Lifestyle and Risk Factors in Hemorrhoidal Disease

Marco, Stefania De; Tiso, D

doi:10.3389/fsurg.2021.729166

Cited by 29 publications

(32 citation statements)

References 28 publications

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“…dehydration or increased intra-abdominal pressure (33). As noted by Marco et al (5), we recommend that hemorrhoidal patients abandon a sedentary lifestyle and practice mild exercises such as walking, swimming, and yoga. This approach can result in improved circulation, strengthen the pelvic floor muscles, improve anorectal function, and prevent a defecation disorder.…”

Section: Discussionmentioning

confidence: 84%

“…Current causes of hemorrhoids include chronic straining during defecation, lack of physical exercise, diarrhea, pregnancy, and inadequate fiber intake (4). There is a close link between hemorrhoids and constipation (5,6). Hard or large stools and exertion during defecation are associated with an increased prevalence of hemorrhoids.…”

Section: Introductionmentioning

confidence: 99%

“…Bowel habit regulation is essential to managing hemorrhoids (7)(8)(9). For instance, oral fiber is adjusted for constipation symptoms (5,10) and flavonoids decrease the risk and recurrence rate of hemorrhoids (11).…”

Section: Introductionmentioning

confidence: 99%

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Correlation Between Poor Defecation Habits and Postoperative Hemorrhoid Recurrence

Ghoorun

et al. 2022

Front. Surg.

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BackgroundThe relationship between hemorrhoid recurrence and poor defecation habits is poorly understood. This study aimed to analyze the effects of poor defecation habits on postoperative hemorrhoid recurrence.Materials and MethodWe performed a retrospective study on 1,162 consecutive patients who underwent a surgical procedure for hemorrhoids at the Sixth Affiliated Hospital of Sun Yat-Sen University from December 2016 to May 2020. All patients were followed for 12 months post-operatively. Patients were monitored for disease recurrence. Patient defecation habits were assessed using an obstructive defecation syndrome (ODS) score.ResultsPatients with a score of 0–4 had a mild defecation disorder, 5–8 a moderate defecation disorder, and 9 or more ODS. Of the 1,162 patients, 1,144 (98.45%) had a mild defecation disorder, 13 (1.12%) had a moderate defecation disorder, and 9 (0.43%) had ODS. Older patients were significantly more likely to have worse defecation habits (P < 0.001). A higher ODS score correlated with a higher maximum anal squeeze pressure (P = 0.07) and a more severe inability for the anus to relax during simulated evacuation (P = 0.002). The maximum rectum threshold was also found to be the highest in ODS patients (P = 0.010). The proportion of Procedure for prolapsing hemorrhoids (PPH) was the highest in the moderate defecation disorder group (53.85), followed by the ODS group (40.00) and the mild defecation disorder group (P = 0.023). Recurrence occurred in 5.51% of patients in the mild defecation disorder group, 38.46% of the moderate defecation disorder group, and 60% of the ODS group (P < 0.001). Multivariate analysis confirmed a higher ODS score (P < 0.001) was an independent predictor of recurrence. Furthermore, patients who occasionally exercised (P = 0.01) and patients who exercised regularly (P = 0.021) were less likely to have a recurrence.ConclusionPatients with unresolved defecation disorders are more likely to have their hemorrhoids recur and are unlikely to be satisfied with surgical management.

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Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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Correlation Between Poor Defecation Habits and Postoperative Hemorrhoid Recurrence

Ghoorun

et al. 2022

Front. Surg.

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“…Beberapa penelitian juga mengimplikasikan adanya pengaruh faktor genetika terhadap patogenesis hemoroid, namun bukti yang diperoleh berbanding lurus dengan faktor lainnya dan tidak konsisten sehingga pengaruh faktor genetika dalam perkembangan hemoroid masih kontroversial. 5,18,19…”

Section: Penyebab Dan Faktor Risikounclassified

“…Hal ini dapat dilakukan dengan mengelola diet makan yang lebih berorientasi pada asupan serat dan menghindari gaya hidup atau kebiasaan yang dapat memperburuk kondisi hemoroid seperti duduk terlalu lama dan mengejan berlebihan. 6,19,22 Medical Treatment merupakan pengobatan konservatif yang digunakan untuk mengobati hemoroid kelas I dan II bergejala ringan, dengan tujuan untuk meredakan gejala. Medical Treatment dapat juga digunakan sebagai adjunct atau pengobatan tambahan untuk mengatasi gejala hemoroid yang memiliki tingkatan lebih tinggi.…”

