Authors : Jobin George. B; Viniesh .C; N. Junior Sundresh

Volume/Issue : Volume 10 - 2025, Issue 8 - August

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DOI : https://doi.org/10.38124/ijisrt/25aug991

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Abstract : Hemorrhoids are a common anorectal condition that significantly affects the quality of life. It characterized by the swelling and inflammation of the venous plexuses in the anal canal. Despite their prevalence, the burden and associated risk factors are often underreported in clinical settings.This study aims to determine to assess the prevalence of hemorrhoids and identify the major risk factors contributing to their development among a general population attending a tertiary care teaching hospital. A prospective observational study was carried out over a period of six months among 50 participants in the Department of surgery at a tertiary care teaching hospital. Patients presenting with symptoms suggestive of hemorrhoids were enrolled after obtaining informed consent and evaluated through a structural questionnaire assessing demographics, dietary habits, physical activity, comorbidities and family history. clinical and proctoscopic examinations were performed to confirm the diagnosis and grade the hemorrhoids (Grade I – Grade IV) based on standard criteria. Statistical analysis was performed to determine prevalence of different hemorrhoid grades and identify significant risk factor. Among the 50 participants, the distribution of hemorrhoid grades was as follows: Grade I - 34%, Grade II – 24%, Grade III – 22%, Grade IV – 10%. Significant risk factors included chronic constipation (56%), low fiber diet (66%), sedentary lifestyle (40%), prolonged sitting (60%), obesity (62%), weight lifting (64%), alcohol consumption (52%), daily less than 1.5L water intake (74%). High grades (III and IV) commonly associated with chronic constipation and sedentary lifestyle.This prospective study findings highlight the impact of dietary modifications and lifestyle changes are essential to reduce the progression and complications of hemorrhoids.

Keywords : Hemmorhoids, Prevalence, Risk Factors, Constipation, Sedentary Lifestyle.

References :

1. Johanson, J. F., & Sonnenberg, A. (1990). The prevalence of hemorrhoids and chronic constipation. Gastroenterology, 98(2), 380–386.
2. Ravindranath, G. G., & Rahul, B. G. (2018). Prevalence and risk factors of hemorrhoids: a study in a semi-urban centre. International Surgery Journal, 5(2), 496–499.
3. Kibret, A. A., Oumer, M., & Moges, A. M. (2021). Prevalence and associated factors of hemorrhoids among adult patients visiting the surgical outpatient department in the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia. PLoS One, 16(4), e0249736.
4. Oberi, A., et al. (2023). Prevalence of Hemorrhoids and Their Risk Factors Among the Adult Population in Jazan, Saudi Arabia. Cureus, 15(10), e37885500.
5. Peery, A. F., et al. (2015). Burden of gastrointestinal disease in the United States: 2012 update. Gastroenterology, 149(7), 1731–1741.e3.
6. Loder, P. B., et al. (1994). Haemorrhoids: pathology, pathophysiology and aetiology. British Journal of Surgery, 81(7), 946–954.
7. Alonso-Coello, P., et al. (2006). Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. American Journal of Gastroenterology, 101(1), 181–188.
8. Pigot, F., et al. (2005). Risk factors associated with hemorrhoidal symptoms in specialized consultation. Journal de Chirurgie, 142(4), 233–239.
9. Sielezneff, I., et al. (1998). Is there a correlation between dietary habits and hemorrhoidal disease? Presse Médicale, 27(12), 513–517.
10. Johanson, J. F., & Sonnenberg, A. (1994). Constipation is not a risk factor for hemorrhoids: a case-control study of potential etiological agents. American Journal of Gastroenterology, 89(11), 1981–1986.
11. Kaidar-Person, O., et al. (2007). Hemorrhoidal disease: a comprehensive review. Journal of the American College of Surgeons, 204(1), 102–117.
12. Sonnenberg, A., & Koch, T. R. (1987). Epidemiology of constipation in the United States. Diseases of the Colon & Rectum, 30(11), 906–914.
13. Johanson, J. F. (1990). Hemorrhoids: the most common ailment of humankind. Current Concepts in Gastroenterology, 13(1), 28–32.
14. Sun, Z., & Migaly, J. (2016). Review of hemorrhoid disease: presentation and management. Clinics in Colon and Rectal Surgery, 29(1), 22–29.
15. Shanmugam, V., et al. (2005). Rubber band ligation versus excisional hemorrhoidectomy in the treatment of third-degree hemorrhoids: a randomized, controlled trial. Diseases of the Colon & Rectum, 48(3), 695–701.