This has helped me so much. I was sent home after my 3inch thrombosed hemorrhoid was causing me extreme pain. She said to go home and elevate and sitz bath 5 times and day and come back in 4-6 weeks. No pain meds or anything. I’m so sad I didn’t see this earlier. Im crying thinking about the mental relief you have provided me.

9:51 - It takes a _real man_ to apologize and own their mistakes. I don’t know where you practice, but being willing to call a spade a ‘spade’ makes me really respect you!!! Your patients are fortunate to have you!

I’m just pleased to hear these external clots disappear. I thought it was here for life. I’m willing to wait and manage the situation. So pleased. Thank you doc.

You are a Saint, Dr. Chung! You are helping your profession evolve. "Balloon knot" made me laugh!😂

Thank you! This is new for me, so I’m seeking info and relief. Thankfully mine is small and not super painful. Hopefully it won’t ever be! Sending good wishes to those who are here with much greater problems and concerns.

Thanks very much for this information, and your reassuring delivery.

Thank you for this video I'm dealing with right now I am trying everything to heal myself your caring advice is appreciated thank you 🙏💙

The ReVIVOL XR along with pranacura saved me from surgery!! I suffered for 2 months with the worst flair of my life! My external hemorrhoid had me wanting to die!! I found Dr. Chung and am now on the mend!! The first sitz bath with his epsom salt product I noticed almost immediately they had shrunk! I love watching his video! I’ve learned so much from videos! Dr. Chung is a gift from God imo!! 🥰

Very helpful Dr. Chung, thank you.

Thank you so much for explaining this topic. So now i know that the bleeding really helps draining out the fluids that causes so much pain. It can heal naturally. Thanks....your an awesome doctor.

Very well explained. Thank you.

You are really good! Thanks!

Great video, thank you!!!

Thank you very much Doctor!

The story you told is me for about the last month. So painful that I get on line and purchase anything that looks like it will help. Seriously I have a stock pile of hemorrhoid medicine. One of my purchases was the same sitz bath that you suggest. I like that one. I just ordered the Panacur today. Please Lord let this work 🙏🙏 and thank you Dr. Chung for being there for all of us that need help. You are a godsend.

Thank you so much! So insightful

THANK YOU for being so thorough in your explanation! You have helped me tremendously 🙌🏻🙌🏻

Thank you for this video. Started feeling the burning/tingling Sunday afternoon, hard a dime sized hard lump by that evening, and an even larger lump Monday morning. Went to the ER that afternoon, wasted 4 hours for the PA to tell me after discussing with some other DR, they were not 100% sure it there was really a blood clot, so here is a prescription for some cream (turned out to be OTC CVS hemorrhoid cream) maybe you should go see a general surgeon about that. By some miracle my regular Dr''s office was able to get me into a general surgeon's that afternoon and was able to extract a good sized clot. I appreciate that you will provide your patients with the option of something stronger than Tylenol or Ibuprofen, because they do not even take the edge off the pain of a quarter sized thrombosed hemorrhoid.

I can't say enough about your expertise, but I am so thankful I found you. You have taught me so much. I have been dealing with external thromboses hemorrhoids now for about 3 months and was afraid I might have to have a procedure done. That would mean I would be out of commission for some time and the horror stories from these procedures scared me. But you hit the nail on the head about the pain that comes with these. Unbearable. Brought me to tears at times. Started looking into alternatives. Using natural ingredients like your ReVivol-XR. I thought I would be like this forever, but now you have given me hope that I can ride this out. Can't thank you enough!

Thank you for talking about this, it can be so distressing to deal with this. Please don't stop looking for more remedies and treatments for us.

My tip is to change your toileting habits. Have a poop last thing at night. Sleeping will allow the swollen area to calm and by the time you wake up, things will be much much better. Don’t poop and then jump into the car to go to work! The swelling will take time to go as you are sitting in the effected area. Cold water can also help.

Thank you, sir! So helpful! I thought I was the only one! Lol.

I had a football come out twice within the past 3 weeks. Now I got 2 lumps. I'm definitely making an appointment tomorrow

Dr Chang Eath Most Professional&❤❤❤❤❤❤❤.&.Angel Human.&.Love Respect Dr Chang Forewer.

