Can I keep hemorrhoids away with exercise?
Summary
TLDRIn this informative video, Dr. Albert Chung addresses the question of whether pelvic floor exercises can prevent hemorrhoids. He explains the anatomy of the pelvic floor and its relationship with hemorrhoids, both internal and external. Dr. Chung emphasizes the importance of strengthening pelvic floor muscles for overall bowel and urinary function, and suggests that while these exercises can help manage hemorrhoids, they may not be a complete solution. He advocates for a personalized approach to healthcare, listening to patients' unique experiences to provide tailored advice.
Takeaways
- 📌 Dr. Albert Chung's channel aims to provide real and helpful information about proctological health.
- 👍 The video encourages viewers to subscribe and like the content for channel growth.
- 🤔 The main question addressed is whether exercises can prevent hemorrhoids or keep them from becoming problematic.
- 💪 Pelvic floor exercises are discussed as a potential method to manage hemorrhoids.
- 🔍 Internal hemorrhoids typically stay inside, while external hemorrhoids can protrude and cause discomfort.
- 🦴 The pelvic floor muscles support the weight of internal organs and are crucial for bowel and urinary function.
- 🏋️♂️ Strengthening pelvic floor muscles can improve control over bowel movements and potentially help with hemorrhoids.
- 🚫 Hemorrhoids may not always stay inside, even with exercises, especially if they are swollen or during vigorous activity.
- 👨⚕️ Dr. Chung emphasizes the importance of listening to patients' individual experiences and tailoring treatment accordingly.
- 🌟 The video suggests that pelvic floor exercises are beneficial for overall health, regardless of hemorrhoid issues.
- 📝 The narrative stresses the individual nature of medical advice and the importance of personal stories in finding solutions.
Q & A
What is the main topic of Dr. Albert Chung's video?
-The main topic of the video is whether exercises, specifically pelvic floor exercises, can help keep hemorrhoids away or prevent them from becoming problematic.
What are internal hemorrhoids?
-Internal hemorrhoids are hemorrhoids that stay inside the body, usually not protruding outside, and they can become swollen and uncomfortable when they get big enough.
What are external hemorrhoids?
-External hemorrhoids are hemorrhoids that are located outside the body, covered by skin, and can be swollen and uncomfortable, causing difficulty in sitting, walking, or standing.
What is the function of the pelvic floor muscles?
-The pelvic floor muscles help support the weight of the body's internal organs, such as the intestines, and play a crucial role in bowel and urinary function, including controlling the release of waste.
How do pelvic floor exercises potentially help with hemorrhoids?
-By strengthening the pelvic floor muscles, including the anal sphincter muscles, these exercises may help in better controlling the muscles and potentially keeping hemorrhoids inside, preventing them from causing discomfort.
What are the benefits of doing pelvic floor exercises?
-Pelvic floor exercises can enhance strength, control, and relaxation of the muscles, which can improve bowel and urinary function, and potentially help in managing hemorrhoids.
Why might pelvic floor exercises not always work for hemorrhoids?
-In some cases, hemorrhoids may be too swollen or the individual may engage in vigorous activities that prevent the exercises from keeping the hemorrhoids inside at all times.
What is Dr. Chung's opinion on the effectiveness of pelvic floor exercises for hemorrhoids?
-Dr. Chung believes that pelvic floor exercises are beneficial and can help manage hemorrhoids, but they may not completely prevent the need for surgery in severe cases.
How does Dr. Chung approach patient care?
-Dr. Chung emphasizes the importance of listening to patients' problems and stories to provide personalized solutions, rather than applying a one-size-fits-all treatment approach.
What is the role of the pelvic bones in the body?
-The pelvic bones provide a structure for the pelvic floor muscles, forming a ring-like structure that supports the internal organs and is connected by the pelvic floor muscles.
What happens when the pelvic floor muscles are weak?
-Weak pelvic floor muscles can lead to issues with bowel and urinary control, and may contribute to the development or worsening of conditions like hemorrhoids.
