Association between addiction and piles

Clinical answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 26 October 2025Updated: 26 October 2025 Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

There is no direct or established association between addiction and haemorrhoids documented in UK clinical guidelines or related treatment summaries. Haemorrhoids are primarily related to factors such as straining during bowel movements, constipation, and lifestyle factors affecting anal cushion integrity and venous pressure, rather than addiction itself.

However, opioid addiction or use of opioid analgesics can indirectly contribute to haemorrhoids by causing constipation, which increases straining and pressure on the anal cushions, potentially exacerbating or precipitating haemorrhoidal symptoms. Therefore, opioid use should be avoided in haemorrhoid management due to its constipating effects.

In summary, addiction per se is not a recognized risk factor for haemorrhoids, but opioid addiction may worsen haemorrhoidal symptoms through constipation.

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