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Why my (kooko) hemorrhoid shrinks after sex: A physiological perspective

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Hemor­rhoids, commonly referred to as piles, are swollen veins in the lower rectum and anus that cause discomfort, itching, pain, and sometimes bleeding. They can be triggered by factors such as chronic constipation, prolonged sitting, straining during bowel movements, and poor diet. Interestingly, some individuals have reported a peculiar phenomenon: their hemorrhoids shrink immediately after sex and ejaculation. This observation has sparked curiosity and a need to ex­plore the physiological mechanisms behind it.

In this article, I delve into the po­tential reasons behind the temporary shrinkage of hemorrhoids follow­ing sexual activity and ejaculation, examining the roles of circulation, hormonal release, muscle contrac­tion, and stress relief.

Understanding hemorrhoids

Before exploring the connection, it is essential to understand how hemorrhoids form. Hemorrhoids develop when the veins in the lower rectum become swollen due to increased pressure. This can occur due to:

• Straining during bowel movements

• Sitting for prolonged peri­ods

• Obesity

• Chronic constipation or diarrhea

• Pregnancy

• Poor dietary habits (low fiber intake)

Hemorrhoids are classified into internal and external types. Internal hemorrhoids develop inside the rectum and are usually painless but may cause bleeding. External hemor­rhoids form under the skin around the anus and can be painful and itchy.

The role of blood circulation in hemorrhoids

One of the primary factors con­tributing to hemorrhoidal swelling is poor blood circulation in the rectal veins. When blood pools in these veins, it leads to inflamma­tion and swelling. Any activity that promotes proper blood circulation can potentially reduce hemorrhoidal congestion, leading to a temporary shrinkage of the swollen veins.

Physiological effects of sex and ejaculation on hemorrhoids

Several mechanisms might explain why hemorrhoids shrink after sexual activity and ejaculation:

1. Redistribution of blood flow

During sexual arousal and orgasm, blood flow is redirected to differ­ent parts of the body, particularly the genitals, brain, and muscles. This redistribution may temporarily reduce congestion in the rectal veins, leading to a decrease in hemorrhoid size. Additionally, the increased heart rate and improved circulation during sexual activity may help clear excess blood pooled in hemorrhoidal veins.

2. Hormonal influence: The role of oxytocin and endorphins

Sex and orgasm trigger the release of hormones such as oxytocin and endorphins. These hormones have multiple beneficial effects:

• Oxytocin, often called the “love hormone,” has vasodilatory (blood vessel-widening) properties that improve blood flow and reduce vascular congestion.

• Endorphins, the body’s natural painkillers, help reduce inflammation and provide pain relief, which may alleviate the discomfort associated with hemorrhoids.

• Dopamine and serotonin, other neurochemicals released post-ejaculation, contribute to relax­ation and stress reduction, factors that indirectly aid in hemorrhoidal shrinkage.

3. Pelvic floor muscle contraction and relaxation

Ejaculation involves rhythmic con­tractions of the pelvic floor muscles. These contractions may assist in improving blood flow and reducing pressure in the rectal veins, leading to a temporary reduction in hemorrhoid size. Additionally, sex-related physical activity engages the lower abdominal muscles, which may help promote better circulation in the pelvic region.

4. Stress reduction and relaxation

Chronic stress and tension can exacerbate hemorrhoidal symptoms by contributing to increased muscle tightness, inflammation, and poor digestion. Sex and orgasm induce a deep state of relaxation, lowering stress hormones like cortisol. Re­duced stress levels may improve di­gestive health, leading to softer stools and less straining, which ultimately benefits hemorrhoidal health.

5. Temporary decongestion of veins

Ejaculation may act as a short-term venous decongestant. The rapid fluid expulsion and muscle con­tractions might create a temporary shift in venous pressure, leading to less swelling in the rectal veins. This could explain why some individuals experience immediate relief after sex.

