Hemorrhoids are a common condition that can cause discomfort, irritation, itching, and rectal bleeding. While symptoms may improve with treatment, many people experience recurring flare-ups that can interfere with daily life. Understanding what causes hemorrhoids to return is an important step toward preventing future irritation and managing symptoms long-term.
Recurring hemorrhoids are often linked to increased pressure in the rectal area caused by constipation, extreme diarrhea, straining during bowel movements, prolonged sitting on the toilet, pregnancy, obesity, heavy lifting, or low-fiber diets. When these contributing factors are not addressed, flare-ups are more likely to continue over time.
Fortunately, healthy daily habits can help reduce irritation, support digestive and rectal health, and lower the risk of future flare-ups. These seven tips can help get you started.
Increasing fiber intake is one of the most effective ways to prevent hemorrhoid flare-ups. Fiber softens stool, making bowel movements easier and reducing pressure on rectal veins.
Aim for 25–30 grams of fiber per day from food, supplements, or both. Some high-fiber foods include:
If needed, fiber supplements like psyllium (Metamucil), methylcellulose (Citrucel), or wheat dextrin can help increase daily fiber intake. Increase fiber gradually to reduce gas and bloating. At NYGA, our nutrition services can also help you build a high-fiber diet plan tailored to your needs, supporting more regular bowel movements and reducing strain that can contribute to hemorrhoid flare-ups.
Hydration helps prevent hard stools and supports normal bowel movements. Without enough fluid, fiber is less effective.
Most adults should aim for 1.5 to 2 liters of water per day, although individual needs may vary.
Bathroom habits can directly affect hemorrhoid symptoms and recurrence. It is recommended to:
Using a small footstool while sitting on the toilet to raise your knees above your hip level, can help reposition the rectum, making stool passage easier and reducing straining.
Regular physical activity supports digestion and helps prevent constipation. Sedentary behavior can slow bowel function and contribute to constipation.
Moderate aerobic exercise, such as 20–30 minutes of brisk walking daily, can improve bowel function and reduce pressure in the rectal veins.
Avoid heavy lifting or high-strain exercises (like heavy squats) during flare-ups or if you are prone to recurrence, as these activities can increase abdominal pressure.
Low-fiber and highly processed foods may contribute to constipation and harder stools.
Limit foods such as:
Excess body weight increases pressure on the pelvic and rectal veins, increasing the risk of hemorrhoid recurrence. Maintaining a healthy weight, staying physically active, and reducing prolonged sitting can help lower your risk.
If hemorrhoids continue to recur despite lifestyle changes, or if symptoms include bleeding, worsening pain, or difficulty with bowel movements, you should consider seeing a specialist for a closer evaluation and targeted treatment.
NYGA offers highly effective, minimally invasive treatment options such as HemWell™ – an innovative, FDA-approved treatment for hemorrhoid removal. Infrared coagulation (IRC) is another nonsurgical, FDA-approved treatment for internal hemorrhoids performed at many of NYGA’s locations.
If you’ve been experiencing recurring hemorrhoids, chronic flare-ups, or ongoing blood in your stool, you should consider seeing a gastroenterologist. At NYGA, our physicians evaluate the underlying causes of hemorrhoids and provide individualized treatment options designed to relieve symptoms, treat active flare-ups, and help reduce recurrence.
Don’t wait—prioritize your health today.