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 solutions to improve your hemorrhoids diet plan and 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 lemon balm 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 your diet and continue on the same path, your hemorrhoids can get worse up to the point they start bleeding, itching like crazy and become 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 healthy fish (see our Fish page) or lean chicken meat such as chicken legs to get your supply of proteins and healthy fats at the same time. Also, remember to always add vegetables on your plate next to meat products.

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. Dairy is not a good source of fiber either, making it bad for hemorrhoids if you eat too much.

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 prognosis 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 slightest 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. It can also act as a treatment for hemorrhoids because it encourage the production of collagen to add elasticity to blood vessels (which is what hemorrhoids are) and help them heal faster.

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.

197 Replies to “Foods to Eat and to Avoid for Hemorrhoids”

  1. Thank you very much for such great information. It has everything and i’m sure following it a person can easily get rid of hemorrhoids.

  2. I’m a 43 yr old white male 170lbs and between my chronic back and neck pain and now this hemoroid pain I think it might be easier to just off a bridge. If this is what’s to come in the so called golden years good lord take me out at 50. This brutal pain is totally got me wondering what this life that God gave us is really about.

    • Hi, Harry. Hemoroid flare ups can be awful, but manageable if the condition is in its first stages. When I first had problems, it took me about a month to find out what worked for me and what not. I took sit baths in warm water twice a day, drank a lot of water, increased my fiber intake and made sure I ate enough healthy fats to have the easiest posible transit. I also cut out many problematic foods, reduced my time sitting down and started walking a lot more to improve circulation. It really depends what stage your hemorrhoids are at. I wholeheartedly recommend you go to the doctor to have them checked up. Mine were first and second degree. But I kept up good habits and it’s been three years since I had my first flare up and not a single incident. So go to your doctor and learn more about your options because you don’t have to live with the pain. As for dietary and lifestyle changes, they are needed irrespective of the stage your hemorrhoids are at. You can also ask you significant other to massage you 20 minutes every day for your chronic back and neck pain. I speak from experience when I say a good daily massage can do wonders. It might not seem so now, but things will get better.

  3. Hi. I’m Vanessa. 18 years old. I’ve been suffering from hemorrhoids for 8 months now. At first I didn’t know what it was. I’ve tried dietary changes but maybe not enough. My hemorrhoids only affect me when I go to toilet and they prolapse and go inside within six hours most times the pain is severe and I can’t walk. Suggestions?

    • Hi Vanessa. If your hemorrhoids are prolapsing, then you might have had them for more than 8 months. Prolapse indicates they are in a sort of final stage, meaning they are at their worst, causing you a lot of pain and discomfort. At this point, you must have your problem checked up by a doctor. Your doctor is the only one qualified to give you a correct diagnosis and guide you towards the best solution for you. But even so, try to keep up good eating habits and keep active because hemorrhoids are known to reoccur even after treating them if we fall back on bad habits. In the meantime, you can take warm sit baths, manage pain as you feel is right for you and try to prevent constipation and hard stools as much as possible. Wish you lots of health.

  4. Hi. I’m Glory. I’ve been suffering from hemorrhoids for 1 year now. At first I didn’t know what it was, not until Saturday when I discussed it with my doctor. He now placed me on liquid paraffin and pilex which I’m taking presently but at this time that am on medication I’ve been stooling blood and dark oil each time I use the toilet. Please, I need a suggestion. Thanks.

    • Hi, Glory. You have to see your doctor again and tell him or her all about your symptoms. I suggest you make an appointment as soon as possible. My advice is to keep in contact with your doctor throughout all of this process and report any possible adverse reaction, new symptom or concern so he or she can know what to advise you further and present you with the best treatment option for you. Wishing you lots of health.

  5. Hello I am Ronke, my hemorrhoid is genetic (I have been suffering since childhood) as my father also suffers from it. Now it is over two months that I have not been able to go out. Do I also have hope?

    • Hello, Ronke. I do not understand what you mean by going out. Could you please explain it to me?

  6. Hello, I am Meena. I am 25 years old. I am suffering from hemorroids. It has been one month that severe pain occurs when I go to the bathroom and there are traits of blood. There are no visible hemorrhoids development on the outside. Is it internal? Please help.

    • Hello, Meena. My advice is to go see a doctor and have your problem checked out by a professional. It could be hemorrhoids according to the symptoms you have described. However, any bleeding in any part of our body is best investigated by a doctor. Stop worrying and thinking about the worst and make an appointment. You will be relieved to have done so. Wishing you lots of health.

  7. I am 37 and suffer from chrones disease and am currently on holiday in Thailand. I once had hemorrhoids when pregnant with my daughter. I have had one mild episode since then. My daughter is 13 and I am in the middle of an unbearable episode. It’s never been like this before. Thought I was going to pass out with the pain. Went to the doc and have been given augmentin as well as tramadol for the pain. I am not overweight and eat very healthy at home, regularly quinoa and lentils, not too much meat and a lot of fish. Is tricky over here so avoiding all curries (so annoying as I love thai food) and eating lots of fruit. On day 6 of episode and have managed a whole night sleep thank goodness. Going to the toilet is intolerable and causes huge distress and tears. Even urinating is agony. Go home on Friday which sadly I am really looking forward to as the heat does not help. Any ideas to help would be greatly appreciated.

    • Hello, Kate. It might be best to go see your doctor as soon as you get home and have him or her assess your current situation. Hemorrhoids can end up bothering us out of the blue, not only as a result of constipation, but also as a result of diarrhea, lifting heavy things, eating spicy foods and so on. So watch out if you are eating too many fruits or doing strenous activities. I find leafy greens and root vegetables with small portions of white meat and whole grains worked best for me in terms of regulating my transit which helped with the condition. I also found taking warm sitz baths and using petroleum jelly to help ease my trips to the bathroom very comforting. After my first, month-long episode that drained the life out of me, I started taking vitamin C, about 1 g daily, to help repair tears and reduce inflammation and continue to take it because it worked wonders. But it takes time for things to improve. Eating balanced to reduce constipation and diarrhea, avoiding strain on the stomach area or sitting for too long, avoiding foods that may irritate go a long way, but have to be kept up. Wishing you lots of health.

  8. Hi, my name is James. I’m 26 and I have been suffering from hemorrhoids for about 5 months now. It hurts every time I use the bathroom and I always feel constipated and can’t go regularly. What should I do?

    • Hi, James. Hemorrhoids are simply swollen blood vessels and we may have them and not even know it. They start producing symptoms such as bleeding and pain only when we subject them to pressure. An example is constipation because it presupposes straining and puts too much pressure on existing hemorrhoids, causing painful trips to the bathroom and bleeding. 5 months is a very long time for you to not be able to go to the bathroom regularly. If your hemorrhoids are in the first stages, and you should have your doctor check them out to know this, you can successfully keep them asymptomatic if you keep active, but avoid any physical activity that may put strain on your lower body muscles, particularly the abdomen, enjoy warm sitz baths and control your diet to avoid constipation. What helped me when I dealt with my first hemorrhoid flare up (I was only 21) was to drastically change my diet and relieve my constipation. I ate a somewhat vegetarian diet for the first 2 or 3 weeks to help improve my motility and manage to go to the bathroom as often as 2 or 3 times a day. At the time, I relied heavily on almonds, oats with sour yogurt, mashed peas and potatoes, beans, lentils, all sorts of leafy greens, moderate amounts of whole grains, chocolate spread and olive oil, fresh fruits such as pears, kiwifruit, apples or strawberries, increased my water intake and enjoyed at least one cleansing herbal tea every day. I ate very little meat, maybe one or two small servings a week and no dairy except for sour yogurt because both meat and dairy constipated me. I did not eat anything I didn’t prepare myself at home from basic ingredients, so no processed foods, nothing fried or spicy. This is how I managed to combat constipation and enjoy regular, soft and easy bowel movements. I still have hemorrhoids, but they don’t bother me anymore. After regaining some control, I started reintroducing certain foods in my diet and decided if they were good for me or not, but kept my fiber and liquids intake high and avoided processed foods. Go to your doctor for an exam to see where you’re at and start eating the foods that are good for you right now and keep it up no matter what. Wishing you lots of health.

  9. Hi, Marius.
    I am suffering from it for months or a year now.
    But it does come and go at times. Is it good to eat potatoes and beans, oats and rice?

    • Hello, Omar. I would strongly advise you to go to your doctor and have a check-up to find out what stage your hemorrhoids are at. Beans and oats are ok, just make sure you don’t eat too much beans and get diarrhea because that can irritate you and cause your hemorrhoids to act up. Potatoes are also good in moderate amounts, but I wouldn’t eat them every day. As for rice, know that white rice tends to constipate so you are better off with brown rice or even black rice because these varieties contain lots of fiber. And it’s dietary fiber which helps prevent constipation. When I had this problems, it really helped me to eat green leafy vegetables such as spinach, kale or cabbage, whole grains in moderate amounts and nuts such as almonds and walnuts which contain both fiber and healthy fats. Drinking lots of water is extremely important as well.

    • Hi, Sunny. Great job on going to the doctor. Like your doctor might have told you as well, hemorrhoids are something that need permanent attention in terms of diet and lifestyle. You have to learn which foods are good for you and which not. Spicy foods tend to upset hemorrhoids and so can eating a lot of meat and processed foods, even dairy because they tend to constipate which may cause hemorrhoids to act up. I relied heavily on all sorts of vegetables, potatoes, peas, green leafy vegetables etc. I ate fresh fruits and moderate amounts of whole grains and nuts and seeds, yogurt and kefir and drank a lot of water as well as one or two herbal teas a day and took vitamin C daily. Increasing your dietary fiber and water intake and eating sufficient healthy fats from sources such as nuts, seeds, olive oil can help relieve constipation and make trips to the bathroom almost unnoticeable, so hemorrhoids don’t bother you anymore. Reducing the time you spend sitting down, enjoying a good massage to get circulation moving and keeping active by walking a lot or enjoying other forms of mild physical exercise can help a lot. In my experience, it is best to avoid lifting heavy things because pressure on the abdomen can cause hemorrhoids to get worse. Lastly, sitz baths are a great way to help ease discomfort and pain when hemorrhoids are acting up. It may take some time for things to calm down, but they will. It is also important to keep your doctor informed of your evolution. Wishing you lots of health.

  10. Hi, I’m Saher and I’m 26 years old. I deliverd my baby 5 weeks ago and I have been having bad itchng and pain since last week.When I checked with the dr she said I’ve got 2nd degree hemorrhoids. She gave me medication for 3 months and said eat a rich fiber diet. My concern is after completing the 3 months, will my hemorrhoids disappear for ever or will they bother me at any time?

    • Hi, Saher. It is great that you went to the doctor. Just like you, I was diagnosed with first and second degree hemorrhoids. I got the same recommendations as you, to eat more fiber and drink more water. I didn’t take any medication, just warm sitz baths and changed my diet to prevent constipation and go to the bathroom as easy as possible. My doctor told me that hemorrhoids never go away because they are swollen blood vessels that simply get so big they fall out of their place. I, and everybody with hemorrhoids, will still have them, but we can control them so well that they might never bother us again. I have been living with hemorrhoids for years now and haven’t had another episode since I was first diagnosed. I just make sure I eat the right foods for me, lots of vegetables, moderate amounts of fruits, nuts, seeds, whole grains and drink plenty of liquids. I stay active and take my vitamins. Never strain and try to eat so that I go to the bathroom as often as once a day. I also avoid spicy foods such as peppers and ginger because they make hemorrhoids act up. If you eat right and keep moderately active, your hemorrhoids might not bother you again. But if you plan on having another baby, the pressure the weight of the baby exerts on your lower abdominal area as well as the strain of the pushing during labor might make them worse so ask your doctor to give you more information on your options in this case. And remember, it takes time to recover so don’t give up. Wishing you lots of health.

  11. Hi, I’m Pablo. 26 years old. For the past 1 year, I’ve been having haemorrhoids flare-ups each time I use the John. I’ve read a bit about it online, and find your article extremely helpful (bookmarked it already btw). Personally, I’ve cut out all sugar and sugary foods from my diet, and I’ve found out this has totally stopped the blood, though the pain is still there. What exercises do you recommend, and what is the best thing to do during flare-ups (as I get them everyday)?

    • Hi, Pablo. I would advise you to first go to your doctor and see what degree your hemorrhoids are. When I had my first flare-up, I went to the doctor and found out my hemorrhoids were first and second degree. It took me about a month or so to get better. I took warm sitz baths twice or even three times a day, then gently applied petroleum jelly to help reduce pain and ease things when I went to the bathroom. It really helped me. As for the exercise, I noticed that lifting in particular was very bad for me because the pressure it put on my lower abdominal area worsened my flare-up. So I just walked, more and more every day. When I had to work, I would get up from my chair and walked around for 10 minutes every 40 minutes. I placed a soft pillow on my chair for less discomfort. Moreover, I massaged my bottom area every evening and sometimes even afternoon for 20 minutes or so and it really helped. I kept up these habits until the pain and itching disappeared. As for the bleeding, it only stopped after I managed to relieve my constipation. I ate mostly home-cooked meals, plenty of vegetables, especially leafy ones, moderate amount of whole grains, fruits and plenty of water and herbal teas. Wishing you lots of health!