Thank you for being so honest and realistic.

I've had about 4-5 lanced now.. currently hoping the one I have now doesn't full blown turn into another one. (Literally googling quick fixes, every single time this happens) . The doctors don't make me wait long at all at the ER though, they freeze it with a needle, lance it and the relief is almost immediate. It usually puts me out if commission for 1 full day. After that it only gets scary if you have to have a BM lol sitz baths to keep it clean a few times a day usually and especially after using the bathroom. It's funny because the first time this ever happened I was super embarrassed but the pain was unbearable for me.. now as soon as I see it going purple n the pain is steady I just go in right away. I'm like " yup, next one" but they never do take care of the extra skin.. Thankful I just discovered your page!! I've sat here for about 45 minutes watching video after video.

Thank you doctor

Thank you for the video doctor. Dealing with my first one and I wouldn’t wish this on anyone!!!

I love that you are a progressive Doctor you realy thing outside of the Hemorrhoid❤😂🤗👍👍👍👍👍

Hello Dr Chung I’m currently up at 12 am in California with extreme pain you literally said my story went to urgent care Tuesday 24th January went to ER next day because pain was excruciating they told me it was a fissure but today a lump formed I just wanted to ask if fissures can form these types of lumps or did I get misdiagnosed thank you so much you seem very nice and honest I’m subscribing right now good sir

Thanks!

10:05 this is why I love you Dr. Chung

16:13 I call this, "Popping a bleeder" Ya it happens so much I've given it a name. They leave skin tags behind too.

I went to Kaiser in Anaheim straight to the ER and went for what I thought was a hernia Overall after spending 4 Hours a doctor shows up reviewed he’s notes and my statement. I told the doctor I feel a little lump/ hard small grape size ball, and I kid you not he inspected my 🕳️ and said he didn’t see anything nor feel any Lump. I was in SHOCK !!!’ Like what do you mean Doc I feel it right here !!! He just went on to say it might be a hemorrhoid and I said ok then so what now what’s the next step to eliminate the hemorrhoid. DOC literally said let it take its course it’ll Heal on its own, I was like you serious!!! 3 days later that nothing swole up A lot that it went from What I thought to be an internal hemorrhoid to a visible external Hemorrhoid

Thank you Dr Cheung for brilliant explanations esp the one about when I have finished pooping I learnt a lot :)

Doc Chung, you’ve made me feel much better about my afflicted butthole. In all seriousness though, thanks for the straightforward information. The internet is a veritable 💩hole for anyone trying to find helpful advice. Keep up the good work!

