HOT or COLD compresses for your hemorrhoids? | Dr. Chung explains!

One person told you hot, another will tell you cold! The world can be really confusing, but does it really matter?
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DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Albert Chung, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.

[@yourfriendlyproctologist]

Compresses can be very helpful for many people. I hope this video helps you!

[@minkademko2335]

Good advice, and good explanations of what's going on with blood flow.

[@mercedesvargas8823]

Your such a good Dr . Your so patient explaining. You would surely be such an awesome Therapist / mentally ❤ Thank You for all your explanation

[@InfoSecEngineer]

Holy cow, this video is like a crash course in hemorrhoids. Thank you very much.

[@dash1645]

Great Vid!!!! Best I’ve heard👌🏾

[@ViewsWhileRunning]

God bless you, for all the knowledge you’ve acquired and your kindness to share it and change the lives of those in need. Thankyou, thankyou and thankyou. Just listening to you is soothing and reading the comments of others makes me feel I’m not alone. Im an introvert. Don’t have insurance and don’t like doctors office or hospitals so kind of alone until I found your page. Sometimes I think it’s just easier to die. Life’s so hard. But I’m taking collinsonia root and drinking more water usually happens when I strain or lift something heavy. Thankyou again.

[@ernestolizardo7371]

You're so great ' all you adviced was so excellent correct.. More power too.

[@IndianSrMan]

Very useful information. Thank you.

[@yayaraft]

Thanks a lot! I was so confused, no doctor I met troubled a bit to explain 2% of what you doing for me :'(

[@clarkh2642]

great concept, thanks!

[@michaelbisceglia9154]

You are an excellent human

[@swissmaid]

Cold water on my toiletpaper works , when sitting on the drone, it calms the inflammation enough to poop! When in bed, use a warm wheatbag. Works for me everytime!

[@lindamcfadden5522]

What is a drone?

[@jamesbrink1546]

Awesome info. Especially for someone like me with crohns and has gone through hemroid surgery and still has issues with hemroids because of crohns. Thanks for videos 😀👍

[@boatergirl4811]

I know your pain, I also have Crohn's disease. 😢

[@caesarmeer]

same here

[@AsifKhan-ur7wo]

Very well explained

[@jacquelinewells2644]

Good morning Doctor Chung..Thanks for your advice..

[@yourfriendlyproctologist]

Good morning!

[@bob.bobman]

Dr. Albert surely one or the other must be better in terms of thrombosed hemorrhoids breaking down and clearing out? I thought in general it was understood that heat relaxes\loosens muscles and promotes more blood flow where cold constricts muscles and pushes blood out. Hence why professional arm wrestlers ice their arms between rounds so they don't get inflamed from the blood pressure. So which would you recommend for speeding up blood clot breakdown and reabsorption which should theoretically reduce swelling as well as a result? Thank you!

[@traysmith4647]

You are the best thank you for the information please keep up the good advice 👍🏽⭐⭐⭐⭐⭐

[@jesseyhoffman1377]

Fantastic explanation on what a hemorrhoid is. I kept hearing false information. Thank you for making this video!

[@entelektuel.yolculuk]

Do ye know of the character Detective Hoffmann from the Saw franchise??? If ye haven't seen it, ye gotta definitely watch it. But do it so carefully, fer the entire franchise's plot is sooo complicated and fascinating.

[@gurvinderkaur5569]

Good information

[@sidzhottake]

Great video doc! My trigger for my hemmis are after every lecture that I give at my university I guess my blood pressure must be increased. Over the last 2 weeks, I have found that having a daily banana helps with this but I'm still wondering if you have every heard of anything that people take to make them more chill? ps. I'm also very active and rarely sit during my lectures so I get your point when you talk about standing and gravity working against me with my situation.

[@yourfriendlyproctologist]

It's really about experimenting and seeing what works. I'm glad you're doing better!

[@S3TRED]

Makes a lot of sense.

[@juliethash5199]

I will email you . Thank you!❤️

[@frankharb3724]

Ho Dr. You've mentioned on this video that you may be able to make individual recommendations. I I've had hemorrhoids problems for the past 25+ years. I've delt with out with fiber supplements and over the counter creams. Now however, I feel like they appear larger than usual and they are not responding too well to over the counter creams and ointments. Two risk factors I belive apply to me. I've been lifting weights since I was 17 years old and I tend to stress out often. Is there a way that I can send you a clear photo of my current flar of hemorrhoids so you can provide high level insights on it?. I don't consider this a medical advise just your thoughts. How can I get that picture to you?. Thanks, Frank

[@Mandan...77t]

Hey I have always been wondering, does smoking cigarrates affect my hermorids in the sense of inflated blood vessels? Thank you

[@rpersen]

Thank you as always Dr Chung, your advice is always welcomed for us with ‘angry guys’ down there.

