WEBVTT - Thursday Therapy: The H-Word with Dr. Raj 0:00:01.920 --> 0:00:05.400 Wind Down with Janet Kramer and I'm Heart Radio Podcast. 0:00:06.360 --> 0:00:09.560 This week's Thursday Therapy, we have doctor Roshini Rajan and 0:00:09.640 --> 0:00:12.160 I'm so excited to get her on because she is 0:00:12.680 --> 0:00:17.000 a doctor. She graduated from Harvard and New York University. 0:00:17.280 --> 0:00:20.640 She is a GI doctor and we're going to talk 0:00:20.640 --> 0:00:23.520 about gut renovation and just all the things. 0:00:23.600 --> 0:00:24.239 Let's get her on. 0:00:24.680 --> 0:00:26.479 Hi, how do I found I don't have my mic? 0:00:26.840 --> 0:00:29.520 Are you like a beginner at this or what? 0:00:29.680 --> 0:00:30.040 Well? 0:00:30.200 --> 0:00:32.199 I will tell you this. I was in this huge 0:00:32.520 --> 0:00:35.400 board meeting and I'm like, I'm sorry, I have to 0:00:35.520 --> 0:00:38.680 jump off for Berkeley and I'm like, I'm sorry to 0:00:38.800 --> 0:00:40.440 drop off for ten minutes to talk. 0:00:40.360 --> 0:00:41.440 About coal and health. 0:00:41.880 --> 0:00:43.880 I don't want to say him runs. 0:00:45.280 --> 0:00:47.720 Well, that's this is what I'm so excited about. And 0:00:47.760 --> 0:00:49.559 we're keeping all of this in because I feel like 0:00:49.560 --> 0:00:55.680 there's this big stigma around even saying the word, you know, danna. 0:00:55.840 --> 0:00:58.959 We have to change it, Like I know, let's tell 0:00:59.000 --> 0:01:01.600 you they vomited, but they don't want to say the 0:01:01.840 --> 0:01:04.520 H word. They're like immind or like I have blood 0:01:04.560 --> 0:01:07.800 pouring out of my body and they won't say I 0:01:07.840 --> 0:01:08.720 have the hemorrhoid. 0:01:09.400 --> 0:01:11.320 I know it's it's insane. Do we have the doctor 0:01:11.319 --> 0:01:14.520 in the waiting room because we have to get her on. Okay, 0:01:14.560 --> 0:01:18.720 So I'm so excited to have Doctor Doctor, the Doctor 0:01:18.800 --> 0:01:22.160 Rage on the podcast because well, first of all, I 0:01:22.160 --> 0:01:27.800 didn't know that you're you're Tula, Like that's company. 0:01:27.840 --> 0:01:28.959 I'm the founder of Tula. 0:01:29.160 --> 0:01:30.960 Yeah, I love Tula. 0:01:31.959 --> 0:01:32.920 I love to hear that. 0:01:33.920 --> 0:01:37.160 I genuinely it's one of those. So I saw it 0:01:37.160 --> 0:01:39.800 obviously on Instagram. I saw some influencers promoting it, and 0:01:39.800 --> 0:01:42.600 I'm like, all right, you know it's probably just because 0:01:42.600 --> 0:01:45.720 they're promoting it, right, And so I'm like, well, I 0:01:46.200 --> 0:01:48.000 genuinely want to try it because I started to look 0:01:48.040 --> 0:01:49.960 into it because now that I'm forty, I'm like, all right, 0:01:49.960 --> 0:01:51.600 I really need to just be mindful of what I'm 0:01:51.600 --> 0:01:53.200 putting on my skin. I didn't realize there's so much 0:01:53.240 --> 0:01:57.400 hidden stuff in things, and I'm obsessed with it. I love, 0:01:57.600 --> 0:02:00.120 I love Tula. So I just got so excited. So 0:02:00.200 --> 0:02:03.760 thank you for creating such a beautiful skincare line that's clean, 0:02:03.960 --> 0:02:06.480 that just it feels good. It's targeting things that I 0:02:06.520 --> 0:02:09.679 need for my skin, even at forty, So I appreciate it. 0:02:09.960 --> 0:02:11.600 Oh, I am so happy to hear that I'm looking 0:02:11.600 --> 0:02:13.680 at your skin right now and you're gorgeous, and your 0:02:13.680 --> 0:02:16.200 skinned is gorgeous. I'm happy to be associated with it 0:02:16.240 --> 0:02:18.520 in any way. I actually started Tula when i was 0:02:18.919 --> 0:02:21.360 forty two. I'm now fifty two, so it's been a 0:02:21.400 --> 0:02:25.360 ten year journey and it's yeah, it's been amazing and 0:02:25.400 --> 0:02:27.480 it you know, people might when they hear that I'm 0:02:27.480 --> 0:02:30.200 a gaster intrologist a couple of minutes, wonder how do 0:02:30.320 --> 0:02:32.600 we make the connection with skin, and guess. 