Thank you Dr Chung for being so helpful with managing our hemmorhoids! I learned a lot from you and I couldn’t be more thankful that I came across your channel when I was in crazy pain due to my hemmorhoids. It really gave me solace. Long story short, i had grade 3 hemmorhoids which got banded but in a sick twist of events (due to failed anoscopy because my dumb anus just involuntarily clenches resulting in the anoscopy falling out of my anus multiple times), my hemmorhoids became grade 4 external thrombosed hemmorhoids, a prominent anal fissure and it was the worst pain imaginable! As a result, I have a fear of having doctors probe my insides, especially my nether regions. But I will probably have my hemmorhoids removed surgically, just not in the foreseeable future. Good news is, within a week, I was able to manage the symptoms and have it shrunk significantly from a golf-ball sized hard lump to a soft, pea-sized tissue (i’ll take it!). Since everyone’s asking here whether they could shrink it and how to help manage it, I thought I could be of help to dr Chung by dishing out some of information i gathered. Disclaimer: i am in no means a licensed doctor. Do take my word with a grain of salt and CONSULT WITH YOUR GP BEFORE TAKING THE STEPS i list down here. I did graduate with a pharmacist degree so I know to a degree of the meds I used and how toxic it could be. I am also not paid to promote the products that I used. What to do: 1. I think the most important thing is to not let your mood be swept by the inconvenience of your hemmorhoids. I read scientific journals that stated grade 4 hemmorhoids cannot shrink on their own but look at me! Just don’t sulk and try to forget about the pain by taking painkillers (i took about 1500 mg of mefenamic acid prescribed by my doctor EACH DAY to forget about the pain) 2. Use herbal medication. Now this is controversial but I’m pretty sure this is the miracle that reduced the size of my hemmorhoids. I drank a herbal medicine called phien tze huang (my Chinese family is obsessed with this miracle drug) and it did create some side effects like sore throat and dry skin but my hemmorhoids shrunk within a day! They’re quite pricey and i definitely would consult with my GP before taking any drug other than prescribed. I know that anyone with kidney problems SHOULD NOT take this as it could cause acute kidney failure. 3. I also kept taking flavonoid supplements because they’re known to reduce inflammation and swelling. Again, consult with your GP. 4. Try to get some exercise, walk around, go up the stairs, anything at all to help your blood flow. 5. Take a sitz bath 2 times a day 10 minutes each. I always add in some povidone-iodine solution into my bath. The sitz bath itself is extremely comforting too; like a warm hug so I’m addicted to it now. 6. Always take care of your diet! I always loved vegetables so every day, i could eat at least 25 grams of fiber from one meal alone. My hemmorhoids arised because of my genetic predisposition to chronic constipation and my love for spice. Now, I eat more than just fiber and take care in chewing more, eating papaya and banana (foods that makes poop mushy). I can’t stress this enough because even if you take step 1-5 religiously, it will not succeed in the long run if you dont take care of your diet. What not to do: 1. STOP STRAINING AND STRESSING MENTALLY AND PHYSICALLY. I thank dr Chung once again because i really needed an actual GOOD doctor to explain to me what’s happening to my body. Otherwise, I would’ve been depressed and hopeless. Hope this helps a few of you who’s been looking for answers. These methods worked for me and i don’t guarantee it will work for you therefore, consult with your doctor first because that’s what I did.

I believe to be suffering from this as I write! Never had it before. It is very painful. Beginning of the third day. Let's see!

Very informative video

Hi dr chung I went and do hemmoroid surgery when in the hospital one day before my surgery I take enema the before and morning before the surgery am on my three day op came out the third day feeling great my doctor give diclofenac 75 two time a day I went off the next day I use stool softener and sitz bath everytime poop am feeling so great no serious pain just normal

Thank you very much for your helpful information. I just want to ask about the correlation between hemorroid and anal fissure. Let take my situation as an example, I've had both. The first time I found my pile is 10 years ago, then 6 years later I was diagnosed with anal fissure, and now both of them are getting worse. The pile is getting bigger and more protruded. Therefor, I want to ask whether the hemorroid is the primary cause and it leads to anal narrowing, irritation of the sphincter muscle, making the muscle more contracted and finally anal fissure formation, or vice versa. In addition to this, when both of them happen at the same time, which one will be treated first or depend on that the more severe one will be corrected first then the lesser severe one? Best regards.

I am in Canada. i think i may have one but not sure. I havn't left my house for years and was wondering if i can leave it alone. i took a pic and not still not sure. reminds me of a bean or pea. it is external. but i have a feeling i sneexed on the toilet and came out. i do regulary use eipson salt and tea tea oil. is that good evough. i really don't like the stronge frangreances like laender. I don't wan to go to the doctor but really wan to know what it is. i Have been binge watcing ur videos and still don't know what to do. it is really tender and angry.

I went to Urgent care and they prescribed me hydrocortisone cream. I have for a week and it’s definitely grade 4. It’s big but today was me best day because it’s less painful. I have an appointment in 9 more days which sucks. But I didn’t want to go to HR because I want a specialist. 😢😢😢

Hello Dr Chung, is there anything you recommend for burning pain inside anus bcoz of hemorrhoids? Pranicura I tried but it made it better initially then got worse bcoz of menthol. Thank you

I was looking for answers. Thanks. Turn 60 and experienced a thrombosed external grape size. Scared of the unknown. After a week of little pain but some discomfort, I followed all the regimen. I used fresh aloe and coconut oil. Also, ate pineapple (has special enzyme for small intestine healing) in the shower I went to check on it. And felt it falling apart softly and drained out. Some bleeding continues so I used my wife's pads to help. Just surprised but feel fine. How long this little bleeding will last is part of the healing process. I have learned to take better care of diet and routine for maintenance.

