Can Anemia Cause Hemorrhoids? Symptoms & Relief

Anemia, characterized by a deficiency in red blood cells or hemoglobin, impacts oxygen delivery throughout the body, and this physiological stress can influence various health conditions. Hemorrhoids, which are swollen veins in the anus and rectum, often result from increased pressure in the lower rectum due to straining during bowel movements or pregnancy. Iron deficiency, a common cause of anemia, can lead to changes in stool consistency, thus potentially exacerbating conditions like hemorrhoids. Colon health, maintained through adequate fiber intake and hydration, plays a crucial role in preventing constipation and reducing strain during bowel movements, which are key factors to consider when evaluating if anemia can cause hemorrhoids and understanding the interplay between these conditions.

Understanding Anemia and Hemorrhoids: A Vital Overview

Anemia and hemorrhoids, while distinct, represent common health challenges that can significantly diminish an individual's well-being. Recognizing the nature of these conditions and understanding their potential interplay is crucial for effective management and improved quality of life.

Defining Anemia and Hemorrhoids

Anemia, at its core, is a condition characterized by a deficiency of red blood cells or hemoglobin in the blood. Hemoglobin, a protein within red blood cells, is responsible for carrying oxygen to the body's tissues.

When hemoglobin levels are low, the body's tissues don't receive enough oxygen, leading to a range of symptoms.

Hemorrhoids, also known as piles, are swollen veins in the anus and rectum. These can be located inside the rectum (internal hemorrhoids) or under the skin around the anus (external hemorrhoids).

Prevalence and Significance

Both anemia and hemorrhoids are widespread, affecting a substantial portion of the population. The World Health Organization estimates that nearly a quarter of the global population is affected by anemia, with iron deficiency being a primary driver.

Hemorrhoids are also highly prevalent, with many adults experiencing symptoms at some point in their lives. The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) notes that hemorrhoids affect about 1 in 20 Americans, and about half of all adults over age 50 have hemorrhoids.

These conditions not only cause physical discomfort but can also lead to decreased productivity, emotional distress, and increased healthcare costs.

Purpose of This Exploration

This section aims to provide a comprehensive overview of anemia and hemorrhoids, elucidating their causes, symptoms, diagnostic approaches, and effective management strategies.

By exploring these aspects, we seek to empower individuals with the knowledge necessary to make informed decisions about their health and seek appropriate medical care when needed.

The Potential Interconnection

While anemia and hemorrhoids are distinct conditions, they can be interrelated. Chronic blood loss from bleeding hemorrhoids can contribute to iron deficiency, which, in turn, can lead to anemia.

Understanding this potential link is vital for healthcare professionals in accurately diagnosing and managing both conditions concurrently. Effective management requires a holistic approach that addresses both the symptoms and the underlying causes.

Anemia: Unveiling the Causes, Symptoms, and Diagnosis

Anemia, a condition characterized by a deficiency of red blood cells or hemoglobin in the blood, impacts millions worldwide. Understanding its diverse causes, recognizing its often subtle symptoms, and employing accurate diagnostic methods are crucial for effective management. This section delves into the multifaceted nature of anemia, with a specific focus on iron deficiency and blood loss as major contributors to its development.

Causes of Anemia: A Multifaceted Perspective

Anemia arises from various underlying factors, each disrupting the delicate balance required for healthy red blood cell production or maintenance.

Iron Deficiency: A Critical Imbalance

Iron deficiency stands as the most prevalent cause of anemia globally. Iron is an essential component of hemoglobin, the protein in red blood cells responsible for carrying oxygen. Insufficient iron intake, impaired iron absorption, or increased iron loss can lead to iron-deficiency anemia. Dietary inadequacies, particularly in populations with limited access to iron-rich foods, contribute significantly. Certain medical conditions, such as celiac disease or inflammatory bowel disease, can hinder iron absorption in the digestive tract, further exacerbating the risk.

Blood Loss: A Significant Drain

Blood loss, whether acute or chronic, represents another major contributor to anemia. Chronic blood loss, even in small amounts over extended periods, can deplete the body's iron stores and ultimately lead to anemia. Sources of chronic blood loss include heavy menstrual bleeding, gastrointestinal bleeding from ulcers or polyps, and, significantly, bleeding hemorrhoids.