0:02:32.400 --> 0:02:34.440 Well, that's that's yeah. I was like wait a minute, 0:02:34.480 --> 0:02:36.600 because I was like, that's what I was. You know, 0:02:36.680 --> 0:02:38.720 obviously gas how do you say that? Because I was 0:02:38.720 --> 0:02:40.639 a big word trow entrologist. 0:02:40.760 --> 0:02:42.160 But we could also say GI doc. 0:02:42.280 --> 0:02:45.280 That's also very okay, at GI doc. There we go. 0:02:45.440 --> 0:02:47.840 So, I you know, I was like, oh, this is great. 0:02:47.840 --> 0:02:50.560 You know, she's graduated from Harvard, she's a GI doctor 0:02:51.160 --> 0:02:53.320 in a power of you know, probatics and all the things. 0:02:53.360 --> 0:02:55.360 And I'm you know, got, I'm like great, great, And 0:02:55.360 --> 0:02:58.640 I'm like, wait, what I was like, launch your skincare brand, Tula. 0:02:58.720 --> 0:03:00.680 I'm like, that's what I I was like. So I'm 0:03:00.720 --> 0:03:03.320 just how do you go from GI to Tula? 0:03:03.520 --> 0:03:08.040 Yeah, so Tula is actually a probiotic based skincare line. 0:03:08.080 --> 0:03:11.680 So I was always and still am, you know, obsessed 0:03:11.720 --> 0:03:14.640 with gut health and specifically the microbiome and the power 0:03:14.639 --> 0:03:18.160 of probiotics. And this was again about ten years ago, 0:03:18.400 --> 0:03:21.760 thinking of starting a new brand and really the first 0:03:21.880 --> 0:03:25.880 entrepreneurial thing I had ever done, and I actually started 0:03:25.880 --> 0:03:28.600 thinking about different ways that I could bring probiotics more 0:03:28.600 --> 0:03:30.680 to the market. This is just when people were starting 0:03:30.680 --> 0:03:33.240 to learn about it, and I was at the age 0:03:33.280 --> 0:03:34.920 in my early you know, at that time, in my 0:03:34.960 --> 0:03:37.560 early forties, starting to think more about my own skin. 0:03:37.640 --> 0:03:39.920 I'd been doing a lot of TV as a wellness contributor, 0:03:39.960 --> 0:03:43.000 wearing all that heavy makeup and just thinking about, you 0:03:43.040 --> 0:03:45.040 know how, what's the best way to protect your skin? 0:03:45.280 --> 0:03:49.520 And I looked into the relationship between probiotic extracts and 0:03:49.560 --> 0:03:52.520 the skin and how applying them topically have like the 0:03:52.560 --> 0:03:55.880 most amazing skin benefits, and nobody was talking about it 0:03:55.920 --> 0:03:57.880 in the skincare world. So I was like, this is 0:03:58.320 --> 0:04:01.280 a real opportunity in a way to really reach women 0:04:01.400 --> 0:04:03.800 and talk about the microbiome. But at a point where 0:04:04.000 --> 0:04:06.800 we're all thinking about our skin of course and skin health, 0:04:07.320 --> 0:04:09.720 and so we were really the first brand to talk 0:04:09.760 --> 0:04:12.480 about probatics in the skin. And I mean, so many 0:04:12.520 --> 0:04:14.480 people now who use Toola don't even think about the 0:04:14.480 --> 0:04:15.720 probatic angle, but that is. 0:04:15.880 --> 0:04:17.920 But now it makes sense. I'm like wow, because I'm like, yeah, 0:04:17.920 --> 0:04:20.120 it's like because I use the that serum has that, 0:04:20.200 --> 0:04:21.120 I'm like, yeah, probatic. 0:04:21.120 --> 0:04:21.520 There we go. 0:04:21.600 --> 0:04:25.159 I'm like, I didn't even think like correlating that as 0:04:25.160 --> 0:04:28.320 the same that I take every day for my gut exactly. 