Bidets for Hemorrhoids? Readers Say Yes, Science Isn’t Sure

Have you ever seen a bidet in a fancy hotel or while traveling? Many Americans are puzzled by these bathroom fixtures. They have no idea what they are for or how to use them. Traditionally, there were toilets and free-standing bidets. You do not pee in a bidet! And the bidet is not a fountain for drinking or washing your feet. (You would be amazed by some of the messages we have received!) Now, many toilets come with a bidet seat attachment so you don’t have to move from the toilet to a separate fixture. Quite a few readers recommend bidets for hemorrhoids or anal itching. The research is equivocal at best.

How Good Are Bidets for Hemorrhoids?

This reader recently offered advice based on personal experience:

Q. Lots of people suffer with hemorrhoids, and I’d like to offer advice from personal experience. Ditch the wet wipes and toilet tissue for cleaning your butt after a bowel movement. Purchase a simple bidet toilet seat. After it rinses you off, just pat dry gently with toilet tissue. This drastically reduces the risk of getting hemorrhoids. If you do get them, soaking in a hot bathtub or sitz bath at least once a day works very well.

A. Other readers agree that a bidet seat on the toilet can help reduce irritation and lower the likelihood of hemorrhoids.

Jane agrees that bidets for hemorrhoids is a great idea:

“After trying a bidet while in China, I understand why they are so popular. When the seats went on sale at Costco I purchased one. My only regret is not getting one sooner! Using one led to a definite improvement in external hemorrhoids and a general feeling of cleanliness not achieved with toilet paper. The heated water is lovely, and the heated seat a plus, especially in winter.

“To speed drying, I have a special washcloth I use to pat dry before using the blow dryer to finish. There are many ways to customize the experience, and the “remote” makes it easy to adjust and use.”

Miguel suggests a cheaper solution:

“Ever since using my hand held bidet my one pet hemorrhoid is no longer a problem. Great invention. I have turned on many friends to this device. Also saves on toilet paper.

“The hand held ones are very inexpensive but don’t have a heating function. In northern states this could be a problem for some.”

Ellen believes that bidets for hemorrhoids makes sense:

“We have an on-the-toilet bidet with warm water and warm air drying and we love it! My husband swears it has healed his hemorrhoids and I love the cleaning aspect. No sign of UTI’s from it.”

Urinary Tract Infections (UTIs) and Bidet Seats:

This reader raises a question others have asked about:

Q. I’ve never understood clean-focused Americans’ fear of bidets! For me bidets are almost the best part of travel in Europe. Is there a problem I don’t know about, such as an increased risk for urinary tract infections?

A. This question is a bit more complicated than you might imagine. There have been several studies regarding the use of bidet toilets and urogenital infections. In general, they do not reveal more urinary tract problems (Epidemiology and Infection, April, 2018; Preventive Medicine Reports, Feb. 16, 2017).

A different study, however, suggested that the nozzle surface of electric bidet toilets may become contaminated with bacteria (Journal of the Anus, Rectum and Colon, Oct. 28, 2021). In Japan, where bidet toilet seats are widely used in hospitals, a field test showed that self-cleaning bidet nozzles using neutral electrolyzed water reduce the risk of bacterial contamination (Infection Prevention in Practice, June, 2021).

Research Has Not Confirmed the Benefits of Bidets for Hemorrhoids

A systematic review of bidet studies was titled, “Be Kind to Your Behind” (Evidence-Based Complementary and Alternative Medicine, May 31, 2022).

It concluded that:

“Bidets use may be an untapped alternative to sitz baths. The current literature provides no strong evidence to support or discourage the use of bidets in perianal disease.”

Readers Love Bidets:

Another reader is also enthusiastic about bidet toilets:

“We visited Japan and first thing upon arrival, we dashed for a restroom in the airport. The Toto company, in the best marketing campaign ever, has installed their bidet seats in every restroom so tourists may experience their product. What a joy to find immaculate, odor free restrooms!

“After two weeks in Japan, we could not wait to install a bidet seat in our own bathroom. Travel often opens our minds to new and better ways of doing things.”

