Constipation and Hemorrhoids - A Connection We Don’t Talk About Enough
Many people suffer in silence from digestive problems. Constipation and hemorrhoids are two conditions that often go hand in hand, yet they are rarely discussed openly. Because they affect a very private part of the body, many people feel embarrassed and delay seeking help. But understanding how these problems are connected can help prevent pain, discomfort, and emotional stress. Let’s take a closer look—simply and without shame.
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| Constipation and Hemorrhoids: A Connection We Don’t Talk About Enough |
A Common but Hidden Problem
Hemorrhoids are far more common than most people think. Around 30% of the population will experience them at some point, and one out of two women may develop hemorrhoids after giving birth.
Despite being so common, hemorrhoids remain a taboo subject. Many people feel ashamed, anxious, or uncomfortable talking about them—even with a doctor.
This silence is unfortunate, because hemorrhoids can cause not only physical pain, but also psychological distress. The good news is that many cases can be prevented or relieved, especially by addressing constipation early.
What Are Hemorrhoids, Really?
“Hemorrhoids are not a disease at first,” explains Dr. Guillaume Zufferey, a digestive surgery specialist.
They are actually normal structures inside the rectum, made of blood vessels and tissue. Their role is to help control bowel movements.
Problems begin when these tissues swell, enlarge, and slide downward toward the anus. At that point, hemorrhoids become pathological and can cause symptoms such as:
Swelling around the anus
Bleeding during bowel movements
Pain or burning
Itching and irritation
A feeling of incomplete evacuation
The Four Stages of Hemorrhoids
According to medical specialists, hemorrhoidal disease develops in stages:
Stage 1 – The hemorrhoid enlarges but stays inside the rectum
Stage 2 – It comes out during bowel movements but goes back in on its own
Stage 3 – It comes out and must be pushed back in manually
Stage 4 – It stays outside permanently and cannot go back in
Hemorrhoids can also become suddenly very painful due to thrombosis, when blood clots form and block the veins, causing intense swelling and pain.
The Strong Link Between Constipation and Hemorrhoids
The exact cause of hemorrhoids is not always known, but certain factors increase the risk. Two of the most important are pregnancy and chronic constipation.
“When a person is constipated, they often push very hard to pass stool,” explains Dr. Laurent Bochatay, a gastroenterology specialist.
“This pressure causes blood to build up in the hemorrhoids, making them swell and worsen.”
The relationship also works the other way around. A swollen hemorrhoid can block stool passage, making constipation worse. This creates a painful cycle.
How Doctors Define Constipation
From a medical point of view, constipation means fewer than three bowel movements per week. It is considered chronic if it lasts for several months.
Temporary changes—such as during travel or stress—are normal and not considered true constipation. But if bowel problems last more than six months, treatment may be needed.
Simple Daily Habits That Help Prevent Both Problems
Small daily changes can make a big difference:
Eat more fiber: fruits, vegetables, whole grains
Green vegetables increase stool volume
Foods like white rice, pasta, chicken, and cooked carrots produce little residue
Drink enough water, because fiber needs fluids to work
Move your body: walking, sports, or regular physical activity
Limit time on the toilet: no more than 2 minutes
If nothing happens, leave and try again later
Change your toilet position if you have hemorrhoids
Use a small stool under your feet to create a semi-squatting position
This helps stools pass more easily
If lifestyle changes are not enough, a doctor may recommend medication or refer you to a specialist.
Treatments Are Available
Depending on the severity, treatment may include:
Medicated creams or suppositories
Oral treatments
Medical procedures
Surgery in severe cases
Early treatment leads to better outcomes and less discomfort.
Conclusion
Constipation and hemorrhoids are common, human problems—not something to be ashamed of. Understanding how they are connected empowers you to take action early.
With simple daily habits, proper hydration, and timely medical advice, many people can prevent or greatly reduce symptoms.
Listening to your body and seeking help when needed is a sign of care, not weakness.
Medical Sources
National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) – Hemorrhoids
https://www.niddk.nih.govMayo Clinic – Hemorrhoids and Constipation
https://www.mayoclinic.orgCleveland Clinic – Chronic Constipation
https://my.clevelandclinic.orgWorld Gastroenterology Organisation – Constipation Guidelines
https://www.worldgastroenterology.org