0:04:28.600 --> 0:04:30.920 It's all you know, inside out, a lot of the 0:04:30.920 --> 0:04:34.560 same ingredients great for your internal health, also amazing topically 0:04:34.560 --> 0:04:37.320 apply to your skin. And that's also relates to my 0:04:37.440 --> 0:04:39.680 newest venture which I just launched, which is also about 0:04:39.680 --> 0:04:41.720 good health, which I'm sure we'll talk about. But yeah 0:04:41.839 --> 0:04:42.400 that's me. 0:04:42.920 --> 0:04:45.400 Okay, well thank you for that. Everyone get Toula. It's 0:04:45.440 --> 0:04:46.080 great skincare. 0:04:46.320 --> 0:04:46.719 Okay. 0:04:47.160 --> 0:04:51.479 Side note, we have another guest on, Amy Sugarman. She's 0:04:51.520 --> 0:04:56.320 the producer of so many podcasts like wind Down. I mean, gosh, 0:04:56.360 --> 0:04:57.120 do you want to do you want to. 0:04:57.120 --> 0:05:00.240 Give your list any of all the things that you produce. 0:05:00.400 --> 0:05:01.240 It's too boring. 0:05:01.320 --> 0:05:04.000 But doctor Roger and I go way back, and I 0:05:04.080 --> 0:05:06.280 love her and so when. 0:05:06.080 --> 0:05:08.240 We will tell you what. 0:05:08.160 --> 0:05:09.240 We were texting about. 0:05:09.279 --> 0:05:12.560 But Jane and I were about a topic because we're 0:05:12.600 --> 0:05:15.919 friends and we were together, and then in me realize 0:05:15.920 --> 0:05:18.680 we had to get you on to talk about. 0:05:19.920 --> 0:05:22.159 So it's the word that I feel like, I know, 0:05:22.279 --> 0:05:24.200 it's the word that I feel like no one can say. 0:05:24.200 --> 0:05:26.240 And even as so I just had a four month old. 0:05:26.480 --> 0:05:28.159 I just had a baby four months ago, right, so 0:05:28.400 --> 0:05:30.839 it was my thank you so much. It was my 0:05:30.920 --> 0:05:33.440 first experience. I didn't have this with my first two 0:05:33.720 --> 0:05:36.760 at all. Did not experience this. I'm I'm not ready 0:05:36.800 --> 0:05:40.320 to say the word yet. And so but I had 0:05:40.320 --> 0:05:44.880 a really, really, really bad journey with it because during 0:05:44.920 --> 0:05:48.840 my pregnancy and I I mean, I love my fancy 0:05:48.880 --> 0:05:51.840 more than anything in this world, I couldn't tell him, 0:05:51.960 --> 0:05:54.680 you know. One day I finally broke down because I 0:05:54.760 --> 0:05:58.080 was in so much pain that but I was, I 0:05:58.120 --> 0:05:59.359 was like, if you never want to look me in 0:05:59.360 --> 0:06:01.320 the eyes again, and you know, if you think I'm 0:06:01.320 --> 0:06:04.400 the most disgusting person, like, I get it, I understand. 0:06:04.640 --> 0:06:05.000 I didn't. 0:06:05.040 --> 0:06:06.520 I mean, I think I. 0:06:06.160 --> 0:06:08.720 Told my best friend Catherine, But besides that even in 0:06:08.760 --> 0:06:11.520 the hospital after I gave birth, I'm like, can. 0:06:11.400 --> 0:06:13.200 I have something that will help the pain? 0:06:13.920 --> 0:06:16.920 And so and I again when and then again, I 0:06:16.960 --> 0:06:19.120 barely spoke the word because I'm like, to me, I'm like, 0:06:19.200 --> 0:06:20.080 it's disgusting. 0:06:20.200 --> 0:06:20.400 Right. 0:06:20.520 --> 0:06:23.400 So then Amy texts me because I just and this 0:06:23.400 --> 0:06:25.200 is what I love about Amy, And she's just like, 0:06:26.120 --> 0:06:29.040 we'll just say it, right. So we're texting and she's like, sorry, 0:06:29.160 --> 0:06:30.640 dealing with the hemorrhoid right now. 0:06:30.640 --> 0:06:34.680 And I'm like, I'm like, I. 0:06:34.680 --> 0:06:37.880 Was like, girl, that's been my past like ten months, 0:06:37.960 --> 0:06:41.000 like it's been awful, Like it's so and I'm like, and. 0:06:40.880 --> 0:06:43.200 Nobody talks about it, Like I had to. 0:06:43.279 --> 0:06:47.200 Hide my hemorrhoid cream from my fiance so we didn't 0:06:47.240 --> 0:06:48.839 see it in the bathroom. 