Arts & Entertainment

Anthony Famulari in a scene from The Switcheroo. Photo courtesy of Staller Center
Fest to include indie weekend, female directors panel, SBU grads

By Melissa Arnold

Stony Brook University’s Staller Center for the Arts turns into a movie lover’s mecca when new independent films screen at the Stony Brook Film Festival from Thursday, July 21 to Saturday, July 30. The popular event pairs memorable short films with an array of features you won’t see anywhere else, making it a favorite of moviegoers and filmmakers alike.

Now in its 27th year, the festival will celebrate its return to a fully live experience after some creative adjustments during the pandemic. Over the course of nine days, 38 films from 27 countries will be screened on evenings and weekends. But deciding what to show is no easy task.

More than a thousand films are sent to festival director Alan Inkles each year, he said. With the help of co-director Kent Marks, they go through an intense process of screening, debating, and cutting before the final selections are made.

The resulting collection showcases both shorts and feature-length films in all kinds of styles and genres. Among them is a short sci-fi comedy called The Switcheroo, directed by brothers and Stony Brook natives Ryan and Anthony Famulari. The film will be screened on Sunday, July 24 at 7 p.m. 

“I try not to read anything about a film before I watch it — I owe it to our viewers to not favor anyone, so I’m not going to pick a film just because it’s local. We choose a film because it’s enjoyable,” Inkles explained. “That said, I love that we’ve been able to include Switcheroo and have Long Island represented. Comedy is hard to do, especially for young filmmakers, but this story is so charming, funny, and just really nailed it. And when I read that the brothers were from Stony Brook, I thought it was great.”

The Switcheroo stars Anthony Famulari playing both a heartbroken scientist and his charismatic clone. The clone tries to help his creator land a date, which reveals some surprising and funny secrets.

Cloning was the perfect concept to explore for the brothers, who were living together during the worst of the pandemic and looking for something fun to do.  

“The idea was more of a necessity, considering we didn’t have a crew or a large budget,” said Anthony, 33. “But we wanted to make something that was still enjoyable and interesting. We both gravitate to stories with sci-fi elements, and it was a great solution to the creative challenges of the time.”

The brothers grew up with their own interests, but shared a deep love of movies and storytelling. Both went on to major in journalism at Stony Brook University. While there, Ryan played football and Anthony dove into theater. They also worked together conducting and filming interviews on campus, and wrote film scripts in their spare time.

“Anthony was always a ham, but I didn’t see him act for the first time until college. I found that he was really good at it,” recalls Ryan, 35. “This has been a passion for us for a long time. We’ll go see a movie and then get into a deep discussion about it for an hour after. Our filmmaking is like that too. We’ll wrestle over an idea, but that’s fun for us.”

These days, the Famularis are on separate coasts — Ryan went to grad school for creative writing and is currently living in New York working remotely for a Los Angeles-based animation studio, while Anthony lives in Los Angeles pursuing acting while also working for an animation studio. But they’re still writing together and looking forward to whatever comes next.

“We’re constantly bouncing ideas around, and with each one of our short films, we learn something new and continue to improve,” Anthony said. “At the end of the day, our goal is to create something enjoyable that’s worth people’s time, while pursuing our passions.”

Also of note during this year’s festival is a panel discussion on women in filmmaking, and a weekend celebrating the spirit of American-made indie films.

“We have a lot of female writers and directors represented here, and have since the festival first began,” Inkles said. “It was important for us to feature them in a special way, and provide a unique opportunity for conversation, both among the panelists and with the audience.”

The panel is an exclusive benefit open to those who purchase festival passes. A variety of options are available, including an opening weekend pass.

Many film screenings will also include a question and answer session with the filmmaker. “That’s what makes a film festival so interesting as opposed to just going to the movies — you get the chance to talk with the filmmakers directly and learn more about their process,” Inkles said.

The Stony Brook Film Festival will be held from July 21 through July 30 30 at Stony Brook University’s Staller Center for the Arts, 100 Nicolls Road, Stony Brook. Individual tickets and premium passes are available. For the full schedule and more information or to purchase tickets, visit www.stallercenter.com or call the box office at 631-632-2787.

This article was updated July 23, 2022.

