Can Prolonged Sitting Cause Hemorrhoids?

Can prolonged sitting, which is uncomfortable for many people, also lead to hemorrhoids?

Hemorrhoids are swollen veins in the anus or rectum. Prolonged sitting can contribute to hemorrhoids or worsen existing ones by causing anal veins to lose elasticity and become swollen. Factors such as how long you sit and the type of surface impact how prone anal veins are to swelling and inflammation. 

Hemorrhoids are preventable, so even people who tend to sit for long periods for work or travel can avoid these issues. They’re also treatable with non-surgical options, offering long-term relief from discomfort, pain while sitting, and other symptoms.

Can Sitting Make Hemorrhoids Worse?

Yes, sitting for a long time puts extra pressure on the blood vessels in your bottom and slows the blood moving in and out of that area. This makes it harder for any existing hemorrhoids to get better and increases the chances of them getting bigger or causing more problems.

Prolonged sitting can become increasingly painful if internal hemorrhoids are prolapsed, meaning they’ve become severe enough to slip outside of the anus and don’t return to their original position on their own. 

Hemorrhoids can also take longer to heal with long periods of sitting. The extra pressure on the veins and reduced blood flow mean slower healing and a higher risk that the hemorrhoids will progress. 

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How Prolonged Sitting Impacts Hemorrhoid Development

How Prolonged Sitting Impacts Hemorrhoid Development

Sitting for long periods, whether at work, during travel, while on the toilet, or for another reason, is a risk factor for hemorrhoid development. There’s pressure on the rectal area when sitting, which can be worse on a hard surface or with poor posture. Circulation also slows down, impacting the flow of blood to rectal and anal veins. 

Increased Pressure on Rectal Veins

When sitting, the muscles of the buttocks region spread out, which causes rectal and anal veins to stretch. These veins have less elasticity, making them more fragile and likely to swell.

Reduced Circulation While Sitting

Slower circulation to the pelvic region when sitting can cause blood to pool, filling the already stretched veins with blood and leading to swelling and inflammation.

Poor Posture on the Toilet

Poor posture while on the toilet can also play a role in hemorrhoid development. When sitting with the feet flat on the floor and the back straight, the rectum is constrained, increasing pressure on the veins. Putting the feet on a stool so the knees are raised can relax the rectum, helping to protect the veins from excessive pressure. 

CAUSES OF INTERNAL HEMORRHOIDS

Can Sitting on the Toilet Too Long Cause Hemorrhoids?

Sitting on the toilet for too long due to constipation can cause hemorrhoids or make existing ones worse. While on the toilet, the rectum is lower than the rest of the buttocks, which causes gravity to push on the veins and blood to pool. Pressure from straining during a bowel movement can cause the veins to swell.

Here are some tips to help reduce bowel-related strain:

  • Limit toilet time to under 5 minutes. 
  • Don’t use phones or read in the bathroom.
  • Avoid forcing a bowel movement. Get up and try again later if you’re constipated.

How to Prevent Hemorrhoids if You Sit All Day

How to Prevent Hemorrhoids if You Sit All Day

If you sit a lot, there are steps you can take to help prevent hemorrhoids. 

  • Take regular breaks from sitting: Stand up or walk around every 30 to 60 minutes to help increase blood flow and reduce the pressure on the anal and rectal veins. 
  • Use a cushioned seat: If you normally sit in a hard chair at work, consider sitting on a special cushion to help prevent hemorrhoids. A hemorrhoid cushion supports the perineum and elevates the legs to reduce pressure on the rectum.
  • Maintain good posture: Keep your back straight instead of slouching. Slouching can put more pressure on the anal area.
  • Stay hydrated and eat plenty of fiber: Staying hydrated and adding fiber to your diet can help prevent constipation. Constipation is one reason people end up sitting for longer on the toilet. Straining because of constipation can also cause hemorrhoids.
  • Exercise regularly: Staying active improves blood circulation and reduces the impact of prolonged sitting. Walking, swimming, yoga, tennis, and dancing are all great activities to help prevent hemorrhoids.

Treatment Options for Hemorrhoids from Sitting

If hemorrhoids persist for more than a few days or worsen, procedures like hemorrhoid artery embolization (HAE) can offer relief. HAE is a non-surgical procedure performed by an interventional radiologist. It targets the root cause of hemorrhoids by reducing blood flow to the swollen veins, causing them to shrink.

HAE is a low-risk, painless procedure with a short recovery time, and it’s a good treatment option for hemorrhoids that don’t heal on their own. 

