How to STOP your hemorrhoids from growing!

Do hemorrhoids have to get bigger. I say NO!
🌟 Pranicura cream - hemorrhoids, anal fissure, anal itching treatment:
www.pranicura.com
😷 Dr. Chung is offering 💻 video consultations to everyone! This is Your time to tell your story and give additional information to help Dr. Chung give some recommendations to help you with your bottom end issues.
If interested, please email: [e-mail]
❤️ I wanted to provide a place where you can easily gather supplies that will help you to better deal and heal your problem. I really appreciate you clicking on the links. Your support will help to grow this channel!
Stool softening:
Colace stool softener (100ct): cutt.ly/PTgUQJy
Colace stool softener (400ct): cutt.ly/4TgxpkF
Miralax laxative powder: cutt.ly/HTgURTC
Skin care:
Desitin barrier cream: cutt.ly/aTgUPQM
Calmoseptine barrier cream: cutt.ly/TTgUHlb
Dove hypoallergenic liquid soap: cutt.ly/2TgU1G3
Moist wipes:
Honest baby wipes: cutt.ly/tTgUNsl
Hemorrhoid care:
PreparationH cream max strength: cutt.ly/NTgUZit
Tucks pads: cutt.ly/NTgUXH1
PreparationH with lidocaine: cutt.ly/bTgUVbX
Recticare 5% cream: cutt.ly/yTgIeh1
Wound care supplies:
4x4 gauze pads: cutt.ly/tTgU7sx
Paper tape for skin: cutt.ly/fTgIqp6
Blue disposable underpad: cutt.ly/2TgIVzE
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/ @healthcarejourney2364
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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.

[@snirks8635]

Hemorrhoid care: Pain, swelling and fullness (Symptoms) Bleeding doesn't mean it's cancer. Grade 1- Diet, stool softener, fiber, sitting on toilet too long. Low residue fiber goods. Stool softening agents- Miralax. No more tham 5-10 minutes on toilet. No straining. More water... be nice to your bottom. No hard, rough wiping.

[@Jayabhadra1]

I am relieved and amazed that someone is motivated to help people take care of this used, abused and neglected part of the body- if it's not working properly, life becomes very difficult - thanks so much for what you are doing - it's helping so many people so much . . .

[@ernestocazares4065]

I really appreciate your positivity.

[@mohammedsajjad1218]

Brilliantly articulated Dr. Chung.

[@phillipdale6765]

Such a class act this Doctor .much appreciated

[@roseannsullivan1871]

thank you again for your help. Sometimes I think it's just too much to bear, but I have hope after seeing your videos.

[@user-hh5bq2bs7e]

You seem like the best doctor. I could listen to you all day!

[@RuhulAmin-sk6bn]

Thank you so much for your work. We are greatly indebted to you

[@janerusso6663]

You are so comforting to listen to…I have grade 3 but most times they are ok

[@anette5468]

Thank you so much for your incredible information I am so grateful for your channel ❤

[@illuminatedgalaxies7777.]

I feel mentally better for following your advice Dr thank you you are helping so much wish you were in the UK 💜

[@MuditVerma]

Very helpful, thank you!

[@sebastijanp3]

This channel is unbelievable.

[@user-dm4vc5tq2d]

Thank you Dr Albert Chung. Your video on haemorrhoid has helped to understand what it is and how to work towards treatment. From your video it has helped me identify that I have grade 1 but definitely I will see the physician to confirm.

[@stewartread4235]

I'm 62 and the first thing I learned about hemorrhoids was how to spell it. One popped out 4 days ago and today is the first time I investigated it, thanks Doc for your calm demeanor.!

[@pharmclare]

Great insights thanks 😊

[@libanmilano673]

Thank you so much docter For saying soft bowl move It really helped me since I started eating soft food and fruits I had a surgery so I seen two days after bowl move two dips of blood And my it was so hard for my bowl Since I started lising this I had not seen any blood after bowl Thank you so much 🙏💯

[@ultimatecomedy4676]

Sir I am from India , please write all the things in your discription so it will more easy for us to understand..thank you.

[@hendali2024]

Thanks Doctor Positivity ❤

[@anette5468]

I love the way you explain everything, I have followed you for a few weeks now and already improved thank you so much dr ♥️

[@yourfriendlyproctologist]

Happy to hear that!