  12. Hey my name mdk. I have been suffering from hemorrhoids for the past month. I went to the doctor and they didn’t tell me anything. I excersise every day. How can I have hemorrhoids.

    • Hi, Mdk. Did the doctor at least tell you that you have hemorrhoids? My suggestion is to go to another doctor and have him or her tell you what degree your hemorrhoids are. First and second degree hemorrhoids are easier to manage than third and fourth degree hemorrhoids. This being said, what kind of exercise do you do? Because heavy lifting can put too much pressure on the abdominal area and make hemorrhoids worse. In my experience, the best exercise for hemorrhoids is walking. It works your muscles, encourages good blood circulation and overall good health. Massages also help a lot. A 20 minute massage of your bottom area can help reduce discomfort greatly. Hemorrhoids are something we can all develop at virtually any age. Constipation, straining when going to the bathroom, not drinking enough water, eating too much meat and dairy products (which tend to lengthen transit time and constipate), a genetic predisposition, lifting weights or any heavy object constantly, even a lack of certain vitamins and minerals that help keep blood vessels healthy and not bleed can cause hemorrhoids. But with the right diet and overall good care, they can be manageable. Again, it might be best to go to another doctor and have him or her investigate the degree of your hemorrhoids, work on eating so you have soft, easy stools, spend less time sitting down and avoid lifting anything heavy. Wishing you lots of health.

  13. Sprinkle some baking soda on a folded paper towel with olive oil on it and get ready for action. The roids will breakup quickly, make sure you have plenty of toilet paper between your bum and your underwear.

  14. Hi, I’m Eric, 25 years old. I’m a soccer player and I keep bleeding everytime I visit the bathroom which has made me loose a lot of stamina in playing my game. Please, what should I do to get my stamina back to play soccer?

    • Hi, Eric. If your bleeding has made you lose stamina, then it might be wise to go see your doctor and have him or her run some tests to see what is really causing it. It could be hemorrhoids or something else. The color of the blood, which should be either light red or dark red, even brownish can indicate where the bleeding is coming from. It is important to know what is causing the bleeding to know how to stop it. The fact that you have noticed a loss of stamina due to this bleeding means you have been losing too much blood overall since it has all started. It would be wise to make an appointment with a doctor as soon as possible to reverse the side effects you have been experiencing. Wishing you lots of health.

  15. Hi, I am Comfort. I am 17. I think I have hemorrhoids… It started on Saturday. I visited the toilet frequently that day only to discover on Sunday that I had blood traces in my stool and a lump which appears often but goes back inside immediately as I am done using the toilet. Please, what am I to do?

    • Hi, Comfort. It might be hemorrhoids indeed and the fact that they fall out, then go back inside might indicate a more advanced stage. You should go to the doctor for a test to see what degree your hemorrhoids really are and simply rule out other conditions or diseases. Make sure you tell the doctor everything, from the fact that there was blood to what color the blood was and the presence of the lump which goes back inside. This will be very helpful for him or her in assessing your condition. Don’t be afraid of the check-up: it’s easy, quick and you won’t feel a thing. Regardless of how much or how little hemorrhoids may bother us, it is important to watch what we eat to prevent constipation. Straining from constipation makes hemorrhoids worse so it’s best to eat lots of fresh fruits, vegetables, moderate amounts of whole grains, a bit of yogurt for improving intestinal transit and very little meat or other dairy. Remember to go see a doctor as soon as you can to avoid potential complications and get on the right path towards managing the condition. Wishing you lots of health.

  16. Hey. I’m Rina. I’m 19 yrs old. And my piles were diagnosed 1 year ago when I felt pain during my bowel movements. When I felt pain it was already late as there was a lump coming out. I went to my doctor and by improving my diet I got relief in pain. But that lump is still there. Is it necessary to remove it? I don’t have any pain now but still, is removal necessary? I don’t want surgery so I’m avoiding it.

    • Hi, Rina. Surgery can be painful, but it will treat your hemorrhoids completely. There are also other less invasive techniques such as stapling the hemorrhoids to cut off their blood supply which makes them shrink, dry and fall out. Surgical treatment is recommended if the hemorrhoids have prolapsed or fallen out, in which case they become a nuisance. The lump you are referring to is just that, hemorrhoid prolapse. You can keep improving your diet, eat sufficient fiber, drink plenty of liquids and keep active and you might be alright for years. But it’s also possible that the hemorrhoids might start to bother you just because they are out. It’s your decision if you want to wait as long as possible. Just know that the pain is temporary and the relief you will feel after it will make it feel like it was all worth it. But, again, this is your decision. The important thing is to be informed whatever decision you make. Talk to your doctor about whether or not surgery might improve your life further and have him or her explain everything to you and reassess your condition. Wishing your lots of health.

  17. Hello! I’m Lara, 21 years old. I have hemmorhoids since 1 year ago. I discovered them in 2015 and I think they are hemmorhoids. They are fourth grade, I did a lot research about it. And every time I go to the bathroom there’s blood. Is there’s a way to reduce my hemmorhoids?

    • Hello, Lara. Fourth grade hemorrhoids are usually accompanied by severe pain, itching, bleeding, inflammation and prolapse. It is always best to see a doctor and have him or her diagnose your condition accurately. Because fourth grade hemorrhoids are the most advanced, your doctor might recommend surgery to remove them completely or a less invasive procedure that basically cuts off their blood supply and they dry off and fall. At this point, diet alone might not help reduce symptoms very much. But even after surgery, you have to eat right to prevent hemorrhoids from reoccurring. Eating small meals rich in dietary fiber from fresh fruits, vegetables and whole grains (whole wheat, brown rice) and moderate amounts of fats, drinking plenty of water, even herbal teas that help improve intestinal transit can help prevent hemorrhoids after surgery. Again, it is best to see your doctor for a diagnosis and a professional treatment plan adapted to your needs. Wishing you lots of health.

  18. Thanks for your reply Mr. Marius. What if I do sitz baths everyday? Do you think it can help reduce my hemorrhoids? I’m afraid of surgery.

    • Sitz bath can help you a lot if you have inflammation, itching, discomfort and pain when sitting down on a chair or going to the toilet. Sitz bath will not treat your hemorrhoids, just help ease symptoms and make them more bearable. When I first had a hemorrhoid flare up, I enjoyed sitz baths about 3 times a day and it helped reduce my pain and itching considerably. But their efficiency might depend on how advanced your hemorrhoids are and how much or little they upset you. It’s worth a try because sitz baths can be quite efficient in some cases. In addition to this, it might be best to talk to a doctor if your hemorrhoids start interfering with your daily life. There are other options in addition to surgery and it is best that you know what you can do about them if you ever wish to treat them.

  19. 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.

  20. 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.

  21. 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 whole grains. 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.

  22. 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.

  23. 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.

  24. 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.

  25. 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.

  26. 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?

    • Thank you! I’m happy you find the information on what to eat and not to eat for hemorrhoids helpful.

  27. 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.

  28. 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.

  29. 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.

  30. 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 article. 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 (marigold) 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.

  31. Hello, I am Hussain. I’m troubling this problem probably from a year and now it’s gonna increase so what shoud I do now and may I able to eat cheese and chicken?

    • Hello, Hussain. In my experience, you can calm hemorrhoids with a mostly vegetarian diet. For example, I eat about 20 to 30% meat and dairy and 70 to 80% vegetables (carrots, spinach, potatoes, peas, lettuce etc). For some time, until I could manage my hemorrhoids through diet, I ate lots of boiled vegetables, fruits, nuts, seeds, whole grain cereals (oats mostly, or whole wheat) and only a little boiled chicken (once a day) and, ocassionally, fish and fresh (soft) cow cheese (once a week). No white bread, no white pasta, no white rice, no hard cheeses, no pork or heavy meats, nothing processed (these foods encourage constipation which can make hemorrhoids worse).

      This what I ate in the beginning and walked a lot to get my circulation moving. I also used petroleum jelly and calendula preparations and did sitz baths when the hemorrhoids were really bad. After a few months, I slowly started to introduce other foods I liked into my diet, but I still continue to eat mostly a vegetarian diet. Also, my advice is to go to the doctor’s and have some tests done to see how your hemorrhoids are. If they are early stages (one or two like mine), a good diet may help your more. Hope this helps and wishing you lots of health.

  32. Hi Marius,
    Thank you for your wonderful article. Having completed a great deal of searching on the topic I want you to know that I found your article to be the most helpful and structured in a very useful way.

    I am enjoying increasing the fiber and water levels in my diet with good results.
    I know that alcohol has the effect of dehydrating the stool (as well as other health factors).

    However, I was wondering if, in your opinion, a simple policy of increasing water intake in advance of any planned wine drinking would help avoid pain the next day? Say for example a 1 for 1 volume policy?
    Looking forward to your response when you have time.
    Cheers, Rick.

    • Hi, Rick. In my experience, hemorrhoids shouldn’t bother you if you keep active, avoid constipation by eating sufficient fiber and are hydrated enough. In theory, supposing you are well hydrated, a little wine shouldn’t have such a big effect on hemorrhoids. But because it dehydrates, you should limit the amount and make sure you drink enough water before and after. What I do is have water with me all the time and drink whenever I feel thirsty. I try to not let my mouth or lips go dry. You can never really measure things, but you can enjoy a treat once in a while, provided it’s in limited amounts. For example, I eat small meals often, mostly vegetables and light chicken meat or fish, but I also enjoy pasta or white rice, even though they are bad for hemorrhoids.
      I just balance what I eat so that it won’t make any difference if I eat a food that could upset my hemorrhoids. The rest of my diet is already balanced enough to cover the effects of a not so wise meal. I’m guessing that as long as you balance what you eat and drink, you can allow yourself a treat from time to time. And only you can know how much of what is good or bad for you. Hope this helps.

    • Hello. Smoking doesn’t cause constipation, but it can have long term effects on piles. Studies show smoking causes blood vessels to shrink and become less resistant and since piles are nothing more than swollen blood vessels, it can affect them (for example, they can bleed easier). The best way to manage hemorrhoids in my experience is to avoid constipation by eating mostly a vegetarian diet and less meat, less dairy and less white rice and pasta and keep active. If you can make the effort, giving up smoking can help too by improving your health in many ways. Hope this helps.

  33. Thank you for the valuable information and one more thing I used to smoke cigarette and some kind of chewing tobacco leaves for 2 years after getting hemorrhoids. But now I didn’t use these items and constipation is worse. What should I do? I really don’t know what to do, I can’t go for job or outside. I am always lying in bed thinking about it. I am only 23 years old. My friends are either studying or doing some job. I am at home for 2 years. Sometimes I think my future has ended. And one more thing I had constipation since my childhood. So please tell me what to do. Kindly give me an answer.

    • I know from my own experience with hemorrhoids that they can make you feel like everything is over, but there is a lot you can do about it. The most important thing, in my experience, is to manage constipation. Just like you, I have suffered from constipation since I was a child and because I didn’t do anything about it, I eventually got hemorrhoids. So, first of all go to a doctor and ask to know what degree your hemorrhoids are. First and second degree are manageable with diet, third and fourth may require medical treatment. If pain is manageable, then look to relieve constipation. The way I did this was by changing my diet completely.

      For the first few months I ate mostly vegetarian (about 80% vegetables and fruit and 20% other foods). I had vegetables at every meal and ate a lot of spinach, lettuce, peas, beans, chickpeas, lentils, green beans, carrots, potatoes etc. Once or twice a day I ate boiled chicken with my vegetables and once or twice a week boiled fish or brown rice or whole wheat pasta. I had some fresh cow cheese once a week and ate a few slices of whole grain bread every day (not white bread). For more protein, I ate soft boiled eggs. For snacks I ate almonds, walnuts, peanuts, sunflower seeds, pumpkin seeds and all sorts of nuts, seeds and dried fruit. For desert, fruit (bananas, apples, peaches, cherries, plums etc.) or some quality chocolate. No coffee, no alcohol, no white rice, no white bread, no fried foods, no processed foods (everything was cooked at home, boiled or steamed), no fatty foods, no junk food, no cold meats and especially no spicy foods.

      With this diet I started having soft and easy stools and went to the bathroom almost 3 times a day. As I felt better, I started reintroducing other foods in my diet like cheese or meats, but always made sure I had more vegetables on my plate than anything else. I drank enough water or herbal teas to stay hydrated and walked a lot (avoid staying in bed or on a chair too much). You have to make sure you eat so that you have soft and easy stools at least once a day and, in time, you get a better understanding of what foods are good for you hemorrhoids and you should eat more of and what foods you should eat less off. So start with your diet because if you eat right, there will be no more constipation and the hemorrhoids will become easy to live with and they shouldn’t bother you any more. You can read the article again for more examples of what I ate for my hemorrhoids. It will take a few weeks until you learn what foods help you most, but you will succeed if you continue. I speak from my own experience when I say it will get better if you change the way you eat. Wishing you lots of health.