'Sunflowers' by the Night Heron Artists

Who doesn’t love sunflowers? The Night Heron Artists are offering their large group painting “Sunflowers” for sale. Currently on view on the second floor of the Port Jefferson Village Center, the  beautiful unframed watercolor  painting was created by over 22 artists and measures 22″ by 30.” Fifty percent of the proceeds on the sale of the painting will be donated toward the Ukranian cause. All offers will be considered. For more information, call Leslie at 631-744-3794.

 

'June' by Emily Martin is on view at the HAC's Main Street Gallery. Photo courtesy of Huntington Arts Council

Currently on view at the Huntington Arts Council’s Main Street Gallery is a fiber show titled Uncommon Threads.  The juried exhibition opened on July 15 and runs through August 27.

The exhibition focuses on fiber arts in all its forms. Juror Patty Eljaiek invited artists to provide entries that included either fiber-based materials or unconventional materials used in typical fiber art techniques such as crochet, weaving, sewing, felting, embroidery, etc.

‘Sattva’ by Luda Pah is on view at the HAC’s Main Street Gallery. Photo courtesy of Huntington Arts Council

As a mixed media artist, Eljaiek exhibits nationwide, in galleries from New York to California. Her work reflects her experience as a first generation American immigrant focusing on themes of belonging and identity. She continues to explore traditional fiber arts to create new and evolving work incorporating repurposed materials. 

“I am so very excited about this exhibit,” said Eljaiek. “The original concept was to highlight contemporary works that celebrate fiber, in all its forms. The selected works show a wide variety of techniques, subjects and materials. It is thrilling to see artists creating work specifically for this show and also inspiring to know that there are artists who are working with fiber arts today in so many different ways. The Uncommon Threads exhibit is a perfect example of why fiber arts is fine art.”

Exhibiting artists include Mara Ahmed, Eileen Bell, Mary Brodersen, Amanda Burns, Kathy Cunningham, Oksana Danziger, Sherry Davis, Barbra Ellmann, Alicia Evans, Josefina Fasolino, Veronica Haley, Marilyn Hamilton Jackson, Conor Hartman, Andrea Larmor, Samantha Lopez, Emily Martin, John Michaels, Claudia Monnone, Luda Pahl, Eileen Palmer, Bernadette Puleo, Lauren Singer, Lisa Stancati, Devlin Starr, Robert Stenzel, Kim Svoboda, Rebecca Vicente, Debra Fink Bachelder, Ann Marie Miller, Deborah Monteko and Cindy Russell.

“Huntington Arts Council prides ourselves in providing opportunities that inspire artists to showcase their work. Uncommon Threads is an exhibit that features the work of both up and coming and seasoned artists; many new to HAC,” said Kieran Johnson, Executive Director of Huntington Arts Council. “The use of fiber to convey a story, feeling or message is at its best in this exhibit. I hope you will stop by to experience the unique and impactful medium of fiber art.” 

The Main Street Gallery, 213 Main Street, Huntington is open from Tuesday to  Friday, 11 a.m. to 4 p.m. For more information, call 631-271-8423 or visit huntingtonarts.org.

A team in a monster-themed boat races in the "Quick 'n' Dirty" boat build race in Port Jefferson in a previous year. Photo by Alex Petroski

The Long Island Seaport and Eco Center (LISEC) seeks boat building/race teams for its annual Sikaflex Quick & Dirty Boat Build Competition, sponsored by the Sika Corporation, to be held at Harborfront Park, 101 East Broadway, Port Jefferson on Aug. 13 and 14.

Now in its 11th year, the event provides would-be boat designers and builders to have a weekend of fun and  showcase their creative skills and talents. Using only a provided supply of plywood, plastic cable ties, and Sikaflex/sealant, two member teams must build, paint and then paddle their design around the village dock in Port Jefferson Harbor located just offshore of Harborfront Park.

Boats will be assembled on Aug. 13 from 10 a.m. to 3 p.m., painted on Aug. 14 from 9 a.m. to noon and then participants will take part in a race the same day at 3p.m. Trophies  will be awarded for first, second and third place and original design. Are you up for the challenge? Download an application at www.lisec.org. For more information, call Len at 631-689-8293 or email [email protected].

