Can Lifestyle Changes Heal Internal Hemorrhoids Naturally? - Gastroenterology and Hepatology

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Hemorrhoidal bleeding


I have noticed blood during my last two bowel movements and suspect I may have hemorrhoids.
If it is an internal hemorrhoid, will improving my lifestyle habits lead to self-healing?

Yue, 10~19 year old female. Ask Date: 2020/08/28

Dr. Yang Zhichao reply Gastroenterology and Hepatology


Hello, Miss Yue.
If it is simply hemorrhoids and not severe, improving your lifestyle habits can lead to recovery.
If there is no improvement, please see a gastroenterologist immediately.
Thank you for your inquiry.

Reply Date: 2020/08/28

More Info


Internal hemorrhoids, commonly referred to as piles, are swollen veins located inside the rectum. They can cause discomfort, pain, and bleeding during bowel movements. If you have experienced bleeding during your last two bathroom visits, it is essential to consult a healthcare professional for a proper diagnosis, as bleeding can also be a symptom of other conditions.

Lifestyle changes can significantly impact the management and potential healing of internal hemorrhoids. Here are several strategies that may help alleviate symptoms and promote healing:
1. Dietary Modifications: A high-fiber diet is crucial for preventing constipation and promoting regular bowel movements. Foods rich in fiber include fruits, vegetables, whole grains, and legumes. Fiber softens stool and increases its bulk, making it easier to pass and reducing the strain during bowel movements, which can exacerbate hemorrhoids.

2. Hydration: Drinking plenty of water is essential for maintaining soft stools. Aim for at least 8-10 glasses of water daily. Proper hydration helps prevent constipation and reduces the risk of straining during bowel movements.

3. Regular Exercise: Engaging in regular physical activity can help stimulate bowel function and reduce the risk of constipation. Aim for at least 30 minutes of moderate exercise most days of the week. Activities such as walking, swimming, or cycling can be beneficial.

4. Avoid Straining: Straining during bowel movements can worsen hemorrhoids. If you feel the urge to go, try not to delay. When using the toilet, avoid sitting for prolonged periods, as this can increase pressure on the rectal veins.

5. Proper Bathroom Habits: When you feel the urge to have a bowel movement, go to the bathroom promptly. Avoid reading or using your phone while on the toilet, as this can lead to prolonged sitting.

6. Weight Management: If you are overweight, losing weight can help reduce the pressure on the pelvic veins and may alleviate symptoms associated with hemorrhoids.

7. Warm Baths: Soaking in a warm bath can provide relief from discomfort and help reduce inflammation. Consider taking a sitz bath, which involves sitting in a few inches of warm water to soothe the anal area.

8. Over-the-Counter Treatments: While lifestyle changes are essential, over-the-counter creams and ointments can provide temporary relief from itching and discomfort associated with hemorrhoids. Look for products containing hydrocortisone or witch hazel.

9. Avoiding Heavy Lifting: If your lifestyle involves heavy lifting or straining, try to modify your activities to reduce pressure on the rectal area.

While these lifestyle changes can help manage and potentially heal internal hemorrhoids, it is important to note that they may not work for everyone. If symptoms persist or worsen, or if you experience significant bleeding, it is crucial to seek medical attention. A healthcare provider may recommend additional treatments, such as rubber band ligation, sclerotherapy, or, in severe cases, surgical intervention.

In conclusion, while lifestyle changes can significantly improve the symptoms of internal hemorrhoids and promote healing, they may not be a guaranteed cure. Regular check-ups with a healthcare provider are essential to monitor your condition and ensure that no other underlying issues are present.

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