  34. With lot of respect once again thanking you for your great service. It will help a lot of people. May God bless you.

    • Hello, Sheez. You have to eat fiber to prevent constipation. Dietary fiber can be found in generous amounts in foods like beans, peas, chickpeas, lentils, green beans, spinach and other green, leafy vegetables, carrots, pumpkin, corn, peppers, almonds, walnuts and other nuts, fruits, especially those with edible skin like apples, peaches, pears, cherries, sour cherries, nectarines and so on. Whole grains like whole wheat bread and pasta, brown rice, red rice etc. eaten in moderate amounts. Eating too much meat, milk, cheese and other dairy can constipate because they take longer to be digested than vegetables and fruit. So, for relieving constipation you need to eat more vegetables and fruits than meat and dairy. Curd is healthy, but if you eat too much of it, it can delay transit and contribute to constipation. As a general idea, there isn’t one food that can cure constipation. It’s an overall good diet, rich in dietary fiber (low in meat, dairy and refined food products) that can cure constipation. And remember, dietary fiber needs water to perform its benefits, so stay hydrated. Also, it is important to keep active (walk, jog, dance) too. Hope this helps.

  35. Thank you so much for the information. I too am changing my diet. I see some changes and benefits to that. I am hopeful and will continue.

    • I am so happy you are seeing benefits to the diet changes, Romona. It takes time for the changes to become visible, but I can tell you from experience that hemorrhoids can be successfully controlled by eating right. In time you will learn which foods are good for you and which ones you should avoid and it will be a lot easier. Wishing you lots of health.

  36. Hello! Does garlic help with hemorrhoids? I have been suffering a second degree hemorrhoid but I’m better. Now I go to the bathroom mostly once per day, sometimes two or three times. But today I could not. I don’t know why because I’ve been following a really strict diet. Is eating cereals in morning bad for hemorroids? I’m really worried. Thank you in advance.

    • Garlic doesn’t necessarily help with hemorrhoids. Foods rich in dietary fiber do because they prevent constipation and help you have soft stools which is good for hemorrhoids. And it seems you are eating right because you are going to the bathroom daily, even several times a day. Maybe today you didn’t eat just the right foods or didn’t eat enough to go to the bathroom. Eating too little food or having more stools in one day can make you skip a day. In my experience, it is important to keep eating foods with fiber and drinking plenty of liquids and it will be okay. Also, eating cereals in the morning can be really good for hemorrhoids because cereals are often rich in fiber and help with transit. My favorite cereals are oats or whole wheat with fruits or chocolate. They regulate transit and help me have soft stools every day. So keep eating the way you have and see what happens. If you are not satisfied, then think about what you ate the day before and if any of those foods might have slowed transit time. And try not to worry. Eating for hemorrhoids is a challenge and you need to take each day as it comes. Hope this helps.

    • Hi, Hayley. It really depends on how your body responds to dairy. Some people get constipated from dairy really quickly, which is bad for piles, while others tolerate eating it daily and still have good transit. Also, using skimmed milk doesn’t necessarily make it better because it’s still dairy. Actually, some fats could help make transit better (think about almonds, walnuts, chocolate spread, even a bit of whole fat milk, but since you are planning to lose weight, I’m guessing you want to cut down on the calories). If you make sure you get enough dietary fiber in your diet every day and drink sufficient liquids, then it should be okay because fiber and liquids are what you need for piles. So see how your transit changes from eating the skimmed milk and you can tell from there on. Hope this gives you better insight into what you should eat and to avoid for piles.

  37. Does piles ever go away? Is it possible to end it forever if we follow good diet and healthy lifestyle as told in the article?

    • Hello, Mir. No, they don’t. Even after surgery piles may come back. But if they are in the first two stages, then a good diet and a good lifestyle can make them become asymptomatic and never bother you again. And that is something so many of us want. And please don’t be discouraged because this is good news. Piles themselves are harmless. Only if we don’t eat and live right, then they become upsetting. Even after surgery we have to eat certain foods and avoid others so the piles don’t reoccur. So whatever we do, a good diet is still important so keep to it because you will see the benefits over time.

    • Hello, Dora. Yes, you can eat them if you like. But when you have piles you have to eat foods rich in dietary fiber and drink plenty of liquids, especially water. Read the article and the comments below it for more examples of foods to eat and to avoid for piles. Wishing you lots of health.

    • Hi, Xandra. You don’t heal hemorrhoids. You can only make the symptoms go away. And it is possible to use coconut oil topically to reduce itching, irritation and discomfort. I think you can use it just like petroleum jelly: after having a bowel movement, you clean yourself with water gently and apply the oil for soothing purposes. It might be best to get an organic, cold pressed oil. Coconut meat is good for hemorrhoids because it has about 9 g of dietary fiber per 100 g, which is a generous amount and should help improve transit time and make stools softer, easier to pass. This can improve symptoms and offer relief. Hope this helps and wishing you lots of health.

  38. Hello. I had hemorrhoids and it’s been 4 years ago until now. What should I do? I’m scared to consult the doctor. Also, how long hemorrhoids last?

    • Hello, Vergie. If you suspect you have hemorrhoids, then it’s important to go to the doctor. You need confirmation from the doctor it’s hemorrhoids and not something else. There is no need to be afraid. Diagnosing hemorrhoids is easy and it gives you a good idea what stage the hemorrhoids are and what is the best treatment option for you depending on this. I’ve had hemorrhoids for several years now and I have kept them asymptomatic with diet alone. As for how long hemorrhoids last, they generally never disappear. But if you eat right, then they become asymptomatic and don’t bother you at all. It’s mostly constipation that makes them act up. The important thing with hemorrhoids is to learn what foods to eat and what foods to avoid, keep hydrated, avoid sedentarism and lifting heavy weights. So go to the doctor. You will feel relieved you have. Wishing you lots of health.

    • In my experience, no, it’s not good for hemorrhoids. If you think about it, hemorrhoids are just swollen blood vessels, nothing more. And the reason hemorrhoids swell is pressure. If you suffer from constipation, you tend to push when you go to the bathroom and this strain puts pressure on blood vessels, causing them to swell and eventually fall out. If you sit all day, this also puts pressure on the bottom area, causing hemorrhoids to swell. If you lift heavy weights, it’s also bad for hemorrhoids. Logically, in order to make hemorrhoids better, you have to treat constipation, avoid sitting all day and avoid lifting particularly heavy weights. For constipation, you need to eat foods rich in dietary fiber and drink plenty of water to have soft and easy bowel movements. If it’s itchy or painful in any way, try sitting in a warm bath (it’s called a sitz bath) and then applying petroleum jelly to reduce friction. This should help manage the pain while you improve your diet so your hemorrhoids don’t bother you. Hope this helps.

  39. Hi. Hope that you are fine, I suffer from hemorrhoids for about 3 years, on last Wednesday I do surgery for it. I have external hemorrhoid and also piles. Now I’m on bed rest. I have some questions please answer me as soon as possible.
    1. Can I use stairs after surgery because my room is on the second floor?
    2. Can I eat rice pudding called kheer meant fully boiled?
    3. Can I eat Mangoes?
    4. Can I lift some weight or I have my baby about 6 months can I take it?
    5. When I stool there is pain and bleeding coming out?
    Kindly reply me soon. Regards, Haroon Malik from Mardan, Pakistan.

    • Hello, Haroon. Hope you are well after your surgery. First of all, you should be able to walk fine after they surgery, but it’s best to take it easy. Enjoy some bed rest first. If you recover soon and feel up to the challenge, then you should be able to go up and down the stairs without any problem. Walking is not restricted when you’ve had hemorrhoids surgery. It’s actually a good exercise. Secondly, rice pudding is not forbidden, but you have to be careful what you eat because hemorrhoids can come back after the surgery. So make sure you also eat foods rich in dietary fiber like fruits, vegetables, nuts, seeds, whole grains and drink plenty of liquids to prevent hemorrhoids from reoccurring.

      Mangoes are good if they are good for you, so if you like them, you can eat them. Usually, lifting heavy weights is not recommended if you have hemorrhoids or have just had hemorrhoids surgery. But it really depends on you and how you feel. If you feel you can lift your baby, then it’s okay. If you can’t yet, wait a little longer. You should really talk to your doctor about this and ask for more information. Lastly, there may be both pain and bleeding at first. From what I know, it may take several days or around a week for things to get back to normal. The medication your doctor prescribed (the antibiotic, the pain medication and the cream) should help prevent infection, relieve pain and soothe your trips to the bathroom. So it’s important you take them as your doctor prescribed and you should be fine. Wishing you lots of health.

  40. Hi. Dear kindly tell me if I can bathe now or in which water warm or cold? Here weather is hot. Can I use soap in surgery place, should I use soap or not? What about bananas, can I eat them or make a milkshake with bananas? Reply me soon. Regards, Haroon Malik.

    • If you have had the surgery already, ask your doctor how you should wash best, what products you should use for washing and what temperature should the water be. Ask your doctor if you can take sitz baths to calm discomfort. As for bananas, they are alright. Milkshakes are not bad for hemorrhoids, but I wouldn’t eat too much dairy. Dairy tends to constipate and constipation makes hemorrhoids worse and can increase discomfort after surgery. Fiber is good with plenty of water. Hope this helps.

  41. I had a colonoscopy last week because I was scared I might have cancer. I have had intense, overwhelming itching for a year but no signs of external hemorrhoids. I told my doctor my concerns before the colonoscopy and he said “probably hemorrhoids and “I’ll cover everything in my report when we get done with the colonoscopy”. What I got yesterday was a one sentence lab report showing one pre-cancerous polyp was removed and instructions to return in 5 years. No mention of anything else. I called his office and spoke to his nurse. I explained my questions had never been addressed and asked if she could tell from my chart notes if had hemorrhoids? After much pleading to just tell me if they were found during the colonoscopy, she finally said yes, your report shows internal hemorrhoids. Another long pause. And I said well, would that be one hemorrhoid or 5? She said “I can’t answer that. What? Then I asked if she could send me a copy of my report, to which she replied “I can’t do that”. What is going on? And what’s the big secret? Why is it so hard to get simple questions answered and copies of MY medical records. Has anyone else run up against this with their doctors office? Do I have ANY rights to my own medical information?

    • I’m sorry to hear this Shelly. It’s really unprofessional. After all, it’s your medical records and your right to know whether or not you have hemorrhoids, how many, what stage and so on. Indeed, the itching was most likely a symptom of hemorrhoids, but it was good you had the colonoscopy and they removed the polyp. Still, they should give you more information because it’s your right to know and it can help you enjoy overall better health. Hope this works out soon.

  42. Hi. I love eating spicy food as well as sweets and bakery, but I always eat them in restricted amounts. Still I’m having many problems like oily skin, piles. I’m young and I can’t totally restrict the foods as we young people occasionally go on tours and parties. I just want a healthy dietary chart, good health advice to remove my extra pounds and the piles. Also I don’t have any allergies. Thanks.

    • Hello, Kene. Spicy food is bad for hemorrhoids because the compounds in it that make it spicy may also irritate mucous membranes and already swollen blood vessels like hemorrhoids. But not all spicy foods are necessarily bad for you. For example, ginger is the worst food for my hemorrhoids, but I can eat some spicy paprika. So you have to pay attention which foods bother you and which don’t and only eat the foods that are good for you.
      Oily skin is a normal skin type, just like dry skin. I’m guessing the problem is excess oily skin. I also have this problem. What I find is helpful for oily skin is cleaning your face every morning, noon and evening with a gentle, plant-based face wash with an exfoliating action and applying a quality face serum and face cream afterwards. This routine helps me combat the excess sebum on my face without taking away all of it. The serum and cream hydrate the skin intensively and help it retain water and this seems to better regulate oil production. Drinking lots of water also helps me as well as eating healthy foods. For professional advice, please see a dermatologist.
      If you are looking to lose weight, you can see a nutritionist for a personalized eating plan suited to your nutritional requirements and weight loss goal. What I can tell you from my experience with weight loss is that you can lose a lot of weight by preparing your own food all the time, eating more protein and vegetables and little carbohydrates, giving up sweets except chocolate, avoiding added salt, sugars and any form of processed foods. If you want to remove your hemorrhoids, talk to a doctor about your options. Hope this helps.

  43. Hi. I had a problem with constipation since I was a little girl and I realized I had hemorrhoids a couple of years ago. My question is will I be able to live a normal life after I follow the diet because am really scared of surgery and I don’t want to do it? Can I follow the diet to be ok?

    • Hello, Akua. It depends on what stage your hemorrhoids are. Typically, first and second degree hemorrhoids can be kept under control and mostly asymptomatic with a diet rich in dietary fiber and liquids and moderate activity. Third and fourth degree hemorrhoids are usually more problematic because they fall out constantly and this adds to the discomfort and difficulty of the situation. They are usually the ones that require surgery. This is why it is important to first see a doctor and find out what degree your hemorrhoids are and whether or not surgery is the best option for you right now. This being said, a good diet is important irrespective if you have surgery for hemorrhoids or not. If you don’t eat right afterwards and still experience constipation, hemorrhoids are known to reoccur. So see a doctor to best assess your situation and start your hemorrhoids diet today. After all, it’s just healthy eating that helps you achieve a good transit time and better health overall. Hope this helps.

  44. Good day Sir, I just had thrombosed hemorrhoid surgery July 26, 2017. It’s already 1 week and I just want to ask how long it takes to recover.