The John W. Engeman Theater, 250 Main St., Northport will present RENT School Edition on Monday, Aug. 1 and Tuesday, Aug. 2 at 7 p.m. The show is performed entirely by The John W. Engeman Studio’s audition-only elite Select Players.

The show, based loosely on Puccini’s La Boheme, follows a year in the life of a group of impoverished young artists and musicians struggling to survive and create in New York’s Lower East Side, under the shadow of HIV/AIDS.

Directed by Andrew McCluskey and choreographed by Becky Kalman, the cast features Lizzie Becker, Aidan Bento, Logan Borre, Kieran J. Brown, Richard Campbell, Gabe Cruz, Lizzie Dolce, Daniella Falco, Greta Frankonis, Giuliana Gallone, Finn Gilbert, Ariana Glaser, Tara Griffin, Jenna Hammelman, Derek Hough, Max Lamberg, Madison Loscalzo, Alexander Mahr, Angelina Miller, Mia Mirabile, Alexandra Mitnick, Zachary Podair, Madelyn Quigley, Samantha Regenbogen, Ari Spiegel, Jacqueline Winslow and Ray Zerner.

Tickets are $20 per person. To order, call 631-261-2900 or visit www.engemantheater.com.

Smithtown Township Arts Council has announced that the works of St. James artist John Hunt will be on view now through Sept. 9, 2022 at Apple Bank of Smithtown, 91 Route 111, Smithtown. The exhibition, part of the Arts Council’s Outreach Gallery Program, can be viewed during regular banking hours Monday – Thursday 9 a.m. – 4 p.m.; Friday 9 a.m. – 6 p.m.; Saturday 9 a.m. – 1 p.m.

 A St. James resident for 45 years, John Hunt spent the majority of his life on Long Island with time away for military service and education. John holds a Bachelor of Fine Arts from SUNY New Paltz and a Master of Fine Arts from The School of The Art Institute of Chicago.

“I have always had an interest in representational art and our surroundings,” said Hunt. “From the first time I flew in a plane and looked down at the landscape from a high altitude I became fascinated by the views I was seeing. Our normal relationship to the earth is from the ground and limited by our personal elevation. The view from a high altitude reveals patterns of man’s imprints on the earth as well as nature’s own from erosion or geological events or under ocean formations.”

“I have been able to travel to many areas in our country, especially in the western part of the states. The landscapes and topography are fascinating and prompt me to look at those areas from a greater elevation, so I refer to Google earth to explore the places I have visited from a vantage point way above the normal view. From that elevated position I search for patterns or formations that I find interesting and zoom in to select a view and adjust to arrive at a composition that I want to paint,” he said.

“STAC is grateful to Apple Bank for its continued support of culture in our communities. We are so happy to feature the talents of Long Island artists in this space!” said the press release.

For more information, call 631-862-6575.

Huntington Town Supervisor Ed Smyth hosted the Town of Huntington’s 11th annual Anne Frank Memorial Ceremony on June 22. 

The Anne Frank Memorial Garden sculpture in Melville by artist Thea Lanzisero.

“We must counter the voices that seek to divide us and fight ignorance with education, which is why the Town honors the memory of Anne Frank every year and, through her voice, all those voices silenced through the Holocaust,” said Supervisor Smyth. “The iron wedding dress sculpture in the Anne Frank Memorial Garden appears vulnerable yet it has withstood the elements, and even acts of vandalism; its endurance represents the strength and fearlessness with which we must fight evil, ignorance and hate.”

Supervisor Smyth was joined by Councilwoman Joan Cergol, Councilman Dr. Dave Bennardo, Councilman Sal Ferro, Receiver of Taxes Jillian Guthman, Superintendent of Highways Andre Sorrentino, Senator Mario Mattera and Assemblyman Keith Brown at Huntington Town Hall, the rain location for the Anne Frank Memorial Ceremony, where the event streamed live on government access TV channels and on the Town’s website. 