It's crucial to recognize that seemingly minor, persistent bleeding can have a cumulative effect, gradually diminishing iron reserves and causing anemia to develop. This highlights the importance of prompt diagnosis and management of any source of chronic blood loss.

Other Contributing Factors

While iron deficiency and blood loss are primary culprits, other factors can also induce or exacerbate anemia. Vitamin deficiencies, particularly of vitamin B12 and folate, play a crucial role in red blood cell production. Chronic diseases, such as kidney disease, autoimmune disorders, and certain cancers, can interfere with red blood cell production or survival. Genetic conditions like thalassemia and sickle cell anemia can also cause anemia.

Symptoms of Anemia: Recognizing the Subtle Signs

The symptoms of anemia can vary depending on the severity and underlying cause of the condition. However, several common symptoms often serve as red flags, prompting further investigation.

Common Manifestations

Fatigue is perhaps the most frequently reported symptom of anemia. Individuals with anemia often experience persistent tiredness and lack of energy, even after adequate rest. Weakness, pale skin, dizziness, and shortness of breath are other common manifestations. Paleness, particularly noticeable in the skin, nail beds, and inner eyelids, reflects the reduced oxygen-carrying capacity of the blood. Dizziness and shortness of breath arise from the body's attempt to compensate for the decreased oxygen delivery to tissues.

Impact on Daily Life: A Diminished Quality of Life

The symptoms of anemia can significantly impact daily activities and cognitive function. Simple tasks may become challenging, and concentration can suffer. Anemia can reduce overall productivity, increase the risk of accidents, and diminish the enjoyment of life's experiences. The insidious nature of anemia, with its gradual onset of symptoms, can sometimes lead individuals to dismiss their fatigue or weakness as simply a consequence of aging or stress.

Diagnostic Approaches: Unraveling the Underlying Cause

Accurate diagnosis is essential for effective management of anemia. A thorough evaluation, typically involving blood tests and a comprehensive medical history, is crucial for identifying the underlying cause and guiding appropriate treatment.

Blood Tests: A Window into Blood Health

Blood tests, particularly a Complete Blood Count (CBC), are the cornerstone of anemia diagnosis. The CBC provides valuable information about the number, size, and shape of red blood cells, as well as hemoglobin levels. Iron studies, including serum iron, ferritin, and transferrin saturation, help assess the body's iron stores and iron-binding capacity. These tests can help differentiate between different types of anemia and identify the underlying cause.

Hematologist Consultation: When Specialized Expertise is Needed

In some cases, further evaluation by a hematologist, a specialist in blood disorders, may be necessary. A hematologist can conduct more specialized tests, such as bone marrow aspiration or biopsy, to assess red blood cell production and identify any underlying abnormalities. They can also provide guidance on complex management strategies, particularly for individuals with chronic or treatment-resistant anemia.

Hemorrhoids (Piles): Exploring Types, Causes, and Symptoms

Hemorrhoids, commonly known as piles, are a widespread ailment affecting a significant portion of the adult population. Understanding the different types of hemorrhoids, their underlying causes, and the spectrum of symptoms they can produce is paramount for effective management and improved quality of life. This section will delve into these aspects, providing a comprehensive overview of this often uncomfortable and disruptive condition.

Types of Hemorrhoids

Hemorrhoids are classified based on their location relative to the dentate line, which is a boundary within the anal canal. The two primary types are internal and external hemorrhoids. A third type, thrombosed external hemorrhoids, represents a specific complication of external hemorrhoids.

Internal Hemorrhoids

Internal hemorrhoids originate inside the rectum and are graded based on their degree of prolapse, which refers to how far they protrude from the anus. Grade I hemorrhoids may cause bleeding but do not prolapse. Grade II hemorrhoids prolapse during bowel movements but spontaneously reduce. Grade III hemorrhoids prolapse and require manual reduction. Grade IV hemorrhoids are chronically prolapsed and cannot be manually reduced.

A key complication of internal hemorrhoids is bleeding, typically painless, occurring during or after bowel movements. In severe cases, chronic blood loss can lead to anemia, further impacting overall health. Prolapse can cause discomfort, difficulty with hygiene, and, in advanced stages, fecal incontinence. Strangulation, a rare but serious complication, can occur when the blood supply to a prolapsed hemorrhoid is cut off, leading to intense pain and potential tissue necrosis.