Thank you for the video. Because of my colonoscopy, during all that cleaning my hemorrhoids came out . I can feel my hemorrhoids through the wall of my vagina. I applied ice all over my bottom area and I felt a lot of relief. But every time I use the bathroom I get them back out.

You are great!! I wish you were in NYC.

Because I trust you doctor I bought the products. I just wish if you were ny doctor. I had a consultation with gastroenterologist one and before even check me he says you need surgery because it's been 10days. No advises were given to me.

Just had a marble sized one, the big marble. It was not bleeding just uncomfortable, a doc prescribed a hydrocortisone suppository and it started bleeding. Lots of bleeding for two days, some clots and the medicine amped my anxiety up a ton. Went to urgent care and they sent me to the ER. The doc was like we have two options. I chose option 1, we lanced if and wow the amount of yucky jelly that came out was impressive. Recovering now. Glad I had it lanced.

This is great information! I thought the problem was clots in the veins not letting hemorrhoids drain but in reality, the blood and water is trapped under the skin where it isn’t supposed to be in the first place. What I don’t understand is why this keeps happening to me a few times per year. The first time it ever happened was because of damage I did from constipation. That was years ago and I take 500mg magnesium oxide to prevent that from happening. Any sort of mild pushing or lots of heavy lifting will usually result in another clot. Maybe I need that THD surgery? I had a banding procedure done which solved my internal hemorrhoid problem back when I did the original damage. I just need to find someone that can actually help me! Thanks.

Is it normal/common for the swelling and pain to go up again after 15 days from the initial event? Great video! Only one i found on the topic.

Thanks doc Had a lot of spicy food and ended up with a bump Really annoying rn 😢 Hope it just goes away 😩

Re: External Hemorrhoid Some oil, olive corn coconut whatever you got. Plus fresh chopped garlic. Some thyme flakes. Mix. Let sit a bit. Rub this on there after you wash it. I promise you it will calm the burning and shrink it. I know first hand. Not a salesman.

This is my second time getting an external hemorrhoid and its been about 7days. Its so painful and nothing is working, ice helps with relief n so does witch hazel but nothing is helping. I dont have mefical insurance so i havent gone to the doctor cause i dont think they will help me without insurance. This suffering is unbearable. Using the bathroom is the most painful thing with this hemorrhoid ive almost passed out.

I'm someone for whom getting down in a bathtub is a HIGHLY risky move and I won't be trying it. If you don't like the toilet hats then I'm not sure what else to do. Currently I use the "gentle wash" function on my Toto S500e washlet and that seems to offer a nice warm wash of the area.

Believe I have one now on an existing grade IV, started about two weeks ago.. the pain is varying. I feel like exercising might help the clot go quicker due to better circulation, but the 'chaffing' of walking could aggravate it. Also should one avoid situations where the pain is increased somewhat? So sitting is difficult right now due to the pressure.. but it does mean blood is being pumped around to my feet and back.. whereas if I lay down to avoid the pain the blood isn't circulating and may slow the healing process?? Would you recommend tolerating a little pain for the healing gains?? Thanks for another great video!

With the procedures, I’m worried about post procedure complications once i have a bowel movement. This is what is keeping me from treating this external hemorrhoid.

Can you recommend a specialist for this in Florida east coast area? Thanks

I would like to see a video where you talk about LHP hemorrhoid procedure. Gone through your channel and I haven't seen any video on LHP

Dr. Chung- you are the best. I wish you were my physician. Your video describes my problem. Since I can't see a specialist for weeks, I may have to resort to a hospital emergency room for incision of large grade 4 hemorrhoids that are awful. What questions should I ask the physican to make sure that no long term damage is done by the procedure. Should he/she make very small incisions, or even limit the number and size of incisions even at the cost of not draining all the hemorrhoids. Would this "incomplete incision" approach make the surgery easier and still provide me with some relief? And would incision surgery have any negative effects on performing a future hemorrhoidectomy down the road. Thank you.

