What is the recommended duration and type of water for a sitz bath to treat hemorrhoids?

From the Research

For a hemorrhoids sitz bath, soak in warm (not hot) water for 10-15 minutes, 2-3 times daily, especially after bowel movements, as this can help improve blood flow to the anal area, reduce inflammation, and relax sphincter muscles, although recent evidence suggests that ice packing may be more effective in managing post-hemorrhoidectomy pain and wound healing 1.

Key Considerations

• Plain warm tap water is sufficient, though some people add Epsom salt (1/2 cup per bath) for additional relief.
• The water should be deep enough to cover your hips and buttocks, typically 3-4 inches.
• Keep the water temperature around 100-105°F (37-40°C) - warm enough to be comfortable but not hot enough to cause irritation.
• Sitz baths can provide significant relief from hemorrhoid symptoms like pain, itching, and discomfort.
• After the bath, gently pat the area dry with a soft towel rather than rubbing.

Duration and Frequency

• Soak in the sitz bath for 10-15 minutes, 2-3 times daily.
• Continue this treatment for as long as symptoms persist, typically 1-2 weeks.
• Consult a healthcare provider if symptoms don't improve after a week of regular sitz baths.

Alternative Methods

• Ice packing has been shown to be effective in managing post-hemorrhoidectomy pain and wound healing 1.
• Electronic bidets with a lower-force water flow may be a substitute for sitz baths, but more research is needed to confirm their effectiveness 2.