FAQs

Common Questions about Hemorrhoids

Q: What are hemorrhoids?
A: Hemorrhoids are a collection of dilated blood vessels that are located around the anus and extend inside for about 2 inches.
Q: What causes Hemorrhoids?
A: An exact cause is unknown; however, the upright posture of humans alone forces a great deal of pressure on the rectal veins, which sometimes causes them to bulge. Other contributing factors include:
  • Aging
  • Chronic constipation or diarrhea
  • Pregnancy
  • Heredity
  • Straining during bowel movements
  • Faulty bowel function due to overuse of laxatives or enemas
  • Spending long periods of time (e.g., reading) on the toilet
Whatever the cause, the tissues supporting the vessels stretch. As a result, the vessels dilate; and their walls become thin and bleed. If the stretching and pressure continue, the weakened vessels protrude
Q: Are there different types of hemorrhoids?
A: Yes, hemorrhoids are either external or internal.
Q: What is an external hemorrhoid?
A: External hemorrhoids are a collection of vessels under the skin around the anus and the anal canal.
Q: What are the symptoms of external hemorrhoids?
A: They may cause problems in wiping yourself clean after a bowel movement. They don't usually bleed unless they become thrombosed. Recurrent episodes swell after any strenuous activity and can become thrombosed. Recurrent episodes can leave you with large tags that are uncomfortable and difficult to clean.
Q: What is a thrombosed hemorrhoid?
A: It is a hemorrhoid that is swollen because of bleeding under the skin. The larger the hemorrhoid, the more the pain. It bleeds if it ruptures.
Q: What can be done for a thrombosed hemorrhoid?
A: A doctor may need to evacuate the clot under the local anesthetic. This can be done in the office. Less severe thrombosed hemorrhoids can be treated by the TUSHM.D. system saving you time and money.
Q: What is an internal hemorrhoid?
A: An internal hemorrhoid is a collection of vessels under the lining of the last part of the rectum. It usually presents as painless rectal bleeding.
Q: What are the treatments for internal hemorrhoids?
A: There are multiple treatments options but one of the most popular is rubber band ligation, an office procedure. This is a very old and common technique that is popular because it is virtually painless and doesn't require time off work. They also respond to the TUSHM.D. treatment system. The TUSHM.D. system can help to shrink the hemorrhoids and you may not need rubber band ligation or it may shrink the internal hemorrhoids enough to make it an easier procedure.
Q: What are some of the subtle problems that result from hemorrhoids?
A: Internal hemorrhoids can prolapse where they stick out the anus and can cause staining of the shorts or panties. Banding is very helpful to correct this problem. Prolapsing internal hemorrhoids can also cause weakness of the sphincter muscles resulting in staining and problems controlling gas.
Q: Does bright red bleeding on the toilet tissue have any significance other than hemorrhoids?
A: Yes, any type of blood in the stool should be a cause for concern especially if you are over 50 years old. You should consult your physician and request a colonoscopy if you haven't had one.
Q: Are there other things that can cause pain and swelling in the anal area?
A: Yes, there are a variety of things that occur. You should have a doctor check any swelling which increases in size or doesn't go away. Hemorrhoids are certainly a consideration but a good rectal exam is necessary. Anything which feels very hard is very suspicious and needs a professional exam.
Q: Is itching purely a sign of hemorrhoids?
A: No, there are other conditions that cause severe itching and a rash sometimes. This can frequently be caused by dietary factors such as drinking excessive amounts of coffee and sodas.
Q: Does pain with a bowel movement mean I have a hemorrhoid?
A: No, pain with a bowel movement more likely means an anal fissure. This a a tear in the anal canal usually as a result of a hard bowel movement.
Q: If I have a swelling which drains and recurs what could this be?
A: This is an anal fistula. It is a chronic infection which needs to be treated surgically.
Q: What things can I do to prevent flare-ups of my hemorrhoids?
