How To Get Rid Of Hemorrhoids With And Without Surgery Once And For All
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- čas přidán 22. 03. 2024
- Welcome to another informative episode of Talking with Docs on CZcams! In this episode, we delve into the world of hemorrhoids with Dr. Choi, a specialist in this field. Join us as we explore what hemorrhoids are, how to manage them, and valuable insights from Dr. Choi.
Join us for an insightful discussion on hemorrhoids with Dr. Choi, a specialist in this area. Learn what hemorrhoids are, their causes, symptoms, and effective treatment options."
*Definition and Causes of Hemorrhoids:*
Dr. Choi explains the definition of hemorrhoids and their causes, shedding light on common misconceptions and providing clear explanations for viewers.
*Symptoms and Diagnosis:*
Learn about the common symptoms of hemorrhoids and how they are diagnosed, ensuring viewers understand when to seek medical advice.
*Treatment Options:*
Discover various treatment options for hemorrhoids, from lifestyle changes to medical interventions, presented in an accessible and informative manner.
*Advanced Treatments and Procedures:*
Dr. Choi discusses advanced treatments and procedures for severe hemorrhoids, offering valuable insights into minimally invasive and surgical options.
*Prevention and Conclusion:*
Gain practical tips on preventing hemorrhoids and maintaining rectal health, empowering viewers to take proactive steps towards wellness.
This episode is a must-watch for anyone seeking reliable information on hemorrhoids. Stay informed, stay healthy, and join us for this engaging conversation with Dr. Choi on "Talking with Docs"
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The general information provided on the Video is for informational purposes only and is not professional medical advice, diagnosis, treatment, or care, nor is it intended to be a substitute therefore. Always seek the advice of your physician or other qualified health provider properly licensed to practice medicine or general healthcare in your jurisdiction concerning any questions you may have regarding any information obtained from this Video and any medical condition you believe may be relevant to you or to someone else. Never disregard professional medical advice or delay in seeking it because of something you have read on this Video. Always consult with your physician or other qualified healthcare provider before embarking on a new treatment, diet, or fitness program. Information obtained on the Video is not exhaustive and does not cover all diseases, ailments, physical conditions, or their treatment
#hemorrhoids #constipation #piles #hemorrhoid #externalpiles #bleedingpiles #internalpiles #internalhemorrhoids #externalhemorrhoids #analpain #hemorroides #bawaseer #pregnancy #hemorroids #hemorrhoidtreatment #health #fistula #thrombosis #straining #hemorroidas #hematoma #bilalpilesclinic #hemorroide #hemorrhoidrelief #steambath #liftingheavy #hemorroid #fissure #hematomas #hemorroidectomia
I've had a hemorrhoidectomy and several banding procedures over the last decade. I had a discussion with the last doctor about my history and why this is happening to me. He gave me some advice that has prevented further problems. Don't sit on the toilet for more than five minutes!
Some say ten minutes though, five minutes is not long enough to finish
@@MrHellrider9 In my experience, if you take a bunch of fiber supplements you'll be done in 30 seconds flat!
Omg I used to read or watch videos sitting on the toilet.
Never again!
I had an external hemorrhoid removed during a colonoscopy. I was so happy and found healing time short and almost pain free. Hasn’t come back - 5 years now.
Good to know. Thanks.
Thank you fie sharing. It's something that no one wants to talk about. But it's a human thing. I'm gonna talk to my doctor now.
Nothing better than watching hemroid videos on youtube! Thanks, Docs
Wow, this is so enlightning, I've had many consultations due to hemorrhoids and nobody has ever explained them as well as you guys. Thanks for being so awesome!
I had a hemorrhoid surgically removed. Worst pain for 7 days! About a month to fully heal. Glad I had it done.
Thank you for sharing
This channel is definitely the most valuable source of information I learn from the internet!
Wow thanks so much Wayne!
Don't believe American propaganda about Canadian health care. It has flaws, much of Europe is superior, but it's still way ahead of the US where tens of thousands die from lack of affordable care each year. The stats are available to all.
@Alsatiagent-zu1rx prevention is Healthcare, the fda creates patients
I have hemorrhoids and have been using hemorrhoids cream and it’s not helping!! After seeing this video am going to see my doctor and take care of this annoying problem once and for all. This video was extremely helpful and educational, Thank you 🙏🏾 too all the doctor’s.
