New Guidelines on Hemorrhoids: Focusing on Lifestyle Changes
More than half of people over 50 deal with hemorrhoids, according to health experts. To help those affected, the American Gastroenterological Association (AGA) has released updated guidelines aimed at managing this common issue, focusing more on lifestyle changes rather than quick fixes.
Hemorrhoids are swollen veins located either inside or outside the rectum and can range from a minor nuisance to a painful condition with rectal bleeding. Experts suggest that about one in twenty Americans have hemorrhoids that cause them discomfort, and these issues tend to increase as people get older. They are especially common during pregnancy due to increased pressure in the pelvic area, but many cases can be managed with simple care at home.
A major takeaway from the new AGA guidelines is that dietary changes can be more effective than medication. Increasing fiber intake is labeled as a “reasonable first-line therapy.” More fiber can help soften stool and reduce the need for straining, a key factor in triggering hemorrhoids.
Unfortunately, most Americans aren’t getting enough fiber. The USDA recommends that women consume 22 to 28 grams and men 28 to 45 grams daily, but studies show that about 90% of women and 97% of men do not meet these goals.
Another important point from the AGA is that bathroom habits can contribute to hemorrhoid problems. Many people spend too much time on the toilet, often distracted by their smartphones, which can increase pressure and lead to more discomfort. The AGA advises avoiding long toilet sessions to help reduce symptoms.
Though many might turn to sitz baths or creams for relief, the AGA notes that there is limited evidence on their long-term effectiveness. Additionally, doctors caution against overuse of topical steroids. While they can help with inflammation, extended use may irritate the skin further.
A careful diagnosis is crucial, as rectal bleeding can signal other serious issues. A physical exam is recommended before any treatment plan begins, especially for persistent or severe symptoms, which may require medical procedures or surgery.
In summary, lifestyle changes are emphasized in the new guidelines for managing hemorrhoids, highlighting the importance of proper fiber intake and healthy bathroom habits. Always consult a healthcare provider for a proper diagnosis and treatment if you experience any concerning symptoms.
