Hemorrhoids anyone?

What are hemorrhoids?

Hemorrhoids are swollen veins just inside or outside the anus or rectum.
Hemorrhoids are more common as you get older. They might come from:
Constipation or diarrhea.
Sitting for a long time (even on the toilet).
Pregnancy.
Straining or pushing when you have a bowel movement.

How do I know if I have hemorrhoids?

If you have hemorrhoids, you may notice:

Bright red blood in the toilet or on the tissue when you wipe after a bowel movement.
Rectal itching or pain.
A lump near the anus.
What can I do for my hemorrhoids?

Here are a few things you can try:

Eat foods high in fiber or take fiber supplements (e.g., Benefiber [Benefibre in Canada], Metamucil). Try to get about 30 grams of fiber each day.
Examples of foods high in fiber: beans, fresh fruits and vegetables, and whole grains.
Try to drink about two liters (~8 cups) of fluid each day.
Sit in warm water for about 10 to 15 minutes a few times a day.
Use ice packs to help with swelling. Avoid putting ice directly to the skin.
Get regular exercise.
Ask your pharmacist which over-the-counter (OTC) meds may help with pain, itching, or swelling (e.g., Preparation H, Tucks, acetaminophen, ibuprofen).
Ask your pharmacist about a laxative (e.g., Dulcolax, MiraLAX) to treat constipation, if fiber, fluids, and exercise are not enough.

What should I avoid?

Ask your pharmacist if any of your meds may be causing constipation.
Some things make hemorrhoids worse. If possible, avoid:
Foods that give you constipation (e.g., cheese, milk, yogurt).
Sitting for a long time (even on the toilet).
Straining or pushing when you have a bowel movement.
Holding it. If you feel like you need to have a bowel movement, you should go.
When should I call my prescriber?

Call your prescriber if:
You see bright red blood in the toilet or on the tissue when you wipe.
Home treatments and OTC meds don’t help after about one week.