Hemorrhoids, commonly known as piles, are swollen veins around the anus or in the lower rectum. They can become problematic with increased pressure. When swollen, hemorrhoids cause discomfort, itching, and sometimes bleeding. This article explores strategies for relief, including optimal body positions and other management techniques.
Sitting and Lying Down for Hemorrhoid Relief
Sitting for extended periods increases pressure on anal and rectal veins, worsening hemorrhoid symptoms. Prolonged sitting, especially on hard surfaces or the toilet, can exacerbate existing hemorrhoids or contribute to their development.
Lying down often provides relief by reducing direct pressure on the affected area. Lying on your side is particularly beneficial, as it minimizes compression and allows for better blood circulation to the anal region.
When sitting is unavoidable, certain adjustments can help reduce irritation. Using a soft cushion can provide a gentler surface, but avoid donut-shaped pillows. While seemingly helpful, these pillows can cause tissue to bulge through the center, potentially increasing swelling around the hemorrhoidal area. Instead, opt for a flat, soft cushion or a wedge-shaped pillow that supports the thighs and reduces direct pressure on the anus.
Alternative Positions for Comfort
Beyond sitting or lying down, other positions and movements can alleviate hemorrhoid discomfort. Standing and walking for short durations promote blood flow and reduce pressure on rectal veins. Regular, gentle movement prevents blood stagnation that contributes to hemorrhoid symptoms.
When resting, consider elevating your feet slightly while lying down. Placing a pillow under your knees can help tilt the pelvis, reducing pressure on the anal area and promoting venous return.
Beyond Position Other Relief Strategies
Dietary changes manage hemorrhoids by improving bowel regularity. Increasing daily fiber intake to 25-35 grams softens stools, making them easier to pass and reducing straining. Good fiber sources include fruits, vegetables, whole grains, and legumes.
Adequate hydration is important, as drinking plenty of water helps fiber prevent hard stools and constipation. Aim for at least eight glasses of water daily to maintain soft stool consistency. This combined approach of fiber and fluids prevents pressure that irritates hemorrhoids.
Over-the-counter (OTC) topical treatments relieve itching, pain, and swelling. Creams with hydrocortisone reduce inflammation, while witch hazel or lidocaine provide soothing and numbing effects. Suppositories deliver medication directly to internal hemorrhoids, shrinking swollen tissues and alleviating discomfort.
Warm baths, especially sitz baths, provide comfort by relaxing the anal sphincter and increasing blood flow. Soaking the anal region in warm water for 15-20 minutes, two to three times daily, reduces pain and inflammation. Many pharmacies offer small plastic tubs that fit over a toilet seat for convenient sitz baths.
Proper hygiene prevents irritation and infection. After a bowel movement, gently clean the anal area with soft, moist toilet paper or flushable wipes instead of harsh, dry paper. Patting the area dry rather than rubbing also prevents aggravation.
Avoid straining during bowel movements, as this increases pressure on rectal veins. If you feel the urge to strain, wait until the next opportunity and ensure your diet and hydration promote easier passage. Regular, gentle exercise contributes to healthy bowel function and helps prevent constipation.
When to Seek Medical Advice
While many hemorrhoid symptoms resolve with home care, certain signs warrant medical evaluation. Persistent rectal bleeding, especially if bright red, requires discussion with a doctor to rule out more serious conditions. Rectal bleeding can indicate other issues, including colorectal or anal cancer.
Severe pain not improving with home remedies, or pain with a hard, discolored lump near the anus (possibly a thrombosed hemorrhoid), requires medical attention. If a prolapsed hemorrhoid does not retract or cannot be gently pushed back inside, intervention may be needed. A healthcare provider can diagnose and recommend treatment, including office procedures or surgery.