What not to do when you have a hemorrhoid?

1. Do Not Strain During Bowel Movements

• Why:​ Forceful straining places extreme pressure on the already swollen and engorged veins, akin to aggravating an open wound. This can lead to increased bleeding, further prolapse (protrusion), or strangulation of the hemorrhoid.
• Instead:​ If a bowel movement does not occur easily, do not continue to strain. Step away, drink a glass of warm water, and try again later. Consider a fiber supplement or a mild stool softener if constipation is an issue, after consulting a healthcare provider.

2. Avoid Prolonged Sitting on the Toilet

• Reason: Sitting increases pressure on the anal veins. Staying on the toilet for more than five minutes (e.g., while using a phone) allows blood to pool in the hemorrhoidal tissue due to gravity, significantly worsening swelling and discomfort.
  The correct approach is: Only use the restroom when you have a strong urge to urinate. Keep each visit brief and avoid distractions.

3. Resist the Urge to Scratch or Rub Vigorously

• Why:​ Scratching can tear the delicate, inflamed tissue, leading to further irritation, bleeding, and a high risk of infection. It creates a vicious cycle of itch-scratch-damage.
• Instead:​ Relieve itching with a warm sitz bath (soaking the area for 10-15 minutes). Gently pat the area clean with a soft, wet cloth or unscented wipe instead of wiping harshly.

4. Refrain from Heavy Lifting and Strenuous Exercise

• Why:​ Activities that involve holding your breath and bearing down (like weightlifting, intense core workouts) cause a sudden, sharp rise in intra-abdominal pressure. This pressure is directly transmitted to the rectal veins, exacerbating pain and swelling.
• Instead:​ Opt for gentle activities like walking, which can promote healthy circulation without excessive straining.

5. Steer Clear of Spicy Foods, Irritants, and Alcohol

• Why:​ Compounds in spicy foods and alcohol can be excreted in the stool, directly irritating the sensitive anal mucosa and hemorrhoidal tissue upon exit, causing a burning sensation. They can also contribute to systemic dehydration and inflammation.
• Instead:​ Maintain a high-fiber diet with plenty of fruits, vegetables, and whole grains. Drink ample water to keep stools soft and easy to pass.

6. Do Not Use Dry, Harsh Toilet Paper

• Why:​ Rough toilet paper can cause significant friction and micro-abrasions on inflamed tissue, increasing pain. It also often fails to clean effectively, leaving behind irritants.
• Instead:​ The gold standard is to clean with warm water using a bidet or a peri bottle. Gently pat the area dry with a soft towel or use pre-moistened, alcohol-free, and fragrance-free wipes.

7. Avoid Tight-Fitting Clothing and Non-Breathable Fabrics

• Why:​ Tight pants and synthetic underwear create a moist, warm, and irritating environment that promotes chafing, bacterial growth, and increased inflammation.
• Instead:​ Wear loose-fitting, breathable cotton underwear and clothing to keep the area dry and reduce friction.