External hemorrhoid treatment: Should I REMOVE or LEAVE them?
ฝัง
- เผยแพร่เมื่อ 20 เม.ย. 2022
- It's always intimidating to think about whether your hemorrhoids need a procedure done! There isn't much info out there and it seems that no one really has a good experience. How do I know if I'm doing the right thing for myself?
🌟 Pranicura cream - hemorrhoids, anal fissure, anal itching treatment:
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😷 Dr. Chung is offering 💻 video consultations to everyone! This is Your time to tell your story and give additional information to help Dr. Chung give some recommendations to help you with your bottom end issues.
If interested, please email: YourFriendlyProctologist@gmail.com
❤️ I wanted to provide a place where you can easily gather supplies that will help you to better deal and heal your problem. I really appreciate you clicking on the links. Your support will help to grow this channel!
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Hemorrhoid care:
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
You r a kind human , being a doctor, is quiet an amazing experience. 🙏
Because usually doctors r very proudy.
🙏🙏🙏🙏❤️🙏
I had one large external, one external skin tag and one grade 1 or 2 internal removed and its not been too bad. Please dont let pain put you off, people mostly only write about the negative. For me its totally bearable
Thank you for the invaluable advising you share on your channel. Saves numerous embarrising visits to the GP.
Glad to help
Thank you Doctor! You are the best! :) I wish I had physician like you in my city. I wish you a huge success with your mission and channel!
Thank you!
Thanks Dr. Chung! I had a hemorrhoidectomy 10 days ago and watching your videos has been super educational and helpful both pre and post surgery. My surgeon has been wonderful, but your exhaustive approach to explaining issues is very much appreciated.
let me tell you they grow again
I had externals surgically removed in February after suffering 15 years (getting them from childbirth). Here I am 3 months out and so thankful. It was a really horrible first couple of weeks, but worth it. I had one funny lump leftover that was snipped off last week, and I never thought I’d say this, but I have a nice bum hole now! @Dr. Chung- Your videos have been a wonderful guide to keep me reassured!
How many weeks was it bad?
@@mohammedazzan7529 the first 2 weeks were really uncomfortable (especially the first BM). After that each day was less and less painful. Swelling takes the longest to go down completely, could be upwards of 6-8 weeks. I’m now 5 months post-op and it’s as if I never had hemorrhoids or a hemorrhoidectomy. No regrets now, best decision for me. Good luck!
@@bacz42 good to hear, can I go out and walk around normally after a week? I have to travel next month so I don't feel like getting it rn, also are all hemmaroid painful? I'm pretty sure I have one and it's not painful but when I pass a BM it hurts maybe for few seconds then it's back to normal
@@bacz42 good to hear, can I go out and walk around normally after a week? I have to travel next month so I don't feel like getting it rn, also are all hemmaroid painful? I'm pretty sure I have one and it's not painful but when I pass a BM it hurts maybe for few seconds then it's back to normal
@@mohammedazzan7529 after hemorrhoidectomy they actually recommend walking as a course of healing. Sounds like you need to first see a doctor though before you entertain the thought of surgery.
Thank you thank you for your videos. I am 76 yrs old, living with pretty bad pelvic issure for a couple of yrs now. I think I may summon the courage to make an appointment to see you. Again, thank you
All of your advice has helped me so much, Dr. Chung! I have now come to a place where I can manage and live with my bottom end issues, thanks to you sharing your expertise. I don't know where I would be without you! You're the best!👏😍💖
Woohoo! congrats!
Hello were you suffering from hemarrhoids?
@@saimahye3682 yes Im suffering since from 6 year's please tell me if I can get rid of it with out surgery
Hi Dr.Chung. Great work and many thanks for the educational videos. Quick question. Can HET treatment be used on external hemorrhoids and do you perform that procedure in your office? Thank you
Thank you for sharing your experience. It will help me ask questions.
