Hemorrhoids? Anyone else have an experience with them?

While you did solve the main cause of the problem which caused the external hemorrhoid, you must understand that it will always remain a weak spot for you. A hemorrhoid is basically a varicose vein of the rectum- in your case it's located outside on the . It's still a varicose vein. That vein has been somewhat damaged, and if conditions that cause blood return to be difficult- like you are constipated, or have been staining to go, or even if you have a bad episode of diarrhea- that little vein is likely to overfill and distend again. So the bump will reappear. You simply can't strain to p things, gas included. For what it's worth, you really don't have to. Gas will p all by itself, the exit is remarkably good at retaining liquid and solids, while allowing gas to escape. It actually happens all the time- mercifully in very small amounts that don't generally get our attention. You might also want to rethink the necessity of going every single morning on a time schedule. As long as you are able to p stool normally, without the need to strain and letting your colon handle the export process- it just doesn't matter what time you go. You may not even need to go every day. Output really does depend on input, in terms of amounts and what it was that went in. Some foods produce very little residue, so very little needs to go out. Other foods, like leafy veggies- consist of a lot of undigestible fiber. That's good for movement, as there is a lot to be moved. But if your diet doesn't consist of plenty of whole grain foods, fruits and veggies on a daily basis, you are just going to have troubles. The external hemorrhoid was your warning, and will remain your reminder for life. As long as you stick to the right dietary program, it won't cause you any trouble. As soon as you slide back into the bad habits, well- it's your own little pop up timer. If you ignore it, time will come when it won't just be a little lump. As you have GERD, the answer is multiple small meals, consisting of primarily whole grains, fruits and veggies on a regular, daily basis. While things like metamucil are great- that's only water soluble fiber. It makes things move along smoother. You still need the insoluble fiber in those fruits, veggies and whole grains to have something to move along. 5 a day, every day. Then perhaps you can say goodbye to the Mirilax and Milk of Magnesia both, and keep the little lumpy timer away.