Ive tried all natural and sitz and all. how do i shrink hemmroids once and for all? they are still reoccurring a year later after pregnancy, labor and caesarean?!!!!!

? Needs surgery : Better see your doctor / gynecologist for evaluation, you may be referred to a surgeon for ultimate treatment, good luck

Proctologist: In my experience a proctologist is the best specialist to consult for treatment of hemorrhoids. The other specialists don't seem that interested in hemorrhoids and various nonserious rectal problems and there is little follow-up.

Diosmin/bioflavonoid: Bioflavonoids including a specific orange peel extract called Diosmin have been proven in multiple research studies to improve hemorrhoids and are safe to take long-term. Many of my patients have had great success with a supplement called Vein Factors by FutureBiotics which combines flavonoids with herbs like Butcher's Broom and Horsechestnut. See https://www.ncbi.nlm.nih.gov/pubmed/25893991

Agree with Dr. H: Recalcitrant hemorrhoids may need surgery. Take oral iron and multivitamins to prevent anemia due to loss of blood from hemorrhoids.