Chung. Good
Job bro. They need good proper insight. The older the doctor the less they explain. You explained thoroughly
Greatest of of all doctors,,,God bless
I have this condition but no pain yet , for over 9 years. Feels some pains after stool if constipated but not much. Been trying to manage it at home with local herbs.
Thank you for all the advice. You are so generous with your time and knowledge. A couple of video ideas (maybe you have done them already). What is you opinion of bidet’s and what is laser hemorrhoid surgery and how does it differ from the standard incision style?
Thanks for your comment! Your questions are both on the list. Stay tuned!
The MOST painful thing you can go through!!! But after a week, it’s all good!! This is for internal!!!
have you given birth?
I have had an external helorrhoid since I was 22. I am 68 now. It's never bothered me, and asked my PC if I should seek getting it removed. He said if it doesn't bother me, then the pain wouldn't be worth having it removed. It's kind of a hygiene thing with me.
Mine doesn't hurt either but it's growing and getting bigger... So with that being said I'm definitely going to get it removed it's a size of a quarter but I'm not going to wait until the size of a dollar bill lol
@@stephanymariah5890did you removed ?
@@stephanymariah5890so how r u now you removed it or not?.?
@@stephanymariah5890I have had mine for years it never hurts but as a women to nervous to engage in sexual intercourse with it.
Thanks for the insight doc 😊
One of the problems with surgery seems to be the physicians competency and individuals anatomy seems to vary a lot, but are there any statistics on complications for haemmorrhoidechtomy for the usual suspects - fissures, fistulas, skin tags, stenosis etc? I'd love it if you could cover this in a future video
Thanks for your help ❤
I just had my thrombosed external pile lanced about 4 days ago and personally i have not had any painful stools because i have been taking collagen with fiber and also stuffing my face with greens and mexican caldos and soups also i have had some discharge which i use womens pads to keep my underwear clean (its not weird its for your health) so for people that ether have a external pile or bareley got them lanced just know its all a mental game and you have to stay strong everyday and just remember its all for a better result thats what ive been saying to myself too keep myself motivated through this very hard time but i also would like to thank this doctor right here for also being a big reason why i was able to notice what i had and was able to tell my parents in time since i am a minor so once again thanks doc for having me as a patient without being a patient👍🏾
Mental game...nice to hear that..BTW was it laser ?
@@Ltfhjkjggj no it was done my a scalpel they made a insition and drained the clot
Did they say if they could come back at all ,and do you have to change what you eat etc.?
So very helpful! I have been vacilating with my decision for a Hemmoidectomy and because of your videos I can now make an informative decision :)
Thanks doc. Liked and subbed.
Thank you for the educational video !
Glad it was helpful!
I know it’s off topic for this video specifically Dr Chung but could you maybe cover something about the roll of mucus in fissures. I know it’s typical talking about the haemorrhoids but I’ve heard about it with fissures and suspect this was the reason for my mucus too. It usually seems to crop out when the anus and pelvic floor is super tight for me. But that may be unrelated. I feel the mucus irritates the skin down there including the fissure even with the scar tissue there. It can be quite hard to clean too. But it’s only there a few times a week and has been there at various stages during the fissure healing but didn’t start until quite late on. I’m not sure if that typical or not.
Anyway there’s not much info out there on mucus and fissure.
A follow up topic I wonder if it’s worth mentioning some of the more Oral based medications and the pros snd cons and what they can help with.
I’m thinking things like your amitriptyline, pregabalin etc that are being used off label for pain or spasm, nerve issues after a fissure etc. And possibly even things like Valium suppositories or muscle relaxers.
Thanks again doc. I know you’ve probably got a lot of great topics already lined up!
Hi doc thanks for your information,, and watching from KSA Good bless you doc
Your a great doctor...
Thank you for saying so.
Thank you so much doctor Chung! Is there is any loshan or cream or ointment to remove the same...