This reader reports that her frequent urinary tract infections disappeared after acquiring a bidet!

Q. I bought a bidet after a trip to Europe. I used to have frequent urinary tract infections, but I haven’t had one since I started using my bidet! I love it. When I move, it will go with me.

A. We have heard from a number of readers who share your enthusiasm for a bidet toilet seat that squirts warm water on the bottom for hygiene. We couldn’t find research demonstrating that such use reduces urinary tract infections (UTIs). Some people have actually worried that squirting water on your bottom might increase the risk for UTIs.

We are surprised that there has been so little research into the medical benefits or risks of bidets. It seems as if this is not something reputable researchers want to tackle. That’s unfortunate. Millions of people would like to know whether such devices have any impact on the likelihood of developing a urinary tract or genital infection. Others want to know whether the use of bidets for hemorrhoids would be beneficial. We hope this article might stimulate some interest in carrying out such a study.

Unusual Uses for Bidets:

A cute article in the BBC News Magazine (July 15, 2014) was titled:

“The imaginative ways readers use bidets”

Here is one of the more amusing stories:

“As a child my family and I would always go on a caravan holiday to the south of France once a year. One particular time, while driving through France, my family stopped at a very small hotel overnight. This hotel had a bidet and when I asked my father naively what the toilet looking sink thing was for he explained it was “for washing your family jewels.”

Flash forward 10 or so years to a teenage me explaining to someone at a party that “in France they have a special sink just for washing your jewelry.” My family has yet to let me live it down. Erin B., Willimanti, USA”

The Japanese Have Perfected Toilets:

The Japanese have developed the all-in-one toilet/bidet combination. Here is a YouTube link to watch people reacting to this experience for the first time. According to people who know a lot more about this than we do, most Japanese homes have electronic toilets that do double duty…so to speak.

One Last Story About Bidets for Hemorrhoids

This reader responds to our missing the Bidet Boat:

Q. I read your answer to a reader complaining about hemorrhoids. You listed lots of suggestions, but you left out one of the most important solutions for pain and itching: a bidet!

I have found long term relief with a bidet toilet. No toilet paper aggravating the sensitive tissues and no residue to cause itch. The bidet seat has an air dryer. It won’t cure hemorrhoids, but it certainly helps relieve symptoms.

A. We have not been able to locate any scientific studies demonstrating that bidet use helps relieve hemorrhoids or anal itching (pruritus ani). That said, many of our readers are enthusiastic about the bidet.

They join people in France, Italy, Japan and other countries who consider this bathroom fixture a more sanitary approach to cleansing than using toilet paper.

Here is just one more story we wanted to share about bidets for itching and chronic constipation:

“I have pruritus ani [itchy bottom]. I am in my 30s and have had it for several years along with chronic constipation.

“I’ve tried every cream and natural remedy under the sun. Toilet paper makes it worse, as even the softest types are scratchy.

“Last year, I went on vacation and used the bidet that was in the hotel bathroom. I was amazed at the relief I got. The skin around my bum was able to heal. I purchased a travel-sized hand bidet and use it daily at home and work. There are also bidet attachments for toilets.

“For my constipation, I try to drink lots of water, sprinkle ground chia seeds in my food and sometimes use milk of magnesia to soften the stool. All this helps, but it is inconsistent.”

Share Your Own Bidet Experience:

Have you ever used a bidet? Do you have one at home? Would you consider investing in one of the fancy Japanese “smart” Toto toilets that have heated seats, adjustable water temperature and pressure for posterior cleanliness? Some bidet toilets even come with warm air to dry your behind after rinsing.

We would love to get your perspective in the comment section below. And if you would like to learn more about our home remedies for hemorrhoids, here is a link. Sorry, we did not include the bidet option, but there are dozens of other suggestions you may find amusing, if not helpful.

“Home Remedies for Hemorrhoids
There are many home remedies for hemorrhoids from banana peel and blackstrap molasses to rutabaga and witch hazel. We also share the pros and cons of Vicks!”

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