Outlines
📌 Introduction and Channel Purpose
Dr. Albert Chung welcomes viewers to his proctology channel, emphasizing the importance of subscriber support through likes and subscriptions. He highlights the channel's mission to provide valuable information about bottom health. The video focuses on whether exercises can prevent hemorrhoids, specifically addressing pelvic muscle exercises and their potential to manage internal hemorrhoids.
🔍 Understanding Hemorrhoids and Pelvic Floor Anatomy
The discussion delves into the anatomy of internal and external hemorrhoids, their typical locations, and appearances. Dr. Chung explains the pelvic floor's structure, its importance in supporting organs, and its role in bowel movements. He also touches on the relationship between pelvic floor muscles and hemorrhoids, suggesting that strengthening these muscles could help manage hemorrhoids.
💪 The Role of Pelvic Floor Exercises in Hemorrhoid Management
Dr. Chung explores the effectiveness of pelvic floor exercises in managing hemorrhoids. He acknowledges that while these exercises can help keep hemorrhoids at bay for some individuals, they may not always be successful, especially during periods of increased physical activity or swelling. He advocates for the overall health benefits of pelvic floor exercises, regardless of hemorrhoid issues, and encourages viewers to incorporate them into their routine for improved bowel and urinary control.
Mindmap
Keywords
💡Proctologist
💡Hemorrhoids
💡Pelvic Floor Exercises
💡Anal Sphincter Muscles
💡Internal Hemorrhoids
💡External Hemorrhoids
💡Pelvic Bones
💡Pelvic Floor Muscles
💡Rectum
💡Continence
💡Surgery
Highlights
Dr. Albert Chung's channel aims to provide real and helpful information about bottom end health.
The video discusses the possibility of using pelvic floor exercises to prevent hemorrhoids.
Hemorrhoids can be internal or external, with internal ones typically staying inside and external ones sometimes protruding.
Pelvic floor muscles are crucial for bowel and urinary function and can be strengthened through exercises.
The pelvic floor is a ring structure that supports the weight of internal organs and is connected to the anus.
Pelvic floor exercises can help improve control and relaxation, which may assist in managing hemorrhoids.
Dr. Chung emphasizes the importance of listening to patients' individual experiences to provide personalized medical advice.
Strengthening pelvic floor muscles can potentially help keep hemorrhoids inside, but results may vary.
Dr. Chung suggests that pelvic floor exercises are beneficial regardless of hemorrhoid issues, for overall health.
The video highlights the importance of understanding the body's unique responses to treatments.
Dr. Chung encourages viewers to subscribe to the channel for more informative content on proctology.
The video explains the anatomy of the pelvic floor and its relation to hemorrhoids in a detailed and engaging manner.
Dr. Chung discusses the role of pelvic floor muscles in the process of defecation and how they relate to hemorrhoid management.
The video provides a balanced view on the effectiveness of pelvic floor exercises in managing hemorrhoids, acknowledging both their benefits and limitations.
Dr. Chung emphasizes the need for a personalized approach to medical advice, as each patient's body reacts differently.
The video concludes with a reminder that while exercises can be helpful, they may not completely prevent the need for surgery in severe cases.
