Prevention of Hemorrhoids

Prevention of hemorrhoids is a crucial aspect of maintaining digestive system health. These conditions are often triggered by lifestyle habits, constitution, or environmental factors, but proactive adjustments to daily behaviors can significantly reduce the risk of occurrence. Preventive measures not only help avoid symptoms such as pain and bleeding but also decrease the need for surgical treatment, thereby improving quality of life.

In modern times, due to prolonged sitting, unbalanced diets, or poor bowel habits, the incidence of hemorrhoids is gradually increasing. Prevention strategies should be multifaceted, including managing personal risk factors, improving dietary structure, and enhancing physical activity. Through systematic health management, the formation mechanisms of hemorrhoids can be effectively blocked, and the resilience of the tissues surrounding the anus can be strengthened.

Risk Factor Management

Risk factors for hemorrhoids can be divided into controllable and uncontrollable categories. Age and genetic predisposition are inherent factors that cannot be changed, but other key factors can be adjusted. According to medical research, the following controllable factors require focused management:

  • Chronic constipation or diarrhea: long-term difficulty in defecation increases anal pressure
  • Prolonged sitting or standing: maintaining the same posture for extended periods impedes blood flow
  • Obesity: excess weight increases pelvic pressure
  • Physiological changes during pregnancy: pregnant women should pay special attention to blood flow dynamics around the anus

For these factors, personalized improvement plans can be developed. For example, office workers should stand up and move every 30 minutes, pregnant women can use specialized support cushions to reduce abdominal pressure. Those with a history of hemorrhoids should regularly monitor for abnormal swelling around the anus and avoid lifting heavy objects.

Risk Assessment and Early Intervention

Regular self-examinations for swelling, pain, or bleeding around the anus can help detect problems early. It is recommended to use a mirror for visual inspection or observe the color and amount of blood on toilet paper after defecation. If dark red blood or persistent burning sensations are found, dietary adjustments should be made immediately, and professional advice should be sought.

Lifestyle Adjustments

Small modifications in daily behaviors can significantly reduce the risk of hemorrhoids. Prevention strategies can be incorporated throughout the day, such as:

  • Completing bowel movements within 10 minutes when using the toilet, avoiding habits like reading on the toilet
  • Wearing loose underwear or clothing to maintain local circulation
  • Actively contracting pelvic floor muscles when coughing or sneezing

In terms of work environment adjustments, office workers can use height-adjustable desks and perform 5-minute bending or leg-kicking exercises every hour. Long-distance drivers should plan for breaks every 2 hours, getting out of the vehicle to walk for 5 minutes. These small changes can prevent prolonged pelvic pressure buildup.

Sleep and Stress Management

Insufficient sleep can lead to abnormal intestinal motility, increasing the risk of constipation. It is recommended to maintain 7-8 hours of regular sleep each night and practice 10-minute abdominal breathing exercises before bed to reduce sympathetic nervous system excitement. When under excessive stress, cortisol secretion can decrease blood flow to the intestines; meditation or gentle exercise can help alleviate stress responses.

Dietary Recommendations

Dietary structure is a key foundation for preventing hemorrhoids. Nutritional studies indicate that the following dietary principles can effectively improve intestinal environment:

  • Consume 25-30 grams of dietary fiber daily, prioritizing natural sources over fiber supplements
  • Include dark green vegetables (such as spinach, lettuce) and whole grains (such as oats, brown rice) with each meal
  • Avoid spicy foods and alcohol, as these substances can irritate the anal mucosa

Regarding fluid intake, daily water consumption should reach 1.5-2 liters, but avoid drinking large amounts at once. Drinking warm water on an empty stomach in the morning can stimulate bowel movements, and hydrating 30 minutes after meals can prevent blood viscosity and venous pressure. Traditional Chinese medicinal ingredients such as Sophora japonica and Eucalyptus leaves can be used as dietary adjuncts but should be consulted with a professional Chinese medicine practitioner beforehand.

Food Combination Suggestions

When designing three meals, the "Rainbow Diet" method can be adopted to ensure balanced nutrition. For example:

  • Breakfast: Oatmeal + Blueberries + Kiwi (high fiber combination)
  • Lunch: Whole wheat bread + Grilled bell peppers + Green salad (fiber and hydration combined)
  • Dinner: Steamed fish + Stir-fried seasonal vegetables + Brown rice (low-fat, high-nutrition density)

Avoid high-fat, high-sugar diets, as these foods prolong intestinal transit time. If processed foods are preferred, choose fiber-enriched grain products and supplement with vitamins C and E to enhance venous elasticity.