0:06:50.520 --> 0:06:55.039 I know. Yeah, it's there's such an unfortunately negative connotation 0:06:55.279 --> 0:06:57.680 to the whole topic. But I have to tell you 0:06:57.800 --> 0:07:00.440 as a GI doctor who does call and oskar bees 0:07:00.560 --> 0:07:03.560 like all the time, so I see inside people's call 0:07:03.600 --> 0:07:05.440 it and even if they don't realize their hemorrhids, they 0:07:05.440 --> 0:07:07.719 have hemorrhoids, I can see if they have them. They 0:07:07.720 --> 0:07:12.640 are so extremely common, and especially in women who've had children, 0:07:12.800 --> 0:07:15.120 we can we'll talk about the science about why it happens, 0:07:15.160 --> 0:07:18.240 but so that like, really no one should feel embarrassed 0:07:18.280 --> 0:07:21.679 because chances are the person you're talking to has also 0:07:21.800 --> 0:07:24.960 experienced it, or you know, at least half of them have. 0:07:25.120 --> 0:07:27.680 So like I do, I do get you like that 0:07:27.800 --> 0:07:30.280 hemorrhoid cream is not the thing you want leaving outside 0:07:30.320 --> 0:07:33.040 in your bathroom. It's all like a beautiful candle or no. 0:07:33.240 --> 0:07:34.880 And also like, don't come in the shower. I'm trying 0:07:34.920 --> 0:07:36.360 to push up a hemorrhoid, you know what I mean, 0:07:36.400 --> 0:07:38.520 Like it's not the sexiest thing. You know what I mean, 0:07:38.680 --> 0:07:41.200 Like I'm like, God, I don't think this thing back up, 0:07:41.520 --> 0:07:42.160 you know what I mean? 0:07:42.280 --> 0:07:44.760 I know, and definitely can be uncomfortable, So we can 0:07:44.840 --> 0:07:47.240 we'll talk about what to do about the discomfort or 0:07:47.240 --> 0:07:49.480 the pain or the symptoms, but just the notion of 0:07:49.520 --> 0:07:52.640 having it. I do hope people walk away like learn 0:07:52.880 --> 0:07:55.160 or you know, at least believing in some sense that 0:07:55.200 --> 0:07:58.200 it's really common and you really shouldn't be you should 0:07:58.200 --> 0:08:00.080 be like Amy, talk about it, text about. 0:07:59.840 --> 0:08:17.040 It all right, So Amy, tell us your hemorrhoid. Hemorrhoid 0:08:17.160 --> 0:08:21.480 Journey is hemorrhoids season as Easton says. 0:08:21.280 --> 0:08:22.679 It's colon Hope a month. 0:08:22.920 --> 0:08:26.800 So what happened was, I'll tell the whole I can 0:08:26.920 --> 0:08:31.880 tell you all the gory details, but I decided that 0:08:31.960 --> 0:08:33.959 I was like because I did, I was so embarrassed. 0:08:33.960 --> 0:08:35.280 I didn't want to call my doctor. 0:08:35.679 --> 0:08:37.960 And that was actually the biggest mistake I made that 0:08:38.040 --> 0:08:41.199 I waited like five days before I called my doctor, 0:08:41.280 --> 0:08:44.480 and had I called her the day, I would be 0:08:44.640 --> 0:08:47.680 way quicker evolving the prompt. 0:08:47.920 --> 0:08:49.960 So of course I text Jenna and then you know, 0:08:50.280 --> 0:08:51.480 don't hold back with Jana. 0:08:51.920 --> 0:08:56.640 We go there and then like every other girlfriend and 0:08:56.760 --> 0:09:02.080 I would say, ninety percent of the girlfriend's that I told, yeah, 0:09:02.440 --> 0:09:06.320 I had the same issue, right, I mean you think 0:09:06.320 --> 0:09:08.440 of it kind of like a weird boy thing too, 0:09:08.520 --> 0:09:10.600 Like I always was like I pictured like my dad, 0:09:10.760 --> 0:09:15.360 you know, but it was like right, women and I 0:09:15.559 --> 0:09:18.760 then I did a deep dive and learned external internal. 0:09:19.360 --> 0:09:22.920 Yeah that and actually ninety percent or more go away 0:09:23.400 --> 0:09:26.000 on their own, which because I started to get so 0:09:26.080 --> 0:09:29.880 anxious about it too, like is this forever so right? 