Changes in diet and lifestyle
Avoid constipation and straining during defecation: keep stools soft, and don't strain on the toilet. .
Increase intake of fibers, such as fruit, vegetables, cereals, whole meal bread, etc. useful for softening stools, relieving constipation and thus reducing straining.
Exercise regularly: Keeping the body active helps to keep the bowels active too.
Toileting: lifestyle advice on avoiding straining and reading on the toilet should be emphasized: Go to the toilet as soon as possible after feeling the need. Some people suppress this feeling and plan to go to the toilet later. This may result in bigger and harder stools forming which are then more difficult to pass. Hemorrhoids may cause a feeling of 'fullness' in the bowel and it is tempting to strain at the end to try and empty the bowel further. Resist this. Do not spend too much time on the toilet, this may encourage you to strain. (For example, do not read whilst on the toilet.)
Non-prolapsing hemorrhoids can be managed adequately in primary care with these measures.