Can I keep hemorrhoids away with exercise?

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  • Опубликовано: 29 дек 2024

Комментарии • 244

  • @janeenvance3844
    @janeenvance3844 10 месяцев назад +16

    you are so nice
    like the Mr Rogers of hemorrhoids!
    and i love it
    thank you for your info and your patients are so lucky because of your patience!

  • @gi1727
    @gi1727 Год назад +66

    If you are looking for the point, it is at 12:24

    • @vinidelucci6192
      @vinidelucci6192 2 месяца назад +3

      Thank you so much speeding it up wasn't helping me.

  • @kathcares
    @kathcares 3 года назад +61

    Thank you, Dr. Chung, for explaining this so well. I never realized how important my pelvic floor muscles were until I started practicing strength exercises. My stomach is flatter, my posture has improved, and all my bottom end issues are getting better! All in 3 month's time. Kegels have been better for my posture and core than anything else I have tried. It has really taught me how all the areas in the body work together, even the ones we get embarrassed talking about! It's also great to know that it's not going to make bottom end issues worse.

    • @surenharutyunian
      @surenharutyunian 10 месяцев назад

      SO RESULTS ARE COMING TOO LATE?

    • @MC-kz1mo
      @MC-kz1mo 3 месяца назад +1

      What kind of exercises did you do to achieve your stomach flatten, posture improvement and pelvic tightening?

    • @kathcares
      @kathcares 3 месяца назад

      @@MC-kz1mo Hi! I do Kegel exercises that I learned from Michelle Kenway. ruclips.net/p/PLqo18HBnle8zPU3gLkr9l49iAotngDB21

  • @asharedo
    @asharedo 2 года назад +32

    I can tell through your communication that you are and will continue to be a really great doctor who will help many many people improve their quality of life. Thanks a lot for this video! You're definitely in the right profession.

  • @DanniAlv
    @DanniAlv 3 года назад +23

    you sound so knowledgable and are so great at explaining the information, my proctologist bearly says 5 words to me!!!

  • @jazz5931
    @jazz5931 2 года назад +11

    Thank you Doctor, your last five minutes words are the significant matter.

  • @kadinemcbean3974
    @kadinemcbean3974 2 года назад +20

    THANK YOOOOU😘❤ I’m a mother of three, So I’ve been doing this exercise for some time now and I didn’t think it could be exactly what I needed for my recent hemorrhoids problem. It gave me instant relief from the discomfort.
    Thank you for giving me so many other reasons to get back to doing these simple & FUN exercise 😉

    • @hyacinthzinckey1776
      @hyacinthzinckey1776 8 месяцев назад

      Wat kinda exercise is it please I don't understand

  • @balintg
    @balintg Месяц назад +1

    my hemorrhoids are getting smaller just from listening your calm voice.

  • @NUBotanyAcademy
    @NUBotanyAcademy Год назад +12

    I wish every doctor is like you.........💗💗💗

  • @justbest1
    @justbest1 2 года назад +10

    Lol. I now had surgery omg ...I feel like I want to die of agony some days...wow, wished I saw these videos before doing my surgery. Very informative and simple to understand. Realistic dialogue.

    • @irisnunez5741
      @irisnunez5741 10 месяцев назад +4

      I have very bad hemorrhoids and I will never do that surgery for all the things I have herd about. I'm even scared of the binding 😳

  • @geetachatoor3525
    @geetachatoor3525 8 месяцев назад +2

    Thank you . God bless you for all your help.

  • @Mindovermatter767
    @Mindovermatter767 2 года назад +11

    What an angel of a Doctor you are.

  • @davidhunter2824
    @davidhunter2824 2 года назад +174

    Yes, exercise can help your hemorrhoids a lot. However, I would strongly be cautious about doing heavy squats with hemorrhoids. Heavy squats are actually cause bleeding hemorrhoids because, when you squat with heavy weights, you are putting a lot of stress on your bottom end. Believe me, I have had this happen to me several times with heavy weights. Body builders and power lifters are notorious for having bleeding hemorrhoids. Anyway, exercise also helps out with digestion as well👍

    • @fmazerolol
      @fmazerolol 2 года назад +17

      My god is this true. I've had hemorrhoids for over 5 years now. They would occasionally bleed a bit but nothing that I'd considered worrisome. Recently I joined the gym after idk, maybe 6 years, and got into some good ol' ass to grass squatting. Wasn't loafing much, but at the bottom of the movement I felt my hemorrhoids prolapse. Didn't pay too much attention though I was wary of not going as deep for the rest of the session.
      Next morning I started bleeding out when I went to the toilet. Each time I'd go take a dump, I'd started bleeding heavily. Today, 6 days after my first hemorrhage, with little sign of improvement despite medical treatment, I had a procedure done, so yes, DON'T SQUAT ASS TO GRASS WITH HEMORRHOIDS.