Commander Harry Arlin and members of Jewish War Veterans Post #488 were joined by Commander Gary Glick of the New York State Jewish War Veterans and provided a color guard to present the colors for the ceremony. Rabbi Beth Klafter from Temple Beth David in Commack delivered the invocation; Hazzan (Cantor) Steven Walvick of East Northport Jewish Center performed two vocal musical selections; and Rabbi Yakov Saacks from The Chai Center in Dix Hills delivered the invocation. 

Guest speaker Gail Sheryn Kastenholz, a Huntington Station resident, Second Generation Survivor and Holocaust education advocate spoke about her parents’ experience as survivors of the Holocaust and how that formed her life path as an educator; she currently serves as a docent at the Holocaust Memorial & Tolerance Center in Glen Cove. 

Attendees included Rabbi Lina Zerbarini of Kehillath Shalom Synagogue; members of the Tobay Hadassah in Oyster Bay; members of the Holocaust Memorial & Tolerance Center in Glen Cove; and Town of Huntington Community Development Agency Director Angel Cepeda who is a Board Member of Voices for Truth and Humanity, a Holocaust education advocacy organization.

Refreshments for the ceremony, including those from Hummel Hummel Bakery in East Northport, were donated by Suffolk County Legislator Manuel Esteban. 

“The Holocaust was not that long ago. If Anne Frank were still alive now, she would’ve been celebrating her 93rd birthday this year,” said Councilwoman Cergol. 

“With each passing day it grows more and more critical to preserve the stories of those who managed to survive this mass genocide as well as those who did not. For our sake and for history’s sake, we gather for Anne Frank’s birthday to remember her and to recognize her immense contributions to for understanding our very much flawed human history through her writings but we also gather to affirm our vigilance for standing up for and protecting those in our modern society who suffer from continuing acts of hate. Let our Anne Frank Memorial Garden serve not just as an enduring reminder of what was lost and who is lost but also how much more we might lose if acts of bigotry go unchallenged,” she said.

The Anne Frank Memorial Garden, unveiled by the Town in June 2010 at Arboretum Park in Melville, symbolically captures the journey of Anne Frank’s life. It features a circular pathway that surrounds a garden, which leads to the sculpture of a young girl’s dress. The Memorial Garden serves as tribute to Anne’s legacy of wisdom and genuine belief in the goodness of mankind and human nature, despite the ugliness of war and discrimination.  

See video from the event here.

Cucumbers slices

By Barbara Beltrami

It may not be a popsicle or a slushy or an ice cold beer, but as veggies go, a cucumber(especially an English one) is, as the cliche goes, really cool. Put a slice or two in whatever your preferred hydration source is, be it a martini or spring water; use a few slices to soothe puffy eyes or a sunburn. Or make the cucumber the main ingredient of a salad, soup or refreshing drink. It marries well with citrus, yogurt, cream and herbs, especially dill, as you will see from the following recipes.

Cucumber-Dill Salad

YIELD: Makes 4 servings

INGREDIENTS: 

1 large English cucumber

3 tablespoons apple cider vinegar

1 tablespoon sugar

Salt and freshly ground pepper to taste

Half a Vidalia onion, thinly sliced and broken into rings

1/4 cup fresh dill, chopped

2 tablespoons chopped fresh chives

DIRECTIONS:

Peel and slice cucumber into paper-thin discs. In a large bowl combine the vinegar, sugar, salt and pepper. Whisk vigorously, then add cucumber, onion, dill and chives and toss thoroughly to coat. Cover and refrigerate for a few hours or serve at room temperature with pumpernickel bread and unsalted butter.

Cold Cucumber Soup with Lobster

YIELD: Makes 8 servings

INGREDIENTS: 

Two 16-ounce containers Greek yogurt

1 1/4 cups light cream

3 English cucumbers, unpeeled and chopped

3/4 cup chopped red onion

8 scallions, both white and green parts sliced

Salt and freshly ground pepper to taste

1/4 cup chopped fresh dill

2/3 cup freshly squeezed lemon juice

1 pound cooked lobster meat, cut into bite-size pieces

8 cucumber slices, for garnish

DIRECTIONS:

In a large bowl combine the yogurt, cream, cucumbers, onion, scallions, salt and pepper; transfer in batches to a food processor and process until it has the consistency of a coarse puree. Transfer to another bowl and when all batches have been processed, stir in the dill; cover and refrigerate until very cold, 2 to 3 hours. Just before serving stir in the lemon juice and sprinkle with lobster pieces.  Garnish with cucumber slices before serving.

