- Chronic constipation
- Low-fiber diet
- Lack of exercise
- Low water intake
- Pregnancy
- Obesity, especially with a wide waistline
- Sedentary lifestyle with long periods of sitting
- Gastrointestinal disorders such as Irritable Bowel Disease, Crohn's disease, Ulcerative Colitis, etc.
- Family history of hemorrhoids
- Old age
- Liver disease or heart disease that causes backflow of blood into the abdomen and pelvis
- Frequent lifting or holding heavy objects
- Chronic cough
- Overuse of laxatives or enemas
