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Haemorrhoids, constipation and faecal incontinence: is there any relationship?
S Riss1, F A Weiser, K Schwameis
1Medical University of Vienna, Department of Surgery, Vienna, Austria. stefan.riss@meduniwien.ac.at
Summary
This study found a significant association between constipation and hemorrhoids in adults. Constipation, characterized by painful evacuation, was more prevalent in individuals with hemorrhoids, impacting anorectal function.
Area of Science:
- Gastroenterology
- Colorectal Health
- Anorectal Disorders
Background:
- The relationship between hemorrhoids and anorectal function is not well-established.
- Existing data on constipation's impact on hemorrhoids are contradictory.
Purpose of the Study:
- To investigate the potential association between hemorrhoids and anorectal dysfunction.
- To clarify the role of constipation in the development of hemorrhoids.
Main Methods:
- Prospective enrollment of 976 participants in a colorectal cancer screening program.
- Colonoscopy and detailed anorectal examinations were conducted.
- Hemorrhoids were graded internationally; constipation and fecal incontinence were assessed using validated scoring systems.
Main Results:
- 38.9% of participants had hemorrhoids.
- A significant association was observed between hemorrhoids and liquid stool incontinence.
- Higher constipation scores and specific straining behaviors correlated with the presence of hemorrhoids.
Conclusions:
- Despite low median constipation scores, a significant link between constipation and hemorrhoids was identified.
- Constipation is associated with hemorrhoids and may contribute to anorectal dysfunction.
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