Foods to Eat and to Avoid for Hemorrhoids

Foods to Eat and to Avoid for Hemorrhoids: Living with hemorrhoids can be a hellish experience, unless you know what foods to eat and what foods to avoid. You can even improve the quality of life immensely by knowing a few no-cost tricks that help reduce bleeding, inflammation and relieve pain and itching associated with the condition. Hemorrhoids can occur at virtually any age, to any person. Those most at risk of developing them are adults and 50+ people with a poor diet and bad lifestyle habits.

The criteria for developing hemorrhoids lists living a sedentary lifestyle, battling recurrent, chronic constipation and enjoying a bad diet, rich in processed foods and low in dietary fiber. It has been found that genetics also plays a part in hemorrhoids occurrence, but the condition can be successfully prevented or managed without having to resort to costly and painful medical procedures by improving two key-aspects of your life: diet and exercise.

Hemorrhoids

Up next, read simple, cheap and efficient home treatments that can turn around your hemorrhoids experience for the better. Here are 5 things that make hemorrhoids better:

1) Dietary fiber. Foods rich in dietary fiber such as whole grains (whole wheat, oat, barley) or nuts and seeds (almonds, walnuts, sesame seeds, sunflower seeds, pumpkin seeds) are essential for good transit and easy stools. Dietary fiber basically adds bulk to stools, facilitating passage through the intestinal tract. Stools need to get bulky enough to make the muscles of the intestinal tract contract in view of eliminating them. Having oatmeal for breakfast, whole wheat pasta for lunch or pumpkin seeds for a midday snack prevents constipation, and thus strain, leading to effortless bowel movements that do not upset existing hemorrhoids.

2) Fruits and veggies. Although they may not contain as much dietary fiber as nuts and seeds or whole grains, they are needed to replace the unhealthy, constipating foods in your diet while supplying you with needed vitamins, minerals, calories and other nutrients. After all, one has to eat. But eating more natural foods prevents the condition from worsening. Kiwifruit, oranges, grapes, berries, apples, bananas, watermelons, pumpkins, legumes and green leafy vegetables are all rich in both dietary fiber and water and help with hemorrhoids in two ways: first they prevent constipation and, secondly, they help keep the intestines clean and ensure optimal transit time, all key-elements in reducing hemorrhoids discomfort.

3) Natural, unsaturated fatty acids. Healthy, natural fats such as those found in extra-virgin olive oil, flaxseed oil, sunflower seeds, sesame seeds, pumpkin seeds, avocado, tuna, salmon and so on are ideal for anyone dealing with hemorrhoids. Fats help lubricate the passage of our bowel movements, reducing strain and friction which may upset hemorrhoid veins. In addition to this, healthy fats such as these contribute to cardiovascular health and supply good amounts of antioxidants.

4) Herbal remedies to improve intestinal transit time. Drinking herbal infusions made from fennel seeds, senna leaf, licorice root or dandelion can help calm down hemorrhoid flare-ups. All four plants help improve transit time, promote contractions of the intestinal muscles and thus prevent constipation, the main cause of hemorrhoid flare-ups. You can add chamomile and melissa tea for relaxation as well. Other combinations that may work for you are welcome. The daily recommended dose is 1-3 cups of tea, but it might be best to ask your doctor for advice on the correct dosage. Pregnant women and anyone suspecting they may be allergic to certain plants should consult a doctor first.

5) Lots of liquids. People dealing with hemorrhoids know that constipation makes everything worse. And a sure way to prevent it is to drink sufficient amounts of liquids, namely water, fruit juices and teas. I say ‘sufficient amounts of liquids’ because every person is different and not all of us need the same liquid intake. If you have a small build, you may need as little as 1.5 liters of water a day. If you have a bigger build, you may drink up to 3 liters of water a day.

A sure way to know how much liquids you need is to make sure you always have water at the reach of your hand so you can drink it whenever you feel thirsty. This way you will stay hydrated enough to prevent constipation and hemorrhoid flare-ups, but won’t drink more than you need, risking mineral deficiencies.

Foods for hemorrhoids

If you do not pay attention to diet and continue on the same path, your hemorrhoids can get worse up to the point they start bleeding, itching like crazy and incredibly painful. So what makes hemorrhoids worse?

1) Too much white bread, processed foods such as biscuits, cakes, muffins, puff pastry, candy, pies, doughnuts and so on promotes constipation. In its turn, constipation leads to strain and hemorrhoid flare-ups.




2) Too much meat. Eating meat all the time constipates due to the fact that it is low in dietary fiber. Opt for grilled pork neck with olive oil or lean chicken meat such as chicken thigh to get your supply of proteins and healthy fats at the same time.

3) Spicy foods. Ginger, pepper, hot peppers can cause even quiet hemorrhoids to get swollen up to the point you cannot sit down without feeling serious discomfort. While they may be healthy, it is recommended to consume them with great care or avoid them altogether if your hemorrhoids are acting up.

4) Eating dairy products. Dairy products tend to have a constipating effect on many people. While kefir or sour milk help with bowel transit, hard cheeses, cow milk and their by products may promote constipation which causes strain which, in turn, worsens hemorrhoid disease. This is because most diary products are harder to digest, slowing down the digestion process and normal bowel transit.

