Prevention of piles

Many cases of piles can be prevented, or kept from returning, by looking after the bowels.

Keep stools soft

• Eat plenty of fibre from fruit, vegetables, whole grains and pulses
• Drink enough water through the day
• Use isabgol if advised, with plenty of fluid

Healthy toilet habits

• Go as soon as you feel the urge
• Do not strain and do not sit for long
• Do not use a phone or read on the toilet
• Raise your feet on a stool

Lifestyle

• Stay active, with a daily walk of at least 30 minutes
• Maintain a healthy weight
• Do not sit or stand for very long without a break
• Avoid lifting heavy weights with straining
• Keep the anal area clean and dry

During pregnancy

Eat fibre and drink fluids, walk daily, and tell your doctor about constipation early. Piles often improve after delivery.

Treat other causes

Treat chronic constipation or diarrhoea early, and talk to a doctor about persistent changes in bowel habits.

Ayurvedic view (interpretive)

Regular meals, warm water, buttermilk and attention to digestion are advised traditionally. These measures overlap with the practical steps above, but evidence for herbs is limited.