    • It depends on the person and type of surgery. Usually it takes around 2 weeks for a person to recover after hemorrhoids surgery, but it can be longer too. What can help you recover faster and prevent hemorrhoids from reappearing is eating right to prevent constipation: plenty of fiber and water. Wishing you lots of health.

  45. Is it possible to comeback hemoroid after surgery? There’s a little pile again. It’s like a small seed. Is that normal after surgery, sir?

    • Hello, Jess. Yes, it is possible for hemorrhoids to come back after surgery. This happens if you don’t eat well and become constipated or if you sit all day. But you need to see a doctor for a correct identification of the hemorrhoid you think reappeared. It can be a hemorrhoid or something else, like a remnant of the surgery if you’ve just had it. So please go to the doctor to get a professional assessment. Wishing you lots of health.

  46. Hi dear. Hope that you fine. About one month ago I had my hemorrhoid surgery, but I have been having some problems. Kindly give me answers.
    1) When I go to the bathroom, there is a little blood at first.
    2) After having a bowel movement, I feel pain and discomfort.
    3) After sleeping, there is a little yellow jelly type of liquid discharge which has a poor smell.
    4) After I wake up, there is a little temperature and the body feels a little hot.
    5) Can I wash with soap? I had the surgery about one month ago, but I guess that it still should be itchy because there are chemicals in soap.
    6) Discus about Fiber. What is fiber and in which vegetables and fruits is it found?
    Hope that you reply me soon.
    Warm Regards, Haroon-Malik.

    • Hello, Haroon. About the problems you have encountered following hemorrhoids surgery. First of all, know that different people may have different experiences with hemorrhoids surgery and post-hemorrhoids surgery recovery. The best person to ask about any strange symptoms after the surgery is the doctor that operated on you or a hemorrhoids specialist. So please see a doctor because you need an actual consultation post-surgery to make sure things are normal. This being said, here are a few possibilities:

      1) After a hemorrhoids surgery it is possible to experience a little bleeding when going to the bathroom. For some people the bleeding ends after a week, for others it may take up to a month or even more (two months sometimes). It is important to see a doctor about this and tell the doctor what color the blood is. Is the blood dark red or a light, pink red? This is very important information.

      2) A certain degree of pain or discomfort is expected following hemorrhoids surgery, but see a doctor to know if things are okay.

      3) The discharge you are seeing is called a post-hemorrhoidectomy drainage and it usually has a whitish or yellow color. It can take up to 2 months for it to clear, but check with your doctor periodically. Also, if you feel something is wrong and the discharge bothers you, see the doctor as soon as possible because in rare cases it might need to be cleaned.

      4) If you are feeling hot, it is possible you may have a fever and possibly an infection. See a doctor immediately and discuss all of these symptoms you’ve experiencing with him or her.

      5) What has your doctor told you about how to keep clean after the surgery? If you received any indications, follow them exactly. Soap is usually a good choice and you can choose a mild, creamy soap if you feel a regular one is too harsh on the skin. But remember to only wash outside and do it gently. Itching is relatively normal during recovery, but your doctor can tell you more.

      6) Fiber is plant material we don’t digest. It is found in all fruits, vegetables, nuts, seeds, cereal, edible flowers and anything that is a plant. Read more about what is dietary fiber and the benefits of fiber here. Prunes (dried plums), apple juice, green leaf vegetables, whole grains like whole oats, beans of all kind, almonds and other nuts and seeds are rich in fiber. But remember you also have to drink plenty of water when you eat fiber. Hope this answers your questions and please see a doctor, especially about the potential fever. Wishing you lots of health.

  47. I have this small muscle coming out and it is not going in after bowel movement. Is it hemorrhoid? I have constipation too. Please help.

    • It seems to be a third or fourth degree hemorrhoid. It is a more advanced degree and the main cause for it is constipation. Please see a doctor. As for the constipation, eat more vegetables and fruit and drink plenty of water. Eat less meat and less cheese, avoid alcohol and processed foods. Hope this helps.

  48. I read you guide/article and starting to follow it. I am currently suffering from internal and external hemorrhoids, throbbing pain, burning, itching, bleeding. My stool comes out burning like an acid and I have flatulence.

    8 am – drink about 1 liter water in the morning with a little bit pink salt.
    9 am – drink glass of smoothie (fruits/vegetables).
    10 am to 12 pm – drink about 500 ml to 1 liter water.
    1 pm – lunch is baked chicken or vegetable meat lasagna or tuna salad or chicken salad or etc.
    No more spicy food.
    2 pm – orange or banana or any fruit (sometimes nothing).
    3-8 pm – drink 500 ml to 1 liter water.
    very light dinner – baked chicken or vegetable meat lasagna or tuna salad or chicken salad or etc.
    No more spicy food.
    9 pm- green tea with apple cider vinegar.
    10 am – 2 pills of stool softener with half 250 ml water.
    Sleep – toss and turn in pain, go on Facebook to kill time and actually sleep by 12 am.
    Get up about 2 to 3 times at night.
    This is what I started after reading your post. Amazing info you have put on this website. Please correct me or suggest me if I am doing anything wrong. Because my flatulence and stools feel acidic. God bless you!

    • First of all, I know how difficult it is to have hemorrhoids and to have to rearrange your life around them. The first thing I would like to tell you is to see a doctor and find out what degree your hemorrhoids are. This will make it easier for you to know how to better deal with them. Secondly, you are making some very healthy changes in your diet by drinking more water, eating fruits and vegetables daily, excluding spicy foods from your diet. But I am curious: why the salt in the morning? I know salt has its benefits, but it can also raise blood pressure if it’s too much and we all get most of the salt we need from what we eat during the day. Tuna, for example, has plenty of salt, especially canned tuna. Even fruits and vegetables have sodium. Also, does the apple cider vinegar help you in some way with the hemorrhoids? I am asking because it shouldn’t do anything for piles and because vinegar can cause or worsen stomach problems (acid reflux, gastritis, ulcers).

      Water is something we all should be drinking in sufficient amounts and it’s good especially for hemorrhoids because it combats dehydration, constipation and dry, hard stools. Just make sure you aren’t drinking too much. Drink when you feel thirsty, when you experience dry lips, dry mouth or dry throat etc. Drinking too much water, which is possible, can have side effects because it may lead to you losing more minerals than you take in.
      Also, have you considered maybe that the stool softener is causing loose stools? I don’t know for how long you have been taking it, but I’m guessing you take it because it helps you have softer stools. Just know that after some time it can cause loose stools and these loose stools can irritate and worsen hemorrhoids further, even causing that acidic feeling you’ve been experiencing. Stools should be soft, but firm in order not to bother your hemorrhoids, not loose because then they irritate.

      The idea, as far as I can tell you from my experience, is to relieve constipation through diet alone so you don’t have to rely on any type of help. You have to find the perfect balance in your diet so that you may enjoy soft, easy stools and get to the point your hemorrhoids don’t bother you anymore. For example, I have achieved this by enjoying a predominantly vegetarian diet. I always have vegetables with my every meal and eat nuts, seeds and fruit as snacks. I pair my food so that the lack of fiber in one food is compensated by the rich fiber content in another. Like you do with your tuna salad: tuna has a lot protein, but the vegetables you combine it with provide the fiber you need. From the point you start making changes to find the perfect diet for hemorrhoids for you, it will be a trial and error process until you find out what foods in what exact quantities are best for you. But this is an entirely individual process, so best of luck and keep going!

  49. I am so upset. I need your help actually. For the last 15 years I have been having problems with constipation. I am very shy to tell anyone and with the passage of time it has been getting worse and with every bowel movement I have been getting bleeding. It’s become very painful and I got my checkup and the doctor said it’s not piles, it’s actually a fissure and he wants to operate it asap. But I heard from so many people that it occurs again after operation. Just guide me, what should I do? I am in a lot of pain and I am 27 years old.

    • Hello, Sundas. I am very sorry to hear about your health problems. Fortunately, there are solutions. Fissures only reoccur if the constipation persists. If you have the surgery and learn how to avoid constipation, it shouldn’t reoccur. If the doctor recommends the surgery with urgency, then you should have it. But you should also change your diet because the fissure appeared because you are not eating right. You need to start eating more fiber and drinking more water to help you have soft stools that are easy to pass. If you don’t eat right, your stools will be hard and dry and this can cause fissures and hemorrhoids and unpleasant symptoms like pain, bleeding, discomfort, burning sensation etc.

      The first step is to incorporate more dietary fiber into your diet. In my experience, the best and easiest way to achieve a good balance in your diet and get all the fiber you need is to eat 70-80% vegetables, fruits, nuts, seeds and whole grains and 20-30% meat and dairy. Also, drink lots of water to help the fiber add bulk. It will take some time until you find the right balance in your diet and you will see results when you will be going to the bathroom at least once a day and have smooth, well-formed and easy to pass stools. If you can achieve this, the fissure should not occur again after the surgery. So be brave and start making the changes needed to improve your health.

      Ask your doctor too what he or she recommends for you in terms of diet before and after the surgery. Also, take into account your existing food sensitivities or allergies and work around them (for example, if you are allergic to nuts, eat more vegetables and fruits instead). Remember to keep active by walking every day (sitting all day puts pressure on the bottom area and can contribute to fissures and piles too). And most importantly, eat right and drink enough water. Hope this helps and wishing you lots of health.

  50. I have internal hemorrhoids. I did go to the doctor, he suggested injection therapy. I have gone through that and I have felt better for a month or two but after that same problem occurred again. Now I am feeling burning and there are two hemorrhoids. The doctor gave me an ointment for internal use. If I use it I’ll be okay but if don’t I will feel a burning sensation 24/7. I am not eating any kind of meet, egg, dry fruits or any kind of thing that can create constipation. Kindly guide me through how I can overcome this disease. I shall be very thankful to you.

    • Hello, Asim. In my experience, diet is always the problem when hemorrhoids upset you because you need to achieve a very delicate balance in what you eat. If you are eating the right foods for hemorrhoids, you should have soft stools that are easy to pass. Tell me: do you go to the bathroom at least once a day? And are your stools well-formed, but soft and easy to pass? Because that is the objective with a hemorrhoids diet, that is the point where you want to go. For example, eating for hemorrhoids doesn’t mean you should exclude meat and eggs. These are healthy foods in many respects and they should be part of your diet in moderation. And dried fruits are actually good for hemorrhoids because they are incredible sources of dietary fiber and soften stools incredibly.

      In my experience, constipation takes many forms. For example, not going to the bathroom every day can mean you are constipated. Not going more than once a day can mean the same thing for some people. Hard stools like pebbles are a sign of constipation and not drinking enough water. And the longer it takes for you to reach a good balance in your diet, the worse hemorrhoids can get because constipation in any form is the main reason they get worse in the first place and evolve to requiring surgery.

      To help you understand what are the best foods for hemorrhoids, I can you some examples of what I may eat in a day. I eat a varied diet, more vegetables and fruits and less meat and dairy. But I still eat meat, dairy and eggs because they are important for good health, just in limited amounts. For example, in the morning I may eat two soft-boiled eggs with a few slices of whole wheat bread and plain yogurt with oats. For lunch I may eat chicken and vegetables or a vegetable and beef stew, with the accent on vegetables. I eat dried fruits (raisins, figs, prunes), nuts (almonds, walnut, pecans), seeds (sunflower seeds, pumpkin seeds, sesame seeds – make sure you are not allergic before eating them) or fresh fruit (bananas, apples, pears, plums, mirabelles, nectarines, peaches, berries etc.) as a snack anytime during the day. For diner, I may eat brown rice with some chicken and lots of vegetables (bell peppers, leek, onions, beans, chickpeas, peas, lentils and others depending on the recipe), or boiled spinach with baked potatoes and some butter or fresh olive oil or a delicious beans soup with carrots, onions and seasoned with fresh parsley or lovage.

      The idea is to have variety so you get all the vitamins and minerals you need to be healthy. At the same time, include fiber-rich foods in all of your meals and drink plenty of water to give stools bulk and make them easier to pass every day. You can eat meat, dairy and eggs and you should because they have their health benefits. But because they have very little fiber (which you need), you should eat them in lesser amounts than vegetables, fruits, nuts, seeds.
      For example, eat 70-80% vegetables, fruits, dried fruits, nuts, seeds and 20-30% meat, dairy and eggs. Hopefully this will give you some insight as to what to eat for hemorrhoids and better manage them. Remember: a hemorrhoids diet is not a restrictive diet. It should actually be a rich diet, varied, balanced and generous. The main idea is that you have to eat so that you have well-formed, but soft and easy to pass stools at least once a day. And the more you wait and suffer the effects of constipation, even though it might not be severe, the worse your hemorrhoids can get. Wishing you lots of health.

  51. Thank you, Doc for your kind advice. I drink almost 3 to 4 liters of water daily, I go to wash room daily but some times I pass my stools very easily and some times I feel very itchy and not pass my stools with ease. And I felt urge to go to wash room whole day, it’s not happening to me every day. For a week I feel good, not constipated, but after a week’s time I may feel constipated even though I don’t change my diet plan.

