From the Guidelines
A sitz bath for hemorrhoids should typically last 10-15 minutes and can be done 2-3 times daily. Although the provided evidence from the American Gastroenterological Association technical review on the diagnosis and treatment of hemorrhoids 1 does not specifically mention the duration of a sitz bath, general medical knowledge and practice guidelines suggest that this duration is effective in promoting healing and reducing symptoms.
Key Considerations
- Fill a clean bathtub or sitz bath basin with warm (not hot) water, just enough to cover your buttocks and hips.
- Some people add Epsom salt (1/2 cup per bath) for additional relief, though plain warm water is effective on its own.
- After the bath, gently pat the area dry rather than rubbing.
- Continue this routine for several days or until symptoms improve.
Mechanism of Action
Sitz baths work by increasing blood flow to the area, which promotes healing, reduces inflammation, and cleanses the perineal area. The warm water helps relax sphincter muscles and provides immediate pain relief.
Additional Treatment
For enhanced treatment, you can follow the sitz bath with over-the-counter hemorrhoid creams containing hydrocortisone or witch hazel pads to further reduce swelling and discomfort.
When to Seek Medical Attention
If hemorrhoid symptoms persist beyond one week despite regular sitz baths, consult a healthcare provider, as the symptoms could be indicative of a more serious condition that requires further evaluation and treatment, as highlighted in the guidelines 1.