Transcripts
hi there i'm dr albert chung and welcome
to your friendly proctologist thank you
so much for spending your time with me
today i truly appreciate every single
one of you that subscribed and watching
the video
on that note would you mind would you
click that thumbs up button and also
subscribe to this channel it greatly
helps this channel to grow i appreciate
you for that this channel is about
giving you real and helpful information
about your bottom end and we have so
many questions to answer because you
want to know more and i'm here to help
you and do exactly that and that's what
this channel is all about
so the question today is
can i do exercises to keep hemorrhoids
away
can they go away with
exercising your pelvic muscles
and
i think
the um the question is a really great
thought because
let me tell you you're not the only one
that's thought of it and even if you've
never said that question out loud you're
probably unconsciously doing it without
even realizing it
and the original question was can i do
pelvic mud floor exercises to keep the
hemorrhoids in the house and this is
referring to a previous video in the
past where the hemorrhoids in the house
were the internal hemorrhoids because
usually the internal hemorrhoids stay
inside
they usually don't go outdoors
so let's kind of break things up here
let's do the background okay
and um
obviously internal hemorrhoids is mainly
what we're talking about here but we can
also apply them to external hemorrhoids
too
you know many people are trying to keep
those guys inside the external
hemorrhoids i mean because when they're
sticking out
they can be swollen and really
uncomfortable and it's it can really be
awful to sit on them to walk around with
them or stand with them hanging out
right
so
the internal hemorrhoids on the inside
and they pop out when they're big enough
and those guys are usually pink and wet
because they're from they have the
lining of the intestine
the external hemorrhoids are on the
outside that's where they normally live
and they have skin covering so they're
usually the skin same color of your skin
on your buttocks but probably a little
bit darker because you know the skin
gets to a darker color when it gets to
your bottom end
alright so what about pelvic floor
exercises
what is the pelvic floor even before you
get to the exercises
so
if we were to
imagine the anatomy of your body right
first we'll take
we'll think about the pelvic bones
okay and the pelvic bones we need to
thought think about that first because
that provides a structure
for the pelvic floor muscles
all right so the pelvis is really a ring
that goes sideways okay
if you think of it kind of like a uh
well a hula hoop around your hips
and that just kind of re just kind of
circles around like this okay
and your leg bones your hips go
underneath this hula hoop bar
and it kind of has some depth to it kind
of goes up and down for a fair distance
but there are no bones on the top of
this ring
and there are no bones at the bottom of
the ring okay and so if you look at a
skeleton in a museum or in a classroom
you can see that you can actually put
your fist if this was the basin of the
hole here of the pelvis ring you could
put your fist and go straight down
and it's really just you look down into
the pelvic bone and you're like oh my
god i see the floor
i mean shouldn't there be like a rib
cage down there i mean it how did my
insides not just fall out onto the floor
and
that is because of your pelvic floor
it's actually functioning and helping
to keep things up
right keep things suspended it is
carrying the weight of your body as well
as other
tendons ligaments
um
other support structures and the all the
bonding of these different
tissues
form
the um the structure to keep your lungs
your intestines up i mean there's a lot
of stuff that's sitting on top of our
pelvis okay
okay so if you have this ring here the
pelvic floor actually attaches 360
degrees around this ring okay
and then that
muscle then comes down to the floor
so with the pelvis and the floor because
this forms a bowl actually
if you think about the top here with
this ring and then it comes down on all
sides 360 degrees around it's just
coming down to form the bottom of this
swimming pool
and at the bottom of the hole
is you guessed it it's your anus it's
your urethra your pee hole and if your
woman the vagina as well
and these muscles surround all of these
structures these holes at the very
bottom
and these muscles actually are very thin
i mean i've done surgery in these areas
and when you look at these muscles they
look so fragile and weak
but they hold so much power and such an
important
job and function that's it's really
amazing how our bodies are designed
but these muscles here
have so much to do with how we poop
and they connect with our anus and our
rectum okay
and
these muscles have a lot to do with how
we're supposed to poop these are the
muscles like i said in previous videos
that
they are contracted
when you're not supposed to poop to
prevent an accident and then they're
relaxed or they you want them relaxed
they're supposed to be relaxed when you
poop that way things open up the channel
opens up and then the poop can come out
right
and
these muscles since they are closely and
very much related turn into our
sphincter muscles
they have a lot to do with
our hemorrhoids and i
i
understand completely when people are
trying to as much as possible avoid
like a surgery right because they feel
these hemorrhoids coming out to the
outside maybe your surgeon has said to
you
you know you're going to need surgery
for those hemorrhoids they're too big
and but you know that they're coming out
you don't want the surgery and so you're
trying to think of other ways to well
not have them interfere with your life
