Dr. Trisha Pasricha

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.

One, you should start eating more fiber.

That's like always going to be my answer to most everything we talk about.

But you sometimes can actually get like a simple outpatient surgical procedure if it's the kind that has like popped out to say hello and you need to push it back in.

But for the kinds that are just irritated, itchy, started on the outside, something like Preparation H or these like mild steroid creams can like really help get you through it.