Hemorrhoids are a common condition, but for some, they can become a recurring problem, leading to ongoing discomfort and frustration. If you’ve experienced hemorrhoids that come back frequently, you’re not alone.
What Are Recurring Hemorrhoids?
Recurring hemorrhoids refer to hemorrhoids that continue to flare up over time, despite treatment. Hemorrhoids themselves are swollen veins in the rectal or anal area, caused by increased pressure during bowel movements, prolonged sitting, or other factors. Once a person has experienced hemorrhoids, the chances of recurrence can increase, particularly if the underlying causes are not addressed.
Common Causes of Recurring Hemorrhoids
There are several factors that contribute to the recurrence of hemorrhoids:
- Chronic Constipation or Straining: Constant straining during bowel movements puts pressure on the veins in the rectum, leading to hemorrhoids that can come back after treatment.
- Diet Lacking in Fiber: A low-fiber diet can cause hard stools, increasing the risk of constipation and hemorrhoids.
- Prolonged Sitting: Sitting for long periods, particularly on the toilet, can contribute to hemorrhoid development and recurrence.
- Obesity and Lack of Physical Activity: Being overweight or sedentary can increase pressure on the lower rectum, leading to recurring hemorrhoids.
- Pregnancy: Pregnancy increases pressure in the pelvic area, often causing hemorrhoids that can return after childbirth if lifestyle changes aren’t made.
Symptoms of Recurring Hemorrhoids
The symptoms of recurring hemorrhoids are similar to those experienced during an initial flare-up. These include:
- Itching, irritation, or pain around the anus
- Swelling or lumps near the anus
- Discomfort during bowel movements
- Occasional bleeding, especially when straining
How Can one Prevent Hemorrhoids from Recurring?
The good news is that recurring hemorrhoids can often be prevented with lifestyle adjustments. Here are some practical tips to help keep hemorrhoids from coming back:
- Increase Fiber Intake: A diet rich in fiber (from fruits, vegetables, and whole grains) softens stools, making bowel movements easier and less likely to cause hemorrhoids.
- Stay Hydrated: Drinking plenty of water is essential for preventing constipation, which is a major cause of hemorrhoids.
- Exercise Regularly: Physical activity promotes healthy bowel movements and reduces pressure on the rectal veins.
- Avoid Straining: Try not to strain during bowel movements. If you’re struggling, it may be helpful to use a stool softener or fiber supplement.
- Limit Sitting Time: Avoid sitting for long periods, particularly on the toilet, to reduce pressure on the lower rectum.
- Maintain a Healthy Weight: Reducing excess weight can relieve pressure on the pelvic and rectal area, preventing hemorrhoids from recurring.
Treatment Options for Recurring Hemorrhoids
If you experience recurring hemorrhoids, a variety of treatment options are available to manage them effectively.
Medical Treatments for Recurring Hemorrhoids
For more severe cases, especially if home treatments don’t provide relief, medical intervention may be necessary. Common treatments include:
- Rubber Band Ligation: A minimally invasive procedure where a small rubber band is placed around the base of the hemorrhoid, cutting off its blood supply and causing it to shrink.
- Transanal Hemorrhoidal Dearterialization: THD is a more advanced procedure that targets the blood vessels supplying the hemorrhoids.
When Should You See a Doctor?
While many hemorrhoid cases can be managed at home, recurring hemorrhoids that persist or cause severe discomfort should be evaluated by a doctor. Seek medical attention if:
- Hemorrhoids cause significant pain or bleeding
- Home remedies and over-the-counter treatments aren’t effective
- You experience hemorrhoids that protrude or prolapse frequently
- You notice changes in your bowel habits that last for more than a few days
Recurring hemorrhoids can be a persistent issue, but with the right combination of lifestyle changes, home remedies, and medical treatments, they can be managed effectively. By focusing on prevention—through diet, exercise, and healthy bowel habits—you can significantly reduce the likelihood of hemorrhoids coming back.
If you’re struggling with recurring hemorrhoids, don’t hesitate to consult a healthcare provider for personalized advice and treatment options that will help you regain comfort and peace of mind.