5) Lack of exercise. Avoid sitting down for extended periods of time to reduce pressure on your bottom area. Get up from your chair every 20-30 minutes and walk for 5 minutes to get your circulation started and ease pressure. You can also do squats, lunges, leg lifts, but no more than 10-15 because strain on your lower body muscles also upsets hemorrhoids.

While surgery is the only way to get rid of hemorrhoids for good (in most cases), dietary changes are the only ones that make the condition tolerable, prevent it from progressing or reappearing. Fruits, vegetables, nuts, seeds and whole grains, as little processed as possible can improve your condition and its prognostis immensely in only a couple of weeks. Drinking sufficient liquids and exercising a bit help with blood circulation. It takes a while to adopt certain dietary changes and adapt them to your lifestyle requirements, but results can be downright amazing.

If you feel your hemorrhoids acting up, here are 12 great tips to reduce inflammation, pain and itching and restore proper circulation:

1) Exercise a bit. Swimming, jogging, walking all stimulate circulation and ease pressure on the bottom area, helping you better manage hemorrhoids in the long term. But if they are acting up, moderate exercising such as walking in the park or to the grocery store can help reduce discomfort by restoring normal circulation. Remember to avoid intense physical activity. This means avoiding lifting weights, heavy things or strain, including abdominal strain. Strain of any kind to your abdominal area, including strain from forcing out bowel movements, increases pressure and causes hemorrhoids to bleed.

2) Get a massage. Have a specialist or your significant other massage your lower back, bottom and upper and lower legs to get your blood flowing. Restoring circulation will not only relax you and make you feel more energized, but it also helps reduce pressure and help you better manage the pain.

3) Take your vitamins. Taking vitamin C daily is an excellent way to maintain your colon healthy and preserve blood vessel integrity. And because hemorrhoids are nothing more than swollen blood vessels that tend to collapse and bleed at the slighest strain or pressure, high doses of vitamin C makes them less prone to bleeding. Vitamin C is also a powerful natural anti-inflammatory and can help reduce inflammation and pain associated with the condition.

4) Use petroleum jelly. This is great for easing discomfort on especially bad days because it is an excellent lubricant promoting skin care. Petroleum jelly greatly helps reduce friction and pain and discomfort associated with the condition. Small amounts can be used internally as well, prior to having a bowel movement, so as to ease pain. Petroleum jelly is ideal because it is not absorbed by the skin, but rather stays on it preserving its moisture and reducing friction with underwear or skin-on-skin friction responsible for irritation and pain.

5) Do not scratch. Scratching damages the skin, irritates the hemorrhoids and increases itching and pain sensations. For this reason, sufferers are advised to abstain from scratching the area and resort to sitz baths instead.

6) Do not scrub hard. When washing, gently clean the bottom area to avoid further discomfort. Avoid scratching or rubbing the area excessively with bath sponges or towels to avoid further itching, pain and bleeding.

7) Keep things clean. Bleeding blood vessels and damaged or irritated skin can easily get infected so wash regularly to prevent further complications. Use lukewarm water, mild soaps or gentle antibacterial products specific for the affected area.

8) Enjoy lukewarm sitting baths. While it may not sound as much, sitz baths or sitting baths offer great relief for hemorrhoid disease. Sit in lukewarm water 2-3 times a day, for about 10-15 minutes whenever your hemorrhoids tend to flare up. You can add medicinal plants such as chamomile to the water, but the bath itself should be enough.

9) Do not use conventional laxatives because laxative medication can be easily misused and cause diarrhea which, in turn, causes further irritation and soreness. Moreover, laxatives may be too hard on the already-irritated mucosa and may worsen symptoms.

10) Avoid aspirin and ibuprofen. The greater the amounts of aspirin or ibuprofen you take for pain relief, the higher the risk for bleeding hemorrhoids you have. If sitz baths, diet changes, medicinal remedies do not offer you the relief you seek, then it might be time to address your medical professional for a more definitive solution.

11) Do not postpone bowel movements. As soon as you feel the need to go to the bathroom, go. The longer you delay it, the worse it will be. The strain resulting from holding back will lead to more pain and a longer recovery time. It may help to eat at fixed hours. This should help give you a clear idea of your transit time so you know just about when you should go to the bathroom. This way you should not have to postpone it.

12) Avoid constipation. This is by far the most damaging for the progression of hemorrhoids disease which is why dietary changes and moderate exercising are vital to managing the condition. Overall, increasing your fruits and vegetables intake and decreasing your meat, dairy and processed foods intake is the most efficient solution to preventing constipation and managing hemorrhoids.




75 thoughts on “Foods to Eat and to Avoid for Hemorrhoids

  1. Hi! This is Rahul. I discovered I had piles a week ago and I started using Himalaya piles ointment and tablets and now the pain and irritation has been reduced but the skin is still thick at the place where it occured so please suggest to me what to do so it doesn’t occur next time in the future.
    I am feeling very good now, as normal, but I am scared that it will come next time again.

