue regeneration activities, making them a potential class of hemorrhoid drugs or prevention products 3

Baking Soda as a Treatment

  • There is no direct evidence in the provided studies to support the use of baking soda as a treatment for hemorrhoids 2, 3
  • However, sitz baths are recommended as part of initial therapy, and baking soda can be added to sitz baths for its potential anti-inflammatory properties, although this is not explicitly mentioned in the studies 2

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Research

Hemorrhoids: Diagnosis and Treatment Options.

American family physician, 2018

Research

Natural Products with Potential Effects on Hemorrhoids: A Review.

Molecules (Basel, Switzerland), 2024

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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