Cucumber Raita

YIELD: Makes about 4 cups

INGREDIENTS: 

2 cups plain Greek yogurt

2 cups grated unpeeled English cucumber

1 garlic clove, minced

Leaves from 4 sprigs fresh mint, finely chopped

Salt and freshly ground black pepper to taste

2 tablespoons raisins

DIRECTIONS:

In a large bowl thoroughly whisk the yogurt until it’s creamy and smooth; add the cucumber, garlic, mint, salt and pepper and raisins; stir, cover and chill. Serve with curry or any spicy grilled meat or poultry.

Cucumber Margarita

Cucumber Margarita

 

YIELD: Makes 2 cocktails

INGREDIENTS: 

1 wedge or slice of lime

Coarse salt

3 ounces tequila

1 teaspoon orange liqueur

3 ounces key lime juice

1/2 cup peeled and seeded chopped cucumber

2 tablespoons sugar

6 cilantro leaves, chopped

2 dashes Tabasco sauce

6 ice cubes

2 cucumber slices

DIRECTIONS:

Wipe the rims of two margarita glasses with the lime, then dip the rims in a shallow dish of coarse salt. In a blender combine the tequila, orange liqueur, lime juice, chopped cucumber, sugar, cilantro, Tabasco sauce and ice cubes; blend for one minute, then immediately pour into prepared glasses and garnish with cucumber slices. Serve with chips.

BEST OF THE BEST The seven students who received top honors are (top row, from left) kindergartener Rebecca Tyler, first grader Violet Radonis, second grader Taran Sathish Kumar, (lower row, from left) third grader Adam Dvorkin, fourth grader Liam Savage, fifth grader Michaela Bruno, and sixth grader Rebecca Bartha. Photos from BNL
Annual contest offers Long Island, NYC students an opportunity to showcase their science projects

Should you sanitize your television remote? How can we keep apple slices looking fresh? Do dogs have a favorite color? Long Island and New York City students tackled questions of all kinds using the scientific method in the 2022 Elementary School Science Fair hosted virtually by the U.S. Department of Energy’s Brookhaven National Laboratory.

The goal of the annual competition organized by the Office of Educational Programs (OEP) at Brookhaven Lab is to generate an interest in and excitement about science and engineering for all ages.

“It’s an honor and inspiration for us to look at all of the posters by students who are joining Brookhaven in a passion for discovery,” said Scott Bronson OEP manager of K-12 programs. “Just like the scientists here at Brookhaven Lab, Science Fair participants study questions of ‘how?’ and ‘why?’ to meet science challenges.”

This year’s competition invited projects by students from Suffolk County, Nassau County and New York City schools in kindergarten through sixth grade.

From left, Northport Middle School, sixth grader Grace Rozell received an Honorable Mention and fifth grader Michaela Bruno captured First Place in her grade at the BNL Science Fair on July 10. The students are pictured with Assistant Principal Dr. Chelsea Brown and Principal Timothy Hoss. Photo from BNL

Participants qualified for the Brookhaven Lab contest by winning science fairs held by their schools. Volunteer judging teams consisting of elementary school teachers and Brookhaven Lab scientific and engineering staff evaluated a total of 189 projects.

“We were so excited to expand the Science Fair and welcome projects from students across all of Long Island and New York City,” said Amanda Horn, a Brookhaven Lab educator who coordinated the virtual science fair. “We loved seeing the projects from other areas and we hope to see even more projects in the future.”

The following students earned first place in their grade level and received medals and ribbons, along with banners to hang at their school to recognize the achievement:

◆ Kindergartener Rebecca Tyler of Miller Avenue Elementary School, Shoreham-Wading River School District, for her project, “How to get Permanent Marker Out of Clothes?” 

