If you have already experienced the “sweet” sensation provided by hemorrhoids, know that you are far from alone. One in three people say they have already suffered from a hemorrhoidal disease during their life. Among the supposed culprits, spicy dishes have long been pointed out, almost as a cultural obviousness: “Eating spicy food causes hemorrhoids“But the scientific data is far from confirming this idea. As Dr. Gérald Kierzek points out, chili pepper does not “give” hemorrhoids.
A study that blamed spices… quickly extinguished
However, a 2005 French study found an association between the consumption of spices in the 15 days preceding a consultation and a hemorrhoidal crisis. Enough to fuel the myth. But “association” is not “causation”.
Other, much more rigorous work has not confirmed this link. The clinical trial “Red hot chili pepper and Hemorrhoids: the explosion of a myth” for example, showed no significant difference between a chili pepper capsule and a placebo on symptoms within 48 hours of ingestion, in patients suffering from moderate or severe hemorrhoids.
In short: spices do not cause hemorrhoidal disease.
Peppers, false culprits but real irritants
What the doctor clearly explains, however, is that chili pepper can aggravate or arouse symptoms in people who are already sensitive.
The fault is capsaicin, its famous active ingredient. “It stimulates pain receptors (TRPV1), increases vasodilation and makes the anal area more responsive when passing stools”explains Dr. Kierzek. Result: tingling, burning, itching or slight pain, especially if an attack is already in progress.
In other words: “The pepper is not the cause, but an amplifier of sensations.”
Should we eliminate spicy dishes? Not necessarily
However, according to Dr. Kierzek, it is not necessary to permanently ban spices. Outside of periods of acute crisis, the majority of people tolerate them very well.
“On the other hand, during a painful episode, with bleeding or thrombosis, it is better to avoid them for a few days to limit local irritation.”
The real issue is not the pepper, but constipation, which directly promotes attacks.
The really problematic foods: constipation and irritation on the menu
In reality, the worst enemies of hemorrhoids are foods that harden stools or irritate mucous membranes:
Irritating foods : strong spices (chili pepper, curry, mustard), coffee, tea, alcohol, but also fried foods and hot sauces. “They can increase inflammation or burning sensation, especially during sensitive periods.
Foods that promote constipationsuch as:
- Red meats, cold meats, very fatty cheeses;
- Rich dairy products (milk, cream);
- Processed foods, fast food;
- Refined starchy foods: white bread, white rice.
They slow down transit and make stools more traumatic for the anal area.
The doctor’s real advice: fiber, water and… softness
Rather than focusing on chili, Dr. Kierzek emphasizes the basics:
- Drink 1.5 to 2 L of water per day;
- Consume fruits and vegetables rich in fiber as well as whole grains;
- Avoid pushing to the toilet;
- Practice regular physical activity.
In just a few days, these simple actions reduce pain and prevent future attacks. If symptoms persist, medical advice is still essential, do not sit on it.