Thank you Dr Chung for your wonderful information . I had hemorrhoidectomy surgery in 2019 it was very bad I had the worst pain in my life for months and I also develop a fissure and I have now a fistula . I will be having surgery next month for that problem . I have external shin tags from hemorrhoidectomy surgery
howz ur symptoms after surgery was it worth it?
@@peterobrien2537 the first surgeon I had did my hemorrhoidectomy surgery the second surgeon that I had he fix the fistola and the fissure and everything is okay sometimes things like this just happened after having a hemorrhoidectomy surgery is always a risk of other things happening and I guess I was the one who had the bad luck with surgery
@@kellyea.4217 thanks for reply glad you're cured now i see very few people coming out and reply that they're doing better now
@@kellyea.4217why? What happened with you?
My biggest problem with the docs is they're never available when I'm having the problem. Their next available appointment is like 2 months or more away. By then it's usually not a problem, until it is again.
That's why you take pictures 😅 I'm not joking 😁 I even took pictures of my bloody stool to show them what happens when it's really bad
Thanks doctor, i was afraid of surgery , but after watching your video, i thought instead of feeling severe pain everyday, lets bear ot for 15-20 day, now after surgery, its gettibg better and better.
Thank you!
I think you were referencing me from my past comments. I appreciate you addressing the issue of your in office procedure for external hemorrhoids. I would like to know how to find someone in my state who also does this procedure so that I might make an appointment.
I suggest going to www.fascrs.com and find a board certified specialist near you.
@@yourfriendlyproctologist That link doesn't work.
@@thebossofmykitchen Sorry, www.fascrs.org
Just ask your regular Dr they will refer you to a specialist or surgeon good luck im having my surgery on the 19th of October and scared for the pain but trying to get stuff ready for it now and research on what not to or what helps.
Hi Dr Chung, regarding this Video, it sounds like you are saying you can do the External Hemorrhoid's surgery at your office, less evasive and less complicated. If so, is there a difference in the removal procedure? Are you still cutting out the Hemorrhoid's and stitching it?
Every three or four years I’ll get a really bad week or two flareup where the hemorrhoid looks like it’s external but then once the swelling goes down it’s like nothing ever happened. Would mine be classified as an external hemorrhoids or prolapsed hemorrhoid?
Thank you for your videos, Dr. I have been suffering from mild to sometimes severe hemorrhoids. With occasional bleeding. I've been strict about diet and fiber as well as using Lax-a-day. My GP finally referred me to a proctoligest who said he could help me by banding my hemorrhoids. This was 4 weeks ago. I've been through hell and have ended up worse off than before. I now have external hemorrhoids that were nit there before. What should I do? My surgeon says he's done and can't help me. He said I have to live with it and that I'm the 2% that goes wrong and I should not do this kind of surgery ever again.
It's a thought decision for me, because I know how painful a Thrombosis can be because I had them more times that I wanted to, but at same time, I am not sure I should do the procedure. 😞
For me,
I changed my diet,
not too much protein, not too much fibre.
Helped significantly reduce them drastically.
For pain flare up, I would Ice them. Apparently the vessels constrict and don't allow it to swell up.
Just what I was looking for. Excellent advice. I wish you were working in Pakistan! Cannot find a proctologist here in Lahore
What is your opinion on the laser surgery?
I really need to consult my case and be sure of what's wrong
Dr. Chung-I had 1 external hemorrhoid removed 3 weeks ago, when should the final result be achieved? Meaning when is the usual recovery period and final result? Thanks!!
I got a external piles last week it was paining so bad for one month that i cant even explain. I had it earlier as well during my degree but this time it got worst. It was bleeding for 2 weeks so bad that i lost almost 4-5 kg in 2 weeks. After treatment and Stiz bath there is no more blood but when i go to washroom the external piles gets swollen up and after some time it gets back to normal. While riding the motor cycle it pains from the internal vein to external. Dr Chung i just wanted to ask one thing is this pain normal for after effects of piles ? Because it pains from inside vein to the external pile.
