Does apple cider vinegar help with hemorrhoids?
In adults with symptomatic hemorrhoids, does topical or oral apple cider vinegar reduce symptoms (pain, itching, bleeding) or improve resolution compared with no treatment or standard care?
Compiled 2026-10-05 · checked 2026-10-05 · next 2026-11-05 · automated review, how it works
What the evidence says
Bottom line
No study has tested whether apple cider vinegar helps with hemorrhoids.
A search of the research turned up nothing on this specific question — not weak evidence, not mixed results, just nothing. The closest records found were studies of other plant extracts in rats, a silage fermentation study, and a seaweed nutrition survey. None of them tell you anything about whether vinegar does anything for hemorrhoids in people.
How certain
No human evidence
No studies were found that answer this question.
What it shows
Not studied
No study has measured this outcome in people with this condition.
- studies found
- 0studies found
- randomised trials
- 0randomised trials
- people studied
- 0people studied
What the search returned
Every record the query brought back, and why each one does not answer the question. Follow any of them to PubMed and check.
- The beneficial effect of Sanhuang ointment and its active constituents on experimental hemorrhoids in rats
J Ethnopharmacol · 2024 · PMID 37741471
This study investigates a traditional Chinese medicine (Sanhuang ointment) in rats with experimentally-induced hemorrhoids, not apple cider vinegar in humans or any relevant model for the question asked.
- Identification of bioactive components on antihemorrhoidal activity of Cistus laurifolius L. using RP-HPLC and LC-QTOF-MS
J Ethnopharmacol · 2024 · PMID 37660958
This study is about Cistus laurifolius plant extract for hemorrhoids, not apple cider vinegar, making it a different intervention that does not address the specific question.
- Prevention of Inflammation Initiation on Acetic Acid-Induced Ulcerative Colitis in Rats by Malva nicaeensis All
Front Biosci (Landmark Ed) · 2023 · PMID 37525912
This study examines a plant extract (Malva nicaeensis) for ulcerative colitis in rats, not apple cider vinegar in humans with hemorrhoids.
- "Zuòyuèzi" dietary and behavioural associations with maternal health among puerperal women in South China
Asia Pac J Clin Nutr · 2021 · PMID 34191432
This study examines postpartum hemorrhoids as one of many maternal health conditions associated with dietary and behavioral practices in Chinese women, but does not specifically investigate apple cider vinegar as a treatment for hemorrhoids.
- Assessment of anti-inflammatory and antinociceptive activities of Olea europaea L
J Med Food · 2010 · PMID 20132039
This study examines olive (Olea europaea) extracts, not apple cider vinegar, and tests anti-inflammatory effects in animal models rather than clinical outcomes for hemorrhoids in humans.
- Effects of bamboo charcoal and bamboo vinegar on nitrogen conservation and heavy metals immobility during pig manure composting
Chemosphere · 2010 · PMID 20060567
This study is about pig manure composting and has no bearing on treatment of hemorrhoids in humans or any clinical context.
- Influence of ensiling temperature, simulated rainfall, and delayed sealing on fermentation characteristics and aerobic stability of corn silage
J Dairy Sci · 2006 · PMID 16840629
This abstract is about corn silage fermentation characteristics and has no relevance to hemorrhoid treatment or apple cider vinegar's clinical effects in humans.
- Nutritional analysis of Vietnamese seaweeds for food and medicine
Biofactors · 2004 · PMID 15630305
This study examines the nutritional composition of seaweed and mentions traditional uses including hemorrhoids, but reports no actual clinical outcomes or experimental testing of any treatment for hemorrhoids.
- The effect of delayed ensiling and application of a propionic acid-based additive on the fermentation of barley silage
J Dairy Sci · 2002 · PMID 12214989
This study is about barley silage fermentation and animal feed, with no relevance to hemorrhoid treatment or apple cider vinegar's effects on human health conditions.
What actually helps, on this site
More about the condition:
How we searchedThe exact query, the date it ran, and what came back — so you can run it yourself.
- Searched
- PubMed · ClinicalTrials.gov · Crossref on 2026-10-05
- The exact search — paste this into PubMed to repeat it
("Hemorrhoids"[Mesh] OR hemorrhoid*[tiab] OR piles[tiab]) AND ("acetic acid"[Mesh] OR "apple cider vinegar"[tiab] OR "cider vinegar"[tiab] OR vinegar[tiab])- PubMed expanded that to:
("Hemorrhoids"[MeSH Terms] OR "hemorrhoid*"[Title/Abstract] OR "piles"[Title/Abstract]) AND ("acetic acid"[MeSH Terms] OR "apple cider vinegar"[Title/Abstract] OR "cider vinegar"[Title/Abstract] OR "vinegar"[Title/Abstract]) - What came back
- 9 records found · 9 read · 0 answered the question
- Included
- Human, animal or laboratory studies reporting an outcome relevant to the question
- Excluded
- Records about a different condition or intervention
- Records reporting no outcome
- Retracted publications, which are listed but excluded from every count
- Limits
- Details were read from abstracts, not full papers, so anything reported only in a paper's methods section is not captured here.
- A search finding nothing shows that nothing is indexed for these terms. It cannot prove no study exists anywhere.
- Evidence strength is adapted from the GRADE framework. It is not a GRADE assessment and was not produced by a GRADE panel.
Automated evidence review — PubMed, ClinicalTrials.gov, Crossref. Search strategy, grading rules and the checks that must pass before anything publishes were written by Allen Kamrava, MD, MBA, FACS, FASCRS, colon & rectal surgery, Beverly Hills. The pages themselves are compiled by software running that method and are not read one by one before publication — saying otherwise would be the one claim here that could not be checked.
- 9records came back from the search
- 9were read
- 0actually answered the question
Common questionsShort answers, drawn from the same studies.
- Does this mean apple cider vinegar definitely doesn't work for hemorrhoids?
- No. It means nobody has tested it, not that it has been tried and failed. Untested and ineffective are different things.
- Is apple cider vinegar at least safe to try on hemorrhoids?
- Food-grade vinegar diluted in water is unlikely to cause serious harm for most people, but applying it undiluted or directly to irritated or broken skin can cause burning or chemical irritation. There's no safety study specific to this use, so this is a judgement call, not a tested fact.
- What treatments for hemorrhoids actually have evidence behind them?
- Increasing dietary fiber, drinking more water, avoiding straining on the toilet, and using over-the-counter options like topical corticosteroids, witch hazel, or warm sitz baths are supported by research and commonly recommended by doctors.
- Why did the search return results about rats, silage, and seaweed?
- Searches for a specific topic often pull in loosely related studies — other natural remedies tested in animals, or unrelated agricultural research that happens to share keywords like 'vinegar' or 'hemorrhoids' in passing. None of them answer the actual human clinical question.
- Should I see a doctor instead of trying home remedies?
- If symptoms are severe, persistent, or you notice significant bleeding, yes. A doctor can confirm the diagnosis and rule out other causes of rectal bleeding, then recommend treatments that have actually been studied.
This is information, not advice
This page summarises published research. It cannot tell you what is happening in your own body, and evidence changes. If something is bleeding, painful, or new, it is worth being looked at — that is a different question from the one on this page, and a better one to bring to a consultation.
Contact the officeAutomated evidence review — PubMed, ClinicalTrials.gov, Crossref. Search strategy, grading rules and the checks that must pass before anything publishes were written by Allen Kamrava, MD, MBA, FACS, FASCRS, colon & rectal surgery, Beverly Hills. The pages themselves are compiled by software running that method and are not read one by one before publication — saying otherwise would be the one claim here that could not be checked.