Hemorrhoids are the consequence of the sitting defecation posture.

The defecation in the natural for a human being squatting posture will resolve this problem.
Try! It is not esthetic, but don't use the toilet bowl as a squatting device; it is dangerous (can break down) and may be not effective as doesn't permit natural squatting (see the instructions).

History of hemorrhoids research it is a history of great mistakes

History of treatment of hemorrhoids is a history of unnececary and invasive treatment.

Treatment of hemorrhoids (cryotherapy).

Advances in cryogenic techniques have made it possible to freeze limited areas of living, human tissue in many parts of the body. Fraser and Gill showed that such tissue, after being frozen, undergoes a gradual necrosis, due partly to thrombosis of the microcirculation (1). The method of cryodestruction has been applied by some surgeons in the treatment of hemorrhoids (2, 3). One of the great advantages claimed for this method is that it is painless, rendering it especially suitable for application to outpatients without anesthesia. The essential item is the cryoprobe with a prolonged element, several centimeters long, capable of being cooled by circulation through it of liquid nitrogen or nitrous oxide gas. The pressure of the cryoprobe on the anal region may cause exaggerated sensation and discomfort, which in turn leads to anal spasm, rendering it impossible to secure adequate access to the hemorrhoids. Local anesthesia in the form of an inferior hemorrhoid block can produce satisfactory sphincteric relaxation.

Application of the cryoprobe to the hemorrhoid causes a white frost on the surface of hemorrhoid. Then gradually an increasing margin of tissue around the probe would turn white, reaching a maximum width of about 6-7 mm after several minutes. Generally the freezing continues as for several minutes. Necrosis of the freezed hemorrhoid is happen several days to a week after freezing. The slough is taken two to three weeks to separate; complete healing of the resulting granulating areas is often requiring additional two weeks or more. The patient needs analgesics and laxatives several weeks after treatment.

Except of the pain patient suffer from anal discharge. A discharge of serious or brown offensive fluid from the anal canal occurs in most patients. Because of the pain and the anal discharge most patients are unable to return to work for a as a week. Lewis (2) and O'Connor (3) have reported very favorably on cryosurgery for hemorrhoids, particularly in regard to the avoidance of discomfort and the rapid return to work, often the day after treatment. Smith at al (4) compared the cryosurgery with hemorrhoidectomy in a controlled trial in which each patient had the hemorrhoids on one side of the anal canal treated by cryosurgery and on the other side by closed hemorrhoidectomy at the same operation. At review 1 year afterwards, one-third of the patients stated that they preferred cryosurgery, two-thirds hemorrhoidectomy. The factors influencing the majority of the patients against cryotherapy were the pain and the profuse discharge in the two or three weeks after the intervention, and the need for other treatment because of recurrent hemorrhoids or skin tags. Detrano (5) Myers and Donovan (6) have also reported favorably on cryosurgery for hemorrhoids, though it is admitted that a fair amount of pain may sometimes be experienced after cryotherapy, that complete healing of the resulting raw areas usually take up to six weeks. Goligher (7) found that among 68 patients treated by cryotherapy in 50 there was good destruction of the hemorrhoids, in 18 residual hemorrhoids were present and were causing symptoms. Persistent anal skin tags were a feature in 17 patients. At all 38 patients were very pleased, 18 were satisfied and 12 were disappointed because of continued symptoms.

References:

1 Fraser J., Gill W. Observations on ultrafrozen tissue. Br.J.Surgery 54:770, 1967

2 Lewis M.I. Diverse methods of managing hemorrhoids: cryohemorrhoidectomy Dis. colon and rectum 16:175, 1973

3 O'Connor, J.J. Cryohemorrhoidectomy: indications and complications. Dis. Colon Rectum 19:41, 1976

4 Smith L.E. et al. Operative hemorrhoidectomy versus cryodestruction. Dis. Colon. Rectum 22: 10, 1979

5 Detrano S.J. Role of cryosurgery in management of anorectal disease. Dis. Colon Rectum 18: 284, 1975

6 Myers B. and Donovan W. Cryohemorrhoidectomy: an experimental and clinical appraisal. Am. Surgery 41:799, 1975

7 Goligher J.C. Cryosurgery for hemorrhoids. Dis.Colon Rectum 19:223, 1976

Notes: Recently a patient, woman 32 years old visited my clinic because of hemorrhoids with bleeding, pain and initial stage of prolapse. She suffered from hemorrhoids for two years and tried many kind of medical treatment with partial success. She was very upset because of her illness and asked my advice about the possibility of invasive proctologic procedure. Instead, the patient was instructed to change her sitting to squatting defecation posture and received explanation about the physiological basis of the advice. The woman was instructed not to use the sitting toilet bowel for squatting but to use any flat container for defecation over it. In as a week the woman returned to me and was happy to inform me that bleeding and pain have ceased and prolapse diminished vary much. She asked me why I do not publish this kind of management of hemorrhoids.

I have explained that already 20 years ago I have published several papers on this issue and that medical World until now ignores all this publications, instead , the rectal surgeons prefer to introduce new and new methods of destruction of hemorrhoids and cryosurgery only one of them.