I'm confused about the in-office (and not an operating room) procedure you mentioned; is this NOT a hemorrhoidectomy? I know it's not banding because that's only for internal. What is the name of the procedure you do, please?
Hi Dr Chung can you help I'm going today to see the doctor about my external haemorrhoid which is there now for a week is very tide swollen and doesn't retreat.
In during the week has been 2 days was better but when I started the work came back and want go now.
I'm very in need of advice.
Doctor please tell me...i had piles sugery i have been taking sitzbath with betadine solution
It can cause skin rashes or inflammation
I have a strong doubt pls do clarify me 👍👍👍 and also tell how to take sitzbath after surgery
Without betadiane or not???
Your reply will be much helpful
From INDIA ❤
Got an external hemorrhoid from bench pressing too heavy. Gave it 4 days before i went to a proctologist and had it surgically removed. Took 5 min for the procedure. Best thing i ever decided to do. Back to normal
What type of surgery you had? Laser or doppler or what?
@@1mrtoman he did like a incision with local anesthetic and cut it out
@@moochimooch636How much did it cost?
@@dantesparda4493 i have health insurance it cost me $0
How much it cost
I have had the hemorrhoidectomy done by a doctor that haven’t recommended me nothing after the surgery, not a dietary, not even a pomade, just pain killers. it turns out that after the pos surgery I developed a new external pile that has grown and it won’t come out without another surgery. So yeah, it can be really frustrating this surgical pile path…
Same here. Did you ever get it removed?
Dr Chung ❤❤❤❤❤❤❤ Forewer.
I watch every episode now., since I am in this torturous boat too. Just tried the Pranicura for first time in a couple weeks because of increased swelling and microcracking from night time terrible itching and scratching. That menthol was too much! Had to get it off quick! They should make a non menthol or greatly reduced menthol version.
Great feedback.
I have found the same thing…felt like a fire down there! 😩
Should you get the surgery if your not good with pain ? I need it done but I'm very scared because I'm not good with pain
Dr. Chung, thanks for all you do. I had the surgery two years ago. And now I have a small external hemmoroid now can I get rid of this nightmare for good.
What can I expect from large internal hemorrhoid surgery? How painful, recovery time, do I have to remain in the hospital? I’ve had it for years but to be honest, I’m a bit afraid of the surgery
Is banding an option?
Thank you.
Any home treatment for hemorrhoids please
My External hemorrhoid was thrombosed and burst so I just kept the area really clean so it heals .
Thank you
Dear Doctor,
I had hemorrhoidoctomy + band ligation 20 days ago. First 2 weeks were worse but Pain is less than before in 3rd week but a little bit bleeding and burning is there at the end of stool. Is it normal? How long it will take me to recover from bleeding.
how r u now?
How long would a patient need to abstain from weight lifiting after surgery?
Should I get surgery on old external hemorrhoids that aren’t swollen just tissue? I prefer to get rid of them. Idk if my ins. will cover.
How do you keep the operated area from getting infected after surgery since you use the bathroom in the area this is what I worry about
I have had hemorrhoids external for 1 year. I don’t understand why this happened.
Your in OC? What city are you in? I'm from Fullerton but in Vegas now. Still having issues with my same external hemmi, it's been a year now and I know it's not going to go away on its own.
I do have some good news though, being constipated for along time made things worse but seems like I just needed daily prebiotics to get things softer and it's worked for a few weeks now.
I'm located in Santa Ana! I'd be happy to help you. Look me up in google or yelp!
@@yourfriendlyproctologist do you accept blue cross blue shield insurance.I am from Minnesota.
@@yourfriendlyproctologist I live in Santa Ana and I definitely need your help. I think I have a blood clot in my hemorrhoid! Please help Dr.
Should take some stool softeners to
So if you don't have insurance and uou have hemorrhoids and need a surgery how much would cost?
