Question : I FEEL pain and a burning sensation when passing motion and sometimes I bleed. My doctor has confirmed that I have haemorrhoids and I have undergone surgery to remove them. How can I prevent a recurrence?

Answer : HAEMORRHOIDS or piles are swollen veins around the anus and in the rectum that may protrude from the anus. They can be caused by poor blood circulation, prolonged periods of sitting or standing, lifting heavy objects, straining of bowel movements and insufficient consumption of dietary fibre.

Herbs such as horse chestnut, ginkgo and Gotu kola may help to prevent haemorrhoids. Horse chestnut is a reputable herb which strengthens weak capillaries and veins, and helps prevent capillary fragility and permeability. Ginkgo helps to enhance blood flow, dilates blood vessels and inhibits platelet aggregation. Gotu kola helps to promote healthy blood vessels and improve blood flow.

To help bleeding haemorrhoids, eat foods such as alfalfa and dark green vegetables, which are high in vitamin K. Drink plenty of liquid. A high fibre diet is most important in the treatment and prevention of haemorrhoids. Avoid fats, animal products, coffee, alcohol and hot spices. Red meat and high protein diets are especially hard on the lower digestive tract.

Vitamin A and E support healing of the mucous membranes. Vitamin E also helps to keep tissues elastic and resolve blood clots. Vitamin C and zinc are vital to accelerate wound healing.

Exercise regularly to promote circulation and regular bowel movements. Learn not to strain during bowel movement. Don't sit on the commode for longer than 10 minutes at a time, as this causes blood to pool in the haemorrhoidal veins.

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