Get Relief and Prevent Future Hemorrhoids

It is possible for hemorrhoids to develop from sitting too much. Prolonged sitting can also worsen hemorrhoids or slow healing. 

Making lifestyle changes to reduce sitting time, prevent constipation, and relieve pressure on anal and rectal veins can help prevent hemorrhoids from developing and ease the pain and discomfort caused by existing hemorrhoids. If hemorrhoid symptoms interfere with your daily life or persist, however, it’s important to see a hemorrhoid doctor for treatment. 

USA Hemorrhoid Centers is America’s leading network of hemorrhoid treatment centers. Our doctors have expertise in treating hemorrhoids non-surgically with HAE and can create a personalized treatment plan to help you get relief. Find a hemorrhoid center near you to schedule a consultation with one of our expert doctors. 

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FAQs

How do I know if my sitting habits are causing hemorrhoids?

If you notice hemorrhoid pain when sitting, discomfort, or other symptoms, such as itching or bleeding, you may have hemorrhoids. Your sitting habits might be the cause, or they could make existing hemorrhoids worse by weakening the veins and increasing swelling and inflammation. 

Are standing desks better for preventing hemorrhoids?

Standing desks are better than chairs for preventing hemorrhoids because they help you avoid prolonged sitting. There’s less pressure on anal and rectal veins when standing at a desk. 

Can exercise help with hemorrhoids caused by sitting?

Yes, exercise can help with hemorrhoids caused by sitting. Physical activity improves circulation and supports better vein health. 

USA Hemorrhoid Centers Highlights the Role of Fiber During National Nutrition Month in Philadelphia

In a recent article from Patch, USA Hemorrhoid Centers in Philadelphia emphasized the importance of fiber in managing symptomatic hemorrhoids during National Nutrition Month in March. Patients who still experience symptoms after a week may need to see a hemorrhoid specialist for treatment, especially if eating more fiber fails to provide relief.

USA Hemorrhoid Centers offers an innovative, minimally-invasive treatment called hemorrhoid artery embolization (HAE), which is clinically proven to reduce symptoms without the risks associated with traditional procedures. Patients interested in learning more about HAE can schedule an appointment online or by calling 855.805.4247.

Read the full article from Patch here.

Our Founder Yan Katsnelson, M.D.

About

Dr. Yan Katsnelson

Organizations

Founder of USA Vein Clinics, USA Fibroid Centers, USA Vascular Centers, USA Hemorrhoid Centers, USA Pain Center, USA Prostate Centers, USA Longevity Centers and USA Oncology Centers

 

 

 

Biography

Dr. Yan Katsnelson is an entrepreneur, highly skilled cardiac surgeon, business owner, and philanthropist. He is the founder and CEO of USA Hemorrhoid Centers which is part of USA Clinics Group – the parent company of USA Fibroid CentersUSA Vascular CentersUSA Vein ClincsUSA Prostate Centers, USA Pain Center, USA Longevity Centers, and USA Oncology Centers. Dr. Katsnelson has established himself as a strong advocate for accessible, affordable, and compassionate healthcare services.

As the CEO of USA Clinics Group, Dr. Katsnelson has pioneered expanding minimally invasive options that provide high-quality care using the latest technology in the most advanced facilities to the communities that need it most. He also founded the Chicago Heart Institute, which was dedicated to the advanced treatments of cardiovascular diseases.

Dr. Katsnelson, M.D., completed a fellowship at the Brigham and Women’s Hospital, Harvard School of Medicine, in Boston, MA. He was a faculty cardiac surgeon at the University of Chicago prior to starting his Cardiovascular and Thoracic private practice in Chicago Northwest suburbs. Dr. Yan Katsnelson was the first U.S. surgeon to perform the double valve replacement using Biocor™ tissue valve. His clinical areas of expertise included minimally invasive valve surgery, complex aortic operations, re-operative coronary and valve surgery, and beating-heart (off-pump) bypass surgery. He is published in various medical and scientific journals.

Dr. Yan Katsnelson’s Vision for Healthcare

Dr. Yan Katsnelson with former speaker of the house, Paul Ryan at USA Vein Clinics

His vision of healthcare combines advanced medical and informational technology and creates a unique, data-driven approach that enables individualized treatment planning and achieves consistent outcomes. He developed a comprehensive healthcare management platform to optimize each patient’s experience before, during and after an appointment with streamlined scheduling, insurance verification, prior authorizations, clinical decision-management support, and treatment process quality assurance.

