Hemorrhoids primary prevention

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ahmed Younes M.B.B.CH [2]


Primary prevention of hemorrhoids may include drinking excessive fluids, regular exercise, practicing better posture, and reduction of bowel movement straining and time. Eating a high-fiber diet can make stools softer and easier to pass, reducing the pressure on hemorrhoids caused by straining.

Primary Prevention

Prevention of hemorrhoids includes the following measures:

  • Drinking more fluids
  • Eating more dietary fiber (such as fiber supplements, fruits and vegetables, and cereals high in fiber)
  • Exercising
  • Practicing better posture
  • Reducing bowel movement strain and time
  • Hemorrhoid sufferers should avoid using laxatives and should strictly limit time straining during bowel movement
  • Wearing tight clothing and underwear will also contribute to irritation and poor muscle tone in the region, promoting hemorrhoid development
  • Some sufferers report a more comfortable experience without underwear or wearing only very lightweight undergarments[1]
  • Fluids emitted by the intestinal tract may contain irritants that increase the fissures associated with hemorrhoids. Washing the anus with cool water and soap may remove irritating fluid, reduce the swelling, and increase blood supply for quicker healing
  • Kegel exercises for the pelvic floor may also prove helpful
  • Many people do not get a sufficient supply of dietary fiber (20 to 25 grams daily) and small changes in a person's daily diet can help tremendously in both prevention and treatment of hemorrhoids


  1. Guttenplan M (2017). "The Evaluation and Office Management of Hemorrhoids for the Gastroenterologist". Curr Gastroenterol Rep. 19 (7): 30. doi:10.1007/s11894-017-0574-9. PMID 28567655.