0:09:30.040 --> 0:09:30.199 Right? 0:09:31.040 --> 0:09:36.319 My external which okay, Anna, sounds like it was internal. 0:09:36.600 --> 0:09:36.920 I had. 0:09:37.080 --> 0:09:41.360 I had, like had everyone you could imagine, like I'm like, 0:09:41.400 --> 0:09:43.640 do I gotta strangulate this bitch, like what's going on? 0:09:43.679 --> 0:09:45.520 You know what I mean? Like I'm good in all 0:09:45.600 --> 0:09:45.839 of it. 0:09:45.960 --> 0:09:48.880 So yeah, And I had a friend of a friend 0:09:48.960 --> 0:09:52.960 who actually also had one and went to the emergency room, 0:09:53.240 --> 0:09:55.840 was like in so much pain and they're like, yeah, 0:09:55.880 --> 0:10:00.119 there's we can't really do anything. So I've got questions, 0:10:00.200 --> 0:10:02.400 jama if I. 0:10:01.720 --> 0:10:03.560 Go take it over you have. 0:10:03.600 --> 0:10:07.960 The first question is do most go away on their 0:10:08.080 --> 0:10:12.319 own with like home treatments or cortizone or I am 0:10:12.320 --> 0:10:14.480 the proud owner of a what I call it a 0:10:14.559 --> 0:10:16.160 toilet bath the. 0:10:16.320 --> 0:10:19.120 Yeah it sits bath, yep, yep, yeah yeah. Well let 0:10:19.440 --> 0:10:21.160 me just you know, for those of you who don't 0:10:21.200 --> 0:10:23.600 know what an hemorrhoid is, let's let's just define our 0:10:23.679 --> 0:10:26.520 term for terms for one second. So we all have 0:10:26.880 --> 0:10:29.920 little veins in that rectal area, like that's normal, That's 0:10:29.920 --> 0:10:32.400 how we get blood flow and blood drainage and all that. 0:10:32.720 --> 0:10:36.080 But when those veins become swollen or in gorge, that 0:10:36.200 --> 0:10:38.560 is what a hemorrhoid is. It's literally a swollen vein. 0:10:39.080 --> 0:10:42.280 And why does it happen? You know, when there's pressure 0:10:42.480 --> 0:10:45.320 in that area, and that could be due to pregnancy, 0:10:45.400 --> 0:10:47.880 obviously carrying a baby and the weight puts pressure on 0:10:47.920 --> 0:10:51.079 those veins. Giving birth, you know, vaginal delivery, You're a 0:10:51.080 --> 0:10:53.720 getting a lot of pressure there for that those hours 0:10:53.720 --> 0:10:57.160 that you're pushing. But it could be you know, weight training, 0:10:57.240 --> 0:10:59.320 so bearing down and that can you know, being on 0:10:59.400 --> 0:11:01.920 a bike, so the whole soul cycle. I see a 0:11:01.960 --> 0:11:04.200 lot of people getting them when they get really into 0:11:04.200 --> 0:11:06.800 cycling and that kind of thing. Sitting for a long period, 0:11:06.840 --> 0:11:08.760 you're on a plane for a long time, a long 0:11:08.840 --> 0:11:11.679 car ride, so all of those things can increase pressure. 0:11:11.920 --> 0:11:14.000 But I would say that probably the most common cause 0:11:14.080 --> 0:11:17.840 is constipation. So the more you're straining and your colon 0:11:17.960 --> 0:11:20.199 is straining, you're putting pressure on those veins. That can 0:11:20.240 --> 0:11:24.280 cause hemorrhoids to form. And so some of the most 0:11:24.280 --> 0:11:27.800 simple things you can do are very effective, like increasing 0:11:27.840 --> 0:11:31.240 your fiber. That's first and foremost. You know, more fiber 0:11:31.280 --> 0:11:34.880 in your diet, a fiber supplement. Unfortunately, over ninety percent 0:11:34.880 --> 0:11:37.560 of Americans are not getting the recommended like twenty five 0:11:37.600 --> 0:11:40.200 to thirty grams of fiber a day, so it's no 0:11:40.320 --> 0:11:42.440 wonder that a lot of people are getting hemorrhoids. So 0:11:42.480 --> 0:11:45.840 that's the first thing I recommend which goes along with 0:11:45.880 --> 0:11:48.400 what I just launched a fiber company called Yateay, and 0:11:48.760 --> 0:11:51.360 we really want everyone to be getting that optimal fiber 0:11:51.360 --> 0:11:53.640 because fiber is great not just for hemorrhoids, but poland 0:11:53.640 --> 0:11:57.120 health overall, cholesterol, blood pressure, you know all these great things. 