Why the shrinking effect is tem­porary

Although the physiological effects of sex and ejaculation provide temporary relief, they do not cure hemorrhoids. The underlying causes, such as poor diet, prolonged sitting, or straining, remain unaddressed. Over time, if these contributing factors persist, hemorrhoidal swelling will likely return. Therefore, it is essential to adopt lifestyle changes to prevent recurring symptoms.

Long-term solutions for hemor­rhoid management

While the temporary relief expe­rienced after sex may be intriguing, it is crucial to implement long-term strategies to manage and prevent hemorrhoids. Here are some evi­dence-based approaches:

1. Increase fiber intake

A high-fiber diet promotes soft stools and prevents constipation, reducing strain during bowel move­ments. Foods rich in fiber include:

• Fruits and vegetables

• Whole grains

• Legumes (beans, lentils)

• Nuts and seeds

2. Stay hydrated

Drinking adequate water (at least 8 glasses per day) helps maintain soft stools and reduces the risk of constipation.

3. Avoid prolonged sitting

Sitting for extended periods, especially on hard surfaces, increases pressure on the rectal veins. Taking breaks to stand and move around can help alleviate this pressure.

4. Exercise Regularly

Physical activity, such as walking, swimming, or yoga, improves circula­tion and prevents excessive pressure on the rectal veins.

5. Practice proper toilet habits

• Avoid straining during bowel movements.

• Do not sit on the toilet for prolonged periods.

• Use a stool or squat position to ease bowel movements naturally.

6. Use topical treatments

Natural remedies such as witch hazel, aloe vera, and coconut oil can help soothe inflamed hemorrhoids. Over-the-counter creams containing hydrocortisone may also provide relief.

7. Consider medical interventions if necessary

For severe or persistent hemor­rhoids, medical treatments such as rubber band ligation, sclerothera­py, or hemorrhoidectomy may be required.

Conclusion

The temporary shrinkage of hemorrhoids following sex and ejac­ulation is an interesting physiological response likely driven by improved circulation, hormonal changes, muscle contractions, and stress relief. While this effect provides short-term comfort, it is not a cure. To effectively manage hemorrhoids, one must adopt a holistic approach that includes dietary changes, proper hydration, exercise, and good toilet habits.

For those experiencing chronic or severe hemorrhoidal symptoms, consulting a healthcare profession­al is advisable to explore the best treatment options. Understanding how the body responds to different stimuli, including sexual activity, can offer insights into managing com­mon health conditions in a natural and informed manner.

The author is a Professor of Naturopathy, a Lawyer(Gambia Bar), and a Chartered Health Economist. e-mail: professor40na­turopathy@gmail.com

BY PROF. RAPHAEL NYARKOTEY OBU

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Features

Lady teachers and swollen bellies

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When I was a kid I didn’t like female teachers. They would come at the beginning of the term all nice and dainty, but soon their bellies started growing for no apparent reason.

Their pretty faces will become contorted and distorted and they kept hoarding saliva in the mouth. I thought that was not very civil.

And when will the belly of Mrs stop growing out of proportion? I would wonder who was the bastard that inflicted Mrs with a balloon stomach. Yes the bastard! Who did he think he was?

Didn’t he know that Mrs couldn’t carry such a belly all by herself? And that she kept marking correct arith­metic work wrong?

I often got angry and went to my Dad to complain about the Mrs “She marked this answer wrong”.

I’d tell Papa, tearfully. “Bring it let’s see!

My Dad would look at the sum. “I think you are right,” he would say. “I wonder why she marked it wrong.”

“That woman, she is always doz­ing!” I’d tell my Papa. “This morning she tried to vomit, but nothing came. And half the time she is angry with everybody”.

“What might be the reason?”

“I think it is her belly. It is too large. Or is it the saliva in her mouth?”

I decided to ask Mrs why she was keeping saliva in her mouth.

The next morning I went to school and we were told that Mrs had gone on “maternity leave.” And what did that mean?

We were told that soon, she would be having a baby. Nonsense! How pos­sibly could a baby as large as the one in Mrs stomach come out? Through which exit? They must be joking!

Sooner than expected, the class was informed that Mrs’ had delivered a bouncing baby boy. And so what? She was supposed to be in class teaching us English grammar not de­livering bouncing babies.