Dr. Yan Katsnelson together with his wife also started the Fibroid Fighters Foundation to advance the cause of women’s health and the safe and effective minimally invasive treatment of uterine fibroids. He is member of the international Save a Child’s Heart that provides life-saving cardiac treatment to children from underdeveloped countries. Dr Katsnelson leads development of ECHO assisted technology that enables screening of thousands of children worldwide.

Other Organizations

  • Founder of the Chicago Heart Institute
  • American Medical Association
  • American Vein and Lymphatic Society [American College of Phlebology]
  • Cardiothoracic Surgery Network [Chicago]
  • Chicagoland Association of Russian-speaking Physicians
  • Society of Thoracic Surgery

Honors and Awards

  • 1990: Ural Medical Academy, Russia
  • 2002: American Heart Saver, American Heart Association Award
  • 2005: Nation’s First Double Implant of New St. Jude Tissue Heart Valve

Focused on Your Care

Each March, physicians’ dedication and invaluable contributions are recognized on National Doctors’ Day. At USA Hemorrhoid Centers, we want to recognize our doctors every day for their expertise, compassion, and commitment to patient-centered care. 

See Our Team Share Their Perspective

To understand what drives our physicians, our CEO and Founder, Yan Katsnelson, MD, recently shared the vision behind USA Clinics Group, a large network of outpatient clinics, which includes USA Hemorrhoid Centers. The philosophy shared by our team of specialists is simple: to improve lives by making effective treatments more accessible and convenient, allowing patients to return to their daily routines without painful symptoms. 

Katsnelson described his time as a heart surgeon as a transformative experience. Restoring heart function was deeply rewarding, but he saw the potential for less invasive procedures to achieve similar, impactful results. 

“That’s the magic of today’s medicine, minimally invasive treatments for very common conditions,” said Dr. Katsnelson. “Procedures with minimal to no risk and extraordinary outcomes.” 

This commitment drives USA Hemorrhoid Centers to focus on providing nonsurgical hemorrhoid treatments for chronic symptoms that significantly impact patients’ daily lives. 

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A Better Way: Minimally Invasive Treatments 

Dr. Katsnelson’s transition from performing complex surgeries to pioneering a patient-first philosophy of care was driven by outcomes. He saw firsthand how advanced techniques could offer relief without hospitalization, long recovery times, or invasive procedures. 

“Patients who had struggled with discomfort and embarrassment for years were suddenly able to find relief with a quick, outpatient procedure,” Dr. Katsnelson recalled. “Seeing how much their daily lives improved was incredibly motivating.” 

Katsnelson believes medicine extends beyond treating individual patients, it’s about building a system rooted in consistency and compassion to ensure care is accessible and effective for all. This approach allows thousands of patients to receive treatment from highly skilled physicians without lengthy recovery times. 

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Expanding Care to Those in Need 

Ensuring consistent, high-quality patient care is at the heart of USA Hemorrhoid Centers’ mission. Dr. Katsnelson emphasized the importance of standardized protocols, rigorous training, and state-of-the-art management systems that integrate clinical best practices. This structured approach allows our specialists to provide accessible and advanced treatment in every community we serve. 

Recognizing the impact of minimally invasive treatments offered, USA Clinics Group was launched to offer care for conditions including varicose and spider veins, knee arthritis, peripheral artery disease (PAD), enlarged prostates, hemorrhoids, uterine fibroids, and preventative CT scans.  

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Our Doctors’ Insights: Why We Care 

A core principle at USA Hemorrhoid Centers is ensuring that patients, especially those in underserved communities, have access to the advanced care they need. Dr. Katsnelson and our team of specialists are passionate about eliminating barriers to treatment and providing solutions that allow individuals to live more comfortably. 

StephanieSpano USA Hemorrhoid Centers

“I became a doctor because I wanted to make a real difference in people’s lives. Seeing patients regain their comfort and confidence after struggling with a condition for years is incredibly fulfilling.” – Dr. Stephanie Spano 

Dr. Gunzenhauser USA Hemorrhoid Centers

“Medicine has always been about more than just treatment for me—it’s about listening to patients, understanding their concerns, and helping them find solutions that improve their daily lives.” – Dr. Jeffrey Gunzenhauser 

Dr. Saxena USA Hemorrhoid Centers

“I was drawn to medicine because I wanted to provide effective care to those in need. Helping patients return to their routines without pain through minimally invasive treatments is what drives me every day.” – Dr. Sanjeev Saxena 

Patient Success Stories 

Alexis B. The staff at USA Hemorrhoid Centers was incredible. They kept me informed throughout the entire process and checked in often to make sure I was comfortable. I’m so glad I went through with the treatment and excited to see the improvements. 