    • Hello again, Asim. First of all, I am not a doctor (please read the disclaimer). I am just an ordinary person like you who is living with hemorrhoids and wants to share how I got rid of the pain, itching and discomfort and learnt to control my condition and live a normal life.
      Secondly, I am honestly happy to hear that you have started having good days. It is a sign you are learning what foods are good for you and what foods you should avoid for your hemorrhoids. The bad days when you feel the urge to go to the bathroom but can’t are normal from time to time. Even I have those days sometimes, but they won’t be too many once you perfect your diet. The bad days shouldn’t disappoint you but make you want to get better even more.
      What I can recommend from my personal experience with hemorrhoids is to keep a food journal or a food diary.
      Write down what you eat and drink every day, in what amounts and at what hours. Also write down when you go to the bathroom and whether it was easy or hard.
      This should help you better identify the foods that work best for you and the combinations that help you have soft, easy stools.
      As for the water, it seems you drink a lot of it. Remember that you have to drink whenever you feel thirsty. Don’t drink just because you have to. Listen to your body to know how much water it needs and drink accordingly. Too little water and too much water can both be bad for you. So drink as much as you need, no excesses.
      Also, make sure you get enough exercise. If your time allows it, go for walks outside, in the park maybe. Any form of light physical exercise is good for hemorrhoids. It is important to avoid sitting in a chair all day because this puts strain on the bottom area and can further upset your hemorrhoids. If, for example, you work in an office and have to sit all day, get up every 45 minutes and walk around for 5-10 minutes to keep the blood flowing.
      And keep in contact with your doctor about your condition and report any new symptoms if there are any, improvements or anything really.
      Hope to hear from you with good news and wishing you lots of health.

  52. Hi, I have been suffering from piles and fissure post delivery. And it’s been one and a half year now. When I first consulted a doctor at the beginning stage due to intolerable pain and bleeding, doctor advised me to drink plenty of fluids and add on lot of fiber to my diet and there is no need for surgery. I drink around 3 liters of water and also eat raw vegetable salad and a bowl of papaya which helps me a lot for soft stools. The pain and tangling irritation is much better but I still have bleeding at times and sometimes hard stools. I consulted a different doctor recently and have been advised to undergo a laser surgery because bleeding has made me iron deficient. Is laser surgery good? Will it help me?

    • Hello, Pranavika. Laser surgery for piles is a good option. It is a more modern approach compared to the classical surgery. There are voices that say that it is less efficient, but the truth is hemorrhoids can reoccur after any type of surgery if you don’t address your diet and relieve constipation. It is believed to be less painful, but recovery usually takes at least two weeks, if not more. The thing is any type of surgery will treat hemorrhoids, but you have to continue to eat right so that you prevent constipation and have soft stools that are easy to pass. If you don’t, hemorrhoids might reoccur irrespective of the type of surgery you opt for. And since you say you still have hard stools at times, it means that your diet requires further adjustment. Hope this helps and wishing you lots of health.

  53. Hi, I am Karla and I have been suffering from bleeding and pain with itching after my bowel movement. I went to a doctor (gastroenterologist), had a procedure called anoscopy. His finding was an early sign of piles. He gave me medicines for 2 weeks (asacol and daflon) without avoiding any food to eat and he told me ‘eat what is good for you’. I didn’t eat meat but I did normal eating.
    After two weeks of medication and 3 days after, I had bad BM again which resulted again in bleeding. And it scares me to see fresh blood in the toilet bowl and on the tissue I wiped with. Now I am eating vegetables and fish with a lot of water and some fruits. But every time I have had a bad BM my there was bleeding again after passing the stool.
    I have a regular BM everyday. My stool is normal. My problem is when I strain a little, after passing the stool there is mild pain with itching then bleeding again. If I’m doing sitz bath. I felt something soft inside in the middle. Is that already the hemorrhoid? Thank you.

    • Hello, Karla. First of all know that everyone who has hemorrhoids and has experienced bleeding after a bowel movement is scared. It is scary when you see blood on the toilet paper or in the toilet bowl because you immediately think of the worst possible outcome, like cancer. But you did a smart thing by going to the doctor immediately, had the test that confirmed your hemorrhoids and ruled out other less fortunate causes that might have crossed your mind. Everyone should see a doctor as soon as they notice blood after bowel movements, so congratulations on doing so.
      Now, the thing is you either have hemorrhoids or you don’t. When the doctor told you there was an early sign of hemorrhoids, he probably has seen the slightly swollen blood vessels, because that’s what hemorrhoids essentially are: swollen blood vessels. So it is likely you have hemorrhoids, but they may be an early stage. The medicines he gave you are for ulcerative colitis and a tonic for blood vessels, but they both cater to hemorrhoids disease too. And the soft lump may very well be a hemorrhoid. Some people describe them like that, but only your doctor can tell you for sure.

      Hemorrhoids can swell pretty bad if there is strain during bowel movements or if you have hard stools that are difficult to pass. This causes symptoms like pain, itching, burning sensation, discomfort when sitting and slight bleeding that stains the tissues you use or the toilet bowl with pink or vividly red blood. (If you or anyone else ever notice dark-colored blood after a bowel movement, know that it could indicate bleeding in other areas and you should see a doctor, a gastroenterologist, as soon as possible for further tests.)

      The best way to manage hemorrhoids is by eating foods that help you have regular, soft bowel movements that are easy to pass without any strain. Whenever you are experiencing strain, it means the stools are not the right consistency, either too hard, too dry or too big. Any of these symptoms indicates a sort of constipation, because you can be constipated even if you go to the bathroom every day. Changing your diet to improve your piles symptoms doesn’t mean avoiding all the foods you like, so your doctor was right to tell you to not avoid any food and eat what is good for you. Because you need variety in your diet to stay healthy.

      What it means to eat for hemorrhoids is to alternate foods better, or to mix foods better so that you achieve regular, soft stools that are easy to pass. This would mean you can eat whatever you like as long as you also include as many particularly good foods for piles into your diet. So you could eat meat. It’s actually good for you because it contains important B vitamins (like vitamin B12) and iron which you need especially since you have been experiencing bleeding. Just make sure that that serving of meat is not too big and is accompanied by a big bowl of salad with greens, nuts, seeds, fruits, whatever you like. Following the principles of variety, moderation and clean eating, you would benefit more from not eating processed foods because they constipate, but they also satiate and don’t leave enough room for healthy foods rich in fiber which you also need.

      So instead of a bag of chips, maybe you could eat some almonds, walnuts or pumpkin seeds as a snack, provided you are not allergic. Or have some Nutella or chocolate on a slice of whole grain bread, maybe topped with some fruit, or some peanut butter. The chocolate has fats which help stools pass easier, without strain, and so does the peanut butter, helping in relieving constipation. But so does fiber, so remember that your next meal should provide you with plenty of vegetables so you get your fiber. And drink water. The idea overall is to eat foods rich in fiber like fruits, vegetables, whole grains, nuts, seeds, some fats from nuts, seeds, olive oil, maybe butter, chocolate etc. and less dairy and meat which constipate. You can still eat them, and you should, just in moderate amounts. In time you should reach a balance in your diet that helps you have soft, easy stools that don’t require strain to pass, which is good for hemorrhoids. Hope this helps and wishing you lots of health.

  54. Hi. How are you doing? As I told you I have internal piles, though I am feeling good, but I am loosing weight even though I eat three times a day. What is the reason behind this? Can you please tell me what should I do to not loose weight because I lost 20 to 25 kg in last 6 months or so.

    • Hello, Asim. Losing that much weight is not healthy and there could be a number of causes behind it. It could be that you are losing weight because of your hemorrhoids diet. It is also possible there is an intestinal parasite that is causing you to lose weight or something else.

      My suggestion is that you see your doctor as soon as possible. Tell the doctor about your piles and any other symptoms caused by them. For example, if there is bleeding still and what color the blood is (pink red or dark red). Also, describe your diet to the doctor so he or she can tell you if you are eating enough or not. If your eating is causing the weight loss, then it is best to see a nutritionist to help you make up an eating plan suited to your nutritional requirements.

      If it’s not because of the diet, it would be best to have some tests done to find the cause of the weight loss. For example, a coproculture is a stool test that looks for pathogenic microorganisms like worms and intestinal parasites and their eggs. If it comes back positive, then antihelmintic medicines should solve the parasites problem easily.

      Other causes are also possible, but you need to talk to a doctor as soon as possible. Describe all of the symptoms you have noticed until now, such as the weight loss, what you have been eating, possible abdominal pain or bleeding (what color the blood is) and anything you can think of that you have been experiencing lately. All the information you can provide can help the doctor assess your health and recommend various tests to identify the cause of the weight loss. So please, see a doctor about this soon and have all the tests he or she recommends to identify what has been causing you to lose weight. Waiting to hear back from you with good news.

  55. Thanks, Marius for your advice. It’s very helpful to me. But I have a few more questions to ask you about your experience and if you have suggestions for my fast recovery. I want to live a normal life again.

    1) Is it possible to bleed again after finishing the medication? I am going back for a 2nd opinion to another doctor as I am not satisfied with the first consultation. My bleeding is dependent on my BM. It will stop for along time then come back again and again. Is this because of my lifestyle?
    2) Is it normal in early signs of piles to bleed like 2 tablespoons after straining?
    3) I only experienced the bleeding before the actual bowel movement, then the blood was dripping in the toilet bowl. But when I wash it, it stops and I feel a little pain with mild itching. It’s like I am not finished having my BM. Sometimes, if I use wet wipes, there is still some remaining stool even if I washed many times.
    4) Is it safe to put aloe vera gel from forever living? I am putting it on the lump I feel in the middle after my sitz bath and also petroleum jelly before BM.
    Thank you very much!

    • Hello, Karla. Here is what I can share from my experience with hemorrhoids:
      1) Yes, it’s possible to experience bleeding from hemorrhoids after finishing a round of treatment. This is because once you have hemorrhoids, they don’t just go away and strain, constipation, sitting too long etc. can cause them to swell more and bleed at any time. And yes, diet and lifestyle can cause the piles symptoms to come and go. Eating foods that constipate, sitting for too long, eating spicy foods etc. can do that.

      Also, I think it’s good you are going to another doctor for a second opinion. After you’ve had that examination, your first doctor should have told you clearly if you have hemorrhoids or not. Based on your symptoms, it is possible you have. I have hemorrhoids and have had the same symptoms. At the same time, based on the medication you have been prescribed, it is possible the doctor might have seen some inflammation indicating an ulcerative colitis or another digestive disorder, so it might be best to see another doctor and find out exactly what your diagnosis is.

      2) Normal is hard to define when it comes to hemorrhoids. Although there have been cases when people with hemorrhoids have reported similar amounts, two tablespoons is quite a lot. In time it can cause iron and vitamin B12 deficiency and anemia. In any case, it is important to tell the new doctor you are seeing about this and also tell him what color the blood is (light red or dark red or brown). This is important information to better guide the doctor in giving you the best possible advice.

      3) Typically, pushing out the stool is what damages the hemorrhoids and causing bleeding. This is why you see it before the bowel movement. And the pain and itching you experience afterwards may be signs of the hemorrhoids being bothered by the strain. The fact that you feel you are not quite yet done with the bowel movement is called an incomplete bowel movement sensation. It can be caused by not being able to finish the bowel movement or can be a mere sensation. It is a common symptom in numerous digestive disorders. What causes these feelings of incomplete bowel movements? Hemorrhoids, especially fourth stage hemorrhoids, celiac disease, constipation, irritable bowel syndrome, inflammatory bowel diseases like ulcerative colitis and many others. Talk to the doctor about this symptom.

      4) I do not know this brand, nor have I ever used aloe vera gel externally for hemorrhoids. I have frequently used petroleum jelly before and after bowel movements and sitz baths and it remains my number one natural remedy for effortless bowel movements and hemorrhoids pain relief. I have drank aloe vera gel preparations for my gastritis and it has been wonderful. I continue to take it every once in a while as a natural gastroprotective, but have not used it for hemorrhoids. You should also discuss this further with the doctor.
      I know that managing hemorrhoids can be difficult and time consuming until you achieve a balance in your diet and lifestyle, but it’s worth the perseverance. Hope to hear back from you with good news.

  56. Sir, I need your help. Actually I got lost 10 to 15 days of pain at motion time. When my body pushes out the stools I am in too much pain. But yesterday morning it was too painful and I also felt I got some new part which is coming out and is very painful. So I consulted a doctor and he gave me some medicine and an ointment too.
    Can this problem be solved purely by medicine or does it need operation?
    Because I am very scared about it. Help me please!
    And how can I protect so it’s in not a big size of itself? I hope you help me.

    • Hello, Veera. It’s good you went to the doctor and I am assuming your diagnosis was hemorrhoids. As it would appear, the hemorrhoid you are describing as a new part falling out is actually just a swollen blood vessel falling out.
      Here are the main stages in hemorrhoids evolution to help you better understand your condition:
      1) First degree internal hemorrhoids are always inside.
      2) Second degree hemorrhoids are those that come out after a bowel movement but go back in by themselves.
      3) Third degree hemorrhoids don’t go back in by themselves.
      4) Fourth degree hemorrhoids never go back in.
      Also, hemorrhoids don’t grow all the time. They just swell enough to become too big by normal blood vessels standards and fall out. It’s this swelling that is actually painful and you can manage it through diet.