    • @meganbarnett2442
      @meganbarnett2442 2 года назад +2

      @@fmazerolol did the surgery help? And how did you feel after surgery?

    • @fmazerolol
      @fmazerolol 2 года назад +8

      @@meganbarnett2442 it was photocoagulation laser therapy, not really a surgery. I don't know if it helped, I kept bleeding a few days after that (bled a total of 8 days straight), but the main reason I think it failed was that they still prolapse. Thing is my hemorrhoids are grade III, and it's a procedure designed for grades I and II

    • @meganbarnett2442
      @meganbarnett2442 2 года назад +5

      @@fmazerolol thank you so much for sharing. Sending prayers that it healed for you. There's not enough ppl that talk and share about hemroids.

    • @fyzali3534
      @fyzali3534 2 года назад +3

      I am also suffering with internal hemmerhoids stage 2 and whenever i squat it starts to prolapse
      Its the worst situation bcox i am planning to get fit through RUclips workout videos but all the beginner full body workouts have squats in it so i am only focusing upper body abs and core and got nothing for my legs😭

  • @higuysrealtalkwithtracy4543
    @higuysrealtalkwithtracy4543 Год назад +3

    You are wonderful.Thank yiu for being there for so many people❤😊😊😊😊

  • @laurainfinity1390
    @laurainfinity1390 Год назад +9

    I used Castrol oil for breast cyst which really help to shrink them so would this work for hemorrhoids to

  • @amarjeetkhurana5658
    @amarjeetkhurana5658 Год назад +4

    Thank you so much Dr Albert for your so instructive and valuable videos. God bless you.

  • @nicolafieldsteamcontrol1927
    @nicolafieldsteamcontrol1927 Год назад +5

    You are a wonderful doctor and speaker. so glad I found this video. Now I understand the importance of caring for my pelvic floor. x

  • @mahdimousavi3470
    @mahdimousavi3470 2 года назад +7

    Very great and complete data. Thanks Dr

  • @alisonheckler2518
    @alisonheckler2518 Год назад +3

    Thank you Dr. Chung. Excellent video. I will try the exercises. Hope they help.

  • @FekaduFerhiwot
    @FekaduFerhiwot 10 дней назад

    Sweet doctor ❤️🙏🏽

  • @grraf1
    @grraf1 Год назад +2

    Kettlebell swings&rice consumption on a daily basis will keep them well under control for most folks...

  • @higuysrealtalkwithtracy4543
    @higuysrealtalkwithtracy4543 Год назад +3

    I have on and off pain inside at times. I have had colonosvopy...no issues. Going for another one. When I travel far..i need to sit on a pillow to relieve the pain😢😊😊😊

  • @englishwithnadiayousaf313
    @englishwithnadiayousaf313 Год назад +3

    After hammorriod surgery even now I am suffering from problem I couldn't understand what should I eat and what not I couldn't eat any type of dry fruit meat spinach green vaggies rice and bakery items
    Then what remains to eat I am loosing my weight and health no bone broth
    Then how can I survive

  • @Chitukuravi
    @Chitukuravi Год назад +5

    But what exercises should one do? I wish the videos had timelines for easier navigation

    • @nataliachristiani3630
      @nataliachristiani3630 2 месяца назад

      my own experience, any will do as long as your don't sit, spend most days standing or have a little walk in your room.

  • @Zasifras
    @Zasifras Год назад +3

    This doesn't seem to work for hemorrhoids that have grown larger than 6 inches and are currently attending law school

  • @grtfshrmn
    @grtfshrmn 4 месяца назад

    Hi Dr. Chung, excellent video! 👍

  • @leomagarro2395
    @leomagarro2395 Год назад +4

    just a request would you mind to draw the way be done

  • @amandasalas9154
    @amandasalas9154 Год назад +3

    Thank you for your information and knowledge. And for being so personable and acknowledging the fact that the human body is not a text book and that Dr's should listen to their patients.

