If you have painful hemorrhoids, don't assume you have to suffer through them. While over-the-counter treatments are effective, there are also plenty of home remedies, including herbal teas and other botanical remedies.

Here, we explain the herbal remedies that have been proven to effectively treat hemorrhoids in some people.

Hemorrhoids result from the swelling of blood vessels in the anus. They can appear inside the anus or outside in the area around the opening. They can often be uncomfortable and painful — sometimes even accompanied by bleeding — but they are usually not a sign of a serious condition, according to Mayo Clinic.

Hemorrhoids can develop when a person strains during a bout of constipation, and they will often go away on their own. People with chronic hemorrhoids are advised to address constipation by increasing their fiber and fluid intake. In some cases, a fiber supplement or stool softener may help.

Specifically, bulk-forming laxatives such as psyllium husk are good for hemorrhoids, according to the National Institute for Diabetes and Digestive and Kidney Diseases.

One study published in 2023 looked at the role of the gut microbiome in preventing hemorrhoids, suggesting that those who have hemorrhoids may benefit from probiotics — beneficial gut bacteria that your body produces naturally and that are also available via dietary supplements.

Research has found that many herbal and botanical formulations can be effective as hemorrhoid treatments by relieving pain and itching and promoting healing.

The following are among those that may help:

• Aloe vera

• Butcher's broom

• Calendula

• Chamomile

• Comfrey

• Frankincense

• Gotu kola

• Horse chestnut

• Marshmallow root

• Neem

• Plantain

• Triphala

• Witch hazel

• Yarrow

Some of these can be consumed orally, or as a tea; others are mixed into a cream base to make a topical application, or added to a sitz bath.

Hemorrhoids treatment can be effective within a week or two and should be combined with necessary lifestyle changes, such as an increased intake of fiber, to prevent recurrence. Applying an ice pack can also make the swelling go down.

Keep in mind that just because herbs and botanicals are “natural” doesn't mean they are without risks. Herbals and botanicals can interfere with other medications or supplements.

Always consult your doctor before trying any new treatment you are considering taking.