Hemorrhoids are swollen veins in the lower rectum and anus, causing discomfort for many people. While various medical and over-the-counter treatments exist, Kegel exercises are often discussed as a simple, non-invasive method to alleviate symptoms. This technique engages internal support structures, suggesting a relationship between muscle strength and hemorrhoid relief. Understanding the mechanism of these exercises provides insight into their potential to manage and prevent flare-ups.
What Kegel Exercises Target
Kegel exercises target the pelvic floor muscles, a sling-like group stretching from the tailbone to the pubic bone. These muscles surround and support the urethra, rectum, and anus. They are responsible for controlling the flow of urine and bowel movements. Strengthening this muscle group improves overall pelvic function and stability.
The Direct Impact on Hemorrhoid Symptoms
Regularly performing Kegel exercises influences hemorrhoid symptoms through two primary mechanisms. The rhythmic contraction and relaxation of the pelvic floor muscles act like a pump, improving blood circulation in the anal and rectal area. Enhanced blood flow reduces the pooling of blood in the swollen veins, which causes the inflammation and swelling characteristic of hemorrhoids. This improved circulation encourages the reduction of existing hemorrhoid size and eases discomfort.
Furthermore, strengthening the pelvic floor provides better structural stability to the anorectal region. Stronger muscles offer increased support to the veins, helping to prevent internal hemorrhoids from prolapsing outside the anus. The increased muscle tone also helps maintain better bowel control, which reduces the need to strain during defecation. Since excessive straining triggers hemorrhoid development and irritation, minimizing this pressure is a significant factor in symptom prevention and relief.
Performing Kegels Correctly for Anal Support
To perform Kegels effectively, correctly identify the target muscles by imagining you are trying to stop passing gas. The sensation should be a tightening and lifting of the muscles around the anus and rectum. It is essential to isolate this muscle group and avoid squeezing the abdominal, thigh, or gluteal muscles. Breathing must remain steady and relaxed throughout the exercise, without holding your breath.
A common technique involves performing both slow and fast contractions. For slow contractions, squeeze the muscles and hold the tension for ten seconds, followed by ten seconds of relaxation. Fast contractions involve quickly squeezing and relaxing the muscles for about ten repetitions. Aim to complete three sets of ten repetitions (both slow and fast) three times daily; noticeable improvement may take six to twelve weeks of daily practice.
When to Seek Medical Consultation
While Kegel exercises are a beneficial complementary approach, they are not a substitute for professional medical care, especially for persistent hemorrhoid conditions. If symptoms are severe, such as excessive or prolonged rectal bleeding, consult a healthcare provider immediately. Bleeding can indicate conditions more serious than hemorrhoids, including anal fissures or colon issues.
Medical attention is warranted if pain is moderate to severe, or if home remedies, including consistent Kegel exercises, do not resolve symptoms within a week. Persistent discomfort, a large or prolapsed hemorrhoid that cannot be pushed back inside, or signs of infection (like fever or unusual discharge) are reasons to seek a diagnosis. A doctor can offer additional treatments like fiber supplements, topical medications, or in-office procedures such as rubber band ligation or sclerotherapy.