Is Prolonged Sitting a Risk Factor in Developing Hemorrhoids and Anal Fissures?

Background: Anal fissures and hemorrhoids are common anal conditions. They cause significant morbidity, social embarrassment, work absenteeism. In addition, they form a workload on the healthcare system. Nevertheless, etiology of these conditions is still contentious. It has been observed that associated with prolonged sitting. This study aims to investigate this observation.Methods: case–control study. We compared 81 patients symptomatic endoscopically proven and/or 162 controls no symptoms or endoscopic evidence perianal disease. The was conducted at Khartoum North Teaching Hospital (KNTH) endoscopy unit between January December 2019. Demographic data, sitting hours per day, findings were recorded in proforma. cases matched for age, sex, bowel habits. Data analyzed using SPSS version 23.Results: mean 5.99 (SD 3.4) whereas 4.0 3.0) highly difference (P < 0.001). Sitting 5 hr more day (exposure) an increased risk developing [odds ratio 3.68, 95% CI: 2.1–6.47].Conclusion: showed down might increase fissures. finding could help prevention treatment diseases reduction recurrences.