[@ad-hocmodeller5285]

What a helpful advice. My friendly proctologist in South Brooklyn, gave a paper with 3 or 4 recommendations with food like (less sugar, more fibers, blah blah) and then went the "candles" (suppositories). I call them "candles", most of you call them "bullets" - who cares. And then - went the banding.

[@suzanmiller558]

The biggest mistake I made was thinking my hemorrhoids would go away faster than they have. In the beginning I thought I had cancer then I had diverticulitis. It’s been a month and I now think it’s hemorrhoids thrombosis and a fissure. It’s definitely a life changing situation but I have hope.

[@philhugill8458]

Fantastic Vid !!!

[@robertusga]

Hi doc! Thank you for your friendly and super helpful content! I use Miralax and all is well 😊 My only question: can Miralax interfere with absorption of my bp and statin/ezetimibe medication?

[@daxdacillo2955]

Thank you very much!🙂

[@lve5571]

Thank you kindly. 😊

[@parapoliticos52]

gosh , this doctors optimism and good aura i bet help a lot to relax the patients anxiety.

[@yourfriendlyproctologist]

You've read my mind!

[@parapoliticos52]

@@yourfriendlyproctologist Well, it works well Doctor. Maybe in some future video you could inform us about the future of the treatment of this conditions. Hope is powerful tool for relaxing suffering patients. It's almost sad that a medical condition that effects so many tens of millions of people and has a rather important impact to their quality of life, has so little research and investment in its treatment.

[@mohammedsafwan8496]

​@@parapoliticos52 how are you now..how to manage it

[@sassyjintheuk]

Thank q so much Dr. You are so upbeat, sensible and kind. Pleasure hearing your advice, which I didn't do years ago & suddenly last week got a large pea size one, now up to 2 peas although I have massively increased my liquid intake. I was not drinking enough water for a while! I strained hard just before this due to having co-codamol for extremely heavy & painful periods. I following your gentle guidance and feel better for it. I thought banding would be the way to go. I touch it & no pain it's the sides connected to my abuse that. Usually most when I sit down. Would u recommend bandig as this seems grade 3? Thankyou.💕

[@bonuediesther1364]

Please, something like water came out of my anus, what can be the cost?

[@MrAssassinsSwag]

The best doctor in the world 🙏🏻 Very kind and caring!

[@yourfriendlyproctologist]

Good to hear from you!

[@ms.abi07]

​@@yourfriendlyproctologistwhere are you now?

[@WiIdbiII]

I've been blessed with the rhoids for 13 years. I've had around 10 band procedures, and one triple hemorrhoidectomy for a thrombosed rhoid. I literally went a full year unable to sit on any seat. Ive tried every diet for them. The best diet i have found is don't eat anything! Ever! My life was destroyed after the first surgery. I haven't been alive since then. No hope for no pain in the ass ever again.

[@joesdoe4732]

How have you been managing now in regard to those.

[@WiIdbiII]

@@joesdoe4732 I found some Chinese herbal ointment that works okay. It basically helps swelling and is about like icy Hot. So when things really flare up , I reach for that.

[@leeho9897]

Wow who did your surgery?

[@WiIdbiII]

@@leeho9897 I don't even remember his name. Terrible facility though. I'm not going to say the Dr. Was not good. I just think and it seems I'm one of the few that had lasting complications from it.

[@Midnight-rj4ed]

The only thing fiber does is stop you up. Try eating SOLUABLE FIBER (cooked vegetables). No fiber, very little raw vegies.

[@lilianasobczak3956]

I just had a hemorrodopexy and I was told that if I don't take care of my diet and some habits they can come back. Thank you for taking the time to educate us on how to avoid getting hemorrhoids !

[@honkobonkobong6882]

Me too

[@elinoreberkley1643]

How has the healing and how about the pain?

[@zamyhei8820]

Can you make a video on NORMAL hemmoroids- mean inactive and how does it feel like vs active like stage 1,2,3 hemmoroids please

[@rpersen]

My belief is that ‘roids is the bodys way of telling you it is not happy with your lifestyle. Either wrong diet, not enough/wrong exercise or both. If you are overweight loosing weight helps. Thanks Dr Chung, another great video.

