Can haemorrhoids return? What to do if they recur
Written in association with:
Published: 15/01/2025
Edited by: Karolyn Judge
Haemorrhoids, or piles, occur in the rectal or anal area. While treatments can effectively manage the condition, which manifests as swollen blood vessels, haemorrhoids may recur. This depends on lifestyle factors, health conditions and the initial treatment approach.
Why do haemorrhoids return?
Haemorrhoids can recur for several reasons:
Straining during bowel movements: Chronic constipation or prolonged sitting on the toilet puts significant pressure on the anal veins. Dietary habits: A lack of fibre or insufficient hydration may lead to harder stools, increasing strain. Pregnancy: Hormonal changes and increased abdominal pressure can lead to recurrent haemorrhoids. Chronic diarrhoea: Frequent loose stools can irritate and weaken anal tissues. Inadequate treatment: Temporary relief measures may not address the underlying causes, making recurrence more likely.
What can you do if haemorrhoids recur?
There are several strategies to manage recurring haemorrhoids:
Lifestyle changes: Increase fibre intake through fruits, vegetables and whole grains. Drink plenty of water to soften stools and make bowel movements easier. Avoid sitting for prolonged periods, particularly on the toilet. Topical treatments: Over-the-counter creams and suppositories can provide temporary relief for swelling, itching and discomfort. Medical intervention: Non-surgical options: Rubber band ligation, sclerotherapy or infrared coagulation can treat haemorrhoids without invasive surgery. Surgical treatments: For severe or recurrent cases, procedures such as haemorrhoidectomy or stapled haemorrhoidopexy may offer long-term solutions.
How can I prevent recurrence of haemorrhoids?
Preventative measures are key to avoiding future flare-ups. Maintaining a healthy weight, engaging in regular exercise and addressing any underlying bowel issues are essential. If you notice persistent symptoms or frequent recurrences, it’s important to consult a specialist. They can provide a tailored treatment plan and monitor for potential complications such as thrombosed haemorrhoids.
Addressing haemorrhoids early and adopting preventive strategies can significantly reduce the risk of recurrence and improve your overall quality of life.