      When it comes to treating or managing hemorrhoids, there are three main treatment options: diet, treatment (medication) and operation. The medication is good to manage inflammation, discomfort, ease bowel movements, provide minor benefits. Sometimes it helps a lot, sometimes it doesn’t help very much. As for the operation, well, you can have hemorrhoids surgery at any time and, although painful for a while after, it will get rid of the hemorrhoids. However, and this is important, diet is essential. If you don’t eat right and experience constipation, hemorrhoids can come back even after surgery. Pregnancy, sedentarism (sitting down all day) can also contribute to hemorrhoids.

      A good diet for hemorrhoids means you have to eat so that you have soft stools that are easy to pass. Because every time you experience constipation (example: hard, dry stools or stools that look like pebbles, infrequent stools like going to the bathroom once or twice a week) your hemorrhoids get worse. Eating so that you relieve and prevent constipation can make hemorrhoids better and stop symptoms. Although they will still be there, they just won’t bother you. Eating plenty of dietary fiber and drinking enough water is important.

      You can get your dietary fiber from: legumes (beans, peas, lentils, chickpeas), nuts, seeds, fresh and dried fruit that you eat with the skin (especially apples, pears, apricots, peaches, plums, cherry plums, blueberries, blackberries, raspberries, mulberries, watermelon etc.) and vegetables of all sorts are great (tomatoes, zucchini, cucumbers, carrots, black carrots,.beets, sweet peppers, spinach, rocket salad and others). Whole grains are good too. It is also important to reduce meat, dairy and refined flours. Avoid spicy foods like turmeric, spicy paprika, pepper, ginger etc.

      For example, I eat about 70% fresh fruits and vegetables, dried fruits, nuts, seeds and whole grains (brown rice, red rice, black or purple rice, wholewheat pasta, wholegrain bread with seeds). And the rest of my diet, about 30%, includes eggs, meat and dairy which have no dietary fiber. But you also need to eat them because they have fat and fats help relieve constipation too, making bowel movements softer and easier to pass. You can basically eat whatever you want, just make sure you are always eating more plants than animal products. I do well on this diet and rarely do my hemorrhoids bother me. It is possible I will need an operation one day, but eating right helps me keep my hemorrhoids under control so they don’t bother me. Even if you decide to have a hemorrhoids surgery, you still have to learn to how eat so that you have soft, easy bowel movements. Because hemorrhoids can come back.

      Read the article above and the comments for more information on the best and worst foods to eat for hemorrhoids to give you an idea of what you should eat. And don’t be scared: hemorrhoids is something anyone can get at any point in their lives. And they can be managed well with a good diet. Hope this helps and if you have anymore questions, feel free to write back. Wishing you lots of health.

  57. Thank you so much, Mr. Lixandru. Also, I don’t want to get an operation because I am out of my country for my job now. I have to stay here at least 16 to 18 months. Until I am back to my country, can it be managed without more severe problems like bleeding or operation? Because am so scared about these problems. So can you help me please? Also can you give me some more ideas to prevent the severe symptoms. And it’s not cure without operation, I mean only by medicines and diet.

    • Well, it is possible to manage hemorrhoids and prevent symptoms such as swelling, pain or bleeding with the help of a good diet. What you basically have to do is eat eat more fiber and drink plenty of water as well as be moderately active. Read my previous response to you and the article and comments above for more information on what foods to eat and to avoid for hemorrhoids. You will know you are eating right when you will have soft stools that are easy to pass and bowel movements every day. Then your hemorrhoids shouldn’t bother you at all or very little. But it might take time until you improve your diet, so be patient. Also, see a doctor anytime you notice any strange symptoms or have questions about your condition. For medication, go to a doctor. Hope this helps.

    • Thank you so much. Also I followed the diet food as piles patient. And one more thing, is it (piles patient) good to making gym or not? Tell me please. Thank you so much for your response and your suggestions. Now I am confidently staying out of country. I can manage. Also I am waiting for your reply.

    • Hello, Veera. How is the piles diet going? Have you managed to find a good combination of foods for you? As for the gym, there are some rules when exercising with piles. Some types of exercises are good because they keep the blood flowing and help circulation, but others are not so good. For example:
      1) Mild cardio and flexibility exercises are good for piles. They improve circulation and can help boost health.
      Flexibility exercises and cardio may include: biking outside or using a stationary bike at the gym, running on the treadmill, jogging in the park, jump rope, pilates exercises, yoga, aerobics, zumba, dancing, swimming, power walking, rollerblading, ice skating, tennis, football, basketball, water games etc.
      2) Weight lifting of any kind is bad because it puts pressure on the abdominal muscles and can put strain on piles too, causing them to flare up. So if you exercise, avoid lifting heavy weights.
      It is generally recommended to keep exercises light and avoid anything too strenuous. Movement is good for piles, but is has to be done so that the exercises don’t put too much strain on the lower abdominal muscles. Also remember to stay hydrated by drinking enough water or sports drinks with vitamins and electrolytes. Hope this helps.

    • Hello, Ahmed. Fish alone is not necessarily a bad food for piles. Maybe it has to do with how you prepare the fish or how much you eat. For example, if you eat fried fish in large amounts and have a diet centered on animal products (other fish, meats, milk, cheeses and other dairy), then it leaves no room for fiber-rich foods to help you with your piles. So it is possible you are not getting enough fiber and fish is just a food on top of others that causes your piles to act up. It’s like the drop that spilled the glass, meaning not the only cause, but one of many that add up and ultimately worsen piles. Also, what do you season the fish with? If you eat it with spicy peppers or spicy paprika powder, too much pepper, ginger, wasabi or turmeric, then it’s the spices that cause the piles to act up.

      You have to ask yourself some questions about your diet and lifestyle and, based on the answers, make changes to improve your piles situation:
      1) How much meat, fish, milk and dairy do you eat in a day?
      2) How many fruits and vegetables do you eat in a day?
      If more than half of what you eat in a day is anything else than fruits and vegetables, then this might be the reason your piles might be bothering you. It means you are not getting enough dietary fiber.
      3) How many times a day/a week do you have bowel movements?
      4) Are your bowel movements easy or do you experience strain?
      5) Are your stools well-formed, but soft and easy to pass? Or are they hard, dry, like pebbles, difficult to pass?
      If you have infrequent, hard, dry stools that require effort to pass, then you are constipated and this can cause piles to act up.
      6) Do you eat at home or do you eat out, especially from fast food restaurants or bakeries?
      Fast food and even baked good do not provide enough dietary fiber and can be bad for piles if you eat too much because they fill you up. And since there is only so much food you can eat in a day, you won’t have room for foods that are good for your piles.
      7) Do you eat processed foods like chips, biscuits, crackers, sweets, candy and others like this?
      If you eat too much of these foods you will end up eating less fresh fruits, vegetables and other fiber rich foods and risk having problems with your piles.
      8) Do you like to eat spicy food? Spicy food is bad for piles because it irritates them, causing inflammation, pain and bleeding.
      9) Do you drink enough water? Because it is important to be hydrated with piles.
      10) Do you sit in a chair all day at work and at home? Because sitting down puts pressure on the bottom area and since piles are by definition swollen blood vessels, they feel the pressure too and it could upset them.
      Ask yourself these important questions and you will gain new insight on how piles work and how you can make symptoms better.
      Hope this helps and wishing you lots of health.

  58. Hi, I am Martins. I have suffered from hemorrhoids for the past three weeks and there is great improvement. I have been asked not to eat anything sweet namely orange, banana, pineapple and sugarcane. That I should only eat rice, beans and semovita. I’m tired on eating just this three foods in my diet for over three weeks now. Please advise me on what to do. Thanks.

    • Honestly, it is strange that you’ve been told to eat only three things. Just as strange that you’ve been told not to eat anything sweet. A hemorrhoids diet has no food restrictions. The only rule is to get enough dietary fiber from the foods you eat and drink enough water so that you have soft stools that are easy to pass. The reason why you have seen improvements eating only those three foods is because you get a lot of fiber from beans and this helps improve bowel movements.
      The main rules for a hemorrhoids diet are:
      1) Eat enough dietary fiber rich foods. An average person should get 28 g of dietary fiber a day from food.
      2) Drink sufficient water. Not too much, not too little. Enough so that you are well hydrated.
      3) Preferably eat home cooked food and avoid processed foods. This helps you get the fiber you need (processed foods generally have little to no fiber and fill you up so you don’t have room in your stomach to eat the good foods).

      I also have hemorrhoids and have been living with them for several years now. I eat everything I like and have no flare ups. Here are some examples of foods I like to eat that maybe could inspire you to have a more varied diet:
      1) Canned chickpeas with chicken legs and a cherry tomato and arugula salad with lemon juice, salt and olive oil dressing.
      2) Zucchini, potato and carrot cream soup (just boil the amounts you like of these three vegetables and mash them with a food processor, then season to your liking).
      3) Brown rice with lentils.
      4) Rice with boiled eggs, peas and red beans.
      5) Grilled eggplants with grilled chicken.
      6) Boiled spinach with boiled potato cubes.
      7) Home made pasta with mushrooms (equal parts of pleurotus mushrooms and portobello mushrooms, boiled, seasoned with salt, olive oil, fresh parsley and mixed in a food processor, then added generously over the pasta).
      8) Tuna, beans and mayonnaise salad with whole wheat bread.
      9) Smoked salmon with fresh tomatoes, mayonnaise and bread with sesame seeds (make sure you are not allergic).
      10) Polenta with fried mushrooms and a bit of garlic sauce.
      11) Soft boiled eggs with spinach and tomatoes.
      12) Nettle puree with polenta.
      13) White bean soup with tomato sauce and fresh lovage.
      14) Cabbage salad (a big bowl of diced cabbage with grated carrots, seasoned with dill, olive oil and a little vinegar).
      15) Roasted chicken legs on a bed of carrots and potatoes.
      16) Roasted red beet and carrots with chicken.
      17) Boiled fish with a spinach salad or a cucumber, garlic and yogurt dressing.
      18) Tomato, cucumber, onion salad with roasted chicken.
      19) Warm salad with potato, boiled eggs, onions, olives and whatever you may like.
      20) Chicken noodle soup with carrots, potatoes, green beans, onions.
      And snacks in between meals may include: raw almonds, apples, pears, apricots, nectarines, peaches, watermelon, plums, figs, cherries, sour cherries, blueberries, currants, blackberries, raspberries, strawberries, mulberries, pineapple, pumpkin, grapes, bananas, kiwifruit, mango, walnuts, sunflower seeds, pumpkin seeds, apple sauce, stewed pears, baked quinces, baked apples with cinnamon, baked pumpkin, dates, dried figs, raisins etc.

      All fruits and vegetables are great for hemorrhoids because they have plenty of dietary fiber to help you have soft stools that are easy to pass. Examples of excellent vegetables include: tomatoes, cucumbers, eggplants, zucchini, squash, bell peppers, green beans, white and red beans, beets, cabbage, spinach, chard, arugula, lettuce, collard greens, kale, radishes, peas, cauliflower, broccoli, carrots etc.
      The idea is to eat mostly fruits and vegetables and smaller amounts of nuts, seeds, grains like whole wheat, semolina, rice, maize flour, milk, cheese and other dairy, eggs, fish and meat. So it should be a complete diet, varied, balanced, nutritious. If you feel a food is good, then continue to eat it. If it’s not making you feel good, then don’t eat it anymore. You have plenty of other options. Hope this helps.

  59. Hello, its been three days now I have not gone to the bathroom. Hope all is well, or should I force it out, but am not feeling it though. Help me.

    • Hello, Martins. You haven’t had a bowel movement in three days? How often did you go to the bathroom before? And what have you been eating more exactly in the past days? Have you been eating enough? Have you been drinking water? You have to understand that the foods I mentioned were examples of what I eat and what is good for me. A hemorrhoids diet is very individual and the foods that are good for me might not work just as good for you and vice versa. For example, you said semovita, beans and rice worked for you. If your doctor told you to eat them and you found they were good for you, then you should continue to listen to your doctor. And remember, always consult your doctor before making any dietary or other changes that could affect you health in any way. Because everything you read here has an informative purpose and does not substitute professional medical advice. If you don’t have a bowel movement soon, see your doctor. Wishing you lots of health.

  60. I have had piles surgery. After 40 days I am feeling much better and running easily, playing all games, no problem. But constipation time little bit of bleeding, sometimes no bleeding. Now tell me about diet, can I eat anything like spicy foods, meat, dry fruits, warm things etc.

    • Hello, Wasim. I am happy to hear you are feeling good after the surgery. But you need to treat your constipation because continual constipation can cause the hemorrhoids to reappear in some cases. As for the diet, experts recommend people to follow a diet that prevents constipation. This means:
      1) Eat enough dietary fiber. You get it from fresh fruits, dried fruits, vegetables, nuts, seeds and whole cereals.
      2) Drink sufficient water. Not too much, not too little. Just enough to stay well hydrated.
      Because water and fiber together add bulk to stools and help you have soft stools that are easy to pass.
      3) Overall, eat more plant-based foods than animal-based foods. So you can eat everything, just makes sure you always combine meat and dairy with vegetables and other foods rich in dietary fiber.

