Can You Ride a Bike with Hemorrhoids? Expert Answers Your Concerns

Can I ride a bicycle if I have hemorrhoids?

Hello doctor, I noticed a small lump near my anus in mid-April, which feels like it's under the skin.
It comes out when I have a bowel movement but retracts back in when I tighten my anus.
There is no bleeding.
I visited a clinic, and the doctor said it was a thrombosed hemorrhoid and prescribed six suppositories for me to use once every night, along with warm sitz baths.
I have a few questions for you:
1.
Is my condition hemorrhoids? Is it an internal hemorrhoid?
2.
I have finished using the suppositories, and I have been taking warm sitz baths daily, but the lump is still there.
Can I buy more suppositories over the counter and continue using them?
3.
I am a student who enjoys cycling (specifically road biking with drop handlebars), but since I have exams in early May, I am currently only cycling to school once a week, which is about 5 kilometers.
Over the past two weeks, there have been no issues with my anus, but after the exams, I may cycle to school every day and also go on long rides with friends on weekends.
Can I still cycle with hemorrhoids? I really don’t want to give up my favorite sports, which are cycling and basketball, at such a young age.
4.
Do hemorrhoids shrink and then slightly return to their original size?

YCH, 10~19 year old female. Ask Date: 2020/04/26

Dr. Lin Minghui reply Gastroenterology and Hepatology

Hello, can I ride a bicycle if I have hemorrhoids? Hemorrhoids are varicose veins of the rectum, and moderate exercise is beneficial, but prolonged sitting or standing should be avoided.
It is advisable to ride a bike, but not for extended periods.
Long periods of sitting can compress the anal area, leading to impaired venous return and the development of hemorrhoids.
Constipation and straining during bowel movements can also worsen hemorrhoids.
Hemorrhoids are classified into four grades; in grade two, straining during a bowel movement may cause a sensation of a mass protruding from the anus, but it can be pushed back in.
In severe cases, grade four hemorrhoids become excessively swollen and cannot be reduced.
Will hemorrhoids return to their original size after shrinking? It is important to ensure smooth bowel movements; difficulty in passing stool and straining can potentially exacerbate hemorrhoids.
Wishing you peace and health! Dr.
Ming-Hui Lin, Attending Physician, Gastroenterology, Taoyuan General Hospital, Ministry of Health and Welfare.

Reply Date: 2020/04/26

More Info

When it comes to riding a bike with hemorrhoids, there are several factors to consider, especially given your current situation. Let's break down your concerns and provide some guidance based on medical knowledge.

1. Understanding Your Condition: From your description, it sounds like you may have a thrombosed hemorrhoid, which is a swollen vein in the anal area that can become painful and may protrude during bowel movements. This is often classified as an external hemorrhoid, but if it is located inside the rectum and only protrudes during straining, it could be an internal hemorrhoid. The fact that it retracts when you relax indicates that it is likely not a permanent prolapse, which is a more severe condition.

2. Continuing Treatment: Since you have completed the course of suppositories and are practicing sitz baths, it is essential to monitor your symptoms. If the hemorrhoid has not improved or if you are still experiencing discomfort, it might be beneficial to consult your healthcare provider before purchasing over-the-counter treatments. Self-medicating without professional advice can sometimes lead to complications or mask underlying issues.

3. Cycling with Hemorrhoids: Riding a bike can be uncomfortable for individuals with hemorrhoids, especially if the bike seat puts pressure on the anal area. However, if you have not experienced any pain or discomfort during your recent rides, it may be acceptable to continue cycling, especially since you are preparing for an important exam. It is crucial to listen to your body; if you start to feel discomfort, it may be wise to reduce your cycling frequency or duration. Additionally, consider using a wider, more cushioned seat or padded shorts to alleviate pressure.

4. Will Hemorrhoids Shrink?: Hemorrhoids can indeed shrink over time, especially with proper care and treatment. Factors such as dietary changes (increasing fiber intake), staying hydrated, and avoiding straining during bowel movements can help reduce the size of hemorrhoids. However, they may not disappear entirely, and some individuals may experience flare-ups.

In summary, while you can continue to ride your bike, it is essential to monitor your symptoms closely. If you experience increased pain, bleeding, or any other concerning symptoms, seek medical advice. Maintaining a healthy lifestyle, including a high-fiber diet and regular hydration, will also support your recovery and help prevent future issues. Remember, your health should always come first, so prioritize comfort and well-being as you prepare for your exams and enjoy your favorite activities.

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