  • @lyda7129
    @lyda7129 2 года назад +7

    I wish i found your channel sooner , thank you so much for your effort doc ...god bless you

  • @dagrynch
    @dagrynch Год назад +1

    I love your channel!
    Your bedside manor is incredible
    Wish you were based in Connecticut

  • @LabRat6619
    @LabRat6619 2 года назад +3

    Its great to know we all have piles

  • @edhollett7039
    @edhollett7039 Год назад +1

    U r an awesome doctor ...u always make feel better and give me hope when listen to your videos...all the best!!

  • @kosai1007
    @kosai1007 3 года назад +4

    You should explain with Photos for not understanding English . Thanks

  • @LeninMartinez-vk4wq
    @LeninMartinez-vk4wq Год назад +3

    Hello doctor I would like to ask if cycling would help you or worsen the hemorroid?? Thanks for all your help and advices.

  • @Redheadedlady55
    @Redheadedlady55 Год назад +1

    ~Thank you...for a wonderful explanation. 🙏🙏🙏

  • @glam-o-pod103
    @glam-o-pod103 3 года назад +2

    Thank you Dr Chung!!!!

  • @durindacavin1941
    @durindacavin1941 2 года назад +5

    Thanks for the great information, which exercise is best? I've been do kegel,pelvic tilt, bridge pose and feet up the wall

  • @CK-jd1kf
    @CK-jd1kf 3 года назад +10

    My doctor said my muscles are too strong. I had hemorrhoid artery ligation in July and it has made things so much worse for me. I have to strain to get anything out, and the pressure and pain after a bowel movement is much worse. It looks somewhat better because things stay in but it has really not been helpful at all. Now I'm looking at having a hemorrhoidectomy but the crs said my muscles are too tight, so I went to another one who said she would inject botox, but I think she's having a baby, because they were going to call me to schedule the surgery and they never did, and she was very pregnant when I saw her.

  • @mopatiseeletso8236
    @mopatiseeletso8236 Год назад +1

    Thank you that was helpful.

  • @jameswilson9361
    @jameswilson9361 Год назад +3

    You got that right, its amazing how the human body is DESIGNED! A creator designed us!

  • @abolisohoni
    @abolisohoni 2 года назад +10

    I have internal hemorrhoids. It flares up once in 2 months or so. I don’t have nay bleeding so far but I get burning sensation during evenings after I eat through out the day. Burning sensation goes up n down and I feel like going to no 2 .
    What remedy do you recommend?
    Burning is mostly not felt until evening.
    Thanks 🙏

    • @grraf1
      @grraf1 Год назад +1

      Keep away from spicy stuff like hot peppers...if u feel it burning when you eat it then you will feel it even more when its traveling towards the exit...

    • @claudiaponce8466
      @claudiaponce8466 9 месяцев назад

      I have the same sensation every single day the burning I have some hemorrhoids internal 2 no bleeding but is very uncomfortable like sensation going to the bathroom

    • @gyanaranjan3268
      @gyanaranjan3268 4 месяца назад

      ​@@claudiaponce8466how r u now

    • @gyanaranjan3268
      @gyanaranjan3268 4 месяца назад

      How r u aboli

    • @erick.j8508
      @erick.j8508 2 месяца назад

      ​@@claudiaponce8466díd чσu curє чσur hєmσrrhσídѕ pєrmαnєntlч nσw ?

  • @moniquew327
    @moniquew327 3 дня назад

    How can I drink 2 liters of fluids per day? It is so hard, my bladder can’t cope. 5 mugs per day is my limit

  • @jsavoni6478
    @jsavoni6478 6 месяцев назад +2

    Idk..mine seemed to be almost gone..I work out daily for a short time. Mostly ab workout. I use to jog as well, but I stopped as it seemed to aggravated them more. But after today's workout they seemed swallen.. warm showers seems to bring it back down...

