Condition + Location

Hemorrhoids Treatment in Rapid City

5 holistic practitioners in Rapid City who can help with Hemorrhoids. Gabriel's evidence-based protocols, matched to local practitioners.

5 Practitioners

0 Treatments

6+ Supplements

Gabriel's Approach to Hemorrhoids

Gabriel treats hemorrhoids as vascular insufficiency plus mechanical pressure. Protocol: 1) Address constipation (fiber, hydration, magnesium—prevent straining), 2) Improve vascular tone (horse chestnut, rutin, diosmin), 3) Reduce inflammation (sitz baths, topical treatments, omega-3, curcumin), 4) ...

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Recommended Treatments

Key Supplements

Horse Chestnut 300mg 2x/day standardized to 50mg aescin (improves vascular tone, reduces swelling—most effective oral supplement, proven in studies)
Diosmin 450mg + Hesperidin 50mg (Daflon) 2 tablets 2x/day (micronized purified flavonoid fraction—improves venous tone, reduces symptoms, widely used in Europe, prescription in some countries, over-counter in US)
Rutin 500mg 2x/day (bioflavonoid—strengthens blood vessels, reduces bleeding)
Butcher's Broom 300mg 3x/day (improves venous circulation, reduces swelling)
Witch Hazel topical (astringent, reduces swelling, pain—Tucks pads, ointment)
Psyllium Husk 5-10g/day (fiber—prevents constipation, reduces straining)

Key Lab Markers

Anoscopy or proctoscopy (visualizes internal hemorrhoids, rules out other causes—fissure, fistula, abscess, polyps, cancer)
Colonoscopy if: age >50 and not up-to-date on screening, rectal bleeding (rule out cancer, polyps, IBD—important, don't assume bleeding is 'just hemorrhoids' without proper evaluation), change in bowel habits, weight loss, anemia (Complete Blood Count—check for anemia if chronic bleeding), Iron studies (if anemia), Stool occult blood (if bleeding—but positive doesn't distinguish hemorrhoids from other causes, need colonoscopy)

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