    • Hi, Rahul. Hemorrhoids (piles) usually occur when you have constipation and strain a lot when going to the bathroom. After they develop, they cause flare ups when you strain and pain, itching, bleeding, lumps may appear. The first thing to do to avoid hemorrhoids from bothering you again is to eat so that you have easy, soft bowel movements that don’t require you to make an effort to pass them. Like it says in the article, my experience with hemorrhoids has taught me that you have to eat a lot more fresh fruits and vegetables because they contain dietary fiber which makes stools soft and easy to pass. But you have to drink more water to help the fiber pass through easily. Instead of white breads, you have to eat whole grains (brown rice, whole wheat pasta, oats) because refined cereals constipate and can make hemorrhoids worse. It also helped me to drink herbal teas that stimulated intestinal transit so I would go to the toilet every day and was less constipated. Also, I learnt that it is good to eat very little dairy and red meat and moderate amounts of poultry and fish because meat and dairy are hard to digest and make intestinal transit take more time, potentially leading to constipation and hemorrhoids flaring up. Beans, nuts and seeds are also great for soft, easy stools. I stoped eating processed foods as well. I also tried to spend less time sitting down, walked more when my hemorrhoids where bothering me and applied petroleum jelly to the area. I took vitamin C daily to reduce inflammation, washed the area with warm water and a gentle soap several times a day and enjoyed sitz baths. In my opionion, petroleum jelly and sitz baths are the best because they help calm the pain and reduce itching and inflammation and stop bleeding.
      When I first got hemorrhoids, I went to a doctor because I was scared there was blood and thought I was sick or something. My doctor told me I had hemorrhoids, first and second degree. He also told me that I could either change my eating to improve my condition and live with them for years to come without any more symptoms, or I would need surgery. So I changed the way I was eating, used petroleum jelly, enjoyed sitz baths, drank more water, became more active by walking more and I can now keep them under control. My advice is to see your doctor for an exam to see how your hemorrhoids are at this point and start making the changes you need to so they don’t bother you anymore. It’s more important to prevent them (prevent hard, dry stools and strain) than make them go away. Hope this helps.

  2. Hello, I’m Kala Sara, 24 years old. I have piles fistula problem for 6 months. How can I get relief for permanent piles fistula problem? Thanks.

    • Hello, Kala Sara. The remedy for piles depends on their stage. First and second degree piles (hemorrhoids) require one to eat plenty of dietary fiber (fresh fruits, vegetables, nuts, seeds, beans, whole cereals) and drink plenty of liquids. Dairy and meat are best consumed in small amounts because they can constipate and make piles worse. Avoiding spicy foods (ginger was awful for my hemorrhoids), alcohol, refined cereal and all forms of processed foods, devoid of any nutritional value is important. When they bother you, you can use petroleum jelly and take sitz baths, even massage the bottom area to help ease symptoms. Third and fourth degree piles are more difficult to manage because the blood vessels (the hemorrhoids) are already very inflammed and painful and may prolapse. Doctors often recommend surgery to eliminate them or less invasive surgical procedures to cut their blood supply and make them dry and fall out. With first and second degree piles you may have no problems for years if you eat right and avoid sedentarism and strain on the lower abdominal area, but third and fourth degree might bother you a lot. It is best to see your doctor and have him or her do an exam to see what degree your hemorrhoids are, then discuss what is the best treatment option for you personally. The dietary advice and tips outlined in this article are meant to help with hemorrhoids of all degrees, but they may be more useful for some and less for others, depending on what degree the hemorrhoids are.
      As for fistula, this still requires one to avoid constipation and strain when going to the toilet, but also maintain an excellent hygiene of the area. Sitz baths, hot and cold compresses, massaging the bottom area and avoiding lifting heavy objects can help offer relief. Fistulas can result in an infection, so your doctor is the one you should talk to about what your options are in terms of permanent relief. Wishing you lots of health.

  3. Hi Marius, thanks very much for your informative site. I’m Esme, 65 yrs old. I was diagnosed about 7 weeks ago with 2 internal piles. I have been trying to get on the correct foods since then and some days it’s easy passing motions and sometimes it’s very loose which results in quite a bit of pain afterwards. I’m having oats / AllBran with HI Fibre, honey in Soy milk with raisins and blueberries sometimes as well 2 strawberries for breakfast. Lunch is wholewheat bread with lettuce, baked beans or avocado and a low fat youghurt. Mid afternoon a peach or apple. Supper is brown rice with a green vege, carrots, and half a beetroot. Later on I have a few sunflower seeds, 2 prunes and a few raisins. I am drinking about 8 glasses of water, of those 8 there is 3 glasses with raw unfiltered apple cider vinegar. Last night I had a vege dish with aubergines, tomato, onion, garlic, bit sweet red pepper, bit of yellow pepper and green pepper fried first in extra virgin olive oil then boiled. Today is a bit on the painful side, could this be a result from eating tomato and aubergines? First time I’ve tried to eat them since diagnosed. Can you please tell me if I’m on a correct diet or should I stay away from tomatoes – too much acid and will eggs be alright? I look forward to your reply. Thanks.