External Hemorrhoids

External hemorrhoids develop under the skin around the anus. They are often visible as small lumps or swellings and can become irritated, causing itching and discomfort.

Unlike internal hemorrhoids, external hemorrhoids are usually associated with pain, especially during bowel movements or when sitting. A significant complication is thrombosis, where a blood clot forms within the hemorrhoid, leading to a thrombosed external hemorrhoid.

Thrombosed External Hemorrhoids

A thrombosed external hemorrhoid is characterized by a sudden onset of severe pain and a firm, tender lump near the anus. The pain is often intense and can be debilitating.

This condition requires prompt medical attention, as the pain can be excruciating. While the clot may resolve on its own over several weeks, excision or incision and drainage of the clot is often recommended to provide immediate relief. Leaving a thrombosed hemorrhoid untreated can lead to skin breakdown and ulceration.

Causes and Risk Factors

Several factors contribute to the development of hemorrhoids, with straining during bowel movements and chronic constipation being primary culprits. Increased pressure in the lower rectum can cause the veins around the anus to swell and bulge, leading to hemorrhoid formation.

Straining

Straining during bowel movements, often due to hard stools or prolonged sitting on the toilet, increases pressure on the veins in the anal canal. This excessive pressure weakens the supporting tissues and causes the veins to bulge and become inflamed, eventually forming hemorrhoids.

Proper bowel habits, including avoiding prolonged sitting on the toilet and responding promptly to the urge to defecate, can help reduce straining.

Constipation

Constipation, characterized by infrequent bowel movements and hard, difficult-to-pass stools, is a major risk factor for hemorrhoids. The increased straining associated with constipation further exacerbates the pressure on the anal veins, contributing to hemorrhoid development.

A high-fiber diet, adequate hydration, and regular exercise are essential for preventing and managing constipation, thereby reducing the risk of hemorrhoids.

Other Factors

Other contributing factors include pregnancy, which increases pressure on the pelvic veins due to the growing uterus. Obesity, prolonged sitting or standing, and a low-fiber diet can also increase the risk of developing hemorrhoids.

Genetics may also play a role, with some individuals being predisposed to developing hemorrhoids due to weaker vein walls or other inherited factors.

Symptoms of Hemorrhoids

The symptoms of hemorrhoids vary depending on the type and severity. Common symptoms include rectal bleeding, anal pain, anal itching, anal swelling, and the presence of a lump near the anus.

Common Symptoms

Rectal bleeding is often painless and may be noticed as bright red blood on the toilet paper, in the toilet bowl, or on the stool. Anal pain can range from mild discomfort to severe, throbbing pain, especially with external or thrombosed hemorrhoids. Anal itching is a common symptom caused by irritation and inflammation of the skin around the anus. Anal swelling may be present as a noticeable lump or bulge near the anus.

The presence of a lump near the anus is often associated with external hemorrhoids or prolapsed internal hemorrhoids. These lumps can be tender and painful to the touch.

Progression

If left untreated, hemorrhoid symptoms can worsen over time. Chronic rectal bleeding can lead to iron deficiency anemia, causing fatigue, weakness, and other symptoms. Persistent pain and discomfort can significantly impact quality of life, affecting daily activities and sleep. Prolapsed hemorrhoids can become increasingly difficult to manage and may require more invasive treatment options. Early detection and management of hemorrhoids are crucial to prevent symptom progression and minimize complications.

The Interplay: How Anemia and Hemorrhoids Can Be Connected

Hemorrhoids, commonly known as piles, are a widespread ailment affecting a significant portion of the adult population. Understanding the different types of hemorrhoids, their underlying causes, and the spectrum of symptoms they can produce is paramount for effective management and improved quality of life. While seemingly disparate, hemorrhoids and anemia can be intricately linked, creating a complex clinical picture for affected individuals. This connection stems primarily from chronic blood loss and shared risk factors that exacerbate both conditions.

Blood Loss from Hemorrhoids: A Pathway to Anemia

The Mechanics of Chronic Rectal Bleeding

One of the most significant connections between hemorrhoids and anemia lies in the potential for chronic rectal bleeding. Hemorrhoids, particularly internal ones, can bleed during bowel movements due to the fragility of the blood vessels in the swollen tissues.

Over time, even small amounts of blood loss can lead to a gradual depletion of iron stores in the body. Iron is a crucial component of hemoglobin, the protein in red blood cells responsible for carrying oxygen.