Meanwhile, the male teacher who took over was quite different. We all noticed that contrary to expectation, his belly did not grow. At least not frontally or laterally. And he did not store saliva in his mouth. More so, he was arithmetically alert. The class was happy although he liked caning the pupils.

The man did not doze and he’d take us to PE and also teach us Christmas songs. He spoke decent English and marked the exercises on time. Then one morning he an­nounced to us that a female trainee teacher would be coming to teach us for a while. She was from a training college. I wondered whether this one was also afflicted with a swollen belly.

PRETTY

She turned out to be a very young pretty daisy. I liked her! “My name is Miss Amoah,” she intoned. “I’ll be teaching you for the next few weeks.”

I looked at her belly. I needed to reassure myself that she was not encumbered with a ‘bouncing baby.’ My goodness! Or was it because she was Miss and not a Mrs? What was the difference anyway? “I hope you are all good boys and girls.”

“Yes Miss!” we shouted in alacrity.

“I don’t like boys who talk in class. They end up as gutter clean­ers!”

We all laughed heartily and drummed on our desks. Certainly the Miss had a sense of humour in her head. How did she know that such boys ended in the gutter? And will they wear Wellington boots when doing the clean out?

“And girls who talk in class, do you know where they end up?” she asked.

“Yes!” we chorused.

“Who can tell me?”

“Farm!” one pupil said. “No!”

“In market selling tomato and garden eggs.”

“No!” said Miss Amoah.

“Hell!” (Laughter)

I raised my hand, I thought I knew this one.

“Yes you there!” Miss Amoah pointed at me.

“She’d end up with a swollen belly full of babies!”

The entire class convulsed into laughter. And it was Miss Amoah who laughed the most.

She couldn’t conjecture how I could come up with the idea of a distended belly containing babies just because a girl talked too much in class. But she realised upon a little bit of cogitation that there could be a link between talkative and babies.

DROPOUT

After all, isn’t it those who are idle talkers who aren’t serious with their academic work and end up getting pregnant and dropping out of school?

Last weekend, I watched it live on television when President Kufuor presented three cars to three lady teachers as the best teachers in Sikaman. I protested loudly. What have the male teachers been doing? Bearing babies?

My wife was overjoyed that fe­male teachers were making a mark. But my daughter was a bit skeptical. “How were they adjudged the best?” she asked me.

“Ask your mother!”

This article was first published on Saturday, November 12, 2005

Merari Alomele’s

• Female teachers bellies starts growing for no apparent reason

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Features

What booze can do to you

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Ethanol, the chemical compound present in most alcoholic drinks, is a neurotoxin, that is, a sub­stance that can damage or destroy the nervous system. Someone who is drunk is, in fact, suffering from a form of poisoning.

In large quantities, ethanol caus­es coma and death. For instance, among students in Japan, the prac­tice of ‘ikkinomi, or alcohol chug­ging, causes deaths every year.

The body is able to convert eth­anol into harmless substances, but this is not accomplished immediate­ly. If alcohol is consumed at a faster rate than the body can handle, ethanol builds up in the system and begins to interfere noticeably with brain function. In what way?

Speech, vision, coordination, thought, and behaviour are all connected with an incredibly com­plex series of chemical reactions in the brains neurons, or key cells. The presence of ethanol modifies those reactions, suppressing or enhancing the role of certain neutrontransmit­ters chemicals that relay signals from neuron to neuron.

The stream of information in the brain is thus altered, preventing the brain from functioning normally. That is why when a person drinks too much, he or she develops slurred speech, blurred vision, sluggish movement, and weakened be­havioural restraints and inhibitions, all common symptoms of intoxica­tion.

EXPOSURE

With prolonged exposure to alcohol, brain chemistry adapts to counter the poisonous effect of eth­anol and to maintain normal nerve function. This leads to tolerance, whereby the same amount of alcohol has less of an effect than it would have had previously.

Dependence occurs when the brain has adapted so much to the presence of alcohol that it cannot operate properly without it. The body craves alcohol to maintain the chemical balance.

