The relationship between obesity and hemorrhoids

obesity and piles

Haemorrhoids are more common in the overweight population for several reasons and can be both painful and troublesome. A strong link between being overweight or obese and experiencing piles symptoms has been observed and explains why haemorrhoids can be a condition caused by obesity. Haemorrhoids are highly common in obese individuals as a result of having excess weight body weight or pressure that constricts the blood vessels surrounding the anus and rectum. Excess weight, especially around the abdominal regions, create a higher risk for developing haemorrhoids. Being overweight can complicate haemorrhoidal tissues and worsen the condition.

The theory of sliding anal canal lining widely explains the pathophysiology behind haemorrhoids in obese people. This proposes that haemorrhoids develop when the supporting tissues of the anal cushions disintegrate or deteriorate. Haemorrhoids are therefore described as the pathological condition caused by undue pressure on the anal cushions leading to abnormal downward displacement causing venous dilatation.

There are typically three major anal cushions, located in the right anterior, right posterior and left lateral aspect of the anal canal and various numbers of minor cushions lying between them. The anal cushions of patients with haemorrhoids in obese people show significant pathological changes. These changes include abnormal venous dilatation, vascular thrombosis, a degenerative process in the collagen fibres and fibroelastic tissues, distortion and rupture of the anal subepithelial muscles. In addition to the above findings, a severe inflammatory reaction involving the vascular wall and surrounding connective tissue has been demonstrated in haemorrhoids, with associated mucosal ulceration, ischemia and thrombosis.

Lifestyle factors associated with obesity are strongly linked with risk factors for the cause of haemorrhoids. Haemorrhoids are more common in the overweight population for several reasons including inadequate fibre intake, decreased level of physical activity and prolonged sitting. Piles specialist suggest people who are in their early stages with mild symptoms to drink plenty of water to treat piles problems to combat the unnecessary pain during constipation.

diet plan for piles

Diet-related obesity can cause haemorrhoids. In general, overweight individuals are known to have more problems with constipation and haemorrhoids because they tend to eat diets high in fat, sugar and salt. Overweight individuals may be more susceptible to developing haemorrhoids as a result of poor nutrition and mainly lacking fibre in their diets. Eating habits and inappropriate diet such as fatty or salty foods have been observed to increase blood pressure, even in the blood vessels around the anus causing them to swell up in the form of painful haemorrhoids.

Excessive sedentary living owing to lack of physical activity and prolonged periods of sitting can also put unnecessary pressure on the anal cushions. More of mental stress and less of physical work often leads to high blood pressure, increasing the chances of dilated anal veins. Use of stimulants like alcohol and liquor are also quite high in people leading a sedentary lifestyle, which are high-risk agents that further contribute as causative factors for the occurrence of haemorrhoids.

The best ways to prevent obesity are also the best ways to prevent haemorrhoids. The basic guideline to avoid constipation and prevent complications in conditions of haemorrhoids in obese people is to follow a high fibre nutritious diet, ensure high fluid intake, engage in physical exercise and active lifestyle.

Consult with your health care provider prior to starting a new fitness routine or diet routine. Your doctor may recommend ideal types of exercises or diet plan for you based on your current weight and medical history. It is always advised to consult piles doctor near your location to get immediate help or recovery options which is very much the need of the hour for people who are suffering from Piles. Always consult your physician before making any changes to your medical treatment.

Dr. Karthik Gunasekaran

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