[@helengriffin16hg]

In my early 20s I was having a lot of blood loss, and was told I had to have surgery for an alarm fissure. The pain after surgery was the worst pain I have personally experienced. I can honestly say, being close to my 30s I'm happy people talk about it. 😅

[@dsdethstroke7328]

thanks homie from africa

[@alexbandy7519]

Super thanks

[@mkleinz]

Hello Dr! Thank you for all your wonderful advice! I bought pranicura based on your recommendation! I have a bleeding hem at the Anus area. Not sure if fissure too but feel the hem bulge. Will pranicura shrink it and heal it? I feel like directions with it speak a lot about a fissures and less about hems. Hoping you will respond thank you!

[@brianharris4275]

Standing uncomfortable sitting same but walking no problem I'm confused ? They are internal but getting better since watching you!

[@astridlove2327]

Do you have any videos on dealing with shy bowel syndrome?

[@imamoru1858]

Can antibiotics reduced the inflammation Dr.? Or taking anti inflammatory drug can speed the recovery of haemorrhoid?

[@rdy6507]

Do you recommend using an ice pack for hemorrhoid swelling and pain? I’ve read online where this where this recommended and wanted to ensure if this is a safe method of treating hemorrhoid pain and swelling.

[@stoicreader]

Haemorrhoids with fissure since an year, doctor told i am young and may not need surgery i am doing sitz baths twice a day and eating prunes, apply Vaseline with little finger before poop, these relieved me.

[@rachangoudapatilnidoni5058]

What's your age ? And how are you managing it

[@Brunotee846]

Doc my one just started now I need to go to the doctor now

[@loseweight4life]

It took all my strength not to say to my GI doc who did my colonoscopy "You have a shitty job." I will say it to you. And thank you for the information!!!!!

[@suzanmiller558]

I did some research and found that supplements that strengthen your veins are a huge benefit. Since I’ve been taking them my roids are shrinking a little bit and I’m not bleeding as much as. It’s a slow process but I’m getting used to this.

[@whzanyar9742]

Hi dr thanks for your idea can I ask you a question . If someone have a great 4 and doing a surgery is that Gone forever…please I need answer.❤️

[@yourfriendlyproctologist]

Sorry, I'm not sure what you mean. I wish you the best.

[@Noah.Danielss]

I’m only 9 and I already have hemorrhoids, I’ve been suffering from it for 1-2 years. (you’re not supposed to have them till way later in your life.)

[@m.hemalathavelmurugan7581]

Hello doctor... is sentinal tag can be cured without surgery? Is too much of fibre also can be a cause for chronic anal fissure & sentinal tag ...? Pl do reply

[@xxxnini]

Hi doc, ive had hemorrhoids for as long as i can remember so im very conscious with my diet and lifestyle so as not to trigger it. I have flare up episodes once in while but usually goes away but recently i did a gym program aka weight lifting and i think it may have triggered it for the worst cause this is the first time it got this big. Should i see the doctor already?

[@DefyThegod]

What did you do to help your case?

[@TheBytao7mao]

hey Doc, please i have an important question! Is Sauna good or bad for hemorrhoids ?

[@atf4x443]

Good sweetie bum

[@buzzhamilton4465]

Do kegels to help shrink hemorrhoids

[@chrissybear7004]

Should I get surgery....? Some days are better than others, I have PAIN... BLEEDING and can't sit down...this has PROGRESSED over the YRS...I'm waiting on colonoscopy appt...what do you suggest...PLZ HELP...almost golf ball sized.. ...

[@tammerafenn3625]

I eat pretty healthy but have had a lot of difficulty with hard stools. A few years ago, I discovered that too much salt causes hard, dry poops, vicious headaches and stiff shoulder and neck muscles. So many snack foods are full of either salt or sugar, so when traveling, I have basically resorted to bringing my own. Eighty percent of my meals are homemade anyway and at this point, I rarely, if ever, use salt. I mention this because it may be an issue of which most of us are unaware and is easily resolved. Thank you for sharing your insights and helping us to educate ourselves!