◆ First grader Violet Radonis of Pines Avenue Elementary School, Hauppauge School District, for “Bad Hair Days…No More! Let’s Learn about the Land of the Rapunzals”

◆ Second grader Taran Sathish Kumar of Bretton Woods Elementary School, Hauppauge School District, for “Cleaning Up Oil Spills Using Natural Organic Sorbents” 

◆ Third grader Adam Dvorkin of Pulaski Road Elementary School, Northport-East Northport School District, for “Sardine Pop in a Bathtub” 

◆ Fourth grader Liam Savage of Ruth C. Kinney Elementary School, East Islip School District, for “Weight is Tow-Tally Helpful” 

◆ Fifth grader Michaela Bruno of Northport Middle School, Northport-East Northport School District, for “Here Comes The Sun” 

◆ Sixth grader Rebecca Bartha of Raynor Country Day School in Speonk for “Super Sea Shells Save the Seas”

Young scientists share their results

OEP staff announced the winners and honorable mentions during an online awards ceremony on June 10. Students with top-notch projects shared how they conducted their experiments.

First-grader Violet Radonis asked whether rice water can make hair grow faster and stronger. After four weeks of testing a mixture of basmati rice and water—plus orange peels for a nice scent—on eight test subjects, she found: “It does help make it a little bit better than it was before.”

Orange peels also played a part in second grader Taran Sathish Kumar’s experiment. In his search for an environmentally safe sorbent to protect marine life from oil spills, his hypothesis that orange peels would remove the most oil from water was correct. He also tested a corn cob, banana peel, and a pomegranate husk. 

“Around the world when boats go in the water, oil spills from the boat and it’s harmful to the animals,” he said.

Third grader Adam Dvorkin wanted to find out what sort of pop pop (or putt putt) boat design is the fastest. He built and observed three boats, each with a different sized boiler made from a soda can bottom. The biggest boiler was the best, confirming his hypothesis. 

“My favorite part was when me and my dad had to check how fast each pop pop boat was to see which one was the fastest,” he said.

Fourth grader Liam Savage tested whether adding weights to the top of a remote-control truck would increase its towing ability. He found that a specific amount of weight increased the truck’s tower power by giving it extra traction. But with too much weight, the truck would stall. With too little weight, the truck didn’t have enough grip. “My favorite part was driving my car and seeing how much weight it could pull,” he said.

Aspiring astronaut and fifth grader Michaela Bruno searched for the best material to block ultraviolet rays for protection.”I want to be an astronaut when I grow up and I want to know how the UV lights in space affect them,” she said.

By shining a UV flashlight on UV beads covered by different materials she learned that aluminon foil and dark cotton fabric offered the best protection. With those results in mind, Bruno went on to engineer a model space suit and visor.

Honorable mentions

Kindergarten: Kacey Stidd, Riverhead; Lucas Luna, Hampton Bays; John O’Donnell, Kings Park

First Grade: Hudson Costales, East Northport; Jaxon Romano, Middle Island; Marilla Pendelton, Aquebogue 

Second Grade: Jude Roseto, Cutchogue; Ashleigh Bruno,  Northport; Kayleigh Moore, East Northport 

Third Grade: Matthew McHugh, Hauppauge; Riona Mittal, Hauppauge; Maxin Vetoshkin, Hauppauge

Fourth Grade: Evan Pereyra, Westhampton Beach; Agnes Van Winckel, Kings Park; Emma Lochner, Sayville 

Fifth Grade: Mihir Sathish Kumar, Hauppauge; Faith Andria, Remsenburg;  Madeline Croce, Sayville 

Sixth Grade: Grace Rozell, Northport; Elle Redlinger, Montau

Brookhaven National Laboratory is supported by the Office of Science of the U.S. Department of Energy. The Office of Science is the single largest supporter of basic research in the physical sciences in the United States and is working to address some of the most pressing challenges of our time. For more information, please visit www.science.energy.gov

 

High-fiber salads can help fight hemorrhoid pain. METRO photo
Simple methods to prevent constipation can help

By David Dunaief, M.D.

Dr. David Dunaief

For some reason, there’s a social stigma associated with hemorrhoids, although we all have them. They’re vascular structures that aid in stool control. When they become irritated and inflamed, we have symptoms — and often say we “have hemorrhoids,” when we really mean our hemorrhoids are causing us pain.