[@xeintormisremando8400]

Ive been suffering w/ this specially after constipation but what works for me is putting luke warm water or depends how much you tolerate put in a wide basin can add salt since it contains anti bacterial properties or plane warm water will do and soak ur A down there for about 5minutes u may do it slowly at first dip and trust me its very comforting, it helps to relax ur tissue . Really works for me but i broke couple of basin already hahhaha

[@jwk6343]

Hi Doc, What’s your take on this for PO hemorrhoidectomy? My CRS prefers I use a heating pad instead of ice to keep the blood flow going. How do you advise your patients in this context?

[@yourfriendlyproctologist]

In my opinion, there is no proven benefit of one over the other. Whatever makes you feel relaxed is best.

[@allenballen7]

Thanks doc!

[@Christandnature]

Friendly tip lay on your left side to help, something about the location of the hemorrhoid vein flow or something. It helps me, could help you. Good luck my friend . Try it out god bless.

[@dwilliams3730]

Love you well-described practical advice Dr. Chung. I hear what you are saying regarding the role of gravity. That said, do you have any views regarding sitting versus standing? I have pretty much given up on sitting while working at my desk as it is just too painful. I now stand all day but I don't know if I am actually making things worse or if it really matters at this point. Thanks from a new subscriber!

[@yourfriendlyproctologist]

It's not going to make it worse. It's all about your comfort and whether the hemorrhoids will keep calm while you work.

[@naturegirl4074]

I usually alternate between hot and cold

[@simpley6256]

I've got an anterior external haemorrhoid and a posteriorly located fissure. Double whammy ! Avoiding fibre food, and lots of stool softeners after every meal, is the only thing helping me right now.

[@lululestat]

I have an external thrombossed hemorrhoid and I thought hot or warm water would help but I was so wrong I have been having to do cold ice packs to try and calm down the external hemorrhoid hopefully that helps this is literally a pain in my a$$ 😭😭

[@hamusondebrowline]

I'm in pain right now 😭

[@magicminutes340]

Are you ok now

[@jrorellaneda1681]

Hi doc, idk if i have one, but when i cough so hard its really painful down there, and also having a problem with ridding my motorcycle or sitting, i didnt go to a doctor yet but soon. Do you think i have one? 😢

[@vinny1010]

Hot worked for me. One day I had a flare and had troubles sitting/walking. I mixed almond oil with a little pure cayenne tincture and applied externally. I never had issues like this again. 30mins after I was able to finally walk and sit. I was still get some sharp pains but nothing like before. I did this 2x/day (followed by other best practices) and this being my 5th day, I feel like I'm nearly back to normal. I'm determined that this is the last time I'm gone to have another flare. I'll continue taking care of my diet. Not being able to walk/sit was scary and I'm glad cayenne was able to help with blood flow

[@roma8374]

How did you make or get that cayenne tincture?

[@mbasuvaforesta2430]

I m have same pain what must l do

[@peny1981]

Well, what helped? How long has it been since the last flare-up?

[@connieanngerber8806]

I heard that coconut oil is a great lubricant barrier and also helps heals. What do you think ? I got a rash on my face with coconut oil so I was thinking it may irritate me on my bottom due to it being sensitive skin down there.

[@chale418]

Used it...its greeat..it does help..my island uses coconut oil for almost everything😊

[@herrygolu6659]

Hi doc how many minutes should you take if you want to steam it in a hot water ?it’s needed to put salt in hot water ? Thanks for answering

[@melissagregoire9278]

There is almost no pain in the world like a hemrd flair up. You want to get up from the toilet and leave your bum behind. Can I get a Witness ✊🏼. I'm trying to learn everything I can to help with this problem. Please help us Dr. We need your help.

[@yourfriendlyproctologist]

TRUTH!!!

[@magicminutes340]

Are you okay now? Plz tell how did you heal

[@ali-zf2bz]

I ‘m afraid to have surgery because of hearing of pain after surgery while having a BM. Has there been advancement in eliminating pain?