    • Hi, Esme. It seems to me you are on the right path when it comes to eating to control your hemorrhoids. From my experience, it takes some time to learn how to combine certain foods so stools aren’t too soft or too hard. It took me about 3 months until I learnt what and how to eat and I still have some soft ones occasionally. One thing I learnt is that while fiber is excellent, too much can irritate the area and maybe cause the piles to act up a bit. From what you describe, you are pretty much on a vegetarian diet. If your stools get too mushy sometimes, you can simply eat some protein like eggs, a little goat cheese or some chicken meat or fish, a little plain white rice, whatever of the sorts you may like. That’s what I did and do whenever I have too much fiber. Also, I would never take dietary fiber from supplements because you can easily get too much and get stools that are too soft and irritate you and have your piles act up. In the beginning, I tried overcoming constipation and hard stools by eating a lot of nuts and dried fruits. What I can tell you from my experience is that prunes are highly laxative so you can substitute them with something else if your fiber intake is already high. It’s just something about them that makes them a super-laxative food. Tomatoes were always fine for me. They never upset me in any way. Neither did aubergines.
      What I would avoid if I were you is the apple cider vinegar. I always drink carrot juice or herbal teas. As healthy as it may be, it is quite irritating for the stomach and the other areas below it comes into direct contact with. Maybe you have noticed there is this trend that recommends all sorts of things such as ginger, warm lemon water, pepper and the piperine extracted from it, spicy peppers and apple cider vinegar for absolutely everyone. While all of these do hold some medicinal properties, they tend to do more harm than good for some people. For example, ginger gave me the worst experience with hemorrhoids a few years back and I swore I would never eat it again. Everything that is too spicy will most likely irritate and inflame an already upset area it comes into direct contact with. Imagine rubbing pepper or ginger on piles. You get a similar result if you eat them because they get to the same place. As for apple cider vinegar and vinegar in general, it holds similarly irritating properties and may upset your piles.
      I know that everyone on the internet is currently recommending apple cider vinegar for everything, but the truth is it is highly irritating for sensitive mucosas such as our throat, stomach and lower areas. Vinegar in general is to be avoided if you have acid reflux, gastritis, stomach ulcers etc. Pepper and the piperine extracted from it are awful for hemorrhoids, gastritis, acid reflux and every sensitive and already irritated mucosa they come into contact with. Even if you consume small amounts, it’s the regular consumption that can contribute to the damage and inflammation of already sensitive mucosas. The same goes for the warm lemon water trend popular everywhere right now. Articles praising it aren’t really well documented. Yes, lemon juice is great, but it does have certain properties that are not necessarily good for many people. The acid in lemon juice can really damage teeth and irritate the stomach lining, making various gastrointestinal problems a lot worse. It isn’t likely to upset piles however.
      Ginger, pepper, piperine, hot peppers, vinegar (and warm lemon water) are not for everyone! I can tell you from experience that spicy foods don’t mix well with piles or gastritis, acid reflux, ulcers etc. The same beneficial compounds that give them spiciness and their health benefits can irritate, inflame, burn and eat through sensitive mucosas. Many websites nowadays are just hungry for news and don’t really warn us about the potential (and very real) side effects of certain foods and extracts they promote. Take the warm lemon water thing. It’s not good for your teeth, it won’t make you lose weight or get rid of toxins (because everything you eat, drink and breathe contributes to your health and one thing is not going to fix an overall problematic diet or life style), it irritates the stomach lining and can worsen gastritis, ulcers etc. Same goes for ginger, pepper, piperine, hot spices: they may be alright for a person with no stomach, acidity or piles problems, but they can sure worsen these problems if they are already there. Vinegar is quite irritating as well, so it’s likely to have similar effects.
      A good diet is always very soothing for piles, you just have to give it some time. You seem to be doing great: plenty of liquids, lots of vegetables, fruits and wholegrains. Adjusting your fiber intake can seem difficult at first, but it’s practice that makes perfect. If you do have softer stools, you can have a sitz bath and use some petroleum jelly. This was what helped me get through the discomfort. It will get better. Hope this helps.

  4. Hi Marius, Thanks for all your information, it has really helped me. I will definitely buy nuts, seeds and dried fruit as you have advised and discontinue the apple cider vinegar, rather buy some herbal teas and carrot juice. Looking forward to getting better.

  5. Hi, I’m Margaret.
    For the last 7 weeks I have a bowel movement once a day in the morning and after it’s slightly painful. No straining etc. I get severe burning pain inside that can last for up to 7hrs. The only thing that slightly helps with the debilitating pain is codeine and rectogesic. I have seen a doctor whom was not very helpful. Do you think this could be internal hemorrhoids giving me this agonizing pain?