Don’t get it twisted surgery doesn’t get rid of them. I know a person who had eight then got cancer and died
Best of luck…I had surgery to fix mine in January and after I did a major change of my diet, added more fiber, cut out a lot of bread, processed sugar, caffeine, and heavy cheese and other things that can stop you up. Lost 100 pounds, super regular, eating lots of dark greens and lean protein, staying active, trying not to strain/lift things that are too heavy…and they still came back.
Their certainly were right when they said the surgery is very painful after! I had it and swore I’d never ever do it again. Extremely painful for me.
I had hemorrhoid surgery when I was 15, that's 55 years ago. I walked into a health clinic, the nurse saw my rear end covered in blood and took me into the little office. Doc came in took a quick look, and proceeded to cut the hemorrhoid out, stitching the blood vessel to stem the bleeding. No pain killers through the procedure, just sweat running off my forehead hitting the floor below me (of course I was face down, bent over the examination table) The doc gave me some Tylenol 3's, and I walked home, 3 miles. Before leaving the nurse gave me a large white towel to wrap around my backside, and a small towel to wipe the sweat off my forehead. To this day I don't know why I didn't pass out. Ever since then, I have had two boxes of bran buds in my pantry, and eat lots of roughage. I've never had a hemorrhoid since, and don't plan on getting another one. I'm 70 now, have passed kidney stones, have had two hernia operations. No pain is worse than the hemorrhoid operation, not even hitting your finger with a hammer.
Yes, I have almost the same story. In 2005 I had a cluster of 3 externals, I had a real hag of a nurse that when she went to freeze then threw the needle in as if it was a dart board, I kicked her so hard she went right through the drywall, 3 Doctors come running over (this happened in our small town medical clinic) only to learn what caused all this calamity. Once everything settled down Dr. Myburg gently refroze the hemorrhoids, cut then open only to find severe clotting
Everyone experiences these things differently, I had a torn Achilles tendon and after waking up from the procedure I took no pain killers. I also had quad bypass surgery and somebody had told me that it was extremely painful but I took no pain killers and found it a walk in the park. The only thing I've ever had done that I thought was painful was 6 weeks after the bypass surgery they needed to stick a tube into the space beneath my left lung to drain some fluid that wasn't going away and I almost vomited as it the tube went between my ribs.
Then there's surgery I've done on myself with a scalpel and some iodine to remove some infection.
Main is so personal and a very personal experience.
Ah the good ol’ days.
I am so very sorry for what you went through and at 15!!! My friends boyfriend had surgery many years ago and I remember him being in utter pain as well!
I sometimes wonder whether they are right about lack of roughage being the issue, I always (well since about 20, almost 70 now) had rolled oats or some other fibrous breakfast serial for breakfast, multi-grain bread for lunch and lightly steamed vegetables with about 160g of protein for dinner and yet I have developed haemorrhoids that since my 40's were swollen and have been bleeding for about 6 months, so I think there's a different number somewhere in the equation they don't know about.
I’ve had bad hemorrhoids after the birth of my 3 kids and it was so painful I’m prone to being constipated a lot and have had bleeding and thank goodness it don’t last long and I’ve been consipated all of my life so I take softeners that helps but I’m going to try the brand buds I have had colonoscopy’s done and have polyps removed that were pre cancer but all were ok. I see my 2 favorite docs have new uniforms they look great on you both. Thank you to Dr Choi for your expertise on hemorrhoids I learned a lot. Talking to docs is a wonderful show I appreciate both of these drs and the guest drs they have on thank you for everything. Maria from the USA ❤️❤️❤️
I used to get them pretty regularly. Haven't had them in a few years so I'm wondering if it's because of my change in eating. I only eat whole foods now. No packaged food or sugar or gluten.
Thanks docs. Yikes. Very informative. For many years lots of fibre in my diet, so no hemorrhoids. Best of luck to everyone!!
Talking With Docs is the best show on TV.
I've had constant flare ups. Probably due to not eating enough fruits, veggies, and fiber. I started taking Now brand, Psyllium Husk over a year ago. I take 4 caplets a day. It pretty much got rid of my flare ups. Not a fix for everyone, but it's helped me tremendously.
