A member asked:

Puborectalis&external anal sphincter dyssynergia that cause me to strain.i do physiotherapy that involves strain.how to avoid hemerrhoids to develop?

A doctor has provided 1 answer
Dr. Hiroshi Mashimo answered

Specializes in Gastroenterology

Suggest specialist: specialist within Gastroenterology esp in field of Motility would be best able to address concerns of dyssynergia (assuming diagnosis was made on manometry) and rule out other confounding factors. Besides physiotherapy, use possible stool softener, avoid toilet paper, use non-alcohol baby wipes/shower to remove irritants, and possible application Balmex - happy to rv prior workup &consult further

Answered 2/26/2018

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