0:11:57.120 --> 0:12:00.520 So fiber is really important. Drinking more water is really 0:12:00.520 --> 0:12:03.120 important for hemorrhoids. We recommend that. And then, like you 0:12:03.120 --> 0:12:06.719 were saying, Amy, these topical treatments, those could be ointments, 0:12:06.760 --> 0:12:09.240 it could be suppositories that you actually insert in a 0:12:09.280 --> 0:12:12.040 lot of them do contain hydrocortisone, so like a little 0:12:12.040 --> 0:12:16.640 steroid ointment, which absolutely can help shrink and decrease the inflammation, 0:12:17.240 --> 0:12:21.360 as well as soaking in warm water. And so while 0:12:21.360 --> 0:12:24.480 you can do a tub, you can sit your tub 0:12:24.920 --> 0:12:27.000 three times a day for ten to fifteen minutes. That's 0:12:27.040 --> 0:12:30.320 obviously not very convenient. So then what's recommended is getting 0:12:30.320 --> 0:12:32.720 what you're talking about, the Sitz bath or it's like 0:12:32.760 --> 0:12:36.320 a plastic basically bowl that you attached to your toilet 0:12:36.360 --> 0:12:37.439 you can put a little warm water. 0:12:37.480 --> 0:12:40.840 It's so crazy. It's so crazy that my friend, so 0:12:41.200 --> 0:12:43.360 as I started to tell more people what was happening, 0:12:43.960 --> 0:12:46.840 I not name the friend. But she's literally text me 0:12:46.880 --> 0:12:49.400 from Amazon, you have to get this, and I would 0:12:49.800 --> 0:12:52.280 like immediately know I'm not doing that. 0:12:52.600 --> 0:12:54.400 Was it like a dog bowl? Is that like that 0:12:54.559 --> 0:12:55.160 you put your button? 0:12:55.280 --> 0:12:58.160 Well, Jane, it's literally a dog bull that goes into 0:12:58.200 --> 0:13:01.360 your toilet and you like sit your butt in it 0:13:01.559 --> 0:13:04.240 with maybe like epsom salt, and I'm like, I can't 0:13:04.280 --> 0:13:07.319 do it. But this thing was so bad that I 0:13:07.760 --> 0:13:09.320 was basically like I'll do anything. 0:13:10.200 --> 0:13:12.360 No, my god, I have to tell you. This is 0:13:12.400 --> 0:13:13.760 the like life change. 0:13:13.840 --> 0:13:16.040 It's like a Nettie Pop for your a Nettie Pop 0:13:16.080 --> 0:13:18.160 for your butthole or your butt. 0:13:18.040 --> 0:13:22.319 Exactly because that warm water, it not only soothes the 0:13:22.720 --> 0:13:25.120 you know, the hemorrhoid that's inflamed and painful, but it 0:13:25.120 --> 0:13:27.920 actually relaxes the muscles, which makes it easier for that 0:13:27.960 --> 0:13:29.959 hemorrhoid to go back in. You know, you were talking 0:13:29.960 --> 0:13:31.959 about pushing it in in the shower. Actually that's why 0:13:32.000 --> 0:13:34.120 it works better in the shower because things are warm 0:13:34.240 --> 0:13:36.560 and more relaxed, so it's easier to push it in. 0:13:36.679 --> 0:13:38.640 But but yeah, they work. They definitely work. 0:13:38.760 --> 0:13:42.040 Game changer. Just don't worry about it. Order it on Amazon. 0:13:42.120 --> 0:13:46.360 It's literally fifteen bucks, Like it's not expensive and it 0:13:46.480 --> 0:13:48.760 is a game changer. So I will tell you what 0:13:48.800 --> 0:13:53.120 my doctor told me. So okay, mine's external. 0:13:53.600 --> 0:13:53.800 Yeah. 0:13:53.840 --> 0:13:56.560 And I before I first of all the fact that 0:13:56.559 --> 0:13:58.280 my doctor had to just like look up my. 0:13:58.360 --> 0:14:00.640 Butt, I was like laughing. 