When a person is deprived of alcohol, his brain chemistry is totally destabilised and withdrawal symp­toms, such as anxiety, trembling, or even seizures, set in.

Besides causing modifications of brain chemistry, alcohol abuse can lead to cell atrophy and destruction, altering the brain’s very structure. While partial recovery is possible with abstinence, some of this damage seems to be irreversible.

Neurons that die are apparently never replaced, further affecting memory and other cognitive func­tions.

Damage to the brain is not just the result of long term exposure to alcohol.

Research seems to indicate that even relatively short periods of alco­hol abuse can be harmful.

LIVER DISEASE

AND CANCER

The liver plays a vital role in me­tabolising food, combating infection, regulating blood flow and removing toxic substances, including alcohol, from the body.

Prolonged exposure to alcohol damages the liver in three stages. During the first state, the breaking down of ethanol slows the digestion of fats, causing them to build up in the liver.

This is called steatohepatitis, or fatty liver. In time, chronic inflam­mation of the liver, or hepatitis, sets in. While alcohol can cause hepatitis directly, it also appears to lower the body’s resistance to Hepatitis B and Hepatitis C viruses.

If unchecked, inflammation causes cells to burst and die. Compounding this damage, alcohol seems to trigger the natural system of programmed cells death called apoptosis.

This final stage is cirrhosis. The vicious cycle of continuous inflamma­tion and cell destruction causes irre­versible scarring. Eventually, the liver becomes humpy, instead of remaining spongy.

Finally, scar tissue prevents blood from flowing normally, leading to liver failure and death.

Alcohol’s effect on the liver has another insidious side effect -the liver is less capable of playing its defensive role in counteracting the effect of cancer-forming agents.

In addition to favouring the devel­opment of cancer of the liver, alcohol greatly increases the risk of cancer of the mouth, the pharynx, the larynx, and the oesophagus.

What is more, alcohol makes the mucous membranes in the mouth more easily penetrated by cancerous substances in tobacco, elevating the risk for smokers.

Women who drink daily are at greater risk of breast cancer. Accord­ing to one study, the risk for those who drank three or more alcoholic beverages per day was 69 per cent higher than that of nondrinkers.

POISONED BABIES

A particularly tragic outcome of alcohol abuse is its effect on the unborn. “Alcohol is far worse for the developing fetus than any other abused drug,” reported by the ‘Inter­national Herald Tribune.’

When a pregnant woman drinks, her developing chin also drinks and the toxic effect of alcohol is espe­cial, devastating at this format stage of the fetus.

Alcohol causes irreversible damage to its central nervous system. Neurons do not form properly. Cells are killed off. Other cells end up located in the wrong place.

The result, fetal alcohol syndrome (FAS), is the foremost cause of mental retardation in newborns. Difficulties encountered by FAS children include intellectual impairment, language problems, developmental delay, be­havioural dysfunction or deficit, slow growth, hyper activity, and hearing and sight disorders. Many babies are also born with characteristic facial deformities.-Credit: AWAKE

This article was first published on Saturday, November 5, 2005

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Features

Islamic Position on Illicit Drugs (Part 2)

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In Ghana, the Narcotics Control Commission Act, 2020 (Act 1019), prohibits the possession, use, trade, or cultivation of narcotic drugs without lawful authorisation.

The law now adopts a more public health-based model, emphasising rehabilitation and education while still maintain­ing punitive measures against trafficking and illegal posses­sion.

This opens doors for religious and social actors to play key roles in prevention and heal­ing.

How the Youth and General Society Are Typically Lured into Illicit Drugs;

One of the primary gateways to drug use is peer pressure. Many young people are intro­duced to drugs by friends who make substance use appear fashionable or as a coping mechanism for stress, bore­dom, or emotional trauma.

In urban slums and some schools, peer groups become influential in shaping be­haviour, particularly when parental supervision is weak or societal structures have collapsed.

Another contributor is media influence—with movies, music, and social media sometimes glamorising substance use. Un­employment, poverty, broken homes, academic stress, and lack of religious education also contribute significantly.