  • @dogratiku
    @dogratiku 2 года назад +6

    What is the best lying down position with painful hemorrhoids, doc? Does walking worsen H? Tips on sitting/walking? Thnx

    • @dazza944
      @dazza944 Год назад

      Sometimes in bed it feels like it’s burning
      And I find excessive walking seems to aggravate it too
      Feels like a mild stinging in the rectum

    • @verahall6498
      @verahall6498 Год назад +1

      I lay on my left side, makes me feel much better

  • @hugomejia264
    @hugomejia264 Год назад +1

    Dr I like to know how to help my self with hemorrhoids as a professional driver please and thank you

  • @liliasabalesAblanida
    @liliasabalesAblanida 3 месяца назад

    i really enjoy watching

  • @mohamedarshathars8970
    @mohamedarshathars8970 2 года назад +2

    Abdomen workouts can regulates the bowl moments....

  • @dolandastider1719
    @dolandastider1719 2 года назад +7

    Dear Dr. Please share what type of exercise we take regular to improvr hemorrhoids.

  • @chrisfebonio7553
    @chrisfebonio7553 2 года назад +2

    when I can get a muscle pump and divert blood to other areas my hemmprhoids are relieved. fiber and all the mainstream hemorrhoid advice has done nothing but make matters far worse for me. so I am not going to eat a single gram of fiber again. this seems to be more of a vascular issue and less of a bowel moment issue and ots tremendously frustrating how all the info on the internet refers to fiber etc. even though it's a vascular issue and not a pooping issue. I wish I could get better advice but so far I've found hot water, hanging upside down, napping, push ups and other resistance training that will pump my muscles and also pelvic floor contractions are the best things. also have moved to a full on carnivore diet which has done much more then eating vegetables and fiber which just made them worse for me. I have np diagnoses tho so I could have cancer or something but I've been dealing woth this nightmare now for 2 to 3 straight years without more then a week of relief at a time. so I imagine if it was cancer I'd be dead by now.

  • @rpersen
    @rpersen 3 года назад +11

    Very good explanation. I have started doing some yoga and more workout in general, and I think it helps. You can do so much by some simple lifestyle changes. Thanks Dr Chung!

    • @amalbrsajan276
      @amalbrsajan276 Год назад

      What's the current status, because I have grade 2 internal hemroides

  • @Annyd27
    @Annyd27 3 года назад +2

    very good explained, I used to do it, trying to get my hemorrhoids up just doing my kegels, but now with this fissure I think its so hard to relax...going to #2 it's a torture!!!...

    • @jusirisarias1557
      @jusirisarias1557 3 года назад +1

      Same here Anamaria I suffer from anal fissure and is a nightmare I had botox injection for 3 weeks now but I would say I am worst than before botox I am hoping this is part of the recovery.

    • @Annyd27
      @Annyd27 3 года назад +2

      @@jusirisarias1557 ohhh hun keep strong.. one day we will be off of this nightmare, mine opened today again, I wanted to die..

  • @MbAinRAK
    @MbAinRAK 2 года назад +1

    Please Dr. suggest for partial rectal prolapse , no bleeding, just a small pea size .

  • @joanmarie8209
    @joanmarie8209 Год назад

    👏thank you Doctor !

  • @baljitsingh8394
    @baljitsingh8394 Год назад

    Very informative 👍

  • @JD-ov5gt
    @JD-ov5gt Год назад +1

    My problem started after the chiropractor. They did teach me diaphragmatic breathing, which focus on the top part of the barrel, but they told me to relax the bottom end. This was a mistake! When breathing we must focus on the diaphragm as well as the pelvic floor.

  • @leatherindian
    @leatherindian Год назад +1

    Skip the first 12 minutes for the answer.

  • @bud2113
    @bud2113 11 месяцев назад +1

    Always LOVE your advice...
    👍👍👍

  • @evelynyvargas
    @evelynyvargas 2 года назад

    Hi, Dr. Chung. Do you recommend Daflon for hemorrhoids? Thank you.

  • @QUINTUSMAXIMUS
    @QUINTUSMAXIMUS Месяц назад

    I think I will look into surgery. My ass sometimes burns from going to the bathroom.

  • @sidzhottake
    @sidzhottake 2 года назад +14

    Life hack! (coupled along with your holding the rope analogy). A process that I use when I have a hemi attack is to hold my pee after drinking lots of water. Really speeds up recovery.

    • @Dhbdb87
      @Dhbdb87 2 года назад +7

      How does that help? Please explain

    • @Anon_E_Muss
      @Anon_E_Muss Год назад

      Do you mean you're working your kegals?