4 capsules of what
I first noticed itching and bleeding in college. The bleeding worsened over time to the point that I dreaded having to use the toilet. I was in my forties before I heard about banding and decided to try it. Apparently I was a good candidate for it and with a sharp snap or two I was in and out of the doctor’s office. Amazingly it worked like magic and I have never had another problem since almost like it never happened to begin with. I was very relieved and happy after so many years of suffering.
Better get a colonoscopy
As usual so much good information.
Why are they called hemorrhoids? Because asteroids was already taken.
Good one!😂
😂😂😂😂😂
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This comment does not have enough recognition
😂😂😂😂😂😂😂
Thanks for this topic…so important!
Very comprehensive info. Thank you for this!❤
Great informative video.
Important thing is don't force a hard stool , get a suppository or get some Vaseline in there
This right here. I take fiber supplements, and use a glycerin suppository if I feel it won't just come out on it's own when it's time.
You docs continue to be the best!
Thanks again for sharing! 💯
Good video, thanks.
Dr. Choy's hat is genious!
Fiber: glad I eat high fiber cereal. I have enough other problems. BTW: I don’t think anyone ever said “I wonder if I have hemorrhoids”? Oh, hint I learned from my sister who is a nurse: put your suppositories in the fridge. Cooling and relieving at the same time.
I LOVE all your videos. They're so informative and yet entertaining as well. Thanks for all you guys do for us.
Love your videos. Thanks so much.
Love you guys! Very helpful information. I started eating more bran in diet and has helped. I pray I never have to have banded or surgery. It was already painful pooping.
Besides eating quite a bit of fiber, water and yogurt and still being constipated, I added magnesium citrate. It was the best thing I’ve done to help things move and reduce hemorrhoids and doctor approved.
Yes. Magnesium is great 👍
Thanks that was very informative
THANK YOU for this informative video !
Glad it was helpful!
Thank you. Very informative.
Very welcome
Greatly informative video!
In the late 90's, I had laser surgery on my rectum (the outer area only),to remove what I thought the Dr. referred to them as "skin tabs"(?), but not the typical painless skintabs on ppl's neck&arms.
These started from straining or rushing things along,(if I remember correctly).B4 my surgery, it became too painful to sit down. I tried hemorrhoid products,&suppositories,spraying warm water on my bottom with a spray bottle instead of wiping with toilet paper. I even resorted to the unthinkable of "doing a poop" in a tub of warm water,bc it didnt hurt in warm water.
Eventually I was referred to a specialist who performed the laser surgery,while I was awake😳.The pain afterwards was mild,&only for that day. I was scared to poop for the first time a couple days following surgery,but to my surprise; no pain at all!! & everything looked normal in the area. Since the ,Ive used wetwipes occasionally,but Ive developed 3 rectal/anal problems over ther the past 6 months or more,but I dont have insurance,so its just a part of my everyday life now.
Are there any books or websites that I can read up on my current symptoms to see what might be the culprit for my 3 different issues that I struggle with on a regular basis?? Thank you for reading my long comment.😌
Hemorrhoids can be debilitating, ask me how I know. I had the gambit of treatment and the only thing that ever (at least to now) relieved my internal ones was after a colorectal surgeon cauterized them. Bands never really worked well or at all. Thank goodness a retired military colorectal surgeon was working at a close by military treatment facility who finally took that step and it worked, at least for me...about 5 years now without symptoms. The real key is to keep your stools soft with Miralax, stool softeners, fiber mixed into a liquid drink etc.Thanks docs as usual!
Nope Miralax, stool softeners are poison, mess with the internals. figs do a better job loaded with nutrients. potassium, magnesium, iron, calcium, and also stabilize blood sugars. (That from a colorectal surgeon, not me). Colonoscope he looked around, told me what I was taking just by the color of the colon walls, and told me to stop taking everything you just said to take. HIs prescription, 1 to 2 tbls psyllium husk 3 times a day, before meals, mixed baby green salads spinach , kale, arugala, so on, legumes, figs, apple cider vinegar, seeds, nuts, romaine lettuce. Magnesium citrate. grind flax seed, 4 table spoons a day, 10 glasses of water each day, on top of any other 'drinks' such as coffee.
Best excuse for calling in sick..."I have really bad hemorrhoids.". No one wants to ask questions. It's like they can get hemorrhoids by just thinking about them.