Is lancing the only option other than toughing it out? Doctor. What are the options to reduce or prevent recurrence?

Doc what do you think about sclerotherapy on hemorrhoids grade 3? Thanks

Hello dr. U r simply amazing. I would like to ask u if u could give us yr opinion about colonoscopies. If they are safe procedures and worth it concerning all the horror stories we hear about them. I am terrified to have one. Thanks

Please make a video on Castor Oil Pack for Hemrrhoids.

Dr Chung. I don’t have hemorrhoids, I just like to go in denial cycles that maybe I have hemorrhoids but have a gut feeling it’s another fistula.

Dr. Chung - have you heard of "bipolar" treatment in lieu of surgical removal? What is your opinion of this new treatment? The thought of having a knife cutting into that area gives me great anxiety..... Trying to find an alternate - but equally effective - treatment.

Hi Dr I had to go to the doctor today because of one of these haemorrhoids and the doctor tried to push it back in super hard so painful. He then said go home to try and keep pushing it in but I can’t do it as it hurts so much. He then said if it’s still there in a few days come back and he will cut it and drain it. Is he right in trying to push it back up?

Omg…I thought something was wrong with you but my playback was on 50%. I commented are you ok? I deleted it and so glad it was my mistake 😂😂

Couldn’t imagine a watermelon or a grape. Sorry to you that dealt with that. Mines like a pea and it’s horrible.

Dr I am having terrible spasms that lasts all day 2 months after fissurectomy. Told my crs and he told me they'll diminish in time, is this normal? The weird thing is soft stool makes the spasms even worse!

So mine burst I suppose. I’m using tucks pads and doing sitz baths. Will I be ok like this while keeping it clean ? Thanks

I have internal hemroides grade 2 how to treat/ cure without surgery and creams / meds / stool softener useful ??

So, I screwed up and thought I had an ingrown hair and I tried to pop it as it was painful. It was located about an inch from my anus and the size of a marble. CHEEZUS! I've never had something so painful as squeezing on it like a big zit. Well, it popped on it's own in the evening. You're right. It did indeed bleed badly. Is there something you suggest, besides cleanliness, to help keep it from infection?

I bought an inflatable Baby bathtub to use this in yhe shower and avoid using the sitz bath that goes on the commode. Not everyone is agile enough to sit on the floor in this way, but I will let you know how I like the revivol epsom salts vs regular epsom salts.

I’m a 57 year old female and I’ve just been diagnosed with my first hemorrhoid! I thought hemorrhoids were just a burning sensation in the area. I had no idea that I’m now going to have this little thing around the area. Mine doesn’t hurt it’s smaller than a pea and it doesn’t do anything….its just there. But I don’t want it to be there. The problem is I’m not letting someone cut in that area!!! I’ve already had fissures it’s not easy to heal that part of the body!!

Have you heard of collinsonia Dr?

i have been doing a shot glass of extra virgin olive oil with lemon juice every day which helps with inflammation good for digestion helps with going to the toilet.

Quick question. Can I just poke it with a needle?

Hi Doc … I have been diagnosed with thrombosed external haemorroid… My doc said to have surgery but also gave medications for 5 days to start with… u think medications help to get rid of it … i have already passed the 72 hr window few hrs back

Can people have a regular Hemorrhoid and a thrombosis hemorroid together ? Can both surgeries be done at the sametime? Thank you !

I’m not having any pain with my hemorrhoids at all, even when they are flaring and swelled up. I’m getting lots of bleeding and it’s scary. But the bleeding only starts when I wipe myself. But I have no pain whatsoever just discomfort.

Can u please put the shopee link plz!?

Hi doctor, you are great doctor. I have external hemmeroids that have inflated during bowel movement and after 10 second it goes back to normal after bm but not being flat. I started using nitroglycerin and I feel better. Before using it, I had pressure on my anal canal. There are some scientific research on Internet saying that diltiazem and nitroglycerin works on external hemmeroids, even for thrombosed ones as well as anal fissures. For external hemmeroids, do you agree on this research?

