Can Hemorrhoids Grow Back?

April 21, 2026
Can hemorrhoids come back?
Short answer: yes.
But "recurrence" is a better word than "grown back," and the habits that caused them the first time have a lot to do with whether they come back.

Hemorrhoidal tissue is a normal part of your anatomy. When it becomes enlarged, inflamed, or prolapsed, that's a hemorrhoid problem, and those symptoms can return after treatment if the underlying causes continue. The good news: the patient has more control over recurrence than they often realize.

Basic Facts About Hemorrhoids

Hemorrhoids are a common condition, particularly in people between the ages of 45 and 65, though they affect roughly half of adults at some point. A hemorrhoid is tissue containing enlarged veins, either inside the rectum (internal) or outside the anal opening (external).

They may cause pain, itching, bleeding, and irritation, but for the most part, they are not dangerous. Severity ranges from mild to moderate to severe, and the right treatment depends on where on that range you fall.

Treatment Options by Severity

Mild
Home care

Sitz baths, topical creams, stool softeners, and over-the-counter medications relieve most mild symptoms.

Recurrence depends almost entirely on habits.
Moderate
In-office procedures

Rubber band ligation, infrared coagulation, or sclerotherapy. Each takes minutes, requires no anesthesia, and has minimal recovery.

Symptoms greatly reduced; modest chance of recurrence.
Severe
Hemorrhoidectomy

Surgical removal for the most severe cases that haven't responded to less invasive approaches.

Lowest recurrence rate of any treatment option.

Recurrence Is Manageable

Regardless of the treatment pursued, the patient has the most control over whether hemorrhoids return. The habits that created the original problem, namely straining, constipation, low fiber, and prolonged sitting, are the same habits that bring symptoms back. Dietary and lifestyle changes make the real difference.

A Simple Prevention Checklist

Adherence to these changes makes the biggest difference in whether hemorrhoids come back.

Diet
Eat fiber-rich foods every day: broccoli, carrots, beans, bran, fruits, and leafy greens. Aim for 25 to 35 grams of fiber daily.
Add a fiber supplement (psyllium, methylcellulose) if food alone isn't enough.
Drink 6 to 8 glasses of water daily. Fiber without water can actually worsen constipation.
Limit alcohol and excessive caffeine, both of which can dehydrate you.
Movement
Walk often and build regular exercise into your week.
Avoid holding your breath when lifting heavy objects. Exhale through the effort.
Bathroom habits
Respond to the urge. Don't put it off.
Don't strain. If it isn't happening, come back later.
Keep toilet time short. Leave the phone outside the bathroom.
Clean gently. Use unscented baby wipes or a bidet instead of dry toilet paper.

When to See Dr. Chung

!Don't wait if you notice any of these
  • Bleeding that doesn't stop, or that changes color (dark or mixed with stool)
  • Severe pain that home care isn't touching
  • A prolapse that won't reduce back in on its own
  • Symptoms that return after a previous procedure
  • Any home treatment that hasn't brought relief after a week or two

Whether a hemorrhoid grows back or recurs, the symptoms and pain are the same. If at-home treatments haven't worked, an in-office evaluation usually leads to a quick, simple fix.

Get an evaluation

Dr. Chung can determine what kind of hemorrhoid you have, how advanced it is, and which treatment will give you the best shot at not needing another one.

Book a consultation Call (714) 988-8690