    • Hi, Margaret. My advice is to make an appointment at a doctor’s office and have a complete physical examination to confirm your hemorrhoids. This should include the doctor taking a look at the area to check for external hemorrhoids or thrombosed piles (blood clots inside the hemorrhoids). The doctor should then perform a digital physical exam to feel for any internal hemorrhoids or examine the area with a small camera to see where the hemorrhoids are, what degree they are and exclude other possible causes for your symptoms. My piles were diagnosed via a sigmoidoscopy, meaning the doctor looked at them with a tiny camera. I feel this was the best option for me because the doctor inspected the hemorrhoids up close and could see what degree they were as well as confirm that everything else was fine, excluding other more serious causes. I didn’t feel anything. The procedure was painless for me and I just spent 3 minutes lying on my side and looking at my hemorrhoids on a screen. If I knew it would be so easy, I wouldn’t have spent 3 months worried and crying about what it could have been. If there is any discomfort, although there shouldn’t be, your doctor can recommend an anesthetic.
      Your pain can be a result of hemorrhoids, but it can be caused by fissures or other causes. Only a professional medical examination can tell you what is causing your symptoms. If it’s really hemorrhoids and they aren’t fourth degree and prolapsing, then you can minimize your flare ups and get to a point where they aren’t upsetting you any more. Eating plenty of dietary fiber, drinking sufficient water, herbal teas to improve your transit (because maybe you should be having 2 or 3 bowel movements a day instead of one), eating more fresh fruits and vegetables, nuts and seeds, moderate amounts of protein and small, but sufficient amounts of healthy oils from nuts, seeds, olive oil etc. and excluding processed foods from your diet can offer great relief. In my experience, taking sitz baths and using petroleum jelly are two great ways to calm hemorrhoid pain and inflammation. Walking more and reducing time spent sitting are also great.
      There is no reason to feel ashamed or afraid of the examination. The camera exam is a sure way to diagnose piles and know what you can do about them afterwards. Because hemorrhoid symptoms are not very specific and can be a sign of 10 other conditions such as fissures or others. Remember that you are in control of everything. Ask the doctor to explain the procedure to you and understand that you can stop the examination at any time if you feel the need to. So go see a better doctor so you can start working on improving your health and feeling great. Wishing you lots of health!

    • Hi, Sam. It really doesn’t matter for hemorrhoids if the water is room temperature, warm or a little cold as long as you stay well hydrated. Water compliments the dietary fiber and helps soften stools and relieve constipation. Its temperature doesn’t affect hemorrhoids in any way. But if the water is too cold, for example, it might give you a sore throat or bother you if you have sensitive teeth. Also, if you are a person who likes flavored water, I wouldn’t recommend adding ginger. From my experience, it can cause hemorrhoids to act up even when added to water or fruit juice. Hope this helps.

  6. Hi Markus,

    Good information. One question I have is that you recommend nuts. I thought they were a no-no with piles. I miss them and would love to have them back in my diet. Not too many but an ounce a day.

    • I don’t see why nuts are forbidden for piles. To be honest, I have eaten nuts since I was diagnosed with piles because they are rich in fiber and help me have regular, soft and easy bowel movements. I continue to eat nuts and seeds almost every day. My favorite are almonds, walnuts and caju. In addition to providing good amounts of dietary fiber, they are extremely rich in vitamins and dietary minerals. Moreover, they contain fats which further ease bowel movements and help with hemorrhoid disease. Why do you think nuts are bad for piles?

    • Hi, Martul. All meat is protein and eating too much protein can cause constipation and worsen piles. Frog meat is also protein and if you eat too much of it or other kinds of meat, then you might get constipation and your piles might worsen. Meat of any kind does not help with piles. You need dietary fiber from fruits such as apples or plums, from vegetables such as pumpkin or green beans, from legumes such as peas, beans, chickpeas, and especially from nuts and seeds such as walnuts, almonds, caju, sunflower seeds, pumpkin seeds etc. Moreover, you need to drink plenty of water so all the dietary fiber you are eating has something to absorb and help form soft and easy to pass stools. I wouldn’t recommend eating too much dairy either because dairy can constipate too. So again, paa frog meat will most likely not help with piles. Wishing you lots of health.

  7. Hello I’m Mellisa. I bled whilst passing stool during the festive season that’s 3 weeks ago for 3 days and it stopped but when I looked up for the problem on the internet it suggested that I had piles but it’s almost a month now since that happened should I go to the doctor and will they be able to see what the problem is after so long?

    I’m scared please help.

    • Hi, Melissa. Hemorrhoids can bleed once in a while or consistenly, depending on what degree they are or if you are having a flareup. It is also possible it’s a fissure. Or it can be something else. But nobody but a doctor can tell for sure. So don’t be afraid and go to the doctor. And make sure you tell the doctor about any other symptoms you might have noticed aside from the bleeding such as: the color of the blood (was it pinkish-red or dark red?), whether or not you have been experiencing abdominal pain or inexplicable bloating lately, itching, potential lumps (it could be hemorrhoids that are falling out), inexplicable and visible weight loss, whether or not you are suffering from constipation etc.

      Any concern or question you may have, tell the doctor. What I can tell you from my experience is that the fear won’t go away until you’ve gone to the doctor. I was in the same position you are a few years back and made appointments and cancelled for about 2 months until I finally gathered the courage and went to the doctor. I was simply miserable thinking about all the possibilities and nobody can live like that. However, the procedure (my hemorrhoids were diagnosed in 5 minutes using a tube with a camera) was absolutely painless and the doctor gave me important advice to help better manage my condition. Most important, the relief that came with knowing I was ok made me regret not going sooner. If you have piles or a fissure, they will still be able to see the problem irrespective of how much time has passed, especially if you have the same test I did. So go to the doctor and get your answers so you can start working on making things better and enjoying life as usual. Wishing you lots of health.

  8. Hi i’m Gaurav and my question is, is there any chance of getting cure from hemorhoids completely? It might be either surgery or medicine way. Because I’m 22 yrs old and having these problem. It feel like i lost my good days with this disease. Carrying all this limited food items and choosy food is too difficult at this age. I’m looking forward for your reply. Thank you for above information also.

