Cause 8: Excessive Straining During Bowel Movements
Regular, strenuous straining during bowel movements, often seen with conditions like constipation, can significantly increase intra-abdominal pressure. Over time, this repetitive straining can weaken the diaphragm, especially around the hiatus, making it susceptible to herniation. It’s a seemingly simple action, but when chronic, its effects can compound, leading to more severe complications.
Several underlying conditions can result in chronic straining. Constipation, primarily if caused by a low-fiber diet, lack of physical activity, or specific medications, is a primary culprit. Additionally, conditions like irritable bowel syndrome or pelvic floor dysfunction can further exacerbate the straining, heightening the risk of herniation.
Apart from the direct risk of herniation, chronic straining can lead to other complications. Hemorrhoids, anal fissures, and even rectal prolapse can emerge as secondary issues. These complications can further intensify the straining, creating a vicious cycle and continuously escalating the hernia risk. (8)