Can obesity cause haemorrhoids?

Haemorrhoids are swollen blood vessels in or around the anus. Extra pressure in this area can make them swell, itch, feel sore or bleed bright red during or after a bowel movement. Hard stools, repeated straining, prolonged toilet sitting and low fibre intake may add to the pressure. Rectal bleeding should not automatically be attributed to haemorrhoids because other bowel conditions can cause it.

A clinician can examine the area and decide whether further assessment is needed, particularly when symptoms are new, persistent or changing.

Keep stools soft by drinking enough fluid, increasing fibre gradually through vegetables, fruit, beans and whole grains, and staying physically active. Respond to the urge to open your bowels and avoid straining or sitting on the toilet for long periods.

A pharmacist or clinician can advise on a short-term cream, suppository or stool-softening treatment. Gentle washing and a warm bath may soothe irritation. If weight management is relevant, choose gradual changes that also support regular bowel habits.

Arrange prompt medical review for rectal bleeding, a new lump, worsening pain, symptoms that do not settle, or a change in bowel habit. Seek urgent help for heavy bleeding, dizziness, fainting, black stools, fever or severe anal pain.

Ask whether the symptoms are consistent with haemorrhoids, whether a medicine could be causing constipation, how much fibre to add, and how long to try self-care before arranging a review.