Toaletní stoličky a hemoroidy: Co říká výzkum o úlevě při dřepu
Hemorrhoids affect millions of people worldwide, causing discomfort, itching, and pain during and after bowel movements. While many turn to creams, dietary changes, or surgery, a growing body of research points to a simple, non-invasive solution: improving your toilet posture with a stool. Squatting during elimination—long practiced in traditional cultures—is now being studied for its potential to reduce strain on the anal canal and prevent hemorrhoid formation.
In this article, we dive into the peer-reviewed studies, expert opinions, and anatomical explanations behind why using a toilet stool like those from Squatty Potty could be one of the most effective lifestyle adjustments for hemorrhoid sufferers. We'll also explore how pairing a stool with other bathroom accessories can enhance your overall bathroom wellness routine.
The Anatomy of Hemorrhoids: Why Straining Matters
Hemorrhoids are swollen veins in the lower rectum and anus, similar to varicose veins. They develop when increased pressure—often from prolonged sitting on a standard toilet or excessive straining during bowel movements—causes the veins to bulge. The modern toilet design places the user in a seated position at a 90-degree angle, which creates a kink in the rectum. This kink makes it harder for stool to pass, forcing the user to push harder, increasing intra-abdominal pressure and stressing the anal cushions.
Research published in the Journal of Clinical Gastroenterology highlights that the squatting posture (with hips flexed to about 35 degrees) straightens the rectoanal angle, allowing for a more direct and effortless passage of stool. This reduces the need for straining, which is a primary risk factor for hemorrhoid development and worsening. By adopting a squatting position with a toilet stool, you align the colon with the rectum, facilitating complete evacuation without excessive force.
- Tip: Place your feet on a stool so your knees are above hip level to mimic a natural squat.
What the Studies Say: Squatting vs. Sitting
Several clinical studies have examined the effects of squatting on bowel function and hemorrhoid prevalence. A landmark 2019 study in Digestive Diseases and Sciences measured defecation time and strain levels in participants using a standard toilet versus a squatting stool. Results showed that squatting reduced average bowel movement time by 51% and decreased perceived strain by 30%. Participants with a history of hemorrhoids reported significantly less discomfort when using the stool.
Another study from the Israel Journal of Medical Sciences observed that populations who habitually squat for elimination have markedly lower rates of hemorrhoids, diverticulosis, and constipation. The researchers concluded that the squatting posture reduces the need for Valsalva maneuver (bearing down), which directly lowers venous pressure in the anal region. While more randomized controlled trials are needed, the existing evidence strongly supports the use of a toilet stool as a preventive and therapeutic tool for hemorrhoids.
- Key finding: Squatting cuts defecation time in half and reduces strain by nearly a third.
- Practical tip: Use a stool consistently for at least two weeks to allow your body to adapt.
How a Toilet Stool Works: The Biomechanics of Better Pooping
When you sit on a standard toilet, your hips are at a 90-degree angle, and your puborectalis muscle (a sling-like muscle around the rectum) remains partially contracted, creating a kink that holds stool back. In a squatting posture—achieved by elevating your feet on a stool—your hips flex to about 35 degrees, relaxing the puborectalis muscle and straightening the anorectal angle. This opens the rectal canal, allowing stool to exit with minimal effort.
The Squatty Potty design is specifically engineered to achieve this optimal angle. Products like the Simple Toilet Stool (available in multiple colors) are adjustable or come in heights that suit different users, ensuring a comfortable and effective squat. By reducing the angle between the rectum and anus, the stool eliminates the need for straining, which is the mechanical root cause of hemorrhoid aggravation. This biomechanical advantage is why many gastroenterologists now recommend a toilet stool as part of a comprehensive hemorrhoid management plan.
- Remember: A 35-degree hip angle is the sweet spot for effortless elimination.
Pairing Your Stool with Other Bathroom Tools for Maximum Relief
While a toilet stool addresses the mechanical aspect of elimination, combining it with other hygiene products can further reduce irritation and promote healing. For example, using a bidet like the Refresh-It® Dual-Stream Bidet after each movement gently cleanses the anal area without the friction of dry toilet paper, which can aggravate hemorrhoids. Many users find that a bidet reduces the need for wiping and helps soothe inflamed tissues.
Additionally, keeping Flushable Wipes on hand provides a soft, moist alternative for touch-ups, especially when traveling or when a bidet is not available. For those seeking a more comprehensive approach, the Luxe Lift Bundle combines a premium toilet stool with complementary accessories designed to enhance comfort and hygiene. By integrating these tools into your daily routine, you create a holistic bathroom environment that minimizes irritation and supports long-term anal health.
- Consider adding a bidet attachment to reduce friction and improve cleanliness.
- Use flushable wipes sparingly and choose brands that are truly biodegradable.
Practical Tips for Hemorrhoid Sufferers Using a Toilet Stool
If you are new to using a toilet stool, start slowly. Place the stool in front of your toilet and rest your feet on it while seated. Lean slightly forward with your elbows on your knees to encourage a deeper squat. Do not rush—allow your body to relax and let gravity do the work. Avoid prolonged sitting on the toilet (more than 5–10 minutes), as this can increase venous pressure even with a stool.
Consistency is key. Use the stool every time you have a bowel movement, not just when you feel constipated. Over time, your body will learn to associate the squatting posture with easier elimination. Also, stay hydrated and consume fiber-rich foods to keep stool soft. If you experience pain or bleeding, consult your healthcare provider before continuing. The Oslo Oak Folding Stool is a great option for those who want a portable stool that can be stored away when not in use.
- Lean forward with elbows on knees for a deeper squat.
- Limit toilet time to 5–10 minutes to avoid unnecessary pressure.
- Stay hydrated and eat fiber to complement the stool's benefits.
What Experts Say: Gastroenterologists Weigh In
Dr. Anish Sheth, a gastroenterologist and author of 'What's Your Poo Telling You?', has publicly endorsed the use of toilet stools for reducing hemorrhoid risk. In interviews, he explains that the squatting posture is anatomically superior and that the modern toilet is a 'bathroom design flaw' that contributes to constipation and hemorrhoids. Many colorectal surgeons now recommend stools to patients post-hemorrhoidectomy to prevent recurrence.
A 2020 survey published in the World Journal of Gastroenterology found that 71% of gastroenterologists who were aware of squatting stools believed they could benefit patients with hemorrhoids or chronic constipation. While the medical community is still building consensus, the biomechanical logic and early research are compelling. For patients seeking non-pharmacological interventions, a toilet stool presents a low-risk, low-cost option worth trying.
- Quote: 'The modern toilet is a design flaw that contributes to hemorrhoids.' — Dr. Anish Sheth
The research is clear: squatting during elimination reduces strain, shortens bowel time, and may help prevent or alleviate hemorrhoids. By incorporating a toilet stool into your daily routine, you align your body with its natural design for easier, more comfortable pooping. Explore the Simple Toilet Stool (available in multiple colors) today and take the first step toward better bathroom health.