Piles in Children: Causes, Symptoms, and Treatment Options
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Piles in Children: Causes, Symptoms, and Treatment Options

Prathibha
Updated on March 18, 2025

Medically verified by Dr. Arya

Fact checked by Dr. Fazeela

Oncology
10 minutes
Piles, also known as hemorrhoids, are commonly associated with adults, but children can also develop this condition. While rare, piles in children can cause discomfort and concern for parents. Understanding the causes, symptoms, and treatment options can help manage this condition effectively. In this blog by Karepedia, you can get detailed information on how piles in children occur and when to seek the right treatment options from experts.
Causes of Piles in Children
Piles in children typically develop due to increased pressure on the rectal veins. Some common causes include
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Chronic Constipation: One of the leading causes of piles in children. Straining during bowel movements puts excessive pressure on the veins, leading to swelling.
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Low-Fiber Diet: A diet lacking in fiber can cause hard stools, making bowel movements difficult and leading to piles.
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Prolonged Sitting: Sitting for long periods, especially on hard surfaces, can contribute to the development of hemorrhoids.
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Dehydration: Insufficient water intake can result in hard stools, causing strain during defecation.
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Genetic Factors: Some children may have a genetic predisposition to developing piles if there is a family history.
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Frequent Diarrhea: Just like constipation, recurrent episodes of diarrhea can irritate the rectum and cause hemorrhoids.
Symptoms of Piles in Kids
Recognizing the symptoms of piles in children can help in early diagnosis and treatment. Common symptoms include
1. Rectal Bleeding: Bright red blood in the stool or on toilet paper.
2. Itching and Discomfort in the Anus: Persistent irritation around the anal region.
3. Pain During Bowel Movements: Due to swollen veins, passing stool can become painful.
4. Swollen Veins in the Rectum: In severe cases, lumps or swollen veins may be visible around the anus.
5. Mucus Discharge: Some children may experience mucus discharge along with stool.
Treatment for Piles in Children
Fortunately, piles in children can often be treated with lifestyle changes and home remedies.
However, in severe cases, medical intervention may be required.
Home Remedies for Piles in Kids
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Increase Fiber Intake: Providing fruits, vegetables, and whole grains can soften stools and reduce straining.
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Hydration: Encouraging children to drink plenty of water helps maintain smooth bowel movements.
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Regular Physical Activity: Keeping children active prevents constipation and promotes healthy digestion.
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Sitz Baths: Soaking in warm water for 10–15 minutes can provide relief from itching and discomfort.
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Aloe Vera Gel: Applying a small amount of aloe vera can help soothe inflammation and irritation.
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Avoid Spicy Foods: Reducing spicy and processed foods can prevent irritation in the digestive tract.
Best Medicine for Piles in Children
Over-the-counter medicines and topical treatments can provide relief for mild cases of piles in children. Some commonly recommended treatments include
1. Mild Stool Softeners: Helps prevent constipation and straining.
2. Topical Ointments: Pediatric hemorrhoid creams can help reduce itching and inflammation.
3. Pain Relievers: Paracetamol or ibuprofen can be given to alleviate pain.
4. Probiotics: Promote gut health and prevent digestive issues.

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When is Surgery Required?
Surgery is rarely needed for piles in children. However, in severe or persistent cases where conservative treatments fail, a doctor may recommend a minor surgical procedure, such as
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Rubber Band Ligation: Placing a small rubber band around the hemorrhoid to cut off its blood supply.
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Sclerotherapy: Injecting a solution to shrink the hemorrhoids.
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Laser Treatment: A minimally invasive procedure to remove swollen veins.
How to Prevent Piles in Children?
Prevention is always better than cure. Parents can take several steps to reduce the risk of piles in children
1. Ensure a High-Fiber Diet: Incorporate fruits, vegetables, and whole grains into daily meals.
2. Encourage Hydration: Teach children the importance of drinking enough water.
3. Promote Regular Exercise: Physical activity keeps the digestive system functioning properly.
4. Establish Healthy Toilet Habits: Teach children not to delay using the toilet and to avoid straining.
5. Avoid Prolonged Sitting: Encourage breaks from sitting, especially during long study sessions.
Frequently Asked Questions
1. What causes piles in children?
Piles in children are mainly caused by constipation, low fiber intake, prolonged sitting, and dehydration. Genetic factors and frequent diarrhea can also contribute.
2. What are the common symptoms of piles in children?
Symptoms include rectal bleeding, itching, discomfort, pain during bowel movements, swollen veins, and mucus discharge.
3. What are the treatment options for piles in children?
Treatment options range from home remedies like increasing fiber and hydration to medical treatments, including stool softeners, ointments, and in severe cases, minimally invasive procedures.
4. Is surgery required to treat piles in children?
Surgery is rarely needed. Most cases can be managed with lifestyle changes, medications, and home remedies.
5. How can I prevent piles in my child?
A fiber-rich diet, proper hydration, regular exercise, and healthy toilet habits can help prevent piles in children.
Piles in children are uncommon but can cause discomfort and concern for parents.
Causes of piles in children include constipation, poor diet, dehydration, and prolonged sitting.
Symptoms of piles in kids include rectal bleeding, itching, pain, and swelling.
Home remedies for piles in kids include increasing fiber, hydration, and using sitz baths.
Best medicine for piles in children includes stool softeners, ointments, and probiotics.
Surgery is rarely required and is only considered in severe cases.
Prevention includes a high-fiber diet, adequate hydration, exercise, and proper toilet habits.
Source Links
Piles in Children Common Causes, Symptoms and Solution - Pristyn Care
Understanding and managing piles in children - Apollo spectra
Piles in Children: Causes, Symptoms, and Treatment Options - Rohtak Bawasir Hospita