[@ryanweaver2028]

I'll do a video consultation

[@mufalalimuwana2489]

I have lost hope cause i have changed alot of doctors but still there is no change 😢

[@grg131]

We all are human it’s a same for everyone just choose hot or cold? Which one is better rather than creating for confusion

[@eddiemautone209]

I only have medicare part A hospital medicare part B to much deducted from my social security will the hospital treat hemorrhoids

[@theeradic5629]

Hello doctor thank you for your video! What about for fissures? Cold takes the pain away for me but warm is always recommended

[@suzanmiller558]

After I soak in a hot bath I take my shower message and squirt cold water on my bum when I’m done with my bath.

[@Blueskies7775]

Someone suggested Vitamin E suppositories… haven’t tried as I can’t do suppositories, it’s too painful.

[@WakefeldVillaruel]

what kind of cream for hermoroids for pregnant

[@dutchy1176]

Had band ligation done twice. Had a skin tag, which caused a lot of pain in my rectum, surgically removed in 2012. It feels like it has once again returned. I sometimes want to shove an icicle up in there. Applying toothpaste helps. For a minute, it hurts like hell, after that it numbs the pain for a while. I'm 46 and have been dealing with this for over 20 years...

[@gablumocso7832]

hello I'm 27 and also suffered starting 3 years ago, I also have a skin tag. Any honest tips for Hemorrhoids relief?

[@dutchy1176]

@@gablumocso7832I did find a good cream recently: Theranal. It shrinks them when they flare up. And the lidocane numbs the pain. Got the stuff after posting my comment above. It really works. You won't be rid of them completely, but they will be less of a pain in the ass. No pun intended. I wanted to die for a while before I got the stuff.

[@peny1981]

​@@dutchy1176 How long did the surgery help?

[@dutchy1176]

@@peny1981 being pain-free from the skintag lasted for about a decade. But whatever the procedure, I have never been free of the hemerhoids...

[@KrengReformado]

Doc I've get this hemorrhoids when i gave birth to my 2 sons, they're not literally painful except when I poop hard.

[@chooshchoosh]

You endorsed Sitz baths in this video but 2 years ago you put out "Sitz bath tubs are bad for your hemorrhoids! ..." Perhaps there is some clarification you can add?

[@Mochipear]

Hi Dr Chung, how can I stay active with an external hemorrhoid? Would running worsen the symptoms?

[@yourfriendlyproctologist]

Great question! It has been added to the list.

[@user-lbutcher]

Thank you

[@durindacavin1941]

What about cold aloe Vera gel ,would that be too cold from refrigerator?

[@burat1234]

Can i use any cream?

[@user-od7jl3qc8z]

Wrong information,I messed up using cold.pack based on this and it clots further.Hot siltz water bath is recommended.

[@kennethchristianmasiclat4045]

Hi doc,how about for babies what is the best way to cure Hemorrhoids?my 2 years old baby suffers Hemorrhoids in her young age

[@yahayaabdullahi5092]

How can someone stop it Dr thank u

[@user-rb9gg5do6r]

Thank doc

[@anandmayekar1513]

🙏❤️🙏 Dr. Chung

[@khaliddurrani6432]

Isn’t it that cold compresses May reduce edema and relieve some pain.

[@connieriggs6177]

When is it time to see a doctor?

[@magamedaliyev8133]

This is Doctor awesome i m from deferent state can you pls answer which insurance i need to have to see you .?

[@mindpeek8125]

I have internal hemorrhoids a chronic anal fissure and what seems like a sentinel pile but the pile seems to come in an out of being inflamed throughout the day. Only relief I can find is with cream and a warm compress 40% of the time. I might get 10 minutes at a time of peace in between compresses. I feel like I’m trapped. I’m irritable with friends and family if the flare up occurs in the car I become frantic. I don’t know what to do. I just had a colonoscopy and have been using the muscle relaxer/ steroid cream for 3 days and it doesn’t seem to be doing much if anything for the pain

[@khalidalqoraish4181]

Thanks Doctor. Is this applicable to open wounds after hamerroidactomy?

[@yourfriendlyproctologist]

Yes, you can try it.

[@evelyncabungcal2]

Doc.injectable for hemorhoids??

[@joshharp1128]

Yes. It hurts when standing all day at work. Feels better when sitting or laying

[@jlruamar7740]

Same bro, how to deal with it? I'm suffering rn almost a week.

[@magicminutes340]

​@@jlruamar7740are you ok now ?

[@markcox9501]

Hey doc. I have a horrible flare up right now. And have not went down in 10 days. Been in the hospital twice and was sent home both times. Any thoughts?

[@danielsavignon6652]

That sucks. I am passing for the same right now. Hope you are better now.

