by Joseph D. Tabora, M.D.
This article starts below.
Hemorrhoids may cause bleeding, itching and a prolapsing mass. They are something we all silently wish not to have. Not straining while moving your bowels will keep you from developing hemorrhoids. How not to strain? Eat enough dietary fiber, drink plenty of fluids, and develop the right bowel habit.
Eat enough dietary fiber
Dietary fiber in leafy vegetables (pechay, malungay, etc.) and fruits (papaya, pineapple, etc.) is not completely digested by the small intestines; it stimulates the large intestines (or colon) to contract which decreases the time that the stool is in contact with this part of the gastrointestinal tract. The lesser time the stool remains in the colon translates to a soft stool that can be easily passed without straining.
Drink plenty of fluids
Drinking enough water and juice everyday makes for a stool that is soft and easy to pass.
When fluid intake is inadequate, the colon tries to reabsorb all the fluid from the stool. This makes the stool hard and dehydrated and difficult to pass. Drinking enough fluids minimizes this process.
Develop the right bowel habit
The right bowel habit includes following your urge to defecate and minimizing your time in the toilet.
Follow your urge
We all get the urge to defecate. Follow your urge quickly. If you don't, the urge will pass and your colon will have more time to work on reabsorbing fluid from your stool. The result is a hard stool may only be passed by straining.
Don't take your time
The more time you spend sitting in the toilet, the more the hemorrhoidal vessels dilate (like the vessels in the neck when you strain) and the more hemorrhoids will develop. Doing it quickly comes naturally when you follow your urge.
Take advantage of the gastro-colic reflex. When the stomach expands after taking in food in the morning, it responds by contracting to digest the food. The colon also contracts at the same time. This gives us the urge to defecate. Prioritize this nature's call and you will never have to worry about developing hemorrhoids.