General measures
- Avoid sitting and standing for long periods of time!
- Avoiding pressing during defecation.
- Anal hygiene (as a basic therapy) after going to the toilet in the following steps:
- Rough cleaning with untreated toilet paper (dyed toilet paper contains dyes that may cause allergy).
- Careful cleaning with water at a comfortable temperature without the use of soap (over a bidet or in the shower; when traveling, use disposable washcloths for babies).
- Dry dabbing / blow dry
Attention. Do not use wet wipes (contains preservatives and often fragrances). These may contain, despite dermatological testing, substances that can lead to contact dermatitis with prolonged use. Furthermore, no use of disinfectants or intimate sprays.
- Care of the anal region: with frequent defecation, use soft zinc paste if necessary; no use of petroleum jelly.
- The stool should always have a soft consistency (see nutritional medicine).
- Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day).
- Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis.
- BMI ≥ 25 → participation in a medically supervised weight loss program.
Nutritional medicine
- Nutritional counseling based on nutritional analysis
- Nutritional recommendations according to a mixed diet taking into account the disease at hand. This means, among other things:
- Daily total of 5 servings of fresh vegetables and fruits (≥ 400 g; 3 servings of vegetables and 2 servings of fruits).
- Once or twice a week fresh sea fish, i.e. fatty marine fish (omega-3 fatty acids) such as salmon, herring, mackerel.
- High-fiber diet (whole grains, vegetables) to increase stool volume; if necessary, in addition, the consumption of Indian psyllium (Plantago ovata) in case of solid bowel movements.
- Observance of the following special dietary recommendations:
- Drinking amount at least 1.5 liters – as far as there are no contraindications on the part of other diseases.
- Selection of suitable food based on the nutritional analysis
- See also under “Therapy with micronutrients (vital substances)” – if necessary, taking a suitable dietary supplement.
- Detailed information on nutritional medicine you will receive from us.
