Long bathroom sessions can increase pressure on sensitive tissue.
BERLIN, GERMANY — July 2026
Using a smartphone while sitting on the toilet may appear harmless, but the habit can prolong bathroom visits and increase pressure on the anal region. German proctologist Ingo Alldinger warned that remaining seated for an unnecessarily long time allows blood to accumulate within hemorrhoidal tissue. The phone itself is not the direct cause of the condition; the central problem is the additional time spent in that position. Repeating this routine every day may contribute to swelling, irritation and other symptoms.
Hemorrhoids are normal vascular structures located in the lower rectum and anal canal. They help maintain continence and become a medical problem only when they enlarge, become inflamed, bleed or move outside their usual position. Common symptoms include itching, discomfort, bright red bleeding and a sensation of pressure or incomplete evacuation. Pain can also occur, although severe pain may indicate another condition requiring professional evaluation.
The shape of a toilet seat leaves the pelvic area relatively unsupported and can place pressure on the tissues surrounding the anus. When a person remains seated while reading messages, watching videos or scrolling through social media, a brief bowel movement can turn into a session lasting 15, 20 or even 30 minutes. This extended posture may restrict normal blood circulation and encourage vascular congestion. Straining at the same time can further increase pressure inside the rectal veins.
Recent medical research has reinforced concerns about smartphone use during bathroom visits. An observational study found that people who used their phones on the toilet tended to remain seated longer and showed a higher likelihood of hemorrhoids than those who did not. The findings demonstrate an association rather than proving that smartphones directly produce the condition. They nevertheless support the recommendation to keep toilet visits brief and focused only on evacuation.
Constipation is another major factor because hard stools frequently require greater effort to pass. Repeated straining increases pressure in the anal canal and can worsen existing hemorrhoidal symptoms. A low-fibre diet, insufficient fluid intake, prolonged inactivity and ignoring the natural urge to evacuate may contribute to constipation. Pregnancy, ageing, obesity and frequent heavy lifting can also increase vulnerability.
Alldinger recommends leaving the phone outside the bathroom and avoiding the temptation to remain seated after the bowel movement has ended. People should not force evacuation when there is no genuine urge, because prolonged attempts can create unnecessary pressure. Placing the feet on a small stool may improve body position by changing the angle between the rectum and pelvic floor. This posture can make evacuation easier for some individuals and reduce the need for excessive straining.
Dietary changes are often among the first measures recommended for mild hemorrhoidal symptoms. Fibre from vegetables, fruits, legumes and whole grains helps produce softer stools that are easier to pass. Adequate fluid intake supports the action of fibre and reduces the likelihood of constipation. Regular physical activity can also improve intestinal movement and support healthier bowel habits.
Many cases improve without surgery when patients reduce toilet time, avoid straining and correct constipation. When symptoms persist, physicians may consider outpatient treatments such as rubber-band ligation or sclerotherapy. These procedures are intended to reduce enlarged hemorrhoidal tissue and are generally reserved for cases that do not respond sufficiently to conservative measures. Surgical treatment is usually considered for more advanced, recurrent or complicated disease.
Not every anal symptom should automatically be attributed to hemorrhoids. Anal fissures, abscesses, skin disorders, thrombosed external hemorrhoids and other colorectal conditions can produce pain, itching or bleeding. Rectal bleeding should be medically evaluated, particularly when it is recurrent, abundant or accompanied by changes in bowel habits. Unexplained weight loss, persistent abdominal pain, fever, weakness or dark stools also require prompt attention.
Embarrassment frequently causes people to postpone consultation for months or years. A proctological examination is usually brief and allows specialists to determine whether the symptoms come from hemorrhoids or another disorder. Early assessment can prevent unnecessary anxiety and reduce the risk of overlooking a more serious condition. Self-diagnosis based only on symptoms may delay the correct treatment.
The most practical preventive rule is simple: use the toilet only for the time necessary to complete a bowel movement. Smartphones, tablets and reading materials should remain outside because they encourage people to lose track of time. Healthy bowel habits, sufficient fibre, hydration and regular movement provide greater protection than creams used without medical guidance. A small change in daily routine may prevent prolonged discomfort and protect long-term colorectal health.
Better habits begin by putting the phone down.