Does constipation cause hemorrhoidal disease?

Updated: Jul 05, 2019
  • Author: Marc D Basson, MD, PhD, MBA, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Whether constipation actually causes hemorrhoidal disease is viewed as controversial by some authors. However, upon careful questioning, these patients frequently provide a history of recent defecatory difficulties, most commonly constipation related, although less commonly diarrhea related (with the exception of patients in the early postpartum period). Furthermore, conservative management of hemorrhoidal disease is more likely successful when future straining is prevented.


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