How to Use Epsom Salt Sitz Baths for Hemorrhoid Relief

July 21, 2025

What Is a Sitz Bath?

A sitz bath is a shallow, warm bath designed to immerse just your hips and buttocks. It can be done in a full bathtub or using a small plastic basin that fits over your toilet. The warm water helps increase blood flow to the rectal area, which can soothe irritation, promote healing, and provide relief from itching and discomfort.

Sitz baths are commonly recommended for people recovering from childbirth, surgery, or—in this case—hemorrhoids. They can be used several times per day and are considered a safe, low-risk home remedy.

Why Add Epsom Salt?

Epsom salt, also known as magnesium sulfate, has anti-inflammatory properties that make it a natural fit for hemorrhoid relief. When dissolved in warm water, it may help reduce swelling and muscle tension, easing the discomfort associated with external hemorrhoids.

Magnesium is also known to promote circulation, which may enhance the healing effects of a sitz bath. While research on Epsom salt specifically for hemorrhoids is limited, it has a long-standing reputation in holistic medicine for soothing skin irritation and minor wounds.

How Much Epsom Salt for a Sitz Bath?

The general recommendation for Epsom salt sitz baths is:

  • In a full bathtub: Use about 1 to 2 cups of Epsom salt dissolved in warm water.

  • In a sitz basin (the type that fits on a toilet): Use 2 to 4 tablespoons of Epsom salt in 2 to 3 inches of warm water.

Stir the water to ensure the salt is fully dissolved before sitting down. Avoid using very hot water, as it can worsen inflammation or irritate sensitive skin. The water should be warm and soothing—never scalding.

When and How Often to Use a Sitz Bath

Sitz baths are most helpful:

  • After bowel movements, to reduce irritation and cleanse the area

  • At the end of the day, to relax muscles and ease soreness

  • Before applying creams or ointments, as they help open pores and enhance absorption

You can soak 2 to 3 times per day for about 15 to 20 minutes each session. After soaking, pat the area dry gently with a soft towel or use a hair dryer on a cool setting to avoid friction.

Consistency is key—regular sitz baths over the course of several days can significantly improve symptoms of external hemorrhoids.

Safety Tips and What to Avoid

While Epsom salt sitz baths are generally safe, keep these precautions in mind:

  • Don’t exceed the recommended amount of salt—more isn’t necessarily better and could lead to dryness or irritation.

  • Avoid bubble bath products, soaps, or essential oils, which may irritate the anal area.

  • Make sure the bath or basin is thoroughly cleaned before each use to prevent infection.

  • Discontinue use if symptoms worsen or if you notice redness, swelling, or rash after soaking.

When to Seek Medical Treatment

If your symptoms don’t improve after a few days of sitz baths and self-care, or if you experience rectal bleeding, severe pain, or a protruding hemorrhoid that won’t go back in, it’s time to consult a colorectal specialist.

Be sure to look for a provider who offers compassionate, evidence-based hemorrhoid care in Orange County, including non-surgical and surgical options tailored to your needs. From rubber band ligation to advanced minimally invasive techniques, you don’t have to rely on home remedies alone.

The Bottom Line

Epsom salt sitz baths can be a gentle, effective way to soothe hemorrhoid discomfort at home. By following the proper measurements and soaking regularly, you may find noticeable relief from itching, burning, and irritation.

But remember: while sitz baths can help manage symptoms, they don’t treat the root cause of hemorrhoids. Reach out to your local professional to learn more about treatment options that offer lasting relief and support your long-term comfort and health.