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SuperModelMD: My Haemorrhoids Keep Me From Doing My Job

if your hemorrhoids are causing you such a heightened degree of pain and distress, then you should not be embarrassed to discuss the problem with your doctor and explore which treatment options may work best for you.



Dear SuperModelMD,

I have a great career and enjoy my line of work. However, I have a health issue that makes getting through a day at the office quite difficult. I’ve been suffering from giant painful hemorrhoids that are now dangling out of my anal region. My job requires me to sit at a desk all day long, and I’ve noticed that the longer I have to sit, the more pain I experience. I’m not sure what more to do about my hemorrhoids. I’ve actually even tried pushing the hemorrhoids back in myself a few times, and they just pop right out again. Sometimes they even bleed a bit when I am using the bathroom. I can’t deal with this level of pain and discomfort anymore, and I don’t want this health problem to compromise my work performance. What options are available to treat my hemorrhoids once and for all?

~Hemorrhoid Hell


Dear Hemorrhoid Hell,

First you need to understand that hemorrhoids (also known as piles) are enlarged veins in the rectum and anus that swell up. When a hemorrhoid now protrudes out of the anal region, it is referred to as a prolapsed hemorrhoid. Prolapsed hemorrhoids can cause a great amount of pain while in a seated position. The intensity of the pain may also increase if the hemorrhoid becomes thrombosed (meaning blood clot formation occurs in the hemorrhoid) or if the hemorrhoid blood supply is compromised and becomes strangulated. If you are dealing with painful prolapsed hemorrhoids that are affecting your quality of life, you should seek evaluation and treatment from your doctor immediately.

Conservative management may include increasing your dietary fiber intake to promote softer stools and lessen any pressure placed on the hemorrhoids with defecation. There are also topical creams and suppositories with analgesic and anti inflammatory properties available to help relieve the pain and irritation associated with hemorrhoids. Soaking the area via a sitz bath is another option that may alleviate discomfort.

When conservative treatment modalities fail, then you may have to seek consultation with a surgeon to determine if you are a candidate for procedures such as hemorrhoid banding or even hemorrhoidectomy. Hemorrhoid banding (also known as rubber band ligation) is a minimally invasive procedure involving the use of tight bands to help the hemorrhoid fall off. Hemorrhoidectomy is a surgery performed to excise hemorrhoids. The bottom line is that if your hemorrhoids are causing you such a heightened degree of pain and distress, then you should not be embarrassed to discuss the problem with your doctor and explore which treatment options may work best for you.

*** Disclaimer: Information on this Q&A column is provided for informational purposes only and is not intended as a substitute for the advice provided by your physician or other healthcare professional. You should not use the information to self diagnose or treat a health problem/disease, or prescribe any medication, or other treatment. If you suspect you have a medical problem, contact your healthcare provider immediately.***

Dr. Nesochi Okeke-Igbokwe is a Nigerian-American medical doctor and health expert. An internal medicine physician, speaker, and blogger, Dr. Nesochi has been featured and interviewed about a wide range of health-related topics by popular media outlets including CNN, Vogue, CNBC Africa, and more. Learn more about her on and her blog


  1. Jam

    July 4, 2019 at 11:27 pm

    Dude trust me I feel you. For the swelling to, put ice in a cloth and put it on the swelling on your bare skin. Keep doing this until the swelling shrinks. It’s actually filled with blood and ice helps ALOT.

    SECOND stop sitting on the toilet to poop. Put tissue on the floor and poop on it, or buy something like the Squatty Potty to raise your legs so your colon is straightened out. Google about this.

    Third. Clench your bum as the poo is coming out don’t just let it out as it’ll cause a tear in your butt which I know you know hurts like shiz.

    Four: after every meal, drink a big bottle of Eva (1.5). You must finish this bottle no less than 20 minutes after eating.

    Five. CHEW YOUR FOOD SLOWLY & FINELY! Stop to dey rush am. It helps the food digest and come out smooth and soft as opposed to chunky, hard and sharp edged.

    Six. Eat tonnes of oranges, cucumbers, pineapple, watermelon etc with EVERY meal. You don’t have to eat all fruits at once. Choose. But make sure you eat at least two oranges inside and out. Add Edo too. Swallow your swallow lol small small. Stop big balling.

    There. I think that’s all the advice I can give after living with piles for twenty years and breezing through the last five years by doing all the above. You’ll slip back into bad habits of course but always go back.


    GOOD LUCK! 🙂

  2. Grant

    July 5, 2019 at 1:44 pm

    Sitz baths. I cannot stress that enough. Warm water, the temperature that is typically sufficient for a hot bath. Put a healthy amount of epsom salt in the sitz bath and sit on it for about 20-30 minutes (no more). Try and do this a few times a day. It is a very helpful procedure. It helped me with my haemorrhoids. Also, there are some local herbs that are sold in the market, that one would boil and sit on. Surprisingly, that stuff is good.

    If you can find Potassium Permanganate, put it in the sitz bath as well and sit on it (don’t combine this with the epsom salt).

    These remedies worked wonders for me.

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