      As for your questions:
      1) Spicy foods are bad for hemorrhoids, but since you don’t have them anymore after the surgery, it’s hard to tell. You should ask the doctor if eating spicy foods is good for you after a hemorrhoids surgery. In any case, wait to recover completely after the surgery, until you have no more bleeding or other symptoms. After that, if you really want to eat spicy foods, eat them in small amounts. If they bother you in any way (if they cause irritation, itching, burning sensation, stomach acidity, heartburn etc.), don’t eat them anymore.

      2) Meat is an important part of a balanced and varied diet. But because it has no dietary fiber, too much can cause constipation. Whenever you eat something with meat, eat an equally big serving of vegetables (beans, lentils, chickpeas, salad with tomatoes, cucumbers, any vegetables really). What I do is eat two meals a day with meat and vegetables and one meal without any meat. And between meals I eat fruits, dried fruits, vegetables, nuts, seeds or whole grain cereals.

      3) Dried fruits are great for preventing constipation, preventing and managing hemorrhoids and great after a hemorrhoids surgery. They have a lot of dietary fiber which is good for you. But they also have a lot of sugar, so eat them in moderation and not every day because the sugar accumulates from dried fruits and other foods and it’s not healthy for you over time. So moderation.

      4) Warm foods are okay. It doesn’t matter that much if foods are cold, room temperature or warm for hemorrhoids. But avoid foods that are too hot because it’s not healthy for the mouth and esophagus.

      Please read the article above for more information on what foods to eat and to avoid for hemorrhoids. Remember to always consult with your doctor before you make important changes in your diet. If you have any more questions, feel free to ask. Wishing you lots of health.

    • Please make an appointment with your doctor as soon as you can. It is important you tell the doctor all of the symptoms you noticed:
      – How much blood and what color the blood is (pink-red or dark-red or brown). It’s very important.
      – The fact that you experience no itching or pain.
      – Whether or not you are constipated.
      – If you have lost a lot of weight recently, for no apparent reason. Again, it’s important.
      – Whether or not you have experienced abdominal pain. Also important.
      – Any other symptoms you have observed. Every detail can help the doctor diagnose you correctly.

      As for your second question, know that curd is a sort of a neutral food. It’s a healthy food yes, but it doesn’t really do anything for hemorrhoids. It should be eaten in moderation because it’s dairy and eating too much dairy can constipate. But you can eat curd, yes. Just make sure you drink sufficient water and eat enough dietary fiber from fruits, vegetables, nuts, seeds and cereals. Because fiber is what relieves constipation and is good for hemorrhoids.
      But first of all, see your doctor for some tests. And remember to tell the doctor about your symptoms. Hope this helps and wishing you lots of health.

  61. Hello sir,
    I m suffering from fissure as well as typhoid since two months. Consulted too many doctors but that is not helpful. Also taking proper diet without any spicy food but all in vain. Kindly suggest me.

    • Hello, Mr. Sunny. Do you mean you have typhoid fever? Can you please tell me the symptoms that you are experiencing? Also, I assume you have received treatment from the doctors you have seen, especially for the typhoid. I await your response with further details.

  62. Dear doctor, I suffer from hemorrhoids and it’s been 17 years now. My weight is 67 kg and am 27 years of age. But from the looks of things this disease came because both my family sides have a history of hemorrhoids. I would like to ask if you would give me a diet plan for me so that I can follow because am having a hard time with this disease recently and I have a job that requires me to sit most times.
    I await for your reply, Sira.

    • Hello, Sira. First of all, I am not a doctor (please read the Disclaimer at the bottom of the page). I am just a normal person like you who also has hemorrhoids. I am just sharing my personal experience with hemorrhoids in the hopes of helping other people who are going through the same thing and could maybe find some answers in my experiences with the disease.

      Indeed, your hemorrhoids are likely to be genetic since you’ve had them for so long and such a young age and both sides of your family have a history. What I’ve learnt is that you need to stop constipation if you want your hemorrhoids to become asymptomatic. The goal is to have soft stools that are easy to pass and go to the bathroom once a day. If you have bowel movements several times a day and they look normal, then it’s just as good. For this you need to drink sufficient liquids: water, teas, home-made fruit juices etc.
      The second most important aspect is to eat enough dietary fiber (plant material that remains unchanged during digestion). The recommended daily intake of dietary fiber is 28 g for an average adult on a 2000 kcal diet.

      All plant foods have dietary fiber. So you can eat fresh fruits, vegetables, nuts, seeds, whole grains (brown rice, red rice, black rice, whole wheat or other whole grains). From my experience, it helps to make 70-75% of your diet plant-based.
      The rest can consist of animal products such as meat, fish, milk, dairy and eggs. These do not have any fiber.
      The reason why this ratio is good for anyone with hemorrhoids is because it ensures you get enough dietary fiber in your diet to soften stools. And soft stools pass easily, so they don’t bother your hemorrhoids.

      Some things I do that help me achieve balance in my diet include:
      1) I helps to divide your plate like this: 3/4 plant based foods and 1/4 animal based foods.
      This way you get enough fiber and you don’t have to choose your foods all the time.
      2) Always have a bottle of water with me so that I stay hydrated.
      Fiber absorbs water to make stools soft, you it’s important.
      3) Make sure you eat small amounts of fat every day (an egg or a small piece of cheese or some avocado or some oil in you salad).
      Fats help relieve constipation too.

      The next problem is the sedentarism. When you sit for too long, you put pressure on the hemorrhoids and they may start to upset you. What you can do is:
      1) Stand up for several minutes and walk around the office every hour to stimulate circulation (if possible).
      2) Offer to go get lunch for you and your colleagues, or coffee or do things around the office that allow you to move a little.
      3) Be active outside of work hours. For example: walk to work and home or use a bike if it’s not a long distance and if it’s safe.
      Exercise before or after work every day. Remember, light exercises like light running, swimming, riding a bike or dancing. No lifting weights. You can maybe go swimming two times a week. Or take a walk in the park after work with friends or your family. Go dancing once or twice a week. Or to the gym, a zumba class, a pilates class, something you’d like.

      You can read the article above for more advice on how to handle other hemorrhoids symptoms and find other examples of foods to eat and to avoid for hemorrhoids. Hope this helps and wishing you lots of health!

  63. I am suffering from prolapsed haemorrhoids. I sat to give exam for continuous 3 hrs, leading to intense pain. It is around 3-4 cm and do not bleed. It causes pain with bowel movements, moving and sitting. Is it dangerous?

    • Hello, Richa. I am assuming you had a more thorough test to investigate your lower digestive tract health? Because I also had tests to identify my hemorrhoids which only lasted for 10 minutes. Hemorrhoids are usually identified quickly because they are not deep in the gastrointestinal tract. In any case, know that hemorrhoids themselves are not dangerous. They are just swollen blood vessels, nothing more. You can have them for an entire lifetime and they won’t do anything except cause pain and itching, but no pathology.

      However, they may need to be removed in some cases. Did you know that hemorrhoids have 4 stages? Prolapsed hemorrhoids are usually the last stage which means they hurt a lot. Some doctors recommend surgery to remove them at this point so you can have a better quality of life. You can make an appointment with the doctor and ask about your options. If a good diet and avoiding sedentarism do not relieve your pain, you may consider surgery. But remember that hemorrhoids can come back so make sure you eat right and keep active with light exercises if you don’t want them to reoccur. Please read the article above for more information on what foods to eat and what foods to avoid for hemorrhoids. Wishing you lots of health.

  64. Europe uses Daflon 500 to successfully treat hemorrhoids. Take Diosmin 1000 mg for 3 months, get it on Ebay, Amazon or Diosmin/Hesperidin combo. Research for yourself, don’t just take my word on it. In the United States they don’t like to cure people that’s why doctors don’t tell you about this.

    • Thank you for your recommendation, Bob. I am curious, did it make a big difference for you? I have not tried it because I managed to keep my hemorrhoids asymptomatic with diet alone. If it’s not too much to ask, what stage were your hemorrhoids and how better did your symptoms get after a course with this combo? Did you need to take it again? Eager to hear back from you.

  65. Hi. I had a surgery in December 20th for thrombosed hemorrhoid. Before I was in severe pain. I couldn’t sit or even walk. But last week I traveled for almost 4 hours on a bus and 1 hour on a rocky road on a motorcycle. I felt fine after the trip, it didn’t hurt at all. Before the pain would be insufferable. I am living in Haiti. The doctor told me that I am healing. But sometimes when I eat potatoes and sweet potatoes, because they say they are rich in fiber, I drink a lot of water. When I go to the bathroom sometimes I see blood comes out, not a lot, just a few drops. This week I only ate spinach, apples, bananas, drank a lot of tomato juice. I have less pain when I go to the bathroom. Is it fine to still have pain after 3 weeks of the surgery? I only have pain when I go to the bathroom and most of the time the pain will last for 3 minutes. And in a day I will go to the bathroom 4 to 5 times. The doctor gave me some constipation pills (bisacodyl). I would say the stool comes out little by little until all is out. Is that fine? Please tell me what you think? Today I will start to walk and exercise, usually I stay in bed all day long. Waiting for your advice. Thanks. Can I drink milk?

    • Hi, Ernst. First of all, some people continue to experience a little bleeding several weeks after a hemorrhoids surgery, sometimes even with varying degrees of pain or a discharge. While it happens to everyone after surgery, it’s best to have your doctor look at things and tell you if the healing process is going as expected. It could take 2 weeks or 2 months for things to get back to normal. It’s different for everyone. Next, it’s good to incorporate more vegetables, fruits and moderate amounts of whole grains and nuts and seeds into your diet. It will help you have soft stools that are easy to pass. This further contributes to effortless bowel movements and less pain. If stools are too hard or thick, they could be considered as constipation and cause the pain and blood you are seeing. So watch your diet.

      You say you have 4-5 bowel movements a day. While it’s not necessarily something bad, it may be too often and may indicate you are either eating too much fiber or taking too many laxatives. The laxative medication you have been prescribed could cause the stools to come out little be little. While the laxatives are meant to make your recovery after the hemorrhoids surgery easier, there will come a time when you will have to rely only on your diet to have soft stools that are easy to pass. Ideally, you should go to the bathroom once or up to 2-3 times a day, usually after the main meals. This frequency is considered normal. And the ideal stools should be soft, but firm and easy to pass. While there isn’t a rule, they should come out all at once or in 2-3 pieces and cause you no pain or bleeding. But until you’ve recovered from your hemorrhoids surgery and learnt what foods are good for you and what foods are not, it could take some time. At least you know what things should progress towards and this should help you set some objectives.

      I wouldn’t drink or eat too much of anything. Balance and variety are key to good health. This being said, you can rely on vegetables, fruits, nuts, seeds and whole grains as a big part of your diet but also eat moderate amounts of meat, fish, eggs, milk and dairy to keep a nutritional balance. So, yeah, milk is okay in limited amounts. What I do is fill half my plate with vegetables to make sure I get enough fiber in my diet. The other half will usually consist of some meat, dairy or grains. I avoid processed food and snack on fruits, whole grains, nuts, seeds. The purpose is to have soft, easy stools. If they are too soft, you could eat a little less fiber and maybe some more meat or dairy. If there are signs of constipation (you missed a day although you go everyday, stools are hard, dry etc.) and you have pain or bleeding, then you eat more fiber and less of the other foods. And always drink enough water and keep active (walk, ride a bike, swim or do easy exercises, no lifting heavy weights).
      If the pain and bleeding persist for too long or don’t improve at all, see your doctor again. Recovery after hemorrhoids surgery is unpredictable and hemorrhoids can also come back if you don’t eat right, drink water or sit all day, but complete healing should occur at some point. Maybe it will be 3 weeks, maybe it will be 8 weeks, but it won’t take forever. Keep working on your diet until your stools are the right consistency and contact your doctor if symptoms don’t improve at all. Hope this helps and wishing you lots of health!

  66. Hello!
    I have prolapsed hemorrhoids. It’s been 1 and half months that I’ve been taking medicine suggested by doctor regularly. I changed my diet as to heal the hemorrhoids. I searched a lot and follow every thing that can heal it but it’s not working. The size is getting smaller but it won’t go away. Please help, what should I do?

    • Hello, Sammy. Prolapsed hemorrhoids are usually last stage and can only be removed by a doctor because diet can only do so much. Eating right can make hemorrhoids shrink and calm symptoms, like you’ve noticed, but it won’t make them go away. So you need surgery at this point to remove them and have them stop bothering you. After the surgery you need to continue with a good diet because hemorrhoids can come back. So talk to your doctor about this. Wishing you lots of health!

  67. Hi Marius. Thanks for your advice. I feel I am doing better. But I still have little pain during bowel movements. But the pain is getting less. My doctor gave me a cooling hemorrhoid cream to use after a bowel movement. I was thinking to eat less food, a little amount of food because I don’t want to have a lot of BM every day. Do you think it’s a good idea? I am in my fourth week now. Thanks.

    • Happy to hear you are doing a little better, Ernst, and that you are in contact with your doctor throughout this whole process of healing after hemorrhoids surgery. Now about eating less food. It depends on what you mean by less. You should still eat enough to get all the nutrition you need on a daily basis and have energy for daily activities. And having more than one bowel movement a day is considered normal as long as the bowel movements are the right consistency, which you should be able to achieve in time.