0:14:00.720 --> 0:14:03.200 I decided to lean into the whole mess of it. 0:14:03.960 --> 0:14:06.240 So what she explained it because I kept telling her 0:14:06.440 --> 0:14:08.840 there's a grape with a frozen pea next to it, 0:14:09.000 --> 0:14:11.920 like that was when I was like, I can see 0:14:11.920 --> 0:14:13.760 it and I can feel it. It's sort of a 0:14:13.760 --> 0:14:16.920 squishy grape with a frozen p So what she explained 0:14:16.960 --> 0:14:18.760 to me is like think of like Juinna. You blow 0:14:18.840 --> 0:14:21.400 up a balloon, right, and you tie the knot of 0:14:21.440 --> 0:14:25.320 the balloon. So what it was explaining is the frozen 0:14:25.400 --> 0:14:29.720 pea is the knot, and it's like basically a blood clot. 0:14:30.640 --> 0:14:33.680 The squishy grape is not going to fully go down 0:14:33.840 --> 0:14:39.360 until the knot comes out. Okay, slowly, but surely, the 0:14:39.400 --> 0:14:43.360 frozen pee is getting smaller. I also thought like, I'm 0:14:43.360 --> 0:14:45.680 gonna go to bed tonight and wake up tomorrow and 0:14:45.720 --> 0:14:46.920 this thing will be gone. 0:14:47.600 --> 0:14:51.120 No, this thing is staying at the course. 0:14:51.240 --> 0:14:53.320 Slowly going away. 0:14:53.200 --> 0:14:56.160 And it's so uncomfortable and what you it sounds like 0:14:56.160 --> 0:14:58.960 what you had was a clot within the hemorrhoid. 0:14:58.960 --> 0:15:02.000 We call it a thrombo temorroid, and those definitely can 0:15:02.040 --> 0:15:03.920 be way more painful. I mean to the point where 0:15:03.960 --> 0:15:07.040 some people can't even sit down they're so painful. And 0:15:07.080 --> 0:15:09.960 when it first happens, that's when you if you did 0:15:10.000 --> 0:15:12.120 go to an emergency room, like on the first day, 0:15:12.240 --> 0:15:15.040 there is a way they could actually it sounds painful, 0:15:15.040 --> 0:15:17.080 but it's really not like make a tiny little cut 0:15:17.080 --> 0:15:19.440 and just take out the clot. But if you wait, 0:15:19.760 --> 0:15:21.960 it's kind of too late and then they can't do 0:15:22.040 --> 0:15:23.840 that procedure. You just need to wait it out, which 0:15:23.840 --> 0:15:24.920 is kind of what it sounds like. 0:15:25.040 --> 0:15:28.640 Yeah, I mean it's look, I'm happy to tell everybody. 0:15:28.880 --> 0:15:32.200 The pain does sort of subside after For me, it 0:15:32.240 --> 0:15:34.360 was like a week and I can sit, but it 0:15:34.400 --> 0:15:36.960 was just like bugging me. I literally was like, I'm 0:15:37.040 --> 0:15:40.080 walking around with a grape in my bottom. What's going on? 0:15:40.960 --> 0:15:41.320 Now? 0:15:41.440 --> 0:15:43.760 It's still there, but I'm living my life like it's 0:15:43.800 --> 0:15:47.320 not painful, but it's just so slow that had I 0:15:47.480 --> 0:15:50.120 not gone to the doctor and done all this research, 0:15:50.160 --> 0:15:51.440 I would be kind of panicked. 0:15:52.080 --> 0:15:56.080 Yeah, yeah, yeah, Like I think. 0:15:55.960 --> 0:15:59.040 My message is like we got to talk about our 0:15:59.080 --> 0:16:01.400 butts and just the doctor right away. 0:16:02.920 --> 0:16:04.840 And the other thing because you mentioned it, I definitely 0:16:04.880 --> 0:16:07.320 want to say, like this is colon cancer Awareness month. 0:16:07.480 --> 0:16:10.240 It is so important to not assume that what you 0:16:10.320 --> 0:16:13.160 have is a hemorrhoid. Even if your friend says it 0:16:13.200 --> 0:16:15.400 sounds like my hemorrhoid, you know it could be, but 0:16:15.480 --> 0:16:18.800 go go get it checked out, because we can't take 0:16:18.840 --> 0:16:21.160 anything for granted these days, like young people are getting 0:16:21.200 --> 0:16:24.240 colon cancer. If there is something new and worrisome, a 0:16:24.320 --> 0:16:26.640 lump or a bump in that area, especially if there's 0:16:26.680 --> 0:16:29.560 any blood associated with it. While again it could be 0:16:29.560 --> 0:16:31.880 something very benign like a hemorrhoid, you want to make 0:16:31.880 --> 0:16:34.000 sure it's not something more serious like a colon. 