    • @sonalverma9490
      @sonalverma9490 Год назад +4

      No it's wrong don't hold your pee it's just for realization to know what actually muscles which help just squise n relax the urinary muscles

  • @jovialfaltisco548
    @jovialfaltisco548 2 года назад +5

    He's a kind Butt God.

  • @pattyboucetta1897
    @pattyboucetta1897 9 месяцев назад

    What are the exercises exactly?

  • @sunflowerzelda45
    @sunflowerzelda45 5 месяцев назад

    feels to me like something is out but there is not. what is that all about ?

  • @aizamaeartiaga2929
    @aizamaeartiaga2929 2 года назад +4

    Hello doctor, does hemorrhoids cause rectal cramping? The feeling of always have the urge to poop

  • @antarikhyasaikia7923
    @antarikhyasaikia7923 3 года назад +5

    Sir i have fissures . I get some pain in my tailbone and buttocks also dont know why. It feels good when i use heat pads . Sir are pelvic floor stretches good for my condition or it will tear the fissure more and sir can i use heat pads for long term

    • @yourfriendlyproctologist
      @yourfriendlyproctologist  3 года назад +2

      You can try exercises and see if they help. If they don't I would suggest seeing a specialist in your area.

    • @antarikhyasaikia7923
      @antarikhyasaikia7923 3 года назад +1

      @@yourfriendlyproctologist thanks sir

    • @Dhbdb87
      @Dhbdb87 2 года назад

      Hey did your fissures heal??

  • @rosemaryandrews1001
    @rosemaryandrews1001 Год назад +1

    God bless you

  • @ding6524
    @ding6524 8 месяцев назад +1

    hemorrhoids grade2 can be with out surgery ..🙏 can help by exercise

  • @handsomerube
    @handsomerube 3 года назад +5

    Hi doctor. Newer subscriber here who has been suffering with hemorrhoids for going on three weeks. A question: I’m having a very bad bout of constipation that isn’t passing. For someone with hemorrhoids (not sure if external or prolapsed internal). Is it safe to take oral dulcolax to get quicker results to pass this large amount of stool that’s stuck with no sign of passing without significant effort (which of course I want to avoid)? Or should dulcolax be avoided, even at the smallest dose? My concern is that colace and miralax will take too long during this acute episode and I’m trying to avoid further complications such as an impacted stool.
    ER doc I saw prescribed Colace 2x/day and Miralax 4x/day. But I’m seeing that Miralax can be potentially dangerous with a bowel obstruction.
    Thanks for all you do on this channel. It’s been very enlightening.

    • @yourfriendlyproctologist
      @yourfriendlyproctologist  3 года назад +3

      I would try an enema or suppository in your case. Please make sure you consult with your physician on this matter to make sure you stay safe. You may also consider a video consultation with me as well. Details are in the description.

    • @lollol-hm7oz
      @lollol-hm7oz 2 года назад

      Have you healed ??

    • @irisnunez5741
      @irisnunez5741 10 месяцев назад

      Goodness? Hemorrhoids I never thought would be horrible. I have hard time dealing with mine. I gotten to the point of almost dying because of my hemoglobin getting so low from so much bleeding. Been having blood transfusions 😢

  • @shoaibulhassan7776
    @shoaibulhassan7776 Год назад

    VERY INFORMATIVE ❤ MAY ALL DOCTORS SHOW PATIENCE LIKE U TO THEIR PATIENTS

  • @Truerealism747
    @Truerealism747 2 года назад +2

    I've read hameroids can be caused by stress to

  • @JeanetteCanadaleria
    @JeanetteCanadaleria 10 месяцев назад +1

    For how long ti disappear?

  • @KiwendoAlex-e3b
    @KiwendoAlex-e3b Год назад

    Ok let try to excierse and we see how we can go up with them aswell but thier more painful..

  • @cephasjoypamolar8138
    @cephasjoypamolar8138 2 года назад +2

    Is yoga can help my external hemo doc?

  • @lloydramberan
    @lloydramberan Год назад +1

    it just came out how to push it in back

  • @susanwright1999
    @susanwright1999 Год назад

    Please do one on internal hemariods .

  • @CK-ks5yv
    @CK-ks5yv 2 года назад +2

    Great explanation Dr C. - Is it still possible to set up an online consultation with you?

