Hemorrhoids are the consequence of the sitting defecation posture.
The defecation in the natural for a human being squatting posture will resolve this problem.
Try! It is not esthetic, but don't use the toilet bowl as a squatting device; it is dangerous (can break down) and may be not effective as doesn't permit natural squatting (see the instructions).

History of research of hemorrhoids is a history of one great mistake        sikironchair_01

                         History of treatment of hemorrhoids is history of needless invasive treatment.



Andersson H.et all. Colonic transit after fibre supplementation in patients with hemorrhoids.
Hum Nutr Appl Nutr 1985 Apr; 39(2):101-7

Patients with hemorrhoids often complain of disturbed defecation which might correspond either to too slow or too fast colonic transit. Colonic transit was determined using a new technique as the distribution of radiopaque markers on a film after a daily intake of 20 markers over 10 days. Nineteen out-patients with a history of hemorrhoids participated in the study. Colonic transit was measured before and after 6 weeks on a bran preparation (Fiberform, 10 g daily) or an ispagula bulk preparation (Lunelax, 10 g daily) in random order. The variation in the distribution of pellets in the colon within the groups was greater than during treatment with fiber preparations. In both cases a 'normalization' of the transit occurred with fiber. No difference was found between the effect of the two fiber preparations on colonic transit. Thus, such changes in transit could be anticipated when the dietary fiber of the diet is increased according to modern recommended dietary allowances.



Teramoto T. et all Hypertrophy of the external and sphincter in hemorrhoids: a histometric study. Gut 1981 Jan; 22(1):45-8

Biopsies of the external and sphincter taken from 24 male patients with hemorrhoids were subjected to examination using histochemical techniques. Fibre size (type 1 mean: 33 micrometers +/- 11.0 SD and type 2 mean: 47.9 micrometers +/- 15.0 SD) was increased when compared with control subjects. The distribution of muscle fibre types in these patients showed markedly greater type 1 fibre predominance (92%) than in control subjects. These abnormalities of the external sphincter did not show any clear relationship with age, degree of haemorrhoidal change, length of history of hemorrhoids, history of straining or of constipation, or perineal descent; however, increasing length of history up to 10 years was associated with increasing type 1 fibre predominance. We suggest that the external and sphincter in patients with haemorrhoids is in a state of increase tonic contraction, which causes work induced muscle hypertrophy and may contribute to increased resting pressure in the anal canal in patients with hemorrhoids.



Mosley JG et all Hemorrhoids--objective measurement of proctoscopic appearances. Postgrad. Med J 1980 Jan; 56(651) :30-3

The proctoscopic diagnosis of haemorrhoids may be influenced by the surgeon's knowledge of the presence or absence of associated symptoms. In this study, an observer with no knowledge of the history, was used to check the surgeon's proctoscopic findings in 12 asymptomatic controls, and 24 symptomatic patients on 2 occasions, the latter group undergoing McGivney rubber band ligation. There was very good correlation between the findings of the surgeon and the observer, indicating a lack of 'historical bias'. The documentation method designed to allow this comparison proved sufficiently accurate and reproducible to enable a correlation between haemorrhoidal mass and symptoms. Relief of symptoms after treatment correlated well with an objective reduction in haemorrhoidal mass.

Hancock BD Internal sphincter and the nature of haemorrhoids. Gut 1977 Aug; 18(8) : 651-5

Internal anal sphincter activity has been studied in 84 patients with haemorrhoids and 40 asymptomatic subjects. Activity was estimated by measuring maximum resting anal pressure with a water filled anal balloon probe 7 mm in diameter connected to a strain gauge pressure transducer. There was greater activity of the internal sphincter in patients with haemorrhoids than in controls, but there was no significant relationship between sphincter activity and duration of symptoms, predominant symptom (bleeding or prolapse), severity of symptoms, history of pain, history of straining at stool, or size of haemorrhoids. Straining at stool occurred significantly more often in patients whose main complaint was prolapse than in those whose main complaint was bleeding. Anal dilatation reduced sphincter activity and the best clinical results were obtained in those with the most active sphincter. An internal sphincter abnormality may be an aetiological factor in some patients but there must be other factors as well. Straining at stool may determine whether bleeding or prolapse is the predominant symptom.