I am working class person and some months I don't have job
Dr. Chung! You are the man!
I have both a fissure and hemorrhoids. Can the hemorrhoids be treated through rubber band ligation before the fissure is completely healed or should I wait?
It all depends on what I see on examination.
I have a history if anal fissure, recently had one but it got better at home. I just noticed a little bump on my opening yesterday but there are no other symptoms like pain, itching or discomfort. Idk if it's a hemorrhoid or something else ;(
Hey doc I got an external hemorrhoids it’s not large but like a small lump does it go away on its own?
I hate a hemorrhoids surgery.. My surgeon was good but if any surgeon says that your pain will be gone within a week or 2, they just absolute liars..yes pain starts to reduce after 2 weeks but it still around pretty consistently for 4 weeks easily... It's been just a little over a month & I still can't sit without a donut pillow. Even when have to go for follow up check up to the doc, have lay down sideways in thy back seat, cause sitting in a car even with a donut is extremely uncomfortable.. Recovery is just an absolute shit slow.. I truely detest my life right now stuck inside home.
Doc i have recently got piles and its an external one i got a small lump out it was from before i don't remember when but what can i do so that it can go up....i have changed all my lifestyle like food and exercise.. please if there is anything i can do to get it back up do tell me
I got a quick question do you ever leave the state to perform surgery for other people because if you do, I would definitely cancel my surgery and try to book surgery with you for external hemorrhoids
I'm touched by this thought, but it is not possible. There are licensing issues across US state lines and a whole lot of paperwork in order to work at other hospitals/surgery centers. I only perform surgeries at locations here in Orange County, CA.
Hi Dr. Chung I'd 3 piles 2 internal and 1 external now it's almost a month since hemorrhoid banding is done but I still have little swelling outside and itching pain and there is little fecal inconvenience too
Did u band your external one or only internal?
@@monishhasan3317 only internal, he removed external hemorrhoids with surgery
Hard to say without seeing you. I recommend seeing your physician.
@@ankush5039how r u now Ankush?
I’d like to know ID sclerotherapy is an option for external hemorrhoids. Thanks
I’ll be scheduling my appointment with you soon. I’m in Santa Clarita; so not that far :) .. quick question doc, is it safe to get anal bleaching done if I have 1 small external hemorrhoid? I have no pain, it’s just bothering me aesthetically. …. Thank you in advance :)
Bleaching your anus doesn’t sound good even with the healthiest anus.
Dr. Chung can you tell me about embolization procedure for hemorrhoids
Does it work?
Sir I have no pain in that but swelling have , when I do gym or racing then blood come otherwise not come blood what that mean what should I do???????
Are there any doctors in the uk like him cos we definitely need someone like him.
I had a question. I just went to visit about my external hemorrhoids grade II. He did sclerotherapy to shrink them but did not tell me any risks about it and how to care for it afterwards. I keep reading about the risks of sclerotherapy and that it wasn't intended for external hemorrhoids. Should I be worried about any health problems?
Mine never hurts bleed once scared the shit back into me and have had if for three years and worst it’s done is itched.
Yes, I need to know if I can have a surgery. I could be off from work for several days but it is worth it. I also need your advise if see the physician to remove the external hemorrhoid, it there a guarantee that it will not come back?
No guarantees lol sorry
military veteran here i had a thrombosed hemorrhoid and it was painful went to the VA and they sent me home and in the morning i woke up to my dog licking and i looked and blood was everywhere! that gave me an anal fissure for years and let me tell you and everyone here you dont want that that was a painful road.as im writing this i have a hemorrhoid i just tried fasting for 4 months not eating for 16 hours i think i may have gotten my roid from that or lifting and maybe vacuum breathing anyway great videos and new sub hopefully this roid goes away soon oh also this roid is white is that ok???