  • @waynegram8907
    @waynegram8907 Год назад +2

    What pelvic floor exercises do you recommend doing that will be relaxing the anal sphincter muscle to relax and not push down and strain? The problem is trying to learn the difference of Pushing down and relaxing the sphincter because pushing down strains the anal sphincter which the rectum blood vessels form into hemorrhoids. You have to push down to relax the sphincter muscle but then you're staining the sphincter and creating swollen blood vessels that are forming into hemorrhoids.

    • @user-og9nl5mt1b
      @user-og9nl5mt1b Год назад

      Same here my anal muscle are too tight and that is causing bleeding

  • @amitbehera4092
    @amitbehera4092 Год назад

    Does it cures external hemorrhoids?

  • @violetl5344
    @violetl5344 7 месяцев назад

    You are amazing

  • @omerkapshuk1839
    @omerkapshuk1839 3 года назад +1

    Hello, What about squats and weight lifting? can it make fissure worst?

  • @amaangel7935
    @amaangel7935 Год назад

    My 2years old daughter is suffering from hemorrhoids 😢

  • @alexbandy7519
    @alexbandy7519 2 года назад

    Thank you

  • @naturegirl4074
    @naturegirl4074 Год назад

    Ok so what if you can have surgery and you have prolapse hemms

  • @JafarKhan-ml1ll
    @JafarKhan-ml1ll 10 месяцев назад

    Will cycling do good?

  • @virginiacaluma2220
    @virginiacaluma2220 Год назад

    Thanks dr .

  • @ajayprasad5036
    @ajayprasad5036 Год назад +1

    can anyone brief me in one line

  • @istiaqmahmood5709
    @istiaqmahmood5709 6 месяцев назад

    you get your answer at 11.00 minutes

  • @doctadude87
    @doctadude87 2 года назад

    A little off topic. Is there any evidence that squatting is better than sitting when stooling, in relation to preventing hemorrhoids and having to strain? I've read mixed reviews.

  • @Inrxz
    @Inrxz 2 года назад +1

    Can pelvic exercises help fissures too?

  • @sherinemoyce9256
    @sherinemoyce9256 8 месяцев назад

    Yes ,,, show us which pelvic floor exercises 😅🙏

  • @mineralwater4914
    @mineralwater4914 Год назад

    CAN SQUAT EXERCISE CREATE HEMORRHOID? Please answer please please.

  • @MaRgEd.ZamaSU
    @MaRgEd.ZamaSU 2 года назад

    Can they grow bigger and bigger?

  • @peggytenbrook2972
    @peggytenbrook2972 2 года назад

    I long before you feel better.and how long before the pain is gone?

  • @navbharat1443
    @navbharat1443 10 месяцев назад

    Can internal hemorrhoids cause thin stools???

  • @callumclark3358
    @callumclark3358 Год назад

    Hi, I’m 15 and it’s my ambition to become a proctologist. Anyone got any tips?

    • @jameswilson9361
      @jameswilson9361 Год назад +1

      Study everything there is about it, by yourself be a reader and learner.

  • @GrandTheftSam
    @GrandTheftSam 2 года назад +3

    Hi doc. My gastroenterologist Dr Shamsi says that my sphincter is tight, and I have noticed that sometimes my hemorrhoids are better when my sphincter is more relaxed. Don't pelvic floor exercises tighten the sphincter? If so, I will avoid them.

  • @vanshikasharma3894
    @vanshikasharma3894 2 года назад

    Hi dr i have external hemorrhoids I didn't have idea abt it earlier now i m suffering with it at my teenage please help help me what to do

  • @awaiesmael6739
    @awaiesmael6739 2 года назад

    Dear doc, i am new subscriber😊
    Doc i have a hemerrhoid ,it out doc I think its grade 3 i take medicine and i do apply a cream but unfortunately seems nothing 🥺

    • @yourfriendlyproctologist
      @yourfriendlyproctologist  2 года назад +1

      Welcome to this community! I recommend seeing a specialist. It's hard for me say without seeing you.

    • @yowpopz3273
      @yowpopz3273 2 года назад

      Is it okay now?

  • @say3838
    @say3838 2 года назад

    Can first or second grade of piles go away by itself?

  • @Tiktokvids_1
    @Tiktokvids_1 2 года назад

    Where are you located ?