[@Tnc874]

Im so sad that this will be an issue for my whole life. A pain in my ass 😢 . I have a big 1 now. I got a prescription for 2.5% hydrocortisone to try to shrink this thing. I can't even get gas out without lifting my cheeks. Ugh. When this goes away i swear i never want to do this ever again

[@shuklamaitri]

Very informative! I have few questions - Is senakot a good laxative? Does diarrhea or period poops cause anal fissure or hemorrhoids?

[@latoyabutler124]

Yes, it does! That's the only time I have got them is having the bg’s or diarrhea or when on my cycle cause I poop a lot.

[@042_pratyushdas7]

I am not able to distinguish between external and internal hemrrhoids

[@emdeejay7432]

I am on medications and have been for a long time and they cause constipation. Even with colace its an issue. I noticed i have a tiny bump on the perineum area and sometimes there some blood on the wipees(i only use wipees, I can't stand toilet paper)and this has been freaking me out. Cause I know it's from the constipation which is from meds i have to take. Im so freaked out about this. I dont want it to get worse. I also have high blood pressure and a lot of hemmerhoid creams say not to use them if you have high b.p. or heart problems which I have both. So frustrating.

[@chyrilmaharaj6324]

Hi dr. Chung i have a swollen internal hemmoroid from sitting too long it a big flare up help what can i do to reduce the swollen tissues?

[@042_pratyushdas7]

Does excess cycling and sitting for long hours cause piles🙏🙏plz reply

[@ashishrai472]

Stool softener have side effects for long term

[@panagsaganjhp2823]

Good Day Doc , Is cycling bad for hemorrhoids? if you had a past hemorrhoid issues? Thanks

[@yourfriendlyproctologist]

it can make things worse if your hemorrhoids are large.

[@sar9907]

Cycling and spicy meals are to avoid when dealing with hemorrhoids.

[@kilimaniofficegems1523]

The pain 😢😤😢☹️😭😭😭😰

[@thedanfernando]

Hi Dr Chung, what's your opinion about Magnesium Aspartate supplement for good sleep and especially for bowel movement?

[@yourfriendlyproctologist]

sorry, I'm not familiar with that one.

[@stefdiazdiaz7067]

recommending low or 0 fiber? at last someone speaking truth! The least plants I eat the better I poop.

[@atlanticatmosphere6695]

Does hemmeroids symptoms included abdominal pain?

[@SantoshDas-rj7wl]

Sir I have gread 3 what can I do I am very deepresd

[@user-xo9lg7wu7f]

Hi doctor i have almost 20 year of hemahroid i had internal and it alway bleeding always

[@omerkapshuk1839]

Hello, I have got a question, you say its not good to sit at the toilet for too much time because of the blood will get to the area. what is yout openion about exercise like squats or others exercises that will stimulate blood to the area?

[@yourfriendlyproctologist]

Great question! It has been added to the list!

[@rpersen]

Personally I practice yoga, and I feel that it helps. Everything that excercises the pelvis is generally good I think.

[@badarakesh3116]

I am facing piles issue from 3 months tourture bleeding pain can you help me to recover from it please

[@bacz42]

Thanks for all your videos Dr. Chung. I’m at 2 weeks post-op from Hemorrhoidectomy (got them from childbirth). Will the swelling really go away completely? It looks like I still have hemorrhoids. One has a painful hard “knob” at the end.

[@yourfriendlyproctologist]

Some swelling will definitely improve. A discussion with your surgeon is recommended.

[@philamfinci3063]

How much time will take for skin tags to fall off after the swelling of hamirroiodes

[@ms_codougan]

I hsve grade 3 hemorrhoid n boy oh boy my ass hurts 🤕 i can't poop well at all mind u i have kids so i don't know they never hurted before but 2 weeks ago i got a tear n man am dying 😢

[@potatoaim523]

it's hard to get poo out when there is hemoroids blocking the way and there will be the pain

[@tanujabhagat4733]

Sir grade-1 haemorrhoids disappear?

[@johnhow2938]

Will open/close surgery of grade 3&4 hurt if they are above the white line ?

[@yourfriendlyproctologist]

surgery will cause pain for your hemorrhoids for sure.

