Dr. Trisha Pasricha

And so as we're sitting there in that vulnerable, unprotected way, those veins are just passively filling.

And if we do that and we put that pressure on our pelvic floor for longer and longer periods of time, over days, over years, this becomes our pattern.

We think that's how we get hemorrhoids.

just your body, but yeah, there's two kinds of hemorrhoids.

Okay.

All right.

So there's internal hemorrhoids.

Those are just inside the sphincters.

You often can't feel those.

We know you have them when we do your colonoscopy.

There's also external hemorrhoids.

Those are the kinds that you can feel and they're the really bothersome ones that can be itchy.

They can be irritated, inflamed.

They're very sensitive to touch.

And then there's actually like a cousin of the first kind, which is an internal hemorrhoid

that gets so heavy, it pops down.

Oh God, it's like an udder.

Yeah, people know they have those because they can kind of push them in and out.

Oh, what do you do?

Well, there's lots of different things you can do.