[@deondrex18k]

You could use some medicine for them their usually over the counter

[@James-qt9dj]

One thing that has minimized my flares is psyllium husk. Have with water after every meal. Smooths things out… reduces back pressure. Easier time with number 2. Strain = flares for me.

[@ariannateodora5469]

Did it ever go away ?

[@user-jo6ex3kc7m]

My heamorrhoids started last year December,and i have be treated it with many medicine,have really try my best to make it out and it can't so a'm using cold water by now,can you help

[@corazonque1174]

doctor my hermonaige keep bleeding I think I'm I. grade 4 need surgery. but here hospital has to wait a year . before can do my part . it's government .I'm now deciding to go private doctor for my situation. are you in hk or do you know some friend same as your job that I go for check my situation. I'm not good in search can.you.help me please

[@meshachamissah2096]

please how can I stop my bleeding piles. I excessively bleed whenever I visit toilet.

[@kl-teacherleicruz364]

How about steam bath for internal hemorrhoid?

[@mohinisoaks]

These are the things I did that were game changers , reduced pain and discomfort significantly 1. Squatty Potty : I cannot stress enough on how important it was to change posture to bring down strain on veins. Difference was immediate. All I did was use a step stool. Initially I was using it for bowel movements but eventually for emptying bladder as well. THIS IS THE MOST IMPORTANT thing I did to bring down pain. 2. Stool Softener : helped more than Fiber 3. Sitz Bath/ hot compress : I know many of you swear by cold compress but hot one brought comfort to me and sitz bath reduced pain. But since squatty potty ,pain has gone so I spend less time doing hot compress 4. Zinc oxide cream. Hydrocortisone 1% and preparation H, I use them sometimes together or in combination. I would say use them and see which one is effective for you, but as Dr Chung says use tiny bit, don’t go overboard. 4. Walk/ light exercise. Don’t sit for too long especially on hard surfaces. I hope this helps for those looking for tips. These work during flare ups. I had one episode of external thrombosed hemrd once and it was hell. I suffered for three days and then it burst after I did hot compress. I cannot THANK DR CHUNG enough . His videos have helped me tremendously and everyone here who shared their experiences. I hope you all find comfort and heal soon. Good luck.

[@ricardosanu5467]

Hemmhroids are not supposed to burst

[@mohinisoaks]

@@ricardosanu5467 it was thrombosed , meaning had a blood clot in it and it didn’t get better until the vessel wall burst and the clot got out.

[@1212haro]

I get rid of the pain by using Emla.

[@Redheadedlady55]

~Thank you...I do lay down & that helps a lot.

[@deutschland6578]

guys i completly healed from hemoroids alhamdulilah (stage 0-1) : these are the things that helped me out 1) grape seeds supplementary diets 2) fiber supplementary diet (a take them daily )

[@MrLisPorTu]

I can’t eat grapefruits 😢

[@califoutram2695]

What type of hemeroids you had external or internal?

[@bringbkwindos95]

Would a hot compress also work for anal fissures and if so, can it also be used together with diltiazem ointment?

[@yourfriendlyproctologist]

You could try it.

[@rbnsn1237]

sitz bath are best for anal fisssure do it 4 to 5 times a day 20 mins each... it will improve

[@Cheibarra]

How to get rid of haemorrhoids for good? It's so annoying and painful, it comes and go 😭. I just wanna get rid of this sh*t forever

[@1wonderfulmom]

Try This Use soft tissue only take sit baths only use warm water sit for 15 min I use Eason salt in my water for shrinkage and when you have a bowl movement don’t force it out hope that helps you.

[@annwanjiru9561]

​@@1wonderfulmomm

[@curtisoneal2768]

Eat better and more fiber from what I just learned today. I thought I was doing somewhat good until I slacked off and didn’t stick to the objective

[@entelektuel.yolculuk]

What is eason salt???​@@1wonderfulmom

[@princening679]

warm is best

[@pharmamnemonics5344]

Hello sir, can we apply magsulf dressing before surgery for piles so that it will reduce size and have small surgical scar

[@yourfriendlyproctologist]

Please speak to your physician regarding this. I do not have experience with those dressings.

[@DCTONY159]

How do you get rid of external hemorrhoids)

[@ilovesane]

I used the smallllllllleeeest bit of tiger balm on a q tip and it was life changing.

[@johairahamin-tj2xn]

is it work?

[@JennyAyoste]

How

[@yootuub301]

What do you think of the Anuice device? Is there a risk if tissue damage? Is a cold but not frozen contact safer? I need some real and helpful info.