Abe K. I’m really happy I chose USA Hemorrhoid Centers. The staff is friendly and professional, and the doctor made me feel completely at ease, taking the time to answer all my questions. The whole experience has been amazing—I couldn’t be happier. 

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You Are Our Focus at USA Hemorrhoid Centers 

Our values focus on “I CARE” which encompasses integrity, compassion, accountability, respect and excellence. We care about every individual’s unique health condition and our treatment plans are tailored to each patient. 

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USA Hemorrhoid Centers Announces Openings in Queens, NY

USA Hemorrhoid Centers recently announced the opening of three locations in Queens, NY. The AAAHC-accredited outpatient clinic now operates in 17 locations across the New York Metro Area, including:

USA Hemorrhoid Centers is known for using hemorrhoid artery embolization (HAE), an innovative procedure that treats hemorrhoids with minimal risks and side effects. With a success rate of over 90 percent, HAE is a viable option for patients who don’t want to undergo surgery or rubber band ligation. For more information, patients can schedule a consultation online or call 855.805.4247.

Read the article from Patch here.

USA Hemorrhoid Centers Opens in Manhattan

A recent article from Patch highlights the opening of USA Hemorrhoid Centers’ locations in Manhattan, NY. The renowned AAAHC-accredited USA Hemorrhoid Centers operates in 17 locations in New York City, including the six Manhattan locations:

USA Hemorrhoid Centers offers hemorrhoid artery embolization (HAE), a minimally-invasive treatment that locates the blood flow supplying hemorrhoids and blocks it. When blood flow to the hemorrhoid stops, the hemorrhoid shrinks, alleviating the painful symptoms. For more information about HAE, schedule a consultation online or call 855.805.4247

Read the article from Patch here

USA Hemorrhoid Centers Expands to Brooklyn

USA Hemorrhoid Centers recently announced the expansion of their services in Brooklyn with the opening of four more clinics in the Big Apple. The AAAHC-accredited provider of minimally-invasive hemorrhoid treatments now operates in the following locations:

USA Hemorrhoid Centers offers a different kind of hemorrhoid treatment known as hemorrhoid artery embolization (HAE). Traditional procedures, such as rubber band ligation, can have a painful recovery time. HAE has minimal side effects and is virtually painless, with effective results and fewer risks.

USA Hemorrhoid Centers operates in over 20 locations nationwide. Patients can schedule their appointments online or call 855.805.4247.

For more information, read the article from Patch here.

How Long Do Hemorrhoids Last?

Hemorrhoids typically last from a few days to several weeks. However, some internal hemorrhoids, which are swollen veins located inside the rectum, won’t heal on their own. They require medical treatment to help the hemorrhoid tissue shrink, and they can become increasingly severe if left untreated.

These persistent hemorrhoids can cause painful symptoms, including anal itching, blood in the stool, and bowel discomfort. If they become prolapsed, meaning they fall outside of the anus, they can also be intensely painful. Ongoing hemorrhoid symptoms can impact the quality of your everyday life. Additionally, the longer you have internal hemorrhoids, the greater the risk of complications, so it’s important to know when to see a doctor because of hemorrhoids. 

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Types of Hemorrhoids and Their Duration

Types of Hemorrhoids and Their Duration

Knowing how to recognize symptoms for different types of hemorrhoids and what to expect in terms of duration can help you determine when to see a doctor. 

How Long Do Internal Hemorrhoids Last?

Internal hemorrhoids usually sit inside the rectum and can vary in their duration. The duration depends on a few factors, such as whether the person experiences symptoms because internal hemorrhoids can be asymptomatic. When an internal hemorrhoid prolapses, patients may notice symptoms that can intensify, including anal itching, irritation, discomfort, and blood in the stool or on toilet paper. Other factors such as constipation, diarrhea, pregnancy, age, and weight can also impact the duration of the internal hemorrhoid. If the internal hemorrhoid doesn’t go away within a week or so, patients should consider getting medical treatment for their hemorrhoid.

If an internal hemorrhoid is large enough to cause symptoms, such as blood in the toilet bowl or on toilet paper after a bowel movement, anal itching, irritation, and discomfort, it may last several weeks or more. An internal hemorrhoid that prolapses or causes severe symptoms might persist until it’s treated. 

How Long Do External Hemorrhoids Last?