When iron stores are depleted, the body cannot produce enough healthy red blood cells, resulting in iron-deficiency anemia. This type of anemia is characterized by fatigue, weakness, pale skin, and other debilitating symptoms. The severity of anemia depends on the extent and duration of blood loss.

The Critical Need for Early Detection

The insidious nature of chronic blood loss from hemorrhoids underscores the importance of early detection and intervention. Many individuals may dismiss minor rectal bleeding as inconsequential or attribute it solely to hemorrhoids, delaying seeking appropriate medical care.

However, this delay can allow anemia to progress, further impacting their overall health and well-being. It is essential to seek medical advice for any instance of rectal bleeding, regardless of the perceived cause, to determine the source and initiate appropriate management.

Shared Risk Factors: Constipation and Straining

Beyond the direct impact of blood loss, anemia and hemorrhoids also share common risk factors that contribute to their development and progression. Constipation and straining during bowel movements are prominent examples.

Constipation: A Vicious Cycle

Constipation, characterized by infrequent or difficult bowel movements, is a well-established risk factor for hemorrhoids. The increased pressure and straining associated with passing hard stools can damage the blood vessels in the anal canal, leading to the formation or exacerbation of hemorrhoids.

Furthermore, constipation can also contribute to anemia indirectly. The discomfort and difficulty associated with constipation may lead individuals to avoid bowel movements, further exacerbating the problem.

This cycle can perpetuate both hemorrhoids and anemia, as the straining worsens the hemorrhoids, leading to more bleeding, which in turn contributes to anemia. Addressing constipation is, therefore, a critical component of managing both conditions.

Straining: A Common Instigator

Straining during bowel movements, whether due to constipation or other factors, is a common instigator of hemorrhoids. The increased pressure on the anal and rectal veins can cause them to swell and become inflamed, leading to the development of hemorrhoids.

Straining can also aggravate existing hemorrhoids, causing them to bleed more easily. This combination of factors makes straining a significant contributor to both the development and the perpetuation of the anemia-hemorrhoid connection.

The Impact of Inflammation

Inflammation plays a nuanced role in both hemorrhoids and certain types of anemia. While the direct link between inflammation and iron-deficiency anemia caused by hemorrhoid bleeding is not always prominent, understanding the broader implications of inflammation in these conditions is valuable.

Inflammation in Hemorrhoids

Hemorrhoids, by their very nature, involve inflammation of the anorectal tissues. This inflammation contributes to the pain, swelling, and discomfort associated with the condition.

While localized, this inflammatory process can contribute to overall discomfort and may even affect bowel function, indirectly impacting iron absorption.

Inflammation in Anemia

While not directly related to hemorrhoidal bleeding, it's important to acknowledge that some types of anemia, such as anemia of chronic disease (also known as anemia of inflammation), are directly caused by systemic inflammation.

This type of anemia is often associated with chronic infections, autoimmune disorders, or malignancies. The inflammatory cytokines released in these conditions interfere with iron metabolism and red blood cell production, leading to anemia.

In summary, while hemorrhoid-related anemia is primarily due to blood loss, understanding the inflammatory component in both conditions offers a more comprehensive perspective on their complex interplay.

Management Strategies: A Holistic Approach to Anemia and Hemorrhoids

Addressing both anemia and hemorrhoids requires a multifaceted approach, recognizing the potential interplay between the two conditions. Effective management aims to alleviate symptoms, correct underlying deficiencies, and prevent future occurrences. This involves a combination of medical interventions, lifestyle adjustments, and, importantly, patient education to empower individuals to take control of their health.

Managing Anemia: Restoring Iron Levels

The primary goal in managing anemia, particularly iron-deficiency anemia, is to replenish iron stores and stimulate red blood cell production. This is achieved through a combination of iron supplementation, dietary modifications, and addressing the root cause of the iron deficiency.

Iron Supplements: A Closer Look

Iron supplements are often the cornerstone of treatment. Ferrous sulfate is a commonly prescribed form, but other options like ferrous gluconate or ferrous fumarate may be better tolerated by some individuals.

Dosage varies depending on the severity of the anemia, but it's crucial to follow your doctor's instructions. These instructions might include taking the supplement on an empty stomach to maximize absorption (though this can increase side effects like nausea) and avoiding taking it with calcium-rich foods or antacids, which can interfere with iron absorption. Vitamin C can enhance iron absorption.