A: Eating properly is the first step. Eating more fiber is very important. You can supplement your fiber intake with one of the bulk laxatives such as Metamucil. Drinking more fluids can also be helpful.
Q: What can I do when I have an acute flare-up?
A: We recommend the TUSHM.D. system. It offers quick relief from the pain and swelling of hemorrhoids. Soaking in a hot tub is very helpful. A stool softner can help lubricate the passage of the stools to prevent further swelling.
Q: Are changes in my bowel movements significant?
A: You should check your bowel movements always. Look for changes in the size and shape of the bowel movements. An increase in the number along with a decrease in their size or shape can be important. Patients over 50 years of age should see a doctor, especially a gastroenterologist or a colon and rectal surgeon.
Q: If I am feeling weak or tired, could this be significant?
A: Anemia can occur if there is bleeding either from hemorrhoids or a growth in the colon. Check with your family physician so you can have some basic lab work done to rule out anemia. Part of the workup should be a colonoscopy.
Q: What is a colon and rectal surgeon?
A: a colon and rectal surgeon has completed a general surgery residency and then at least another year of just colon and rectal surgery. We develop another level of expertise that allows us to diagnose and treat these problems more accurately and offer the best care options for them.
Q: HOW SOON WILL I FEEL RELIEF?
A: Taking as few as two pills a day can provide results in as little as two days. In some it takes a bit longer, up to 10 days. The average report is significant relief in about seven days.
Q: MY HEMORRHOIDS ALWAYS FLARE UP WHEN I TRAVEL, IS THERE ANYTHING I CAN DO TO PREVENT THIS?
A: Travelers say they take one TUSHM.D. tablet two days prior to travel and two tablets on each day of travel.
Q: MY HEMORRHOIDS ARE REALLY BAD. WHAT IS THE MAXIMUM NUMBER OF TUSHM.D. I CAN TAKE?
A: Dramatic results have been achieved in severe cases by taking up to 4 tablets a day
Q: WHY IS THERE AN ALLERGY WARNING ABOUT PINEAPPLES?
A: TUSHM.D. contains bromelain, which is a byproduct of pineapple, it is made from the stem of the pineapple, the highest source of the bromelain.
Q: IF I ONLY TAKE ONE PILL A DAY IS THEIR A BETTER TIME TO TAKE THE PILL?
A: Take TUSHM.D. at night before retiring.
Q: Can I take TUSHM.D. with my regular pills?
A: We suggest you take them alone to minimize any possible reactions with other meds . Do not use if on blood thinners.
Q: I am pregnant can I take TUSHM.D.?
A: Even though the ingredients’ and are all natural and in common use. We do not advise it for use during pregnancy but have seen benefit in the immediate postpartum period.
Q: I am having a colonoscopy, how can TUSHM.D. help?
A: The prep for a colonoscopy can be quite rough on hemorrhoids and TUSHM.D. can help get through this rough period. We recommend taking one TUSHM.D. two times a day for two days prior to your scheduled procedure.
Q: HOW MANY TABLETS ARE IN A BOTTLE OF TUSHM.D.?
A: There are 60 tablets in a bottle of TUSHM.D. Our travel packs contain 10 tablets.
Q: WHAT ARE THE DOSING INSTRUCTIONS?
A: For severe cases, you may take three to four tablets a day. As your symptoms improve, gradually cut down to one or two tablets daily. For best results, it is suggested you take one tablet per day in the evening, to prevent further flare ups, and as a daily maintenance dose. If you are traveling, take two tablets the evening prior to travel, and then up to two tablets per day while traveling, or seated for long periods.
Q: DO YOU HAVE A GUARANTEE POLICY?
A: We are so certain that you will be completely satisfied with TUSHM.D., our all natural product, for the management of constipation and anorectal health that we offer a money back guarantee*. Simply try our products for at least 30 days. If you are not completely satisfied - for any reason - return the product to us within 45 days for a complete refund less shipping fees. Please ship any unused portions of the products in the original containers, plus your name and invoice or order number and a brief explanation for the return, via prepaid USPS:

TUSHM.D. REFUNDS
880 Wigwam Parkway #120
Henderson, Nevada 89014