Thank you for this video! No one (medical wise) ever really looks back there. That is something I learned when I first became a nurse and a pediatrician mentioned it to me. He was right!
Getting something done about this in a month or two. Praying for the elastic band.
Said with great respect we hope we never have to see a doctor like Dr. Ian Choy -- after the diagnostic colonoscopy 2 weeks ago, this is an extremely helpful and important video! Thank you Docs
A very interesting & informative video. One thing tho, maybe you could keep the graphics up longer as you talk. Makes it easier to understand what youre talking about. Good job tho. Thanx. 🙏❤
This is a hard topic to talk about openly . But the three doctors handled it amazingly. Thank you all for your hard work. ❤❤❤🎉🎉
This was a very informative and a great explanation Docs!
With everyone being in a hurry these days and so many people eating fast food, it becomes more problematic for more people.
There are so many great vegetables that are full of fiber and they're easy to prepare!
Supplements are also readily available and easy to add to your daily routine!
Thanks for sharing another great video!👍
I added fiber to my diet after your last hemorrhoids video... cleared me right up. Thank you so very much.
Good job 👏 👍 👌 🙌 😄 😀
Thank you so much. I have been having issues with hemorrhoids recently, including swelling and leakage. My annual checkup is soon and I was not sure I wanted to bring this up, but after listening to this video, I will definitely discuss my problems with my doctor. Plus, I will add more fiber into my diet. I do drink a lot of water. This is the best thing on You Tube.
Fiber isn't everything... Having enough good sources of fat in your diet also encourages smooth bowel movements.
A while back, one of your guest surgeons made a comment about eating bran buds every day as a cure for constipation; that it would help the alleviate the suffering of so many. She was not wrong. Over 2 years later, bran buds and yogurt are still my evening snack every night. They work like a charm! No wonder Costco says bran buds are one of their biggest selling cereals.
Yes All Bran Buds!
Same here. I saw the video from a while back and started Bran Buds in my diet. Works wonders!
Thank you for your very informative videos….very much appreciated!!
How about almonds and hazelnuts both raw?
I started eating raisin bran 3 mos ago and it really helped😊
Whenever someone calls me an asshole, I correct them and say no I’m a
Hemorrhoid, I irritate assholes.😎
It’s good to recognize your assets and leverage them appropriately.
Ha ha that's just great! ❤
😂
So, you can ask ass-ociate the assholes from the hemorrhoids😅
2 weeks ago I went to a nice vegetarian restaurant and as the waiter came up to take the order I noticed he kept grabbing his butt, so I said do you have hemorrhoids? And he said, “no, just what’s on the menu.”
I liked the information I gained and will be increasing my fiber for sure! If I can stay away from surgery and pain, that is my goal! I was pretty sure my posture and the way I stand a lot with my knees locked back, may have something to do with it. We were taught to stand up straight and suck our stomach in, which tightens our stomach muscles and rectum but I fell 1 year ago and fractured my spine in 3 places and my posture is different now. My ex husbands girlfriend was having some issues and bleeding and found out she has rectal cancer, so being checked out and trying to correct the issue is what I want!
Thank you again and my best wishes to anyone with this problem!
Great video, buying bran buds immediately
I know by my own experience that changing to a very low carb diet, even with low fibre, can also cure severe constipation and incipient hemorrhoids. For years I was eating an obsessively "healthy" Mediterranean-style diet. Low fat, high fruit, vegetables, often organic. I suffered terrible constipation, also reflux. In late 2017 I found out my blood sugar was too high and changed to a low carb diet. Gradually, both constipation and reflux have completely healed, regardless of how much fibre I ingest. Other people eating low carb say the same. Now I just need to throw out all those unused suppositories and indigestion pills. You probably don't believe me, but try it and you may be surprised.
Thank you! I was wondering if anyone could comment on healthy low carb diet as a treatment for this problem. I’m doubtful that the fiber suggested will help as much as just softening the stool with fats in diet.
Witch Hazel compress. So soothing.
It never works for me
Learning daily wow .Thank you.Ouch
I've had three bouts with hemorrhoids, after having my last three kids..😊. but one of my Granddaughters has some sort of genetic issue and actually had to have surgery for bleeding hemroids at 5 yrs old. BTW, you don't have to have sedation for a colonoscopy, I've had four over a 20 year span and Never took anything. It's not that bad and very interesting to watch
I get hemorrhoids Every. SINGLE. time I do too much SUGAR. When I back off the sugar, they shrink down.