Be patient. It can take several weeks or even months to see a significant improvement in hemoglobin levels. Regular blood tests are essential to monitor progress and adjust the dosage as needed. Common side effects include constipation, stomach upset, and dark stools. If these side effects are severe, discuss alternative forms of iron supplements with your physician.

Dietary Modifications: Fueling Red Blood Cell Production

While supplements are often necessary, dietary changes play a crucial role in maintaining healthy iron levels long-term. Incorporating iron-rich foods into your diet is essential.

Good sources of heme iron, which is more easily absorbed by the body, include red meat, poultry, and fish. Non-heme iron, found in plant-based foods like spinach, lentils, and fortified cereals, can be less readily absorbed.

Pairing non-heme iron sources with vitamin C-rich foods, like citrus fruits or bell peppers, can significantly enhance absorption.

Consider limiting tea and coffee consumption with meals, as tannins can inhibit iron absorption.

Addressing Underlying Causes: Stopping the Bleeding

It's crucial to identify and address the cause of iron deficiency. If bleeding hemorrhoids are the culprit, managing them is paramount. This could involve lifestyle changes, topical treatments, or, in some cases, medical procedures to stop the bleeding.

Managing Hemorrhoids: Alleviating Symptoms and Preventing Recurrence

Management of hemorrhoids centers on easing symptoms, preventing complications, and addressing the factors that contribute to their development, like straining during bowel movements.

Lifestyle Adjustments: The Foundation of Hemorrhoid Care

Simple lifestyle modifications can make a significant difference. A high-fiber diet is essential for preventing constipation and promoting regular bowel movements. Aim for 25-30 grams of fiber per day from sources like fruits, vegetables, and whole grains.

Adequate hydration is equally important. Drink plenty of water throughout the day to keep stools soft and easy to pass. Regular exercise can also help improve bowel function and prevent constipation.

Avoid prolonged sitting or straining during bowel movements. Listen to your body's signals and avoid delaying bowel movements when you feel the urge.

Topical Treatments: Soothing Relief

Over-the-counter topical creams and ointments, such as those containing hydrocortisone or witch hazel, can provide temporary relief from itching, pain, and inflammation. Follow the instructions carefully and avoid prolonged use of hydrocortisone creams, as they can thin the skin over time.

Sitz Baths: A Simple Soothing Ritual

Sitz baths, involving soaking the anal area in warm water for 10-15 minutes several times a day, can provide significant symptomatic relief by reducing swelling and inflammation.

Medical Procedures: When More Intervention Is Needed

When lifestyle changes and topical treatments aren't enough, various medical procedures can effectively treat hemorrhoids. Rubber band ligation involves placing a small rubber band around the base of the hemorrhoid to cut off its blood supply.

Sclerotherapy involves injecting a solution into the hemorrhoid to shrink it. Infrared coagulation uses heat to destroy the hemorrhoid tissue.

Hemorrhoidectomy, surgical removal of hemorrhoids, is typically reserved for severe cases or when other treatments have failed.

Addressing Constipation: Preventing Straining

Constipation is a major contributing factor to hemorrhoids, and addressing it is essential for both preventing and managing the condition.

Stool Softeners: Easing the Passage

Stool softeners, such as docusate sodium, can help soften stools and make them easier to pass. They work by increasing the amount of water in the stool. Use them as directed and avoid long-term use without consulting your doctor.

The Power of Fiber and Hydration: Natural Relief

As mentioned previously, a high-fiber diet and adequate hydration are crucial for preventing constipation. Gradually increase your fiber intake to avoid gas and bloating.

Pain Management: Finding Comfort

Hemorrhoids can be painful, and various strategies can help manage the discomfort.

Over-the-Counter Pain Relievers: Managing Discomfort

Over-the-counter pain relievers, such as acetaminophen (Tylenol) or ibuprofen (Advil), can help relieve pain and inflammation. Follow the recommended dosage and be aware of potential side effects.

Natural Remedies: Soothing and Calming

Witch hazel and aloe vera have anti-inflammatory properties and can help soothe irritated skin. They are available in various forms, such as wipes, gels, and creams.

When to Seek Medical Advice: Knowing When to Consult a Professional

While many cases of anemia and hemorrhoids can be managed with lifestyle changes and over-the-counter treatments, it's crucial to know when to seek medical advice.