so with your internal hemorrhoids after
you poop you may be pushing them back in
with your external hemorrhoids after a
poop you may be also trying to push
those guys in
and then
what do you do when
after you do that
what you do is you squeeze
right
you're trying to
catch them in like you're putting your
finger in and then you stuff them in
there and you're trying to trap them
inside of the anus as if it was some
kind of you know some kind of glove and
you're trying to
close right around those muscles
and it's really a very ingenious
adaptation it's a very smart thing to do
because i mean
what do you do when you're you don't if
something's going to fall out of your
hands like a rope is going to fall out
of your hands you're trying to make sure
you got a good grasp if you don't want
to let go what do you do you go you hold
on to that rope and then you try and
pull up right because you don't want to
lose grip
and the pelvic floor muscles because it
relates to the anus you're
trying to strengthen the muscles there
so you want your anus to be stronger
that way it has more power more force
right and you can actually hold that
contraction or force longer when you
squeeze if you were to work things out
just like you work out any other bicep
or your you know your shoulders you want
the muscles to be able to withstand
a prolonged exercise and doing it all
the time
maybe it can get better and it'll be
easier for you later on right
and
these pelvic floor exercises don't just
work this the anal sphincter muscles
they also work the entire bowl so what
if you
can strengthen them and then just like
when they prevent poop from coming out
can you get them to do the same thing to
hold the hemorrhoids in
right and that's where the question is
asking these pelvic floor exercises
which strengthen that bowl
it also strengthens the anus muscles can
that be a good way
to keep your hemorrhoids inside right
are you following me i hope you are
trying to make the explanations very
logical so you can understand and be
able to see if this can be applied to
your life
okay
and i'll tell you that some people
absolutely can
of course and that makes complete sense
and i'm sure you've tried it and you've
had some good success
but
there may have been times where it does
not work right
maybe the hemorrhoid was just a little
bit more swollen than usual
right maybe a certain day you were doing
a lot more vigorous activity maybe
you're doing a lot more running around
and
you really weren't able to keep them in
the entire time
maybe you were standing a lot plus with
that moving
that may
have gotten you to say oh man they they
came out that was that was uh surprising
right
and so you think maybe you should
exercise more or maybe you think oh it's
not working you know what else can i do
but i believe that pelvic floor
exercises are very important and would
benefit anyone whether you have
hemorrhoid issues or not
because strengthening these pelvic floor
muscles
them being as fragile and thin as they
are
they
produce a huge function for our bowel
function and urinary function
that you can
enhance your strength enhance your
control and also enhance your relaxation
and i think for many people relaxation
can be very helpful on the toilet right
especially people trying to keep things
in so let's say all day long
you've been holding in your hemorrhoids
you've been squeezing your muscles all
day finally you get the signal to go
poop and what happens
you sit down in the toilet and you can't
relax
you're so used to squeezing and
concentrating so hard to keep that
contraction maximized and all of a
sudden when it's time to do the exact
100 percent opposite go from zero excuse
me go from 100 intensity to zero
you can only go down to about 70 percent
for some reason it's just not
doing what you wanted to
and so
i think that there's pros and cons to
the strategy but can you keep them in
better with strengthening those muscles
absolutely you can do i recommend that
you do pelvic floor exercises absolutely
i do think it's extremely healthy
all of our body parts and muscles should
get some type of exercise it keeps us
strong keeps us moving and keeps our
body parts functioning more normally and
prevents pain
as well
now
is this a good strategy to keep
hemorrhoids in i think it is
i mean in my opinion hemorrhoids do not
need something done until they are
really ruining your life okay and so if
you don't want to have surgery right now
or you're not ready
or you want to see if this thing these
things can help you well i think that
doing these exercises even now
can help you in the future
and if it keeps you away from surgery
for another six months
well then
that may be a big benefit to you you
know try and prolong things maybe
you don't ever need surgery because now
you've found this new strategy and it
doesn't bother you as much anymore i
mean there's so many different things
that could be happening and it depends
on you
again i think the most important job of
a doctor is and i take this very
seriously is to listen to the patient
listen to you
the problems are in
the story that you give me the solutions
are in the story you tell me and
the re you know it just all stems from
there because
you are not a textbook
i cannot just read off a treatment and
say
here you go
it's like go to the grocery store pick
up these ingredients and then make your
loaf of bread it's going to come out
perfect every time no the human body
does not work that way
and
we i think doctors
need to
be more patient and listen and therefore
and then
we can really start helping people and
make people better
so this was kind of a little bit of a
tangent but
i hope that you really enjoy the content
of this video i hope i answered your
question
and i'll see you on the next one
take care bye
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