External hemorrhoids, which are hard, tender lumps around the anus, can often last a few days; however, they may take longer to resolve. This depends on the size of the external hemorrhoid and other factors that may prolong its time frame, such as friction from wiping. Generally, over-the-counter medications and at-home treatments can help alleviate or reduce symptoms. 

How Long Do Thrombosed Hemorrhoids Last?

A thrombosed hemorrhoid can last for two to three weeks or longer. A thrombosed hemorrhoid occurs when an external or internal hemorrhoid fills with one or more blood clots. They can be very painful and swollen, impacting walking, sitting, or passing a stool.

Sometimes, the blood clots diminish in a couple of weeks, but the hemorrhoid doesn’t necessarily go away. If there’s too much pressure, a thrombosed hemorrhoid can rupture. A ruptured hemorrhoid can cause intense pain and bleeding. It can also increase your risk of infection, especially if the thrombosed hemorrhoid is external.

Factors That Affect Internal Hemorrhoid Healing

Factors That Affect Internal Hemorrhoid Healing

An internal hemorrhoid that doesn’t heal within a week or two should be seen by a specialist. But, what factors impact how quickly an internal hemorrhoid heals?

  • Severity of the hemorrhoid. If an internal hemorrhoid is very swollen and enlarged, it’s more likely to prolapse or cause more persistent symptoms that require treatment. Typically, grade-1 hemorrhoids are most likely to heal on their own. Later-stage hemorrhoids are more likely to require medical treatment.
  • Lifestyle factors. Eating a high-fiber diet, staying hydrated, and being physically active can promote faster healing.
  • Underlying health conditions that may prolong symptoms. Being overweight or pregnant can put pressure on the rectum, making it harder for hemorrhoids to heal. Constipation also puts pressure on the veins in the lower rectum and anus, which can cause hemorrhoids and lead to worsening symptoms and slower healing. 

If your hemorrhoids aren’t healing or if symptoms persist, it may be time to consider a more advanced solution. USA Hemorrhoid Centers offers a modern treatment for internal hemorrhoids that has fewer risks and a shorter recovery than hemorrhoid surgery. Hemorrhoid artery embolization (HAE) is a good option for most cases of internal hemorrhoids that don’t go away on their own.

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HAE: A Minimally Invasive, Long-Term Solution

Hemorrhoid artery embolization (HAE) is a non-surgical treatment for internal hemorrhoids. It targets the blood flow causing the hemorrhoids, helping to reduce inflammation, swelling, and other symptoms, and has been proven to provide effective, long-term relief. HAE has a 97% clinical success rate

The benefits of choosing HAE over traditional treatment surgical methods are that it doesn’t involve removing or cutting any tissue. The procedure isn’t painful, and there’s less risk of bleeding or an infection. HAE can be performed in an outpatient setting, and most people can return to their normal activity levels within a few days. 

When to See a Doctor for Hemorrhoids 

When to See a Doctor for Hemorrhoids

If you notice internal hemorrhoid symptoms for more than a week or two, or if the hemorrhoid prolapses and becomes painful, it’s important to see a hemorrhoid doctor. You should see a doctor if you notice signs of an infection, such as intense swelling or a fever.

You can try over-the-counter hemorrhoid treatments, such as a cream or suppository, to relieve the swelling and inflammation. At-home care, such as soaking in a sitz bath (a shallow bath) and ice packs, can also bring relief. Additionally, avoiding prolonged sitting for long periods, adding fiber to the diet, drinking enough water, and exercising can support healing. If there is blood in the stool, anal itching, and other internal hemorrhoid symptoms persist after a week or two despite home care methods, schedule a consultation so you can get the treatment you need for lasting relief. 

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FAQs 

How long do hemorrhoids last if untreated?

There is no set duration for how long hemorrhoids last. External hemorrhoids generally go away eventually without treatment, although they can last several weeks or longer. Internal hemorrhoids generally last longer than external hemorrhoids, but can cause chronic symptoms that may need medical treatment. 

Can hemorrhoids come back after treatment?

Yes, hemorrhoids can come back after treatment. Addressing risk factors for hemorrhoids, such as constipation, being sedentary, and eating a low-fiber diet, can help reduce the chances of hemorrhoids returning. 

Is it bad to have hemorrhoids for long periods of time?

Hemorrhoids themselves aren’t dangerous. However, having hemorrhoids for long periods increases your risk for developing more severe symptoms or complications, such as an infection or severe pain and bleeding from a thrombosed hemorrhoid that ruptures.