Hemorrhoids, also known as piles, are swollen veins inside or outside the anus and rectum. These are a normal part of the anal canal, helping with stool control. They become problematic when swollen, leading to symptoms like pain, itching, and bleeding.
Walking and Hemorrhoids
For most individuals, walking generally does not aggravate hemorrhoids; in fact, it can be beneficial. This low-impact activity improves blood circulation, preventing blood from pooling in rectal veins. Walking also promotes regular bowel movements, preventing constipation and straining, which are common contributors to hemorrhoid flare-ups.
Engaging in at least 30 minutes of walking per day encourages bowel regularity and reduces straining. This daily activity can be broken into shorter walks. While generally safe, temporary discomfort may occur during an acute flare-up or with very long walks. If a thrombosed hemorrhoid (a blood clot within an external hemorrhoid) is present, walking or sitting can cause severe pain. However, this discomfort is temporary and does not indicate aggravation of the condition.
Movement and Hemorrhoids
Other low-impact physical activities also support hemorrhoid management. They promote blood circulation and reduce constipation risk without undue anal pressure. Swimming is particularly beneficial because water’s buoyancy minimizes pressure on the rectum and anus while providing a full-body workout. Yoga and gentle stretching routines relieve pressure, improve circulation, and relax muscles. Pelvic floor exercises (Kegels) strengthen rectal support muscles, which can reduce prolapse and improve bowel control.
Certain activities should be approached with caution, especially during a flare-up, as they increase abdominal pressure or strain the pelvic floor. Heavy weightlifting, for example, puts significant pressure on the abdomen and rectal veins. High-impact exercises like running or intense aerobics can also place extra pressure on the pelvic area, potentially worsening symptoms. Prolonged sitting on hard surfaces, such as cycling, or intense core exercises like sit-ups and crunches, may also increase pressure and discomfort. Avoid movements that cause pain or irritation.
Hemorrhoid Management
Managing hemorrhoid symptoms and preventing flare-ups involves several practical approaches. A high-fiber diet softens stools and increases their bulk, making them easier to pass without straining. Foods rich in fiber include fruits, vegetables, and whole grains. Adequate hydration helps fiber work effectively and prevents constipation.
Proper hygiene and reducing straining during bowel movements are important. Avoiding prolonged toilet sitting reduces pressure on anal veins. Warm sitz baths relieve pain, itching, and swelling by relaxing anal muscles and promoting blood flow. Over-the-counter creams, ointments, or suppositories (e.g., witch hazel or hydrocortisone) can temporarily ease pain and itching. If symptoms persist after a week of home treatment, if there is significant bleeding, or if other unusual changes are noticed, seek medical advice.