Mike (Kent, UK) on 02/10/2024:

In the same way that straining on the loo or carrying excess weight can cause or worsen piles or gerd, I think many things that increase abdominal pressure can do it. Such as regularly having gas, especially if it's bad gas like with IBS.

I just wanted to share this to get opinions and so on, and because I think it might help people. I'm 90% sure it's true but I don't know the extent to which it affects these conditions.

Anyway, just something I wanted to share as I do think this knowledge is helping me :)