0:16:33.800 --> 0:16:37.000 Can well, and I did not have blood. I don't 0:16:37.040 --> 0:16:39.160 know why I'm like saying all of this is. 0:16:39.200 --> 0:16:41.840 That I for sure did, so now I'm like, maybe 0:16:41.880 --> 0:16:42.720 do I have cancer? 0:16:44.000 --> 0:16:47.280 So bleeding is very common from hemorrhoids, but anytime someone 0:16:47.280 --> 0:16:50.080 has blood, you should always be checked out. And you 0:16:50.080 --> 0:16:52.760 said you're forty. If you haven't had a colonoscopy, you 0:16:53.120 --> 0:16:54.520 should if you've had rectal bleeding. 0:16:54.640 --> 0:16:57.800 Oh oh, really, a colonoscopy? What is that? Like? 0:16:57.840 --> 0:17:02.200 A like I've never obviously is that I've had a colonic. Okay, 0:17:03.120 --> 0:17:05.639 I really love a colonic. Clonics Like, I remember my 0:17:05.640 --> 0:17:07.440 first clonic. I was like, wow, I've got a flat 0:17:07.480 --> 0:17:08.080 te me today. 0:17:09.400 --> 0:17:12.359 So, colonoscopy is a test that we do to screen 0:17:12.359 --> 0:17:15.400 for colon cancer. It's now recommended that every single person 0:17:15.520 --> 0:17:17.679 starting at age forty five should get it. Used to 0:17:17.680 --> 0:17:19.960 be fifty. Now forty five because we are seeing colon 0:17:20.000 --> 0:17:23.280 cancer and younger people, but we recommend it earlier for 0:17:23.359 --> 0:17:26.320 people that have any kind of bleeding or other symptoms. 0:17:26.720 --> 0:17:29.560 What it actually means is the day before, you drink 0:17:29.560 --> 0:17:32.000 a laxat of solution to kind of clear everything out, 0:17:32.080 --> 0:17:34.840 and you do feel actually quite flat and clear. Then 0:17:34.880 --> 0:17:37.040 you go into your doctor's office or you might go 0:17:37.040 --> 0:17:39.000 to a hospital. They put a little I V in 0:17:39.000 --> 0:17:41.439 your arm, you get anesthesia so you will be totally 0:17:41.480 --> 0:17:43.679 asleep for the duration of the test, which is usually 0:17:43.760 --> 0:17:46.520 fifteen to thirty minutes, and then during that time, a 0:17:46.560 --> 0:17:49.919 doctor like me is inserting a very skinny, flexible tube 0:17:50.280 --> 0:17:53.280 in the rectum. We look all through your colon also 0:17:53.320 --> 0:17:57.119 known as your large intestine. And if we see anything abnormal, 0:17:57.320 --> 0:17:59.480 like a polyp, which is a little growth that grows 0:17:59.520 --> 0:18:01.040 out of the line of your colon, we can just 0:18:01.119 --> 0:18:04.280 remove it, just cut it out during the procedure so 0:18:04.320 --> 0:18:07.000 that that polyp doesn't have a chance to grow into 0:18:07.040 --> 0:18:09.840 something bigger, like a colon cancer. So that's the way 0:18:09.880 --> 0:18:12.639 you can actually prevent colon cancer from even starting. And 0:18:12.720 --> 0:18:14.600 of course if we see something like a colon cancer, 0:18:14.640 --> 0:18:17.320 it's always best to diagnose it early. It has a 0:18:17.440 --> 0:18:20.840 very high survival rate when diagnosed early. And that's that's it. 0:18:20.960 --> 0:18:22.960 You wake up right after, within a few minutes, and 0:18:23.040 --> 0:18:25.280 you go home with your friend or loved one, and 0:18:25.800 --> 0:18:27.440 you can do whatever you want the rest of the day, 0:18:27.640 --> 0:18:28.320 just no driving. 0:18:28.720 --> 0:18:31.359 If the bleeding has stopped, though, is it is it okay? 0:18:31.480 --> 0:18:34.080 Because now if there's no bleeding, now I'm like, now, 0:18:34.119 --> 0:18:36.360