I’m thinking sugar and other junk in my diet over the weekend have caused this flare that I’m having right now but I can’t find much info on it. Thanks for your comment.
Thank you for sharing.
2:15 the look on the docs faces when Dr. Choi talks about pushing the prolaspe back in...hysterical 🤣
Many thanks.
You are welcome!
Witch hazel is very soothing and also shrinks my hemorrhoid that occasionally slips out… I keep baby wipes and bottle of witch hazel to soak baby wipes…
it is life-changing I haven't been to the gym in two weeks and they say to exercise but if I exercise it doesn't go away no insurance can't go to the hospital I just have to suffer and hope it heals 😢
Thank you so much for these videos! How much psyllium husk per day do you suggest? I have celiac disease so I can't eat brand buds.
So great! Explanations were clear, easy to understand, practical, and very supportive for good booty health. ❤
Most painful surgery I've ever experienced. Not even morphine helped. But after 10 days I was pain-free.
Excruciating doesn't even cover it, but after 2 weeks, I was so thankful I got the surgery. Sadly they're back again, but I'm not going through that again.🤷
Ya doc explained it as "It's no pick-nik", really go on and that needle coming for you! Then obstetrician and sperm donour complained I made them look to make sure it was healing, Holy, explained on, hubby didn't fare much better, ah felt so sorry for them, onto almost being induced onto clogging toilet 🚽 which got hubby off gurney in hosp with man flu, I kid you not!
@@ElephantsRock19 oh no! Which procedure did you get? How long did it last?
Took me 21 days! Hated it!
Hi Docs, thank you for providing us all with such valuable information.👏🏻🙏🏼Quick question here, you mentioned that haemorrhoidectomy can sometimes cause leakage in some people afterwards, will banding also cause the same issue?
Typically not.
I had a colonoscopy a week ago and now i have hemorrhoids. I think it was from all the crapping in prep for the procedure. 😢
Disappointed that in multiple discussions not once have the doctors mentioned if banding works for external hemorrhoids.
Okokok , this time you talked about uranus . On the next video would you talk about saturn and pluto ?
You shared and talked about many issues. It’s kinda of difficult to decide whether one should proceed with the stapling surgery or just live with haemorrhoids! Seems there are more cons than pros going for whichever procedure!
Ladies, don’t be on your feet for long periods near the end of pregnancy. I had a HUGE rhoid that was thrombosed … unbelievably painful!
Do you have a video on polyps? My wife had a polyp blowout, massive unchecked bleeding, emergency surgery and 2 pints of transfusion blood needed. Was a very scary time!
See comments around 13 minutes. A start
I’ve got lots of issues with my guts, internal hemorrhoids being one of them. Bleeding, leakage, itching…all the things. Since I got a bidet, all that has completely resolved.
Also, unsedated sigmoidoscopy? No thanks! Been there, done that. It hurts.
I have an external one I’ve had for the last 38 years. I’ve had doctors tell me they could get that off and I said no it doesn’t bother me. I do take fiber a big old scoop about three times a week.
How did I end up watching this video?
11:15 "Procedure where you use a special stapling device." Glad it is indeed "special" and not the standard office Swingline.
Staples here we come
I have had them for a decade since a pregnancy. Whenever I see blood, I feel super stressful. I had two rubber bandings. Now, I use Collinsonia root to strengthen the veins and to stop the bleeding. At least it stops for a few months then comes back. I'm okie with that. Best of luck to all.
What good is fiber?
What about nutrition drinks like aG1?
Rubber bands?! Oh man ,any danger of the slingshot affect when having a bowel movement? Asking for a friend.
Very helpful , knowledgeable explanation, Thanks .
I am 83 & generally very healthy & just started to have this problem; after a 3 week bout of virtually diarrhea;
I have not yet seen a Dr.- so looking at the pic posted at time 8:32 , , so I am not sure if I have ,- Prolapsed Internal or the - External
I was born in Toronto , raised in Canada, but Dr. Weening talks so fast & runs the words togeather , I can not understand some of what he says ; - Sorry
i will not watch your videos until you bring dr. hofferman😄
That's awesome. He is coming back soon hopefully!
Fiber is your friend! Carrots and broccoli and oatmeal and flaxseed grain every day!