[@greenerick]

Try a squatty potty Great video

[@moistcloud2679]

Mine external think it had clot it burst and I'm day 4 and little dot blood on paper it's like dime size my nurse just told be ointments to use I've done witchhazel afraid to make it bleed or worse when pooping are u saying mine won't heal with out surgery? Nurse said nothing about stage 3 or 4 or acted scared so will it just take me longer to heal and as long as I don't strain it should be good help me doc help me I have bad anxiety just tell me I'm reading Google to much

[@emilyibanuelos]

Do you still have them??? I just noticed I had one and it’s so uncomfortable and it’s big. Hurts when I sit, how’s treatments? Any updates ?

[@yourhealthmatters8676]

Please doc, what can i do for an 18 months old baby crying all the time she wants to empty her bowel? It has become worst until she doesn't sit on ger Potty anymore; can a baby has internal hemorrhoids? Please reply 🙏😇

[@Brsrafal]

I went to doc never asked anything about my lifestyle or diet habits

[@sitimurshidahabdulkader1431]

Hi Dr. Im having so much pain in the internal hemorroid and everytime for bowel it cause severe pain...if operate how long take time to recover and after surgery will it be severe pain for throw

[@myaccount9498]

Don't have the operation. It ruined my life. Buy a large wide bowl & half fill it with water & poop in that. Yes it sounds gross, but takes the painful pooping away. ❤

[@radulaski]

When external hemoroid starts growing does it make sense to perforate it with a needle so it does not get a chance to expand and trombose?

[@cellogg5228]

Noooooo what are you doing!

[@spodermen6317]

Hey doctor, i have thrombosed external hemorrhoid for 2 weeks now, the pain is going away slowly, but im afraid it’ll come back in the future, is there a higher chance for it to come back if you suffer from it at least once? Does surgery reduce the chances of it coming back? The stages of extreme pain are behind me, now it’s mild, so doing a surgery and going through more pain again seems like a less better idea.

[@Justkitty-]

aa yo bro I am too suffering from External hemorrhoids for 15 days now plss tell me any medicine

[@myaccount9498]

​@Justkitty- Go to yr pharmacy / chemist & get a cream or wipe or suppository with lidnocaine to help the pain. Drink lots of water. Poop in a bowl of water to reduce the pain. A large washing bowl not an eating bowl ofc. Hope that helps ❤

[@Justkitty-]

@@myaccount9498 Okay will get that 👍🏼👍🏼 Don't how much more time it take to heal I am totally bed ridden for 17 days now 😔

[@christophervargas7422]

Dr how can I contact you ????I really need your help

[@yourfriendlyproctologist]

Email me for details on a video consultation: [e-mail]

[@vincenttsangma2712]

@@yourfriendlyproctologist Hi respected Doctor I also getting internal piles for many years ago which was starting from 2002 firstly when I go to toilet after stool come out the red blood or bleeding for 3- days continuously and then small heamorroids come out everyday and When I stand up and acted some movement it will goes up inside .Bleeding Again in 2018 and growing little larger than the previous time. Again bleeding in 2021 for one week and till now also still bleeding. So Doctor What should I do for without surgery what medicines you give me to treatment this chronic disease how can it will go away from my body free from such diseases.

[@sriramgovardhanam]

May I know your take on flavonoids and vericose veins medication for hemmaroids

[@yourfriendlyproctologist]

It's on the list. Stay tuned!

[@chevyss18]

Yes I need to know as well !

[@DaveMasters1121]

My haemorrhoids were caused by chronic diarrhea. Going on for years and got worse after a perianal abcess. .cut out gluten and had solid poops for the first time in years

[@Figs-and-olives]

what grade was your hemorrhoid if i may ask? and what diet did you follow? i used to have hard stool, and now its just constipation or diarrhea...im taking medicine and changed diet but nothing seems to be working

[@magicminutes340]

How are u now?

[@DaveMasters1121]

@@magicminutes340 ended up with an abscess and an complex fistula 😭😭😭

[@magicminutes340]

@@DaveMasters1121 is treatment going on or done with treatment 🥺

[@faikakhan8996]

if one has sentinal pile then how can one be sure if it is from haemmorhoids or from fissures ?

[@yourfriendlyproctologist]

That will require a specialist to examine you.

[@glenjuego]

Hi Doc! Can i still do my running exercises while having hemorrhoids? And btw, i think my urination is also affected. Is it connected?

[@yourfriendlyproctologist]

you can try running and see how it goes!