What about senna tea to treat the underlying cause by emptying the bowels?

Can I take blood thinner to treat the blood clot in that bump?

Dear Doc. I really need help, had the *normal* hemorrhoids for 36 years coming and going. BUT now i have extremely painful something going on there no burst no blood but blue color appears, sounds like tromboses hemorrhoids. Where are you situated??

Nobody mentions this, but the reason for having hemorrhoids is the weakening of the veins' walls and there is nothing one can do about it. It is mostly an aging or degenerative condition that probably one third of the population develops. Yes, constipation and spicy food can trigger it but people need to look out for the root cause - which is nothing but a vein insufficiency.

It hurts like a mofo if you have one of these. I went to urgent care once. They just gave me a topical cream and I remember icing the bastard.

I just had the procedure done today lol. I wasn't expecting to have it done, but the doctor was like yup it's thrombosed and took care of it in the office, and it was pretty quick. Not going to lie tho lol that wash and Novicane were painful for a few seconds 🤣 but after that it wasn't bad, and I was able to leave on my own comfortably. The thrombosed hemorrhoid was more painful the 4 days I had it.

Hi dr Chung I went to see a colorectal surgeon yesterday she said I have got a tight anal muscle that is causing my excruciating pain I thought it was heamorriods . She said the there was no real cure and that I am to GTN cream which will help relax the muscle but I have used this once before 14 years ago when I had thrombosed heamorriods. This cream gave me bad headaches I mean really bad headaches Could you advise me any different because I am in such pain it is taking over my life . She also advised me to do pelvic exercises I am desperate now I need help. She is sending me to have a camera inserted into the rectum to have a closer look am not sure I want to go as I am in such pain I dnt think I will be able to tolerate it . What should I do ?

Can i use needle to opet external hemorroid and remove trombozed blood?

Thank you for the videos. Where is your practice? Are you anywhere near SoCal? Never mind. I see your 714 are code. You shouldn't be far. I'm in the 626 area code in Alhambra.

How bad is the recovery?. I saw my gp and she said surgeons just want to cut. It's been 7 days and I'm dying.

I love this info. I had this situation happen 2 1/2 weeks ago as I was on a road trip. Needless to say I wasn't sure what it was and now that I am home I actually saw a NP today. She said it is a hemmorhoid. So, Now I know it is an External Thromboses hemmorroid. Mine is not painful now but it is about the size of a blueberry. ish.... I would love for this to dissapate on its own... so reduce inflammation, sitz baths, and she did order a perscription Cortisone cream... what do you think? Also, What about Castor oil poultice? Do you have any experience or knowledge about that for breaking down clots etc? Thank you! I may be setting up an appointment one of these days. I am in San Diego so it's not impossible.Anyway, thank you for talking so calmly and openly about this "touchy" subject!

After 3 months of LIS surgery, my wound still has not healed. I maintain a proper size bath and diet Why wouldn't it be healing?

Hey Dr, I want to join army(My country's). But I've external thrombosed hammorhoids. No pain nothing just there's a blood clot. What to do now?

Hello, I have a question: I had external hemorrhoids a few years ago, and each time my doctor cut them open. This happened three times consecutively over a few months time. At some point I started to worry that the cutting might weaken the skin in the area further and even end up causing more hemorrhoids or other side effects. This was a couple of years ago and the problem since resolved itself - until yesterday, when I got another cranberry-sized bump. Is it always best to get the incisive treatment or should I wait a week or two to see if it resolves itself? Can these cuts create further damage by weakening the skin, even causing further hemorrhoids to emerge? Thank you so much for taking all this time with these videos, they are really helpful and appreciated!

Dealing with this now. It is so painful, but no one takes me seriously. I can't get for 5 more days. It makes me nauseous, and walking is even painful. Tylenol, ibuprofen does not make a difference. Just plain miserable!!

Can I drain a huge hemorrhoid with a needle at home? I have had cauliflower ear and have treated it before. Could a hemorrhoid be treated the same way, by injecting a needle into the hemorrhoid and suctioning out the blood?

May I ask..do theý need to cut out my external hemorroid?