    • Hi, Gaurav. Hemorrhoids are basically swollen blood vessels, so a doctor can either remove them or cut off their blood supply so they dry out and fall off. So you can get rid of hemorrhoids with surgery. However, if you eat the same way as before you got hemorrhoids, are sedentary or repeat the same lifestyle and diet that caused the hemorrhoids in the first place, then it is possible to get them again. So you can get the surgery if you want to, but that won’t guarantee you will never have hemorrhoids again. You still have to learn how to eat to prevent constipation and hemorrhoids. And a hemorrhoids diet doesn’t have to be restrictive. There are so many delicious foods you can eat and I can tell you from my experience that you never really know what good eating is until you start eating healthy. Again, surgery is a solution for getting rid of hemorrhoids, but you still have to be careful with what you eat after it so they don’t reappear. Wishing you lots of health.

    • Than you for your valuable reply. You are giving really good services. Actually my family makes spicy food and they have to make normal food without any chilly or masala just for me. Some foods like bread and dairy product are also forbidden. Not being able to eat what normal people eat is like avoiding social life. I would be thankful if you name some good foods for people of age like me so they won’t feel having low life. I am first degree patient and controling my diet as it should be but sometimes i won’t be able to do so when i’m with friends or at party. Can you suggest me, what can i do and choose for food items?
      Waiting for one more reply.

    • Hello again, Gaurav. I am happy to hear you found useful information here. As someone with hemorrhoids myself, I can tell you some of the things I ate in the beginning and some of the things I eat now that have helped me keep my condition under control for years. It’s all about balanced eating when it comes to hemorrhoids. The key is to drink enough liquids (water, fruit juices, tea), eat plenty of dietary fiber to prevent constipation and hard bowel movements and moderate amounts of animal protein and fats. For me, nuts and seeds are wonderful choices. I really enjoy almonds, but also sunflower seeds, pumpkin seeds and others because they contain both dietary fiber and some healthy fats which help prevent constipation and improve hemorrhoids symptoms. I always eat them as snacks throughout the day and always chose raw nuts and seeds, never roasted and salted. Dried fruits such as prunes (dried plums) or dried figs are also great choices for a snack or dessert.

      I try to make sure I eat a lot of vegetables. Especially in the beginning when hemorrhoids are really bad I find it’s best to have a predominantly vegetarian diet. I really enjoy spinach, lettuce, arugula (most leafy green vegetables are great), but also carrots, green beans, peas, lentils, chickpeas and beans in general, tomatoes and tomato sauce, even potatoes, pumpkin and sweet potatoes. I make sure I eat at least two or three servings of vegetables a day (a favorite of mine is boiled spinach with boiled potatoes, a pinch of salt and fresh olive oil). I eat moderate amounts of chicken, either boiled or grilled, and fish (salmon, tuna, mackerel, cod, aurata), seasoned with fresh olive oil.

      I eat chocolate, especially Nutella with either bananas or ricotta cheese. Sometimes I eat plain yogurt with fruits (I love yogurt and pears) or nuts and honey. For fruits, I eat watermelon, bananas, melons, cherries, sour cherries, apples, lychee, grapes, whatever is in season. Fruits don’t bother hemorrhoids so feel free to choose whatever you may like and just incorporate them into your diet as often as you can. As for cereals, I eat oats in the morning because they are great with intestinal transit and really helped me with my hemorrhoids. But any morning cereal with wholewheat is great. It can even have dried fruits or chocolate, as long as it has whole wheat. I generally avoid white rice, white bread and white pasta because they tend to constipate and constipation upsets hemorrhoids. I go instead for brown rice, red rice, black rice, wholewheat pasta (I enjoy it with canned tuna and tomato sauce), whole wheat bread, but eat in moderate amounts (once a day, a serving of rice or pasta or 2-3 slices of wholewheat bread).

      I only eat milk with cereal and avoid hard cheeses because they constipate too and can worsen hemorrhoids. Any kind of salad is great because it has dietary fiber. When I make a salad with several vegetables (lettuce, arugula, tomatoes, olives) I also add either 100-150 g of chicken or 100 g of cheese and even nuts on top and some fresh olive oil. Combinations like this make eating fun. When it comes to managing hemorrhoids, it’s mostly about eating so you have soft, easy stools. For example, if I go out with my friends and have a burger or stuff like that, I make sure I eat more vegetables at home and fiber in the morning so my hemorrhoids don’t bother me.

      In reality, you can eat almost anything you like (except for spicy food because that is never a good idea for hemorrhoids in my experience). You just have to make sure you eat enough dietary fiber, drink enough water and have some fats in your diet so that you have good intestinal transit and soft, easy, regular bowel movements at least once a day. Because a difficult and irregular transit, stools that are hard to pass, strain and constipation in general are what upset hemorrhoids the most. In my experience, when you learn what foods work best for you and manage to have good transit, then your hemorrhoids are going to bother you very little, if at all.