      Now, I can’t tell how much or how little you are eating, but maybe you can. Ask yourself the following questions:
      – Do you feel heavy, fatigued after a meal?
      – Do you feel your clothes tight after eating?
      – Do you find it difficult to move freely?
      – Do you feel you can’t eat another bite?
      If the answer to all of these questions is yes, then you are likely eating too much food.
      If you feel energized after eating, can move easily and technically still have some more room to eat, then you are not eating too much.

      In case you are do eating too much, here are some solutions that may help you have better control over the amount of food:
      1) Use a smaller plate than the one you are eating from now.
      2) Fill only 3/4 or half of your plate during a main meal.
      3) You can try to set a rule for the number of ingredients or foods you eat during one main meal so you don’t overeat.
      For example: an arugula salad with olive oil and lemon juice and steamed chicken (the arugula and chicken are the main ingredients in this meal).
      Or boiled spinach with mashed potatoes (containing only potatoes, a little butter and salt) and a small serving of cheese, in which case you have spinach, potatoes, a bit of cheese and butter.
      Or tuna pasta made with tomato sauce, a couple of garlic cloves, a can of tuna and olive oil and salt for seasoning. Here you have only tomato sauce, spaghetti and tuna as the main foods, whilst the garlic and olive oil are only for seasoning.
      4) Some people like to drink half a glass of water before a meal to eat less.
      5) You can eat fresh fruit like a banana (you don’t eat the skin, so it’s less fiber) as a snack instead of dried fruits or nuts because the latter are more likely to trigger bowel movements since they are richer in fiber.
      6) Don’t finish all the food on your plate.
      These are also useful for losing weight.

      From my experience, too many bowel movements are not always triggered by eating too much food. They can be caused by eating a lot of dietary fiber or taking laxatives. If it’s the fiber, you can eat a little less fiber and a bit more foods without fiber. For example, substitute a handful of almonds you would eat as a snack during the day with some rice crackers. Or eat a few slices of plain toast instead of whole grain toast at breakfast with two soft boiled eggs. Make small changes to achieve the balance you need in your diet and learn what foods in what amounts are good for you after hemorrhoids surgery. What do you say, would this be helpful for you?

  68. Thanks. Marius. I did what you advised me. It works very good. I didn’t take any laxative for that day. I was a little afraid, I went all day long without having a BM, I felt normal, but at the end of the day I had a small one, the next day early in the morning I had a few BM. I still have some little pain. After every BM I would sit in some hot water, I think they call it sitz bath. Is it normal to have a very poor smell during your recovery? I was thinking to buy more antibiotic. My doctor gave me some but they are finished by now. I was thinking if I eat too much I would have too many BM. I thought having too many BM might slow down or irritate my healing process. That’s why I’ve asked you if it’s a problem if I eat too much. If I am eating enough fiber every day, do you think I can stop on drinking the laxative pills?

    • Hi, Ernst. Eventually you will have to stop taking laxatives because you won’t need them anymore. And to get to this point, you need to learn what foods are good for you and what foods are bad for you after the hemorrhoids surgery. As for fiber, you need to eat enough of it to have soft stools that are easy to pass and you can find it in fruits, vegetables (especially the skin), nuts, seeds, dried fruits, whole grains. Enough fiber means soft stools and no discomfort which further helps healing and reduces the risk of your hemorrhoids reappearing.
      Regarding the amount of food you eat, only you can tell if it’s too much or not. Think about achieving balance in your diet, eating clean, no processed foods and pairing animal foods with plant foods.

      The poor smell can be a sign of infection, hence the antibiotics your doctor prescribed. Usually, there is also a discharge after hemorrhoids surgery and that could also be the source of the smell. It’s best to see your doctor regarding the odor and, if needed, he or she can prescribe a second round of antibiotics. It’s important the doctor is kept aware of your evolution following the surgery. Sitz baths should help calm the discomfort. What also helped me was washing after each bowel movement with some warm water and soap. Hope this helps.

  69. Hello, sir. I’m Rohit singh. I’m suffering from hemorrhoids. My age is 13 year old.
    Sir. Can I add meat in my diet or I should pursue the vegetarian food?

    • Hello, Rohit. Did a doctor confirm you have hemorrhoids? If you haven’t been to the doctor yet, please ask your parents to make an appointment for you and see a medical professional for a diagnosis.
      This being said, a hemorrhoids diet is not a restrictive diet, so it’s important to eat both plant foods and animal foods. The purpose is to relieve constipation and you can do this by eating more foods rich in dietary fiber such as fruits, vegetables, nuts, seeds, cereals and, of course, drink enough water. You can still eat meat, eggs, mild and cheese, just make sure you get enough plant foods with dietary fiber too. Considering you are growing and thus have specific nutritional requirements, it could help to see a nutritionist for a personalized diet plan. Hope this helps and wishing you lots of health.

  70. Hi, Marius. Thank you so much for the time you create to help others. Thanks a lot. I am doing way better now. I stop taking the laxative pills. I would say things are getting normal day by day. No pain during BM, it’s getting less and less everyday.

    • So happy to hear you are doing better, Ernst. It takes time to find balance, but small changes every day will help you recover from your hemorrhoids surgery completely. Remember to keep eating enough fiber and drink enough water from now on so the hemorrhoids don’t come back. And if you notice anything that doesn’t seem normal, see you doctor. Wishing you lots of health!

  71. Hii. I am 26 yr old. I got a c section, after 20 days my BM stopped for 2 days. And then the 3rd day got BM with blood. I went to the doctor and she told me I got a small pile, no need to have any treatment. By maintaining diet it will go away. So by maintaining diet, the pain and bleeding have stopped, but when I eat meat the bleeding and pain BM occur again. Now it has been 3rd month. How much time does it takes to recover? Will it go away or not? Shall I take non veg or not?

    • Hi, Chandana. Any form of surgery often results in some constipation, but typically patients successfully have a bowel movement on the second or third day, like in your case. Most doctors will not release their patients from the hospital until they’ve had a good BM.
      This being said, hemorrhoids are only treated with surgery. There is currently no other treatment for them.
      But surgery is not always necessary. If you can maintain a good diet, they can become asymptomatic, meaning there won’t cause pain and bleeding any more and you won’t even know you have them. This is what diet does for hemorrhoids.

      The bleeding you have noticed with your BM after eating meat could be because of constipation: the amount of meat you ate has caused you to develop constipation which upsets hemorrhoids and makes them act up again.
      The bleeding, pain and other piles symptoms come and go, depending on your diet and level of physical activity. As long as you don’t sit down all day, drink enough water and eat enough dietary fiber, they should produce little to no symptoms.
      The problem for most people with hemorrhoids is they struggle to maintain a balanced diet and so their hemorrhoids upset them from time to time. If you improve your diet and drink enough water, you should have minimal to no symptoms.

      What I do with my hemorrhoids is try to eat 70% plant foods (vegetables, fruits, dried fruits, nuts, seeds, whole grains) and about 30% animal foods (meat, fish, eggs, milk, dairy). This helps me get all the fiber I need and eat balanced, which is great for my hemorrhoids. You can try a similar ratio and eat more plant foods and less animal foods until you reach a balance that works for you.
      What helps me is to fill more than 1/2 of my plate with salad or cooked vegetables and only 1/4 with animal foods (meat, fish or cheese). This way I don’t eat too little plants foods or too much animal foods. Remember that hemorrhoids don’t go away except with surgery, but eating right usually makes them produce no symptoms. And a hemorrhoids diet is not a restrictive diet: you can eat whatever you like, just make sure you eat more plant foods than animal foods. What do you think of this strategy, Chandana? Do you think it could help you? Hope to hear back with good news and if you have more questions, I will be happy to answer them. Wishing you and your family lots of health!

  72. Hi. I am 24 years old and got hemorrhoids. I took medicines for 5 days and got relief, but not at BM time. I went for doctor again and now got new medicine. I have 2nd degree hemorrhoids. Is this possible to get rid of these without surgery? Please guide me in this regard. Thanks.

    • Hi, Faiza. Hemorrhoids are just swollen blood vessels. They don’t disappear by themselves and you need surgery to remove them completely. But medication and a good diet can help shrink them and have them not bother you anymore. If you eat right, drink enough water and stay active, then they can become asymptomatic and you’ll fell like you don’t have them anymore.
      The issues you’re experiencing during bowel movements are a result of a poor diet. It’s possible stools are not the right consistency and this is bothering the hemorrhoids. You have to change your diet and eat more fiber for softer bowel movements that are easy to pass. Slowly, your hemorrhoids should stop bothering you. Read the article and the comments to learn more about what foods are good to eat for hemorrhoids and what foods are best avoided. Wishing you lots of health.

    • I am so scared, I am a male of 24 years old and I have a painful hemorrhoid. I am trying my best to sustain it. I stay in Nigeria and I need help. My email is (…). Thank you.

    • Hello, Augustine. If the hemorrhoid hurts so much, please see a doctor. The doctor will tell you if you need minor surgery (if the hemorrhoid is 4th degree, you may need minor surgery; if it’s not, medication and a good diet can provide some relief).
      Please tell me, Augustine, have you seen a doctor? If you have, what did the doctor tell you? What kind of hemorrhoids do you have, internal or external? And what degree are they?

      I understand how painful hemorrhoids can be. But please understand they can be treated. In addition to seeing a doctor, you need to work on your diet. It is recommended to eat more vegetables rich in dietary fiber and drink more water so you can have soft stools every day. Overall, the best treatment for hemorrhoids is eating more vegetables (fruits, nuts, seeds) than meat, dairy and eggs to make sure you get all the fiber you need, drinking more water and following your doctor’s advice.
      I’ve been in your shoes and believe me, it will get better and you will forget the pain and the discomfort. Hope this helps and wishing you lots of health!

    • Hello, Emy. What do you mean more exactly? Do you mean can hemorrhoids grow in size during or after a period? If so, then yes. On the one hand, inflammatory compounds are released during that time to promote contractions. But this also results in contractions of the intestinal muscles and a faster transit causing loose stools or watery diarrhea. You may easily have 4-5 bowel movements in the day your pain is the worst. Bowel movements that are so frequent and especially diarrhea irritate and can cause hemorrhoids to become swollen. The second explanation would be that there is also a tendency for constipation during this time. Hard, dry stools rub the hemorrhoids on their way out and may cause them to swell or bleed. You can counteract the constipation by including more vegetables in your diet around this time to get more fiber and drinking more water.
      If this wasn’t what your question was about, I’d love it if you could explain to me what was it your meant more exactly. Wishing you lots of health, Emy.

  73. Hi. I’m angel. 23 years old.
    I got internal and external hemorrhoids.
    I took suppositories about 2 months but there was no change. What is best treatment for hemorrhoids in order for me to heal?

    • Hi, Angel. There are two aspects to consider if you want to get rid of hemorrhoids:
      1) Surgery to remove the hemorrhoids. There are a few options available and it’s best to talk to your doctor about what the best treatment option is for you, what complications may arise, what the recurrence rate is etc. There is the classical surgery which simply removes the hemorrhoids. There is also a procedure called a stapled hemorrhoidectomy which essentially staples the hemorrhoids. There is laser treatment to remove the hemorrhoids. There is also a procedure called hemorrhoids ligation which essentially ties them and cuts off the blood supply so they dry and fall off.

      2) Diet management. Whether you’ve had hemorrhoids surgery or not, diet is still vital for preventing their recurrence or managing them. Eating more fiber and drinking more water are essential. What eating more fiber means is including more vegetables into your diet as well as moderate amounts of fruits, whole grain cereals, nuts, seeds. More plants than meat and dairy should help relieve and prevent constipation which is good for hemorrhoids. For me personally, eating at home all the time and cooking my food myself has helped me a lot. Read the article for detailed information on what to eat for hemorrhoids and what to avoid.

      So, Angel, these are the two main options for dealing with hemorrhoids. Whether you have surgery or not, you still have to change the way you eat. You need to learn how to have soft stools that are easy to pass almost every day so hemorrhoids don’t bother you anymore. Hope this helps and wishing you lots of health!

  74. Hello, I’m Harish. I had surgery for piles before 6 months. But doctor left 1 of the hemorrhoids as it was a bit deep and told me to apply ointment. But now, if I have a hard stool, it causes pain and blood passes. How do I remove it permanently?

    • The same way you had the other hemorrhoids removed, Harish: through surgery. That is the only way really to get rid of hemorrhoids.
      But you still need to work on your diet. The fact that you experience hard stools is what causes the pain and bleeding. You need to learn how to eat so that you have soft stools that are easy to pass. This way, they won’t upset the hemorrhoid left. Diet is important even after a hemorrhoids surgery so the hemorrhoids don’t reappear. You can talk to your doctor more about your options for the remaining hemorrhoid. As for the diet, it is recommended to eat more fiber (so more plant foods) and drink enough water, eat food cooked at home and avoid processed foods as well as keep moderately active. Hope this helps and wishing you lots of health, Harish!

    • I’m happy you found the information on hemorrhoids useful. Wishing you lots of health, Rohit!

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