There are many ways to prevent the hemorrhoids for the patients in Minnesota. One of the best ways to avoid hemorrhoids or a flare up is to avoid constipation by keeping your stools soft. Eating a diet that is high in fiber such as fruits, vegetables, beans, and whole grains are recommended. Taking a fiber supplement every day, such as Citrucel or Metamucil, can help keep bowel movements regular. Drinking enough fluids is equally as important. Water is the best form of hydration (6-8 glasses daily). Daily exercise is also great to help the bowel move through your digestive system and prevent you from becoming constipated. Moderate activity of at least 30 minutes 3-4 times per week is recommended. Long time of sitting or standing should be avoided. Scheduling time each day for a bowel movement and keeping it a daily routine may help. The best time for a bowel movement is right before taking a shower, washing helps to reduce anal skin irritation after bowel movement. Another convenient option for people in the Minneapolis and St. Paul areas is to use IntelliSeat. Take your time and do not strain when having a bowel movement, because straining can aggravate hemorrhoids. Straining and holding your breath when trying to pass a stool creates greater pressure in the veins in the lower rectum. Lastly, once you feel the urge, it is important to go because if you wait to pass a bowel movement, the urge goes away and your stool could become dry and be harder to pass.