      However, alcoholic beverages, caffeinated beverages and coffee are bad because they dehydrate, so they are best avoided as much as you can. But if you must drink coffee, make sure you also drink water to counteract dehydration. Also, in my experience, it is always best to avoid junk food (chips, candy, pretzels etc.) because they fill you up and you don’t have room to eat the foods that are good for you, leading to constipation. Healthy, home cooked meals with plenty of vegetables, fruits and small servings of lean meat are great for hemorrhoids because they encourage good intestinal transit. You can try any recipe you like and as long as half of your plate is always full of vegetables and you have some nuts and seeds and a fruit a day, your hemorrhoids should start to improve. The secret is to make sure you eat enough fiber and drink enough liquids.

      So if you like pasta, make it with whole wheat pasta. If you like eating cereals in the morning, make sure they contain whole grains. If you like cheese, eat it with vegetables in a salad. If you eat grilled chicken, eat plenty of vegetables with it. If you want fish, add some vegetables too. If you like rice, make sure you eat brown, not white. It’s all about smart combinations of foods and it’s up to each and every one of us to find out how we can make our favorite foods healthier. If you eat some pizza, make sure you eat plenty of vegetables the next day. Vegetables you can eat as much as you like. There are no restrictions to them. Just be careful with allergies. Do you feel this is helpful?

  9. Hi Marius.
    I am Mahesh and I have hemorrhoids from last three years. At first stage it was bleeding and very painful, so I was feeling very tired but after some time bleeding stopped and itching started from last two years. Some times it’s very irritating and it starts paining in stomach as well as one side of the reproductive system which is very uncomfortable. For this pain I visited the doctor as well so they done tomography for but they did not find anything wrong, they gave me pain relieving medicine, but which stop my pain few days only and again it started. So please tell me which is best option again: either visit to doctor for hemorrhoids or take diet as per your suggestion? I am very scared because it’s from long time so please suggest me your opinion.

    • Hi, Mahesh. When you say you have hemorrhoids for three years now, did you get diagnosed by a doctor or is it just your opinion based on the symptoms you observed? My suggestion is to see a doctor as soon as possible. First, have an exam that allows the doctor to take a look at your hemorrhoids and see what degree they are so you know if your symptoms may be caused by hemorrhoids alone or something else. Secondly, I suggest you see an urologist and proctologist about the pain you have been experiencing. Even if you had a tomography, you should ask your doctor if it is possible you have an infection.

      Your doctor can also check to see if you have a torsion (twisting), a hernia, particularly an inguinal hernia, which can cause pain with bowel movements too. Your doctor can also verify if your symptoms are caused by varicocele, which is an enlargment of a network of vessels called pampiniform plexus (conditions that affect bowel health such as hemorrhoids can be a cause). The doctor may diagnose you with the help of a physical exam and an ultrasound. So make an appointment to see a doctor as soon as possible because you can’t diagnose someone at a distance. You have to be seen by a specialist.

      As for the itching from the hemorrhoids, I found it very useful to do the following: clean myself with soap and warm water after having a bowel movement, then take a sitz bath. For the sitz bath, I would put warm water in a wash pan, sometimes some chamomile or calendula bags, and just sat there for 10-15 minutes. I did this up to three times a day and it really helped relieve the itching caused by my hemorrhoids and reduce the inflammation. You can also just sit in a bathtub with warm water. I would then apply petroleum jelly with calendula and it really helped with the discomfort. I also avoided lifting anything heavy and intense physical exercise. Diet is also extremely important if you want to manage hemorrhoids, just like I said in the article. It is possible that a hemorrhoid flareup can cause an infection and groin pain. So see the doctor and ask him about these possibilities. Wishing you lots of health and I am looking forward to hearing from you soon with good news.

  10. Hi Marius,

    I’m Kiran, I got piles and fistula operation on Jan 26th 2017. The degree of surgery was normal and not very complicated.
    It’s almost 2 weeks still I experience the pain whenever I go to toilet. And unable to sit properly for more than 1 hour. Unable to walk properly.

    When can I resume back to work?

    My daily diet includes soft food like rice and sambar with green vegetables 2 times a day and daily 1 orange, 250 grams of grapes, 1 banana.

    When will I be able to drive car and resume my day to day activities? I’m really worried, since I have recovered only 50% now.

    My another question is can I take little non vegetarian food like fish, chicken,pork? I heard pork is good after piles operation. Is it true?

    Please let me still how much time required to recover to perform normal day to day activities?

    • Hi, Kiran. From my knowledge, recovery can take up to a month, sometimes more. We are all different so we may respond differently, hence the reason you can’t really say exactly how much it’s gonna take to recover froma hemorrhoids surgery. You can only estimate. But it’s a good sign you are recovering and seeing the benefits of the operation. It means the most difficult part is over. For your peace of mind, you can make an appointment at the doctor’s to see how things are going and just get reassurance everything is well.

      I haven’t had surgery for piles, but I have experienced some of the symptoms you are describing when I had flareups. I couldn’t sit down on a chair for very long either and experienced difficulty when going to the toilet. I took warm sitz baths, used petroleum jelly with calendula, avoided sitting down for more than 45 minutes at once (I would just walk around for 5-10 minutes or so to get my circulation moving), massaged the bottom area and did everything possible to avoid constipation. Ask your doctor when you see him or her if it’s ok if you try sitz baths, massage or other alternative solutions for relieving discomfort.