[@mohammedsafwan8496]

Same

[@rebeccamouse9294]

What about people with Crohns and Colitis who have to spend hours in the toilet?

[@ibnuabbas6649]

Doctor does hemorrhoid affect male sexuality in any way from your experience? Pls answer

[@finnajane]

what am I doing on the toilet? Contemplating the meaning of life 😂😂

[@yourfriendlyproctologist]

LOL.

[@zigma10473]

I sub Doc your cute & I do have hemorrhoids 😂

[@jojosjoyfuljourney]

I have never heard anyone say you can be getting too much fiber. Certainly nobody finally standard American diet, SAD, is coming anywhere near 30 gm a day.

[@naturegirl4074]

A bit too late for my stage 3 prolapsed internals

[@DnyAln]

I don't understand how food is related so strongly. I thought hemorrhoids was caused by pushing too hard because that's what happened to me I was rushing on the toilet I pushed really hard and I felt some discomfort now I have a small bubble I don't think it has anything to do with my diet

[@brentgesulga2057]

I AM REALLY CONFUSED RIGHT NOW DOC BECAUSE THERE ARE SO MANY PEOPLE SAID THAT I NEED TP EAT MORE FIBER EVERYDAY TO PREVENT WORSEN HEMORRHOIDS BUT I SEARCHED ON GOOGLE AND IT SAID TOO MUCH FIBER CAN CAUSE CONSTIPATION WHICH IS ALSO CAN WORSEN HEMORRHOIDS 😢 ITS SO CONFUSING

[@naturegirl4074]

I wish I would have knew this so long ago.

[@underated17]

I have itchiness and had a little bit of blood on toilet paper a few times.

[@underated17]

Is that hemorrhoids likely?

[@nuggetwagon]

Excess Alcohol exacerbates any latent hemorrhoid symptoms.

[@chevyss18]

My hemorrhoids and fissure have ruined my life for 2 years 😞

[@rpersen]

I feel for you, me too. It is better now, but I was so miserable.

[@thurgrime5037]

How's that going now? What did you do to heal.

[@chevyss18]

@@rpersen just can’t seem to completely reduce the inflammation in my anus smh

[@duckyh9712]

6 months in. I feel you. I cry at least once a week over this

[@ameenm6529]

How did u gotride off this

[@da8675]

Wait a minute, I thought more fiber would help soften your stool.

[@reapersvoid6260]

Hey doctor I have hemhorroids and it’s been chronic for 7 months now with a cycle of healing then bleeding painfully, burning and all that other stuff, but recently I wiped without having a bowel movement and there was blood, like I just touched it up with tissue and there was a stain of pink blood, but before that happened I was exercising and I felt a sharp pain which made me stop for a little cause it hurt, then after a while when I did have a bowel movement there was only blood no stains of stool and the stool also had blood in it, but it didn’t hurt, what do you think this might be? I tried researching but there was no specific answers anywhere

[@rpersen]

From what I know, pink blod is fresh and from the outside most likely. If it is dark it is from deeper inside, in which case you should get examinated. Have you seen a doctor? That is the first thing you should do if you bleed from the behind.

[@reapersvoid6260]

@@rpersen what made me worry is there was red blood after and when I do go I don’t feel pain but there’s blood, I’m glad there’s no pain tho but it’s feels diff, and yes I’ve made an appointment to get examined with a camera and it’s in about 2 weeks left I’m so nervous but I have no choice if it’s become this bad

[@rpersen]

@@reapersvoid6260 I have been there and I would say do not worry. Chances of it beeing something malignant is very small, in majority of cases it is just your normal ‘roids or some other irritating but not dangerous condition. Bright red, fresh blood is usually a very good thing. But see a doctor just to be sure. Best of luck, don’t stress to much about it is my advice.

[@reapersvoid6260]

@@rpersen Thankyou for your advice it really helped and made me feel better, hopefully I can heal from this for good it just seemed to always come back every year since 2016 where it all began and till now, but this year was the worst for me cause of how bad the symptoms and pain got to me which impacts a lot on your mental & physical health, but thankfully I’m getting better, hemhorroids still there but not as bad as before

[@thurgrime5037]

@@reapersvoid6260 you said it keeps coming back. Is your daily diet is mostly vegetables and high fiber, with drinking lots of water? Have you been constipated so roids came back?