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From: Kelly

Q : I have had hemroids for about 5 years now, but as of recently the past couple of months I noticed multiple hemroids,(hemroids on hemroids) and there is nothing I can make them do to go down until IO goto sleep, but every time I BM its there until pretty much the next morning. Who can I goto to get this checked out? Do I goto a physisian?

Answer :  Hello Kelly. Yes you should consult a good physician at this stage, since you have been suffering from Hemorrhoids for so long and they seem to have multiplied. A gastroenterologist or a proctologist will rule out any serious underlying cause of the pain. Try an over the counter stool softener for softening your stool and drink plenty of water. The best way to prevent hemorrhoids is to keep stools soft so they pass easily, thus decreasing pressure and straining, and to empty bowels as soon as possible after the urge occurs. Exercise, including walking, and increased fiber in the diet help reduce constipation and straining by producing stools that are softer and easier to pass. Try a painkiller like acetaminophen or ibuprofen for reducing the pain. 

Source : 

http://digestive.niddk.nih.gov/ddiseases/pubs/hemorrhoids/
index.htm#prevented

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