This is embarrassing to talk to my dr about, he’s a man but he’s wonderful. Do I need a referral or can I just call a specialist?? I don’t want him fumbling around down there 😬
Hi there. Its my 3rd week post delivery with C sec. I suddenly had painful anas withno constipation. Cant even sit as it hurts. During and after passing stool the pain is intense. wts the reason . i was all normal till my cesarian.
I'm poor and live in the states with no insurance.
I would like anything OTC that's affordable to help.
I'm about to put Witch Hazel on my booty! lol Jk I'm not doing that.
But what about prep H cream? Idk much about it.
I haven't been to the doctors since I was a child and I'm 33 now
When my external hemorrhoid first appeared I was in horrible pain from bowel movements and just during the day. It has been two weeks since my external hemorrhoid first appeared. I use a cream, etc. A doctor I have seen said it may go away on it's own as if nothing happened. I don't know why the recovery if I decided to have it removed would be any worse than what I am experiencing now. Will it go away on it's own? Maybe just left with a simple skin tag to remove?
Did it go away on its own?
@@Terry1212 Yes, but I used prescription cream and the Prancura cream advertised by this internet doc.
@@AubreyForever How much time you need to completely heal
About 3 weeks completely@@Justkitty-
@@AubreyForever Oh Thanks . Its my 15th day and its annoying 😔 some times pain is less and some day its is more .
Hello doctor, thanks for the information
I have one external
Haemorrhoid what is the best treat ment or remedy for this external haemorrhoid…
is it healed 😅 .
So im aware this is an old video... I just wanted to say that i had a hemrroidectomy about 4 year ago for internal hemorrhoids... The pain was so bad... Couldnt sleep, walk, or poop for a week basically anything.. only relief was a warm bath...so i basically lived in there... And now there back. But now my body decided to add an external thombrosed hemorrhoid that hurts so bad. are hemorrhoids genetic? Im so frustrated
What type of Sitz bath do you recommend using and sitz bath salt to use for reversing external and internal hemorrhoids?
Hellooo...sitzbath with betadiane solution is good or not?? After surgery
I got one in march and it was large. 3 months later i got 2 small ones
I’m scared.. I have externals and I’m unsure … I have about 4 maybe so debating surgery on Wednesday 😢
In the long term, you will be so glad you had them removed. Just take it easy the first few days.
How are you feeling now?
You sound perfect but your in California. Do you have any recommended friend doctors in Atlanta, Georgia?
I'm sorry, I don't have connections there.
Where are you located and are you seeing new patients!
What is this in office one called so i can see if anyone near me offers it?
Just had my internal and external hemorrhoids removed Thursday morning...I am still sore but I am sure I will be pain free in a few weeks....
How long did your pain go away I have a appointment today but I'm not sure if I want to do the procedure
I’m so ready to tie off my own hemorrhoid during pregnancy I had a thrombus hemorrhoid and my doctor just lanced it to drain the blood. So from this I have 2 from when he split. This was 27 years ago and I’m so over it!
Is a tourniquet type procedure ever done?
Did you have more pain after draining the blood ? I had 2 weeks of hell, and then the trombosed hemorrhoid came back again.
did you tie it off successfully
My husband got carterized in the office and was in immense pain...
Sir ii am suffering from external haemorroids..from few days ..some small muscle will come outside....and in few days ..it will shrink properly..but few muscle will left outside..and show like permanent...what can I doooo????? Sir plz tell mee..
Hi Dr Chung,
I have anal itching since 2 weeks and external hemorrhoids just started to show. Can I use Pranicura on a daily basis and long term? Will Pranicura help with my condition?
I would give it a try!
I have internal hermorroids but with no pain but with occasional bleeding.. Should I get them removed
Is there any laser fissurectomy in the US?
I have hemorrhoids but I want to say there internal? Because only when I sit down and use the restroom they come out are those internal? Or external doc?
Those are internal. I think they’re called piles if they can be pushed back in
My external hemorrids is as big as a quarter and when I wipe after poop ing it bleeds alot. Should I get it cut off.