Experts recommend dietary changes and improved bathroom habits as effective strategies for managing hemorrhoids, according to new guidelines from the American Gastroenterological Association.
More than half of individuals over the age of 50 have experienced hemorrhoids, according to the National Institutes of Health and other medical sources. To assist both patients and healthcare providers in addressing this common condition, the American Gastroenterological Association (AGA) has released updated clinical practice guidelines in the journal Clinical Gastroenterology and Hepatology. The new guidelines emphasize lifestyle modifications over quick-fix products for hemorrhoid relief.
Hemorrhoids are swollen, enlarged veins that can develop both internally and externally. According to the Cleveland Clinic, these conditions can vary from minor annoyances to sources of significant pain and rectal bleeding. Experts estimate that one in 20 Americans experience hemorrhoids that cause irritation, with the prevalence increasing with age. Hemorrhoids are also particularly common during pregnancy due to increased pelvic pressure, although these cases can often be managed with conservative symptom care.
One key takeaway from the AGA update is that effective treatment for hemorrhoids may often be found in the pantry rather than the pharmacy. The experts identified increased fiber intake as a “reasonable first-line therapy.” By softening stool and increasing its bulk, fiber can reduce the need for straining, which is a major contributor to hemorrhoid flare-ups.
Unfortunately, most Americans do not meet the recommended daily fiber intake. The USDA Dietary Guidelines suggest that women should consume between 22 to 28 grams of fiber daily, while men should aim for 28 to 45 grams. However, data indicates that 90% of women and 97% of men fall short of these recommendations.
The AGA also pointed out that restroom habits can exacerbate hemorrhoid symptoms. In a time when many individuals take their smartphones into the bathroom, prolonged sitting and straining can increase pressure on the rectal area. The updated guidelines advise against long sessions on the toilet, which can worsen symptoms.
While some may reach for sitz baths or topical creams at the first sign of discomfort, the AGA notes that there is limited data supporting their long-term effectiveness. The guidelines also caution against the overuse of topical steroids. Although these medications can reduce inflammation, using them for more than two weeks can lead to skin thinning and increased irritation.
Although lifestyle changes are crucial, the AGA emphasizes the importance of obtaining a proper diagnosis. Since rectal bleeding can sometimes indicate more serious conditions, a physical examination is recommended before initiating any treatment plan. For persistent or severe cases, patients may require office-based procedures or surgical intervention.
These insights underscore the importance of dietary and lifestyle adjustments in managing hemorrhoids, providing a proactive approach to a condition that affects millions.
According to Fox News, these updated guidelines aim to empower individuals with practical strategies for relief.