Understanding Hemorrhoids: Causes, Symptoms, and Treatment Options

Overview

Hemorrhoids affect nearly 50% of adults over age 50, yet many people hesitate to seek treatment for this common and treatable condition. These swollen blood vessels in and around the anus and lower rectum can significantly impact your daily comfort and quality of life, but with proper care and guidance, relief is possible.

While hemorrhoids can affect anyone, certain life stages and circumstances make them more likely to occur. Pregnant individuals frequently experience hemorrhoids due to increased pressure in the pelvic region, and they're also common during the postpartum period. Other risk factors include chronic constipation, prolonged sitting, and regular heavy lifting. Understanding that you're not alone in experiencing this condition is important – millions of Americans seek treatment for hemorrhoids each year, and pelvic floor physical therapy offers effective, non-invasive treatment options.

Symptoms

The experience of hemorrhoids can vary significantly from person to person, with symptoms ranging from mild discomfort to more severe pain. Common signs include:

• Rectal bleeding during bowel movements, typically appearing as bright red blood on toilet paper or in the toilet bowl. This symptom, while concerning, is often painless but should always be evaluated by a healthcare provider to rule out other conditions.
• Physical discomfort manifesting as itching, irritation, or pain around the anal area, especially during sitting or bowel movements. The level of discomfort can vary throughout the day and may worsen with prolonged sitting or physical activity.
• Noticeable tissue changes, including swelling or lumps near the anus, which might be tender to touch and can make everyday activities uncomfortable. These physical changes might be more pronounced after bowel movements or extended periods of sitting.

Causes

Understanding the underlying causes of hemorrhoids helps in both treatment and prevention. The primary factors contributing to hemorrhoid development include:

Increased Pressure:
The most common cause is excessive pressure in the lower rectum, which can result from:

• Chronic constipation and straining during bowel movements
• Pregnancy and childbirth
• Regular heavy lifting or strenuous physical activities
• Extended periods of sitting, especially on the toilet

Lifestyle Factors
Several daily habits can contribute to hemorrhoid development:

• Insufficient fiber intake leading to difficult bowel movements
• Poor toilet posture that creates unnecessary strain
• Dehydration affecting stool consistency
• Sedentary lifestyle reducing healthy blood flow

How Pelvic Floor Physical Therapy Can Help

At Mendwell Pelvic Health, our approach to hemorrhoid treatment focuses on addressing both immediate symptoms and long-term prevention. Pelvic floor physical therapy offers a comprehensive treatment strategy that includes:

Immediate Symptom Relief
Our therapists work with you to implement strategies that can provide quick relief while addressing underlying causes. This includes:

• Proper positioning techniques for comfortable bowel movements
• Breathing exercises to reduce straining
• Manual therapy techniques when appropriate
• Education about dietary modifications

Long-term Management
We develop personalized treatment plans that focus on:

• Strengthening and coordinating pelvic floor muscles
• Improving bowel movement patterns
• Teaching self-management techniques
• Preventing recurrence through lifestyle modifications

Frequently Asked Questions

What should I expect during my first pelvic health physical therapy appointment for hemorrhoids?
‍Your initial visit focuses on understanding your symptoms and medical history. Our physical therapists will discuss your concerns, evaluate contributing factors, and develop a personalized treatment plan. The appointment typically includes education about proper toilet positioning, breathing techniques, and initial exercise recommendations. All examinations are explained thoroughly beforehand and only performed with your explicit consent.

How soon after starting physical therapy might I notice improvement in my hemorrhoid symptoms?
‍Many patients report noticeable improvement within 2-3 weeks of implementing proper toileting strategies and pelvic floor exercises. However, healing times vary based on factors like symptom severity and consistency with home exercise programs. Your physical therapist will provide realistic timeline expectations based on your specific situation.

Can physical therapy help prevent hemorrhoids during pregnancy?
‍Yes, pelvic floor physical therapy can be particularly beneficial during pregnancy. Our therapists can teach you preventive strategies, including:

• Safe exercises to maintain pelvic floor strength
• Proper positioning for bowel movements
• Techniques to manage increased pelvic pressure
• Strategies to prevent constipation
• Methods to support overall pelvic health throughout pregnancy

Is it normal to experience hemorrhoids after childbirth?
‍Postpartum hemorrhoids are very common due to the pressure of pregnancy and pushing during delivery. Physical therapy can help manage these symptoms and support your overall postpartum recovery. We provide specialized care that considers the unique needs of your postpartum body while helping prevent future complications.

What lifestyle changes will my physical therapist recommend for managing hemorrhoids?
‍Your physical therapist will work with you to develop sustainable lifestyle modifications that may include:

• Optimal fluid intake recommendations
• Dietary adjustments to support regular bowel movements
• Activity modifications to reduce pressure on the pelvic floor
• Proper toilet positioning and habits
• Exercise programs that support pelvic health