Can Sitting on the Toilet Too Long Cause Hemorrhoids?

If we're being honest, we all bring our phones into the bathroom. Whether we're scrolling social media or catching up on texts, smartphone usage has become a "bathroom habit" in its own right these days.

But could this seemingly harmless behavior be contributing to an uncomfortable problem — hemorrhoids? A recent study suggests using your phone while hunched over may put you at risk.

"Hemorrhoids are the normal, healthy blood vessels present in the anal canal and rectum that help aid in bowel movements," says Dr. Neeharika Kalakota, a gastroenterologist at Houston Methodist. "The term can be confusing, though, since it's also used to describe the painful condition that occurs when these blood vessels become swollen and inflamed for one reason or another."

If you've ever suffered from hemorrhoids, you'll do anything to avoid the issue from popping up again. Should that include leaving your phone behind next time you head to bathroom?

Is there really a link between phone usage on the toilet and hemorrhoids?

Of the 125 people surveyed in the study mentioned above, over 60% admitted to using their smartphone on the toilet at least once. Most said they did so weekly.

"Interestingly, the study participants who used their phones on the toilet had an almost 50% increased risk of developing hemorrhoids," says Dr. Kalakota.

The findings have caused quite a stir, but Dr. Kalakota points out a few drawbacks of the study.

"It certainly raises an important question, but we have to be careful about drawing firm conclusions," she says. "The sample size was fairly small and the data self-reported — that latter of which can introduce recall bias, meaning participants may not accurately remember and report their habits."

Additionally, the study only included participants aged 45 and older, so the results may not apply to younger populations. And because the study was essentially a snapshot in time, researchers couldn't determine whether phone usage preceded the onset of hemorrhoids.

While more research is needed to confirm a connection, Dr. Kalakota says a link between phone usage on the toilet and hemorrhoids doesn't seem like a far stretch.

"When you're hunched over your phone, you're changing the angle at which the rectum meets the anus," explains Dr. Kalakota. "An abnormal anorectal angle increases the pressure on blood vessels in the rectum. If this pressure is maintained for a long period of time, it could increase the risk of symptomatic hemorrhoids."

Rather than ditch your phone, though, the better solution for now might be to simply take note of your posture. "Proper posture can help support a normal anorectal angle. Make sure you're sitting upright," recommends Dr. Kalakota. "You might also consider using a toilet stool to better align your body."

Phone or no phone, it's wise to limit your time on the toilet when possible

A benefit of this study is that it shines a light on an overlooked risk factor of hemorrhoids: toilet time.

"Perhaps unsurprisingly, the participants who reported using their phones on the toilet also spent more time there — with 35% of those people spending more than five minutes on the toilet," adds Dr. Kalakota. "This is significant since sitting on the toilet for long periods of time is known to be a risk factor of hemorrhoids."

Other hemorrhoids risk factors include:

• Straining during bowel movements
• Chronic constipation or diarrhea
• Eating a low-fiber diet
• Lifting heavy objects
• Obesity
• Pregnancy

5 other ways to prevent hemorrhoids

Whether or not you use your phone in the bathroom, here are steps you can take to reduce your risk of hemorrhoids.

Eat more fiber

Fiber is your best friend when it comes to bowel health. "Veggies, fruits and whole grains help soften stool and increase bulk, making bowel movements easier," says Dr. Kalakota. "Aim for 25 to 35 grams of fiber daily."

(Related: High-Fiber Foods: How to Get More Fiber In Your Diet)

If you're consistently falling short on fiber, over-the-counter options can help. "Psyllium, wheat dextrin and methylcellulose are options to consider," Dr. Kalakota notes. Stool softeners like docusate sodium can also help keep things moving.

Drink plenty of water

Water plays a crucial role in digestive health, working in tandem with fiber to promote proper form and consistency of your stool, making bowel movements easier and reducing the risk of straining

Aim to drink 64 ounces of water per day at the very minimum, barring any health conditions that would prevent you from drinking that much, of course.

Use a toilet stool

Using a toilet stool, like a Squatty Potty, can help straighten your anorectal angle, which can make bowel movements easier and reduce straining. By promoting a more natural squatting position, it minimizes pressure on the rectal veins and supports overall digestive health.

Stay active

Exercise supports digestion and reduces pressure on veins, especially if you sit or stand for long periods. "Physical activity helps prevent constipation and can also aid in weight management, which is another factor in hemorrhoid risk," adds Dr. Kalakota.

(Related: Am I Exercising Enough?)

Consult a doctor about chronic constipation or chronic diarrhea

"Constipation is considered chronic when it lasts longer than four weeks," Dr. Kalakota says. She adds that it is often caused by lack of fiber or water, but if you're taking the steps above and still having issues, talk to your doctor.

You should also consult your doctor if you're experiencing chronic diarrhea.

"Your primary care doctor will start the blood workups and stool tests needed to help determine what might be causing diarrhea," Dr. Kalakota explains. "Depending on the results, lifestyle changes that help reduce diarrhea may be recommended."