      As for the pork thing, know that pork is not necessarily good for hemorrhoids (or after) because it can slow down intestinal transit and constipate, when eaten in greater amounts. So frankly, it doesn’t do anything special to improve the condition or speed recovery time after operation. But you can eat it nonetheless. I’ve ate pork occasionally, but balanced my diet so I avoided constipation because it upsets piles. But you can eat foods like this in small amounts as part of a balanced, varied diet. As long as you get enough fiber in your diet to avoid constipation and have soft, easy, regular stools.

      I would eat grilled pork neck (medium rare) because it was tender and had a little fat, which also helps stools pass easier, but only ate it once, maybe twice a week and paired it with plenty of vegetables, often grilled too (carrots, broccoli, sweet potatoes or a lentils, peas, chickpeas or beans side dish). I also absolutely love cheese and dairy, but because of my hemorrhoids, I have to make sure I balance foods like this, again, to avoid constipation. For instance, I may eat yogurt, but pair it with pears, bananas and oats. I have milk, but combine it with breakfast cereals with wholegrains. I also eat matured cheese, but add it to a salad along with rocket salad, lettuce, olives, sweet peppers, cucumbers, tomatoes, grated carrots etc.

      Fish is a great food because it doesn’t really constipate. My favorite are boiled aurata, mackerel and cod, but also salmon (it has a bit more fat to it, so it helps with transit) and tuna. Again, moderation and balance are important. Chicken is a good option. As a person with hemorrhoids, I eat chicken every other day, but pair it with vegetables to make things work. Your doctor must have surely given you some advice regarding how you should eat or what foods you should eat and what foods you should avoid after a hemorrhoids operation. If not, I am sure he or she would be happy to advise you in more detail on this matter when you go see them next them, especially since they are aware of the particularities of your medical history. When I was diagnosed with piles, I found my doctor’s dietary advice extremely helpful. Hope this helps and wishing you lots of health.

    • Kiran, these were examples of what I ate and continue to eat to prevent constipation and hemorrhoids flareups. Your diet should be adapted to your individual needs, so it’s up to you to decide how to combine foods. You have to see what foods in what quantities work for you and your situation. And I think some insight from the doctor that oversees your case can help you a lot to figure out what you should eat to feel better and prevent piles in the future. Wishing you the best.

  11. Hi there! I went to the doctor weeks ago because there was red blood in the toilet every time I would go for 3 days. She said I have fissure and hemorrhoids so she told me to take Product 1 everyday. It helped but did not like it as it caused me headaches. So I replaced Product 1 with Product 2 and changed my diet. It worked for a week but just this week I noticed that no matter how much I eat vegetables and fruits in my diet, yogurt, chicken breast, anything that I think is healthy, the first stool that comes out hurts but the rest is soft. So I started taking Product 3 but again, still the same. The first stool that comes out hurts but the rest is soft. I wonder what causes this?

    • Hi, Janice. From my experience with hemorrhoids, when the first stool or part of it is hard or dry or difficult to pass and the second is soft, it’s because of three reasons: either you’re not drinking enough liquids or you’re eating too much animal protein or you are waiting too long to go to the bathroom. No matter how much fiber-rich foods you eat, you still need to drink plenty of liquids to help the fiber work. Also, I would go for chicken legs because they’re less fibrous and less likely to constipate or cause hard stools. Moreover, in my experience, when you have hemorrhoids you need to have a predominantly vegetarian diet and make sure that you always eat significantly more vegetables than dairy and meat, but also some fats. Lastly, I’ve learnt that one of the most important things is to go to the bathroom as soon as you feel the need to. Waiting too long, or not even very long causes the colon to reabsorb the water in the stool, leaving it or a part of it dry and thus difficult to pass, causing discomfort and pain. Hope this insight is helpful and wishing you lots of health.

  12. Hello my piles are getting worse day by day. I’m taking Ayurvedic medicines. My piles are 4 stage. It’s really painful, what should i do and what kind of meal can i have? Do oats help soften stool? Can i take nonveg?

    • Hello, Neelima. Stage 4 piles are as worse as piles get, so you should really make an appointment with your doctor and see what your options are. It may be that your doctor recommends medicines, surgery or other alternative treatment options. In any case, with piles, it is important to eat so that you avoid constipation and enjoy an active lifestyle that involves walking a lot to avoid sedentarism and keep blood moving. If you read the article above, you can find out about my experience with hemorrhoids and what foods I eat to prevent them from getting worse. Overall, I keep my hemorrhoids from flaring up with a mainly vegetarian diet. So see your doctor for a treatment plan and you can read about what I have learnt on how to deal with hemorrhoids in the articole. Wishing you lots of health.

    • Hello, Priya. I’m thinking organic coconut oil can be helpful for piles if you use it in the same way as you may use petroleum jelly, for example, to ease stool passing. I just apply petroleum jelly to the area and it helps a lot, reducing discomfort, itching and pain. For me, petroleum jelly is better than anything else because it has a consistency that allows it to stay in place. It doesn’t get absorbed. And it also comes in combinations with calendula and other soothing herbs. But coconut oil can have a similar effect simply because it helps slide things and makes it easier to have bowel movements when you have hemorrhoids. In my experience, massaging the bottom area can help restore circulation and it doesn’t really require any product except the massage. But you can try it and see if it works for you. Wishing you lots of health.

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