Optimal sitting positions for haemorrhoids

What are haemorrhoids?

It is a condition whereby the haemorrhoids (veins of the lower rectum and anus) become swollen, inflamed and may itch or bleed.

Internal haemorrhoids are usually not painful except they protrude, while external haemorrhoids may be painful due to friction and thrombosis (clot formation).

So, when there is a protruding internal haemorrhoid or an external haemorrhoid, it makes contact with whatever surface you are sitting on. Friction between the haemorrhoid and the surface may cause friction (rubbing) leading to irritation that may worsen swelling, itching and pain.

Therefore, it is important to know how best to sit so as to minimise these problems and give your haemorrhoids a chance to heal.
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Powerful agent against hemorrhoids and rectal fissures

If you have haemorrhoids, sitting can be very uncomfortable, particularly when you sit on a hard surface.

Here are some measures you can take to reduce your discomfort.

Sit on a cushion

When you sit on a hard surface, the haemorrhoids may rub against the surface and worsen symptoms.

However, when you sit on a soft cushion, the rubbing or friction is less and the haemorrhoids are not so irritated.

You can use “donut” cushions which have been designed in such a way that you can avoid all friction between the haemorrhoids and the surface you are sitting on.

However, keep in mind that sitting in itself is a risk factor for getting enlarged haemorrhoids, especially prolonged sitting.

Spend less time sitting

Sitting for long periods increases the risk of enlarged haemorrhoids by increasing the pressure on the veins of the lower rectum and anus.

You can try standing instead of sitting when you are working, watching TV or commuting to work.

If you must sit, then don’t sit in one place for long stretches of time. Stand up and take a stroll from time to time.

Sitting in the toilet

The way you sit in the toilet is very important. Squatting has been suggested as a better way of defecating than the sitting position we assume with pedestal-type western toilets.

It is thought that this is because the faeces in the rectum are able to pass through more easily when we squat than when we sit.

However, you can place a stool under your feet so that your body comes into a position similar to the squatting position.

Get a comfortable chair

Not all chairs are good for everyone.

Your ideal chair may depend on your height and weight and job requirements.

Buy an ergonomic chair.

You can try different chairs until you get the right fit.



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Feel free to ask an Israeli doctor