DEAR DR. DONOHUE: I have been having a lot of trouble with hemorrhoids. Several years ago, I had them tied, but when I took a trip to India, I really got in trouble.

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Surgery is certainly not the only option for hemorrhoids! There are plenty of over the counter remedies which are effective and that provide relief for the problem – useful if you are travelling to places. It is amazing how a change of diet can affect you though, and there is nothing in this world that irritates the problem worse than changing from a no-spices diet to a very spicy one.  I know, personally, that if you travel to a country with spicy foods, the best thing you can take with you is some soothing suppositories…

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