A haemorrhoid typically becomes prolapsed when the connective tissue holding it in place is weakened. This can happen for a number of reasons common to other types of haemorrhoids too, for example:
▶Too much straining when going to the toilet
▶Constipation - difficulty with bowel movements can result in over-straining
▶Diarrhoea – frequently needing to go to the toilet can put pressure on blood vessels
▶Spending a long time on the toilet (e.g. due to constipation or diarrhoea)
▶A low fibre diet – insufficient fibre in your diet can make stools harder and more difficult to pass
▶Over-exertion – lifting heavy weights or over-exercising can also put strain on the blood vessels around the bottom
▶Obesity – carrying extra body weight can put a strain on your body
▶Pregnancy – the pressure of an enlarged uterus and hormonal changes can relax the blood vessels
▶Older age – as we get older the tissues holding haemorrhoids in place become weaker.
The good thing is that many of these causes can be managed to help you avoid developing piles again in the future. There are also a number of treatment options that can provide welcome relief from the unpleasant symptoms.