Where To Apply Desitin For Hemorrhoids
People take their phones into the bathroom, and this habit is blamed for increasing the time on the toilet and leading to increased pressure on the anal region and straining during defecation.
Some research points to a direct correlation between the time spent on the toilet and hemorrhoidal disease, although the exact cause-and-effect relationship with cell phone use has not been determined.
In general, spending excessive time on the commode, including reading, should be discouraged.
Less time in the bathroom
Johannsson et al6 reported that patients with hemorrhoids spent more time on the toilet and had to strain harder and more often than controls in the community and hospital.
Garg and Singh7 and Garg8 use the mnemonic “TONE” for appropriate defecation habits:
- Three minutes during defecation.
- Once-daily defecation.
- No straining and no cell phone use during defecation.
- Enough fiber.
Fiber draws water into the lumen of the colon, increasing the water content of the stool. Recommended daily fiber intake is about 28 g for women and 38 g for men.9 This high level of intake is hard to achieve without supplements for someone who consumes a classic American diet with a lot of fast food.
Fiber supplements are strongly recommended in the American Society of Colon and Rectal Surgeons (ASCRS) practice guidelines3 based on a Cochrane review.10
In this meta-analysis, with fiber supplements the relative risk of persisting or nonimproving symptoms was 0.53 (95% confidence interval [CI] 0.38-0.73) and the relative risk of bleeding was 0.50 (95% CI 028-0.89). Psyllium husk is an inexpensive bulk-forming fiber supplement; the optimal daily dosage is not known.
We recommend at least 28 g of daily fiber intake for women and 38 g for men, for which psyllium husk can be used to complement the diet.
Laxatives such as docusate are used to change the stool consistency when there is an organic bowel problem rather than a dietary issue. They can be used as a complementary treatment to enhance the effect of the fiber treatment.