Physical Activity Guidelines

Regular exercise can enhance coordination of abdominal and pelvic floor muscles. The following exercises are recommended daily:

  • 15 minutes of Kegel exercises every morning
  • Three times a week, 30 minutes of aerobic exercise (such as brisk walking, swimming)
  • Twice a week, core muscle training (such as planks, bridges)

The exercise intensity should match individual fitness levels. For those over 65, aquatic exercises are recommended to reduce joint stress. Yoga poses like "Inverted Poses" and "Cat-Cow" can promote circulation but should be performed under professional guidance. Avoid strenuous lifting; for example, when moving objects over 10 kg, use a squat position instead of bending over.

Exercise Precautions and Alternatives

Patients with severe varicose veins or during acute flare-ups should temporarily suspend high-intensity exercises. During this period, alternative options include:

  • Leg elevation exercises before sleep (raising the foot of the bed by 10 cm)
  • Using elastic bandages for lower limb compression massage
  • Gentle gluteal stretches (10 seconds each, 10 times daily)

Post-exercise hot and cold compresses can promote blood circulation but should be careful to keep water temperature below 40°C to prevent skin damage. Avoid using the toilet within two hours after exercise to prevent increasing abdominal pressure.

Work Environment and Workplace Considerations

The workplace environment plays a vital role in hemorrhoid prevention. Office workers should pay particular attention to:

  • Chair selection: Use ergonomic chairs with lumbar support, and stand up for 5 minutes every half hour
  • Computer monitor height should be level with the eyes to avoid bending forward
  • Use footrests to elevate both feet 5-10 cm, improving lower limb blood flow

Long-distance drivers should take breaks every 2 hours and place cushions under the seat to distribute pressure. Freight drivers can carry foldable stretch bands for pelvic rotation exercises during rest stops. In the home environment, installing handrails in the bathroom can assist with proper toileting posture.

Work Process Optimization

Programmers and others who work long hours in front of screens are advised to follow the "20-20-20" rule: every 20 minutes, stand up and look at an object 20 meters away for 20 seconds, while performing light leg movements. When using standing desks, ensure feet are flat on the ground to maintain a neutral pelvic position.

When to Consult Medical Professionals

Seek medical attention immediately if you experience:

  • Bright red blood during bowel movements lasting more than 3 days
  • Palpable swelling around the anus accompanied by pain
  • A sensation of blockage or needing manual assistance to defecate

For those with a family history, a yearly digital rectal examination is recommended, and colonoscopy frequency can be increased after age 40. Individuals whose work involves prolonged standing (such as nurses or teachers) should regularly undergo posture assessments by specialists and adjust their work environment accordingly.

Special Population Medical Consultation

Pregnant women should begin pelvic floor muscle training after 20 weeks of pregnancy and use specialized cushions to distribute pressure. Diabetic patients must strictly control blood glucose levels, as hyperglycemia can damage microvascular structures. Those on anticoagulant therapy should inform their physicians about ongoing hemorrhoid prevention measures to avoid drug interactions and natural supplement conflicts.

Systematic implementation of the above strategies can reduce the risk of hemorrhoid development by over 50%. The key lies in establishing sustainable lifestyle patterns rather than short-term fixes. It is recommended to integrate prevention steps into daily schedules, such as including exercise and dietary choices in daily to-do lists. Regular self-assessment of swelling and bowel habits around the anus is essential for maintaining long-term health.

 

Frequently Asked Questions

Does prolonged sitting at work increase the risk of hemorrhoids? How can it be improved?

Yes, prolonged sitting can impair blood circulation around the anus and increase the incidence of hemorrhoids. It is recommended to stand up and move every hour for 5 minutes, doing calf raises or simple stretching exercises, and using ergonomic chairs that support proper pelvic posture.

Which foods in daily diet may worsen hemorrhoid symptoms? How should they be adjusted?

Spicy foods, alcohol, and processed meats can irritate the intestinal mucosa, exacerbating swelling and bleeding. It is advisable to increase intake of high-fiber foods such as oats, chia seeds, and dark vegetables, along with adequate hydration to promote smooth bowel movements.

Should I use medication immediately when bleeding occurs? In what situations should I seek urgent medical care?

Minor bleeding can be observed with sitz baths and dietary adjustments; use of astringents is not recommended without professional guidance. If bleeding is heavy, persists for more than a week, or is accompanied by severe pain or prolapse that cannot be reduced, seek medical attention promptly to rule out complications.

Is oral fiber supplementation more effective than dietary intake? How should they be combined?

Natural foods containing dietary fiber (such as whole grains and fruits) also provide various nutrients and are more balanced in absorption. If dietary intake is insufficient, fiber supplements can be used but should be taken in divided doses with at least 1.5 liters of water daily to prevent bloating.

Is it normal for hemorrhoids to worsen during pregnancy? What safe relief methods are available?

Hormonal changes and uterine pressure during pregnancy can lead to worsening hemorrhoids, which is common. Cold compresses can soothe swelling, and topical gels containing witch hazel (with prior medical approval) can be used. Avoid spending more than 5 minutes on the toilet to prevent aggravation.

Hemorrhoids