[@yourfriendlyproctologist]

Sorry, I'm not familiar with this device.

[@yootuub301]

@@yourfriendlyproctologist it involves inserting a lubricated frozen tube at the hem tissue for 8 min. Could a frozen object (assuming one could stand it for any length of time) shrink a hem without damaging normal tissue? Look it up. It’s reviewed on YT. kzbin.info/www/bejne/qYCYaqqabLyiZ5I

[@yootuub301]

@@yourfriendlyproctologist see: kzbin.info/www/bejne/qYCYaqqabLyiZ5I

[@swissmaid]

I feel ice is to harsh on those delicate, inflammed tissues. Cold is enough! Just my experience.

[@yootuub301]

@@swissmaid thanks! Will cold be enough to reduce blood flow?

[@Sumpee401]

Can hemorrhpoids treat without surgery by sitz bath

[@califoutram2695]

Doc good day and may god bless you. I have external hemorrhoids and i would love to know what's the best thing or things i can use for it. Is surgery a good thing? Please answer me😅😢

[@magicminutes340]

Plz reply me if you are okay today😮

[@califoutram2695]

@@magicminutes340 I am ok thanks be to god almighty

[@KatM272]

How do you even do these

[@ameleecornelius4228]

Can Piles cause pain in legs and feet

[@saturdayfan744]

Garlic! Garlic was a godsend for my hemorrhoids! Cut cloves in a couple pieces and eat a couple pieces a day. I did that for 2 weeks and ended my 4 month horrible bout of them

[@taylorsversion913]

Hello, i'd like to ask you.. does that help reduce the swelling too? Thank you in advance

[@saturdayfan744]

@@taylorsversion913 yes it helps swelling tho not an instant fix, it’ll take a couple days of taking garlic

[@taylorsversion913]

@@saturdayfan744 thank you so much for answering. I have external hemorrhoid and got really frustrated. Ice compress didn't help me. So I'll try your advice. I hope this works...

[@lailalafian2962]

does that help to shrink the hemorrhoid too? did your's completely shrink?

[@primitiveboy4737]

​@@taylorsversion913updates sir?

[@sadiakhan469]

Hi doctor !! Please share your office address as I want to visit you for a consultation.

[@Muzpro_moov]

Good evening sir please i hemorrhoid even small symptoms please help to finished 🙏🙏🇿🇦

[@1wonderfulmom]

Take sit baths only and in warm water when you poop use soft tissue and don’t strain I put Eason salt in my water for shrinkage sat for at least 15 minutes drink plenty of water no heavy lifting.this is what helped me hope it helped you.

[@mfcmxtt6490]

yes! my haemorrhoid IS 'busting at the seam' lol 😂

[@sitikhoiriya2438]

Doctor, i was got hemoroidectomy with stapler and conventional, 1 month ago. My hemoroid is internal and eksternal, 3rd stage. But now i get new hemoroid, new location and new type. .like eksternal hemoroid. Whats wrong with my procedure (hemoroidectomy with stapler), its failed?

[@yourfriendlyproctologist]

It's hard for me to say. Please speak with your surgeon as I do not know what was done.

[@amalbrsajan276]

I have internal hemroides grade 2 how to treat cure without surgery and creams, exercises , how to get rid off already constipated things out 🥺. Iam using laxative and med for constipation

[@randyguerra2834]

I got the surgery done, is it normal to have lumbs bumps after surgery?

[@annaoj8277]

Hi how are u today? Does the lumps gone?

[@HMBostonDiaries]

Hi , I have one question regarding haemorrhoid that which toilet seat is better if we are having haemorrhoid i.e Indian squat toilet seat or Western Toilet seat ?

[@taylorsversion913]

Squat toilet is better, but still don't spend so much time in there

[@dexterdelmundo2478]

Its cold or hot?

[@teresabranson8653]

How can you tell if it’s hemorrhoid or fissure?

[@yourfriendlyproctologist]

Its tough to self-diagnose. I advise seeing a specialist.

[@virginiacaluma2220]

Sitting on pail of hot water that can be tolerated by ,is it ok?

[@richardpellis]

Look up sitz bath

[@erikamaebordasomandam7530]

doc pwde bang maligo kahit may hemorroids

[@naturegirl4074]

Is a warm washcloth ok?

[@verahall6498]

Yes that's fine, sometimes I use the cotton swab pads

[@theninth5691]

I GOT HEMORRHOIDS AND IT HURTS I CAN'T SIT 😭😭😭😭

[@NaNaexclusive]

I think hot compresses is better than cold