Hemorrhoid development is commonly linked to sports that demand bursts of strength and intense pelvic strain, such as bodybuilding, powerlifting, weightlifting, and wrestling. A coloproctologist at SM-Clinic, Aleksey Vinnikov, notes that these activities can contribute to inflammation and protrusion of hemorrhoidal tissue. While the risk is not limited to one discipline, the pattern is often observed across high-intensity training environments where core stability and pelvic pressure are repeatedly challenged during sessions.
In addition to those disciplines, professional cyclists and figure skaters may also experience hemorrhoidal symptoms. The doctor explains that the combination of prolonged sitting, vibration from road or ice surfaces, and the repetitive bearing-down actions associated with certain training routines can stress the anorectal region. Over time, this pressure can exacerbate existing hemorrhoids or trigger new flare-ups, especially when athletes push through discomfort without medical guidance.
During periods of intense training or heavy lifting, the body experiences heightened intra-abdominal pressure. This increase places additional load on the muscles and organs of the pelvis, including the rectal area and lower abdomen. Such stress can lead to inflammation and, in some cases, prolapse of hemorrhoidal tissue. In acute instances, athletes may notice burning or itching in the anal region, accompanied by bright red blood during bowel movements. A palpable sensation at the base of the anus may also occur, indicating internal hemorrhoids migrating toward the anal opening.
Experts emphasize that continuing rigorous training without proper medical advice or adjustments can worsen symptoms. The approach to management in acute or chronic hemorrhoids should focus on reducing strain and allowing the pelvic region to recover. Practical recommendations include minimizing pelvic muscle load, prioritizing general whole-body conditioning, and avoiding breath-holding or gritting the teeth during exertion. Athletes might also consider temporarily reducing or modifying exercises that increase intra-abdominal pressure, such as heavy squats or deadlifts, until symptoms improve.
Not all sports pose the same risk, and some activities may even support recovery or prevention. Water-based activities and low-impact practices tend to distribute effort more evenly across the pelvic region. Swimming, for instance, can provide a balanced, low-stress workout that helps relieve pelvic tension and promotes venous return without subjecting the anorectal area to excessive pressure. Pilates can improve core stability and pelvic floor function, which may contribute to reduced discomfort and better circulation in the surrounding tissues. Therapeutic exercise, gentle stretching, and regular, moderate aerobic activity—like brisk walking or light running—can enhance blood flow in the pelvic organs and legs, supporting overall vascular health and reducing the chance of venous stasis that contributes to hemorrhoidal symptoms. The physician highlights that these activities, when performed with proper form and reasonable intensity, can be supportive parts of a comprehensive management plan.
Importantly, managing constipation and bowel habits is a key component of preventing hemorrhoid aggravation. Dietary adjustments, hydration, and, when appropriate, medical guidance should be considered to maintain regular, soft stools. Constipation can compound strain during bowel movements, aggravating the anorectal tissues and prolonging recovery. Athletes who notice persistent symptoms should seek medical evaluation to tailor a treatment plan that fits their sport, training schedule, and recovery goals. A thoughtful combination of lifestyle modifications, targeted exercises, and medical oversight can help athletes continue training with less discomfort and a clearer path to long-term pelvic health.
In summary, the relationship between athletic activity and hemorrhoids is nuanced. Some sports can trigger flare-ups due to repetitive pelvic pressure, while others may support circulation and pelvic health when performed with appropriate technique and intensity. By prioritizing pelvic-floor-friendly training, avoiding breath-holding, and incorporating suitable low-impact movements alongside medical guidance, athletes can manage symptoms effectively and maintain overall athletic performance. The focus remains on balancing training demands with strategies that protect the anorectal region and promote optimal blood flow throughout the pelvic anatomy.