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Hemorrhoids are a Pelvic Floor Problem, Too

Hemorrhoids are swollen and inflamed veins in the rectum. They can be internal or external. They are caused by straining, usually with bowel movements, but also can be caused by vaginal childbirth. Obesity is also a risk factor for hemorrhoids.


To treat hemorrhoids we often think we need to go to a colorectal or gastrointestinal doctor, or maybe our primary care doctor can just give us a cream to use.



These are all good solutions that will treat the problem directly, or at least make life more comfortable, but pelvic floor PT should be part of the long term solution.


Why pelvic floor PT to treat hemorrhoids?


Hemorrhoids are a pressure problem. Hemorrhoids develop because there is too much pressure from above, usually with pooping, but sometimes with childbirth. Childbirth is a singular event, but chronic constipation is a daily struggle that can be putting pressure on the hemorrhoids.


Pelvic floor PT can teach you how to poop better, without having such intense pressure from above causing hemorrhoids.


If hemorrhoids are chronic and constipation is chronic, then working with a dietitian to optimize your diet may also need to be part of the solution for you as well.


Use the hemorrhoid creams for pain relief, but see a pelvic floor PT and possibly a dietitian to make pooping easier and more efficient so that you aren't continually making hemorrhoids worse. Then the veins can heal and you won't be in pain every time you poop.


  1. https://www.mayoclinic.org/diseases-conditions/hemorrhoids/symptoms-causes/syc-20360268#:~:text=Hemorrhoids%20are%20swollen%20veins%20in,rectum%2C%20similar%20to%20varicose%20veins.

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