The Primary Care Physician: Your First Point of Contact

Consult your primary care physician (PCP) for an initial evaluation if you experience persistent symptoms of anemia or hemorrhoids, such as unexplained fatigue, rectal bleeding, or anal pain. Your PCP can perform a physical exam, order blood tests, and recommend appropriate treatment or referral to a specialist.

Gastroenterologists and Colorectal Surgeons: Specialized Care

Your PCP may refer you to a gastroenterologist for further evaluation of digestive system disorders or to a colorectal surgeon (also known as a proctologist) for specialized care of hemorrhoids and related conditions. They can perform procedures like colonoscopies to rule out other causes of rectal bleeding and offer more advanced treatment options for hemorrhoids.

By adopting a holistic approach that combines medical interventions, lifestyle adjustments, and proactive self-care, individuals can effectively manage anemia and hemorrhoids, improving their overall health and quality of life.

The Role of Medical Professionals: Navigating Your Healthcare Team

Addressing both anemia and hemorrhoids often necessitates the collaboration of multiple medical specialists. Understanding the unique role each professional plays is crucial for effective diagnosis, treatment, and long-term management. A well-coordinated healthcare team ensures that all aspects of your condition are addressed, from initial assessment to specialized interventions.

The Primary Care Physician: Your First Point of Contact

The Primary Care Physician (PCP) is often the initial point of contact for individuals experiencing symptoms of either anemia or hemorrhoids. PCPs conduct initial assessments, review medical history, and perform physical examinations.

Based on the initial evaluation, the PCP may order preliminary blood tests to screen for anemia or conduct a basic examination to assess hemorrhoidal symptoms.

Crucially, the PCP's role extends to coordinating care by referring patients to specialists when further investigation or treatment is required.

Gastroenterologists: Experts in Digestive Health

Gastroenterologists specialize in the diagnosis and management of disorders affecting the digestive system. Their expertise is particularly valuable in evaluating the underlying causes of rectal bleeding, a common symptom of hemorrhoids.

They perform diagnostic procedures like colonoscopies to rule out other potential sources of bleeding, such as polyps or inflammatory bowel disease.

A gastroenterologist can also manage internal hemorrhoids through non-surgical treatments, such as rubber band ligation or sclerotherapy.

Colorectal Surgeons: When Surgical Intervention is Necessary

When conservative treatments for hemorrhoids fail, or in cases of severe or complex hemorrhoids, a Colorectal Surgeon (Proctologist) may be consulted. These surgeons are experts in the surgical management of conditions affecting the colon, rectum, and anus.

Surgical options include hemorrhoidectomy (surgical removal of hemorrhoids) and other minimally invasive techniques. Colorectal surgeons are also skilled in managing complications arising from hemorrhoids, such as thrombosis or severe bleeding.

Hematologists: Specialists in Blood Disorders

Hematologists are medical doctors who specialize in the diagnosis and treatment of blood disorders, including anemia. They conduct comprehensive evaluations to determine the underlying cause of anemia, which may range from iron deficiency to more complex conditions like thalassemia or autoimmune disorders.

Hematologists develop personalized treatment plans, which may include iron supplementation, blood transfusions, or other therapies aimed at correcting the underlying blood disorder.

They play a critical role in managing anemia related to chronic blood loss from hemorrhoids, especially when iron supplementation alone is insufficient.

Diagnostic Procedures: Unraveling the Root Cause

Several diagnostic procedures are essential in evaluating anemia and hemorrhoids.

Blood tests, including a complete blood count (CBC) and iron studies, are fundamental for diagnosing anemia and assessing its severity.

Anoscopy and Sigmoidoscopy are visual examinations of the anal canal and lower colon, respectively, allowing doctors to identify hemorrhoids and other potential causes of rectal bleeding.

Colonoscopy, a more comprehensive examination of the entire colon, is often recommended to rule out other serious conditions, such as colon cancer or polyps, when rectal bleeding is present. These diagnostic tools help to ensure accurate diagnoses and appropriate treatment strategies.

So, can anemia cause hemorrhoids? While it's not a direct cause-and-effect situation, the increased strain and potential for constipation related to iron deficiency anemia can definitely contribute to the problem. If you're dealing with both, talk to your doctor. They can help you get your iron levels back on track and suggest the best ways to manage those pesky hemorrhoids for lasting relief.