Shaykh Abd al-Rahman al-Sa‘di explains that when faith weakens, individuals seek escape in destructive behaviours. Hence, strength­ening iman (faith) is a critical defence against temptation.

Rescuing Victims: Rehabili­tation and Social Support

Those who fall into drug addiction must not be con­demned but rather supported with compassion and care. Islam emphasises mercy and hope:

“Say, O My servants who have transgressed against themselves [by sinning], do not despair of the mercy of Allah. Indeed, Allah forgives all sins.” (Qur’an 39:53).

Rehabilitation centres, faith-based recovery programmes, community counselling, and mosque-based interventions are all vital tools.

Imams and scholars should be equipped with basic knowl­edge in addiction counselling. Collaboration with the Nar­cotics Control Commission and health institution can create models where religious guid­ance and medical treatment go hand-in-hand.

Impact of Illicit Drugs on Society

Illicit drug use damages physical health, corrupts moral values, and leads to crime and unemployment. It depletes a nation’s human capital, as youths and adults become dependent, mentally unstable, and economically unproductive. It also leads to violence, theft, and domestic abuse.

The Qur’an declares: “And do not throw yourselves into destruction with your own hands.” Qur’an 2:195)

Impact of Illicit Drugs in Schools

In Ghana, the increasing prevalence of drug abuse in schools has led to absentee­ism, violent behaviour, ac­ademic failure, and mental health issues.

Some school dropouts have become part of gang culture, especially in urban areas, threatening future nation­al development. These environments must be purified and protected with strong policy, parental involvement, and faith-based education.

UNICEF, Ghana Health Ser­vice, and Other Reports

UNICEF (2019) highlight­ed the correlation between substance abuse and early childhood trauma, noting that youth exposed to abuse, neglect, or poverty are more susceptible to drug use.

The Ghana Health Service’s 2022 report showed a 17 per cent rise in mental health cas­es linked to drug abuse, with youth between 15–35 years most affected.

Narcotics Control Commis­sion Statistics

According to the 2022 Annual Report of the Narcotics Con­trol Commission, over 8,000 arrests were made for drug offenses.

Cannabis remains the most abused drug, with growing concerns about synthetic drugs and pharmaceutical abuse, especially tramadol and cough syrups with codeine.

Islamic Law and Maqasid

al-Shari‘ah

The five universal objectives of Islamic law (maqasid al-shari‘ah)—preserving religion (deen), life (nafs), intellect (‘aql), lineage (nasl), and wealth (maal)—are all endan­gered by drug abuse.

Any initiative that protects these objectives is not just legally encouraged but reli­giously mandated.

Imam Al-Shatibi, in al-Mu­wafaqat, asserts that laws are designed not for hardship but to preserve human dignity and collective wellbeing.

Therefore, illicit drugs threaten the very fabric of what Shari’ah seeks to pro­tect:

1. Preservation of Religion (Hifz ad-Deen) – Drug use weakens a person’s sense of religious duty. Addicts often neglect prayer, fasting, and remembrance of Allah, falling into sin and heedlessness.

2. Preservation of Life (Hifz an-Nafs) – Drugs increase the risk of premature death through overdose, suicide, or violence. Islam strictly forbids self-harm: “And do not kill yourselves.

Indeed, Allah is to you ever Merciful” (Qur’an 4:29).

3. Preservation of Intellect (Hifz al-‘A9ql) – One of the clearest reasons intoxicants are forbidden. The mind is the seat of moral judgment. Losing one’s intellect means losing the capacity for faith and responsibility.

4. Preservation of Lineage (Hifz an-Nasl) – Drug addiction often leads to moral decay, fornication, and broken fam­ilies, harming future genera­tions.

5. Preservation of Wealth (Hifz al-Maal) – Addicts squan­der wealth on drugs, harming families and communities. Islam commands us to be cus­todians of our resources.

These objectives guide the Islamic legal position that drug abuse is not just a sin, but a social threat that must be collectively confronted.

By Imam Saeed Abdulai

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