"Why Have I Never Had Hemorrhoids Despite Growing Up?"

The occurrence of hemorrhoids is related to genetic factors, dietary factors, bowel habits, intestinal inflammation, and other conditions. Therefore, the lack of hemorrhoids since childhood may be due to the following reasons: 1. Genetic factors: Studies have shown that there is a familial tendency for hemorrhoids. If parents suffer from hemorrhoids, their children are more likely to develop them; 2. Dietary factors: Frequent consumption of spicy and irritating foods such as seafood, peppers, barbecues, and long-term alcohol consumption can stimulate the anus to a certain extent, aggravate venous congestion and edema, and trigger hemorrhoids; 3. Bowel habits: Frequent bowel movements, prolonged bowel movements, excessive straining, and recurrent diarrhea or constipation are also common factors that can lead to hemorrhoids. For example, frequent constipation can compress the rectum due to dry stool, impair venous blood return, and lead to varicose veins and congestion over time, resulting in hemorrhoids; 4. Intestinal inflammation: Patients with Crohn's disease or other inflammatory bowel diseases can experience long-term chronic intestinal inflammation, which stimulates the intestinal mucosa. In severe cases, this can lead to mucosal erosion, ulcers, and expansion of the rectal venous plexus with blood stasis, triggering hemorrhoids. In addition to the above reasons, patients with pelvic tumors and rectal tumors may experience local anal discomfort, a sense of heaviness, and obstruction of venous return around the anus, leading to the formation of thrombotic external hemorrhoids. These tumors can also cause congestion and edema of the rectal venous plexus, leading to hemorrhoids. Furthermore, it may be related to perianal infections, which can lead to decreased venous wall elasticity, subsequent dilation and tortuosity, and ultimately trigger hemorrhoids. During pregnancy and childbirth, due to uterine enlargement and increased intra-abdominal pressure, local blood flow can be impaired, making hemorrhoids more prone to occur. Additionally, psychological factors can also contribute to the development of hemorrhoids. People who have not experienced hemorrhoids since childhood should take precautions in their daily lives to prevent the occurrence of hemorrhoids by improving their lifestyle, maintaining good bowel habits, eating more vegetables and fruits, engaging in regular exercise, which can help prevent the onset of hemorrhoids or improve their symptoms.