Zazzee Extra Strength Horse Chestnut 10:1 Extract, 20% Aescins, 120 Vegan Capsules, 4 Month Supply, Aesculus Hippocastanum, Healthy Circulation & Blood Flow Support, Non-GMO, Made in the USA

I definitely feel you regarding hemorrhoids, and the medical community when it comes to GI health is so limited, and I would say it is GI issues that lead to hemorrhoids most of the time. Here is what I might advise, but I am no expert and learning myself: 1)Get supplements that may help with hemorrhoids such as Diosmin Hesperidin 1000mg and Horse Chestnut and take for a long time. https://www.amazon.com/dp/B082P899R1?ref=ppx_yo2ov_dt_b_fed_asin_title https://www.amazon.com/dp/B0CT8XLHKV?ref=ppx_yo2ov_dt_b_fed_asin_title 2)Get some stool softeners that you can easily get over the counter at a CVS, Walmart. Take that before bed. 3)Take a bit of olive like 1-2 tablespoons in the morning say 30 minutes before a meal. That is good for the digestive system. You can also after it, drink a fair amount of water with lemon and add some drops of trace elements in the morning and use a reusable straw to drink it over a short period of time. Try to have about 2-2.5 liters of water per day and drink a bit upon waking up if you tend to have to go right away. 4)Buy a squatty pot. That may help reduce pressure when pooping. https://www.amazon.com/Foldable-Bamboo-Toilet-Stool-Adults/dp/B0GH377R7D/ref=sr_1_2_sspa?crid=2BV42SC0RNNRX&dib=eyJ2IjoiMSJ9.5JqIljGfYL41MA_B2qQVj9egQLpu8nHpvH1douby2L4qb7z-aKB_mrkp--WjaDsnEya9NyHqzOTdp-l-NMS16spkax5q7kzfUaBt-TOX3Hgl74y20W3zk5k4PFKide1gZCQEte_AZJiwqyt_DR9TD1RMG4Myb1fSoF-r0A73Jx7lNv1555Dr01HiSEnjzVp5Lu_EkeqtdNKPfepwWI1_XfDNb2JnXmUXGfrx5apAAslms1uCdU9e5tkGL4TdTiEUcxS49thujMzacMYDgrL5D0NbhwZQEN34iDDSHnWM-W4.OHyVrNCLoKlZdBjuzqyzQKSUD8CUki-SrmqTDGpd-c0&dib_tag=se&keywords=squatty%2Bpotty%2Bfor%2Badults&qid=1781179682&sprefix=squatty%2Bpotty%2Bfor%2Badul%2Caps%2C337&sr=8-2-spons&sp_csd=d2lkZ2V0TmFtZT1zcF9hdGY&th=1 5)Do not use toilet paper. Switch to wet wipes that use say witch hazel. Toilet paper can exacerbate things. https://www.amazon.com/Wipes-Medicated-Flushable-Fragrance-Vitamin/dp/B092YDFRBX/ref=sr_1_6?crid=1V242ZRCXHNLK&dib=eyJ2IjoiMSJ9.xDpejch5Lk-ZpTfMwnd-vGR8-jU248zfReD5GlFi_KKEU1-5XGwoEcKve4EeDq9_yRu8GmvIv3v2t9anucmiDx9vzz1ykgjXW9Ox0r4cqaWmxPg7rhN79hk2YzaciYV5FMTYQI_1T-Al4TZNJA-wdm1EdYrkIXY_xaT86_ev0Jcu28mX23lWdqG4eOPzZiY1t_r_UFweVTrrLxYWWxpmEwy_m0d8pjkciBY9eCAqETCHbEBzN51r6VSCSmjgCT9XaA8QsfJ1kDml55Dh6UAZjXtlaaVYTeTpN20BqaZngyY.t1ylXFk9Jkfwctjk6-tSUhyjkl7P9JlLJ-CSp7dRFHg&dib_tag=se&keywords=witch%2Bhazel%2Bwipes%2Bdude&qid=1781179751&sprefix=witch%2Bhazel%2Bwipes%2Bdud%2Caps%2C332&sr=8-6&th=1 6)Use red light therapy or infrared 1-2 times a day in the anal area. Doctors often recommend sitz baths for people with hemorrhoids, but I hate them. Instead, many people in South Korea just use red light therapy mats under their butts 2-3 times a day. That may help with some healing. https://www.amazon.com/Xefinic-Therapy-Infrared-Foldable-Controller/dp/B0G644Q264/ref=sr_1_42?crid=4W7YXY62OMRE&dib=eyJ2IjoiMSJ9.5ojD2RB7hZHfv6n3ALuL_fzcsAt_PVDcGGOuLW_fNt7FRWKSYDukGIfxh7BPAegdnTsFNRWel-MGVKsqE_ZroGWx_5TE7n4Qi0zIbzsUciHcpXcMNEFNvKKVx70M6M4x5feV-Ri7hoDtr1sIHwXPiXHTJhHAsss-ywMoLOig067ai0hcwX5gAfK-3mXjrFEcxRjuMfTUfJK0mZfT1K9CTzepK_unm5O9W70Eo2XnwsS8YJVxUOaqg1xyLRYruHnmIFfx1tH_E3mT3JDkL2U7vElG0k0uf9O8F1fwefTKkmY.Hl46puRVlnbJvc864mTETCf_0DA9EXIhKF_SZ9LQrs4&dib_tag=se&keywords=red%2Blight%2Btherapy%2Bcushion&qid=1781181308&sprefix=red%2Blight%2Btherapy%2Bcushio%2Caps%2C332&sr=8-42&th=1 7)Get some preparation H or something similar and put some down there before you go to bed at night. 8)Look for a pelvic floor specialist. Often, people with hemorrhoids have pelvic floor dysfunction. The treatments for that are biofeedback, pelvic floor exercises based on the type of pelvic floor dysfunction whether it's hypertonia or hypotonia. Some hospitals also offer electrical stimulation to help with pelvic floor dysfunction.