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Do you ship internationally?

 Yes, we do ship internationally! Please reach out to support@doctorbutlers.com to get a shipping quote.

Where can I purchase Doctor Butler’s products?

You can buy our products through this website! Click on Our Products at the top of this page. 

We also sell through Amazon.com and select retailers. Visit our Amazon store here.

Ohio residents can visit their local Discount Drug Mart to find our Maximum Strength Hemorrhoid & Fissure Ointment and Hemorrhoid Treatment Spray in store.

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Can I use an HSA or FSA to buy Doctor Butler’s products?

All of Doctor Butler’s products except our wipes and seat cushion are available to be purchased using a Health Savings Account or Flexible Spending Account on our website. Likewise, you can use an HSA or FSA on Amazon.com.

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Hemorrhoids

What is a hemorrhoid?

Hemorrhoids are blood vessels that have become enlarged. They can become irritated and inflamed during and after bowel movements and may cause pain. Sufferers experience itching, swelling, and burning at the affected site, making bowel movements and sitting extremely difficult.

Learn more about hemorrhoids here on our dedicated resource page written by Proctologist Robert S. Cutler.

What causes hemorrhoids?

Hemorrhoids are caused by excess pressure on the anorectal region. This pressure can be attributed to pregnancy, weight gain, obesity, weightlifting, constipation, diarrea, sitting on the toilet for too long, and more.

Learn more about what causes hemorrhoids at our dedicated resource page here.

How do I know if I need surgery for my hemorrhoids?

Surgery is reserved for the most serious cases. If your hemorrhoids last longer than one to two weeks with at home treatment you should see a doctor to discuss other treatment options.

How common are hemorrhoids?

Hemorrhoids are incredibly common, with some data showing that half of all adult aged people will experience hemorrhoids at some point.

You can learn about risk factors for hemorrhoids at our dedicated resource page here.

What’s the difference between internal and external hemorrhoids?

Internal hemorrhoids are located inside of the anal cavity and are typically painless, though they commonly produce bright red blood on toilet paper during bowel movements.

External hemorrhoids are location on the rim of the anal opening and are commonly associated with itching, burning, pain and swelling. These too will bleed if irritated enough.

Sometimes, internal hemorrhoid prolapse and fall outside of the anal opening if not treated early enough. This would still be considered an internal hemorrhoid and is sometimes called a thrombosed hemorrhoid or a prolapsing internal hemorrhoid.

What do hemorrhoids look like?

Irritated external hemorrhoids look like a small marbleized patch. They’re usually dark bluish in color because they’re filled with blood.

Do hemorrhoids go away? Can hemorrhoids be cured?

The source of hemorrhoids can be effectively managed with some simple lifestyle changes. Hemorrhoid symptoms such as burning, swelling, bleeding and itching can be managed with over the counter ointment.

How long do hemorrhoids last?

Hemorrhoids that last longer than one to two weeks should be evaluated by a physician. If the swelling of a case of external hemorrhoids does not go down within two to five days, see a doctor.

Read more about these recommendations here.

How to treat hemorrhoids?

You can treat hemorrhoid symptoms with over the counter creams, most commonly made with Lidocaine and Phenylephrine. Lidocaine provides numbing relief while Phenylephrine reduces swelling.

How to get rid of external hemorrhoids?

The most efficient method to get rid of external hemorrhoids is to use an over the counter ointment with Lidocaine and Phenylephrine. Also consider an ointment with protectants like Lanolin or Glycerine that stop hemorrhoids from being continually irritated.

Why do hemorrhoids itch at night?

During the day your mind is busy. Only when you lie down to rest at night do things that are subtly bothering you become more noticeable, including hemorrhoid-related itching, as itching is simply a mild form of pain.

How to prevent hemorrhoids?

You can likely prevent hemorrhoids with some simple changes to your lifestyle. Diet and weight management are contributing factors and you can read more about that at our dedicated page on diet for hemorrhoids here.

Does stress cause hemorrhoids?

Yes, stress can cause hemorrhoids, though indirectly through stress-causing digestive issues and related symptoms such as diarrhea and constipation, which are directly linked with hemorrhoid formation.

Learn more about stress-related hemorrhoids here in our Ask the Doctor series.

Why do hemorrhoids bleed?

Hemorrhoids bleed due to repeated trauma from the passage of stools during a bowel movement. Harder stools specifically can cause bleeding, which is why we recommend softening stools with a high fiber diet or stool softeners during a flare up.

Avoid scratching and touching bleeding hemorrhoids as much as possible, which we talk more about in our Ask the Doctor series here.

How to treat a hemorrhoid flare-up?

Start by treating the symptoms with a hemorrhoid cream or natural remedy such as a witch hazel compress, and then move on to reduce contributing risk factors such as diet, weight gain or overexertion during weightlifting.

Can I exercise when I’m having a flare-up?

You can, though you may want to change your routine if it puts a lot of pressure on the anorectal area, especially with weightlifting.

Read this review of hemorrhoids and exercise at Harvard’s health blog.

How does lidocaine relieve hemorrhoid symptoms?

Lidocaine is a strong topical numbing agent and it relieves symptoms by numbing the pain.

What’s the difference between hemorrhoids and piles?

There is no difference between hemorrhoids and piles. They are different names for the same condition.

What is a hemorrhoid?

Hemorrhoids are blood vessels that have become enlarged. They can become irritated and inflamed during and after bowel movements and may cause pain. Sufferers experience itching, swelling, and burning at the affected site, making bowel movements and sitting extremely difficult.

Learn more about hemorrhoids here on our dedicated resource page written by Proctologist Robert S. Cutler.

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