Many of us have suffered at one time or another from inflamed hemorrhoids. They affect men and women equally, though women have a higher propensity during pregnancy and childbirth. When they’re irritated, hemorrhoids may alternate between itchy and painful symptoms, making it hard to concentrate and uncomfortable to sit. This is because the veins in your rectum are swollen. They usually bleed, especially during a bowel movement, which can be scary. Fortunately, hemorrhoids are not a harbinger of more serious disease.

There are two types of hemorrhoids: external, occurring outside the anus; and internal, occurring within the rectum.

When they are outside

Fortunately, external hemorrhoids tend to be mild. Most of the time, they are treated with analgesic creams or suppositories that contain hydrocortisone, such as Preparation H, or with a sitz bath, all of which help relieve the pain. Because they can be self-treated, they generally do not require an appointment with a physician. The most effective way to reduce bleeding and pain is to increase fiber through diet and supplementation (1). 

Sometimes, however, there is thrombosis (clotting) of external hemorrhoids. In these cases, they may become more painful and require medical treatment. If you have rectal bleeding and either have a high risk for colorectal cancer or are over the age of 50, you should see your physician to make sure it is not due to a malignancy or other cause, such as inflammatory bowel disease.

When they are inside

Internal hemorrhoids can be a bit more complicated. The primary symptom is bleeding with bowel movement, not pain, since they are usually above the point of sensation in the colon, called the dentate line. If there is pain and discomfort, it’s generally because the internal hemorrhoids have falled out of place, due to weakening of the muscles and ligaments in the colon. This prolapse allows them to fall below the dentate line.

The first step for treating internal hemorrhoids is the same as for external hemorrhoids: add fiber through diet and supplementation. Study after study shows significant benefit. For instance, in a meta-analysis by the Cochrane Systems Data Review 2005, fiber reduced the occurrence of bleeding by 53 percent (2). In another study, after two weeks of fiber and another two-week follow-up, the daily incidence of bleeding decreased dramatically (3).

When issues are more severe

There are several minimally invasive options, including banding, sclerotherapy and coagulation. The most effective of these is banding, with an approximate 80 percent success rate (4). This is usually an office-based procedure where rubber bands are place at the neck of each hemorrhoid to cut off the blood flow. To avoid complications from constipation, patients should also take fiber supplementation. 

Side-effects of the procedure are usually mild, and there is very low risk of infection. However, severe pain may occur if misapplication occurs with the band below the dentate line. If this procedure fails, hemorrhoidectomy (surgery) would be the next option.

Preventing hemorrhoid problems

First, sitting on the toilet for long periods of time puts significant pressure on the veins in the rectum, potentially increasing the risk of inflammation. Though you may want private time to read, the bathroom is not the library. As soon as you have finished moving your bowels, it is important to get off the toilet.

Get plenty of fluids. It helps to soften the stool and prevent constipation. Exercise also helps to prevent constipation. It is important not to hold in a bowel movement; go when the urge is there or else the stool can become hard, causing straining, constipation and more time on the toilet. 

Increasing your fiber intake

Eating more fiber helps to create bulk for your bowel movements, avoiding constipation, diarrhea and undue straining. Thus, you should try to increase the amount of fiber in your diet before adding supplementation. Fruits, vegetables, whole grains, nuts, beans and legumes have significant amounts of fiber. Grains, beans and nuts have among the highest levels of fiber. For instance, one cup of black beans has 12g of fiber. 

Americans, on average, consume 16g per day of fiber (5). The Institute of Medicine (IOM) recommends daily fiber intake for those <50 years old of 25 to 38 grams, depending on gender and age (6). I typically recommend at least 40 grams. My wife and I try to eat only foods that contain a significant amount of fiber, and we consume approximately 65 grams a day.

You may want to raise your fiber level gradually; if you do it too rapidly, be forewarned – side-effects are potentially gas and bloating for the first week or two.

References: 

(1) Dis Colon Rectum. Jul-Aug 1982;25(5):454-6. (2) Cochrane.org. (3) Hepatogastroenterology 1996;43(12):1504-7. (4) Dis Colon Rectum 2004 Aug;47(8):1364-70. (5) usda.gov. (6) Am J Lifestyle Med. 2017 Jan-Feb; 11(1): 80–85.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com.