Evidence map›Paper›PMID 40901789›Full record

ArticlePloS one2025

Smartphone use on the toilet and the risk of hemorrhoids.

Chethan Ramprasad, Colin Wu, Jocelyn Chang, Vikram Rangan, Johanna Iturrino, Sarah Ballou, Prashant Singh, Anthony Lembo, Judy Nee, Trisha Pasricha

Abstract read
In one paragraph

Article in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Chethan RamprasadDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Colin WuDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Jocelyn ChangDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Vikram RanganDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Johanna IturrinoDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Sarah BallouDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Prashant SinghDivision of Gastroenterology, Department of Internal Medicine, Michigan Medicine, Ann Arbor, Michigan, Michigan, United States of America.
Anthony LemboDepartment of Gastroenterology, Hepatology and Nutrition, Cleveland Clinic, Cleveland, Ohio, United States of America.
Judy NeeDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.
Trisha PasrichaDivision of Gastroenterology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States of America.ORCID https://orcid.org/0000-0002-8859-0361

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Smartphones are ubiquitous in daily life, with many people now using them while sitting on the toilet. Despite anecdotal evidence that length of time spent on the toilet is a risk factor for hemorrhoids, a multivariate analysis of smartphone use has not been performed. This study examines the correlation between smartphone use on the toilet and prevalence of hemorrhoids. A cross-sectional study was conducted among adult patients undergoing screening colonoscopy at Beth Israel Deaconess Medical Center. Participants completed survey questions regarding their smartphone habits while using the toilet, Rome IV questionnaires, and additional behaviors including straining, fiber intake and levels of physical activity. Presence of hemorrhoids were evaluated endoscopically and independently rated by two blinded endoscopists. Categorical variables were analyzed using chi-square tests and linear variables with regression analysis. A total of 125 adult participants completed the survey and 43% had hemorrhoids visualized on colonoscopy. Participants who used smartphones on the toilet were younger than non-users (mean ages 55.4 vs. 62.1, p = 0.001). Of all respondents, 66% used smartphones while on the toilet. Participants who used smartphones on the toilet spent significantly more time there than those who did not, with 37.3% of smartphone users spending more than five minutes per visit on the toilet, compared to 7.1% of non-smartphone users (p = 0.006). Furthermore, in a multivariate logistic regression, smartphone use on the toilet was associated with a 46% increased risk of hemorrhoids (p = 0.044) after adjusting for age, sex, BMI, exercise activity, straining and fiber intake. The most common activity performed while on the toilet was reading "news" (54.3%), followed by "social media" (44.4%). The study suggests that prolonged engagement with smartphones while using the toilet may be associated with an increased prevalence of hemorrhoids.

Indexed as

HemorrhoidsSmartphoneAdultAgedColonoscopyCross-Sectional StudiesFemaleHumansMaleMiddle AgedPrevalenceRisk FactorsSurveys and Questionnaires

Identifiers

PMID40901789
PMCPMC12407481

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.