Section: Penatalaksanaan Hemoroidunclassified

Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

et al. 2022

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Hemoroid adalah suatu penyakit tidak menular yang terjadi di daerah anorektal. Hemoroid disebabkan oleh suatu aktivitas yang memicu pelebaran dan inflamasi pembuluh darah vena di plexus haemorrhoidalis yang terdapat di sekitar anus dan rektum. Hemoroid diklasifikasikan dalam 4 tingkatan yaitu hemoroid kelas I, II, III, dan IV. Micronized Purified Flavonoid Fraction (MPFF) adalah suatu obat plebotonik yang kerap digunakan dalam pengobatan konservatif hemoroid kelas I dan II. Tinjauan Pustaka ini bertujuan untuk memahami peran MPFF dalam terapi pengobatan hemoroid kelas I dan II serta mengevaluasi efektivitasnya dalam menangani hemoroid secara menyeluruh. Tinjauan pustaka ini ditulis dengan metode menganalisis dan meninjau secara sistematis hasil kajian dari beberapa penelitian terhadap penggunaan MPFF dalam pengobatan hemoroid. Hasil penelitian yang melibatkan 1.952 pasien hemoroid secara acak menemukan bahwa MPFF efektif dalam meredakan gejala pada 1.489 (76,3%) pasien yang menderita hemoroid. Selain itu, ditemukan juga 68 (3,5%) pasien yang mengikuti pengobatan invasif (pembedahan) untuk menangani hemoroid kelas IV dan sebanyak 395 (20,2%) pasien dengan hemoroid kelas I – III menjalani pengobatan konservatif campuran. Penelitian tersebut menunjukkan bahwa MPFF termasuk pengobatan konservatif yang cukup efektif untuk mengatasi hemoroid kelas I dan II, tetapi kurang berdampak untuk mengatasi tingkatan hemoroid yang lebih tinggi.

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Lactiplantibacillus plantarum X7022 ameliorates loperamide‐induced constipation and modulates gut microbiota in mice

Chen

Liu

Zhao

et al. 2022

Food Bioengineering

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Lactiplantibacillus plantarum X7022 is a novel strain isolated from stinky tofu brine. Its constipation amelioration potential was evaluated on two different constipation types (acute and subacute) in mice induced by loperamide hydrochloride in present work. L. plantarum X7022 could significantly decrease the first black stool defecation time, and increase black fecal weight, number, and the gastrointestinal transit ratio in both models. High‐dose treatment of L. plantarum X7022 (2 × 1010 CFU/kg BW) was more significant in improving constipation condition than low‐dose (2 × 107 CFU/kg BW). Furthermore, 16S rDNA sequencing of the intestinal flora showed that the treatment with the strain X7022 could increase the α diversity in both constipation models. Meanwhile, the abundance of Bacteroidetes increased, and Firmicutes decreased, which was more effective in acute constipated mice. In addition, X7022 treatment could enhance the relative abundance of beneficial flora, such as Bacteroides, Ruminococcus, and depressed Adlercreutzia and Odoribacter in acute model mice. In subacute constipated mice, X7022 treatment could enhance Alloprevotell, Rikenellaceae_RC9, and decreased Lachnospiraceae_NK4A136 and Desulfovibrio. Therefore, L. plantarum X7022 is a prospect probiotic strain for the amelioration of constipation.

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Lifestyle and Risk Factors in Hemorrhoidal Disease

Cited by 29 publications

References 28 publications

Correlation Between Poor Defecation Habits and Postoperative Hemorrhoid Recurrence

Correlation Between Poor Defecation Habits and Postoperative Hemorrhoid Recurrence

Peran dan Efektivitas Micronized Purified Flavonoid Fraction dalam Terapi Pengobatan Hemoroid Kelas I dan II

Lactiplantibacillus plantarum X7022 ameliorates loperamide‐induced constipation and modulates gut microbiota in mice

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