Can People with Grade II Hemorrhoids Safely Practice Muay Thai? - Surgery

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Can individuals with grade II hemorrhoids engage in this type of exercise?


Hello, Doctor.
I have been suffering from severe constipation since high school and was diagnosed with internal hemorrhoids.
I currently have one grade II internal hemorrhoid that usually protrudes when I strain too hard, sit for more than five minutes, or adopt a squatting position during bowel movements.
However, it can retract on its own after I stand up without needing manual assistance.
Additionally, I had a thrombosed hemorrhoid that occurred last year, which has since reduced in size through sitz baths and topical treatments, but I still have residual tissue.
Aside from these issues, I do not experience any other discomfort.
I pay attention to my hydration and diet, but I lack exercise, and my constipation remains difficult to improve, which worries me about the potential worsening of my condition in the future.
Recently, I have been considering learning Muay Thai as a form of exercise, aiming for a frequency of 1-2 times a week for about an hour each session, primarily for fitness purposes.
I do not intend to engage in frequent training or intense sparring.
However, after researching online, I found recommendations suggesting that patients with hemorrhoids should avoid boxing, wrestling, and similar activities.
I have not found detailed explanations regarding this, so I would like to ask you, Doctor: Will participating in Muay Thai worsen my current condition, or is it only advisable for patients in an acute phase to temporarily refrain from such activities? Additionally, I would like to know your recommendations regarding weight training under the same circumstances.
Thank you for taking the time to respond amidst your busy schedule.

Wo ye xiang yundong, 20~29 year old female. Ask Date: 2020/12/08

Dr. Ke Fangxu reply Surgery


If you have first or second degree hemorrhoids, engaging in regular exercise is generally not a problem.
However, if squatting causes the hemorrhoids to protrude, then during intense exercise, the increased abdominal pressure may also lead to protrusion.
During acute episodes, it is certainly not advisable to engage in heavy lifting or vigorous exercise.
It is recommended to assess whether such exercise intensity will cause the hemorrhoids to protrude; if it does not, then there should be no issue.

Reply Date: 2020/12/08

More Info


When considering whether individuals with Grade II hemorrhoids can safely practice Muay Thai, it is essential to understand both the nature of the condition and the physical demands of the sport. Hemorrhoids, particularly Grade II, can cause discomfort and may lead to complications if not managed properly. Grade II hemorrhoids are characterized by the ability to protrude during bowel movements but can retract spontaneously afterward. This condition can be exacerbated by activities that increase intra-abdominal pressure, such as heavy lifting or intense physical exertion.

Muay Thai is a high-intensity martial art that involves striking, clinching, and various movements that can put stress on the pelvic region and abdominal area. While practicing Muay Thai once or twice a week for an hour may seem manageable, the physical exertion involved could potentially aggravate existing hemorrhoid symptoms. The concern arises particularly during activities that require significant exertion, such as kicking or clinching, which may lead to straining and increased pressure in the rectal area.

For individuals with hemorrhoids, it is generally advised to avoid activities that could exacerbate their condition. This includes high-impact sports or exercises that involve heavy lifting or straining. However, if your hemorrhoids are stable and not currently causing significant discomfort, moderate participation in Muay Thai may be feasible. It is crucial to listen to your body; if you experience pain, discomfort, or bleeding during or after training, it would be wise to reconsider your participation.

In addition to Muay Thai, you mentioned an interest in weight training. Similar principles apply here. Weight training can also increase intra-abdominal pressure, especially if heavy weights are involved. If you choose to engage in weight training, consider focusing on lighter weights with higher repetitions and avoid exercises that require straining, such as squats or deadlifts, until your hemorrhoid condition improves.

To prevent exacerbation of your hemorrhoids while engaging in any physical activity, consider the following strategies:
1. Warm-Up and Cool Down: Always include a proper warm-up and cool-down routine to prepare your body for exercise and to help with recovery afterward.

2. Hydration and Diet: Continue to maintain a high-fiber diet and stay well-hydrated to prevent constipation, which can worsen hemorrhoid symptoms. This is crucial, especially if you are increasing your physical activity.

3. Listen to Your Body: Pay attention to any signs of discomfort or pain during exercise. If you notice any worsening of your symptoms, it may be necessary to take a break from the activity.

4. Consult a Healthcare Professional: Before starting any new exercise regimen, especially with a pre-existing condition like hemorrhoids, it is advisable to consult with a healthcare provider. They can provide personalized recommendations based on your specific health status.

5. Consider Alternative Exercises: If you find that Muay Thai or weight training exacerbates your symptoms, consider low-impact exercises such as swimming, walking, or yoga, which can help improve your fitness without putting undue strain on your body.

In conclusion, while it may be possible to practice Muay Thai with Grade II hemorrhoids, it is essential to approach the activity with caution. Monitor your symptoms closely, and prioritize your health and comfort over intensity in your training. If you experience any adverse effects, it would be prudent to seek medical advice and possibly adjust your exercise routine accordingly.

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