I have seen a specialist several times about my hemorrhoid problem and he says that I am not a suitable candidate for surgery due to the high risk from infection. However, he has banded several of the troublesome ones and this has worked for a while. I just treat myself very gently now and often use a shower or bidet rather than wipe. The creams and suppositories did not seem to be that effective.
The only time they have given me real problems was when I had a thrombosis problem with them - very painful and I could not sit down! Not funny at all.
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