I think the worst pain I can recall was transient osteoporosis of the hip. Imagine that your bone feels like it’s exploding every time you move the joint. Thank God it’s rare.
Aren’t almonds, hazelnuts, and oatmeal very good fiber sources? I have had problems with hemorrhoids about four years ago. They sometimes act up a little from time to time.
Broccoli, broccoli, broccoli. I don't have many issues with hemorrhoids, and the reason is eating broccoli multiple times a week. If for some reason I don't have access to broccoli (i.e. travel) I notice the difference almost immediately.
Last week I thought take a break from Broccoli , you've been eating it almost everyday for months... Now I'm suffering... Bought some yesterday, I'll be cooking it up tomorrow... Thanks Mate!!!
I'm so scared of my upcoming procedure
whenever my hemorrhoids bothered me, I wound eat a can of pineapples and drink the juice normally I felt Beter when in 24 hours.
what about fissures as a complication with surgery?
Years ago i had a sigmoidoscopy. I wd have LOVED to be sedatedm it HURT!
For several years I had itchy piles that were greatly relieved by suppositories containing lidocaine. Then the lidocaine suppositories seemed unavailable, and for no apparent reason the piles became internal, emerging during and retreating after bowel movements without being itchy or painful. I don't recall any dietary changes during that period.
Hello doctors, could you please make a video about tea sweeteners? there have been some talking about having tea sweeteners in any food or drink in the UK, saying that tea sweeteners cause more harm than good if you are diabetic, they even say it could cause cancer, that would be appreciated, all the best.
It's on the list for sure!
I bleed many times after riding my bike!😩Got them from having 3 babies over 9 pounds. I eat a lot of whole food fiber. Frustrating that the bleeding has stained and ruined underpants! They come and go but not sure I would want to do any of the procedures. I’m 71 so hopefully I can live with it. Witch hazel and epsom salt baths help.
Thanks for sharing your experience
@@TalkingWithDocs 🤣😂😛
Are the bands left in forever or they later get taken out? What are they made of? Can you get MRI/CT with them? Thanks
No one told me about banding. I got surgery and recovery took 3 months. I was in hideous pain for most of the time. Even when liquid was coming out of me I would have to scream into a towel.... it felt like broken glass coming out of me. I would never do it again even though my hemorrhoids are back in a bad way a decade later.
My hemorrhoids occasionally hurt. Should I see someone about them.
FIBER, FIBER, FIBER! Eat it. And, keep eating it! Also very important is MAGNESIUM CITRATE (400mg). It pulls water into the stool. And, your muscles love it.
Thanks for sharing
Wondering if Dr Zalzal uses crushed bran buds as a chicken wing rub?
i have a cardiac patient who is on blood thinners n has bleeding hemorrhoids , i dnt know how to treat him ,as fibers will also not reverse blood thinners effect . dr help . im a pharmacist by profession .
I had mine due to child birth , two pregnancies . So far I’m alright .
Thanks for
cause pain to the testicles or lower abdomen after visiting the toilet ?
I just had a hemorrhoidectomy two days ago and I still haven’t gone to the bathroom. I have been laying on my side since the surgery two days ago. What do I do???should I just give my body some time to heal 🤷🏼♀️ I was thinking it I don’t go by tomorrow night I’m going to get some milk of magnesium to help me. That always seems to help. Please let me know if I am doing something wrong
I eat a ton of fibre, my movements are awesome, and easy.
This topic does need to be normalized, so much thanks for this video.
While some great tips were mentioned in this vid: More fiber, fruits/veggies & liquid/water intake, don't strain etc..., there's one item that either wasn't mentioned or I missed. Given our current societal dependence on tech... when you go do your business, LEAVE YOUR PHONE BEHIND! (no pun intended), aka don't read. Try to limit your 'session' to 10 mins, preferably less. It may feel you're not completely 'empty' when the time's up but that could be the internal/enlarged hemorrhoids at play. Even if you do need to go again a little later, the trick is to limit the time. This has helped me and I've noticed much improvement with these 'pain in the butt' (sorry, couldn't resist) issues. It may not be a cure-all (and I'm def not a doctor), but try this tip along with the others presented in this vid and see if that helps some - it has for me.
Yes this is a great point. We emphasized this in our prior non op video. Thanks for watching