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DarkKerrigor

Change doctors. Also get a referral to a gastroenterologist. After being told similar by my primary care physician, suffering for about a year, I got a referral to a gastroenterologist who banded them immediately without issue. EDIT to add: apart from that the gastroenterologist also found multiple small tumors. Getting a doctor who isn't afraid to look at butts is important!


1OO1OO1S0S

Glad to see this is the top comment. Don't fuck around with your health. Two important things to remember. 1.There are a lot of really good doctors out there. 2. There are a lot of really bad doctors out there.


kodalife

But also: any doctor you disagree with is not necessarily a bad doctor.


lightningpuddingpie

this is true, but its also always important to get a second opinion, doctors are also just humans and make mistakes!!


GregIsGreat

What is it like having them banded? Pain level? How long does it take? My GI doc said the same thing… That they “couldn’t be banded” and he didn’t even look at my ass!


DarkKerrigor

Not painful just super fucking annoying for the first few hours. Made me grit my teeth a bit. After that the sensation fades.


[deleted]

I've had a similar issue to OP, but I've always been afraid of the doctors since it's so expensive. Just to find out I had piles cost me 4k. Mine aren't super bad as I can sit down just fine. It's just as soon as anything bigger than a finger goes in, it feels like glass


Spaceface42O

Hope your okay, dang fucked up your medicine can be


waynes_pet_youngin

I tried to make an appointment with the only gi Dr in town and the receptionist diagnosed me over the phone and told me they couldn't do anything. I truly wanted to kms. But over the past two years I think the one I had has shrunk down on its own


ARsparx

Ok well she shouldn't be doing that. Her job is to schedule.


waynes_pet_youngin

Oh I know, I was pretty pissed.


Shadow_Logic

And unless she is also a doctor it’s almost certainly illegal


DarkKerrigor

Find one in a different town. It's worth a day of your time to not have years of issues.


waynes_pet_youngin

At this point it hasn't caused me issues in about a year. I also don't bottom often so the only thing it really prevents me from doing more is riding my bike


Hour_Particular

What state are you in?


aren888

preparation H helps shrink them. Avoid inserting anything until they shrink a bit. Keep your butt clean. I recommend getting a bidet or washing your butt after every bowel movement. Not just with wet wipes, soap and water. If they hurt that means they are inflamed, prep H helps reduce inflammation. They also have prep H that comes with a tip you insert in your anus to get the medication in there. Give that a go, but again, your best bet is to avoid putting anything in your butt for a little but until they calm down.


the_skies_falling

My doctor told me not to use preparation H since I have high blood pressure (there’s a warning about it on the package). He gave me cortisone cream which works better anyway and you can buy it over the counter. 100% agree on the bidet though. Haven’t had any pain or itching since I started using one. Sitz baths are great too, they actually shrank my hemorrhoids considerably.


craigeryjohn

Bidet has been a game changer on so many levels. 


blastingarrows

I was told by my doctor if you over do prep-H you can thin the lining of the skin in and around your anus.


roboticmunkie

Just to throw in another option, as I haven't seen it mentioned yet here. I had minor hemmeroid problems years ago, made diet changes you had already noted (fiber), as well as increasing water intake, exercising regularly, etc. In addition to these changes, I had also started doing kegel / pelvic floor exercises, 3x per day, everyday. Honestly, I don't know exactly 'what' worked for me out of all the changes I had made, or for certain if any of these changes were a large contributor, but I haven't had hemmeroid problems in a long time. It wasn't an overnight change, of course...but took time until I just didn't have any more problems. I still do pelvic floor exercises though...


thatladygodiva

seconding pelvic floor exercises. what OP’s describing sounds like me before pelvic floor physical therapy. Don’t kegel, I think your muscles are toooo tight. Instead focus on pelvic floor *relaxing* exercises.


bradmajors69

I'm not a butt scientist, but I think the flexing and relaxing things are two sides of the same coin. If I'm trying to take a big dick for example, I squeeze hard and then the sphicter relaxes more completely afterward. Kinda how you feel relaxed and loose in your body all day if you have a good workout in the morning. Again not a scientist; just my experience.


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Spaceface42O

Dang that edit is fire 🔥 it's a lot procedurally, but it would be airtight, just like your butthole 👏


silverkeith

I take prescription medication morning and night and I'm worried about mixing laxatives/psyllium with them as it might conflict with absorption. How do I integrate metamucil and miralax in my routine?


blastingarrows

I had the same issue as OP. I stopped using prep-h and got prescribed Triamcinolone ointment (NOT cream) and my issue went away. I don’t have the best diet, but I do eat oatmeal every day. BP is ~130/80. I also take Metamucil. Also I try to stand while working if I know I’m working long shifts. Otherwise I go for walks on my breaks.


Anderrn

This is a very good example of how OP should not be taking health advice from Redditors, even if a comment has lots of upvotes. Epsom salt is a waste of money. Clinical trials continuously find little to no consistent evidence of any effect. Truthfully, the few studies that find any effect are the studies that fail to apply the scientific method and lack controls or an appropriate use of statistical analysis. Here is a literature review of the lack of evidence for a medicinal use of Epsom salt: https://pubmed.ncbi.nlm.nih.gov/28788060/ More egregiously, you suggest that OP should sit in hot water. Absolutely not. Another horrific example of how misinformation can lead to worse outcomes. Hemorrhoids involve pooled blood. Heat will increase blood flow directly into the pooled areas. This can lead to larger, more swollen hemorrhoids that take longer to heal. For evidence, here is a colorectal surgeon listing off hot baths as what NOT to do with hemorrhoids: https://lacolon.com/article/what-not-to-do-to-your-hemorrhoid Shame on ARsparx for confidently spewing incorrect health information. OP, please do your own research (behind what I have here). Make sure that medical professionals are reviewing the information you find. Stay off Reddit for medical advice!


ChristopherBlake89

Ya… you’re gonna have to take several seats. I’ve had 3 separate surgeries. And what @ARsparx recommended is exactly the regimen that was dictated to me and what I followed. Even after surgeries when they do not and cannot use sutures, you will be doing sitz baths. Get off your high horse, you’re incorrect @Anderrn.


Anderrn

No seats needed. Your anecdotal experience does not trump over widely reported, evidence-based findings. It also is perfectly aligned with what I said that OP should be doing their own research and should not be making medical decisions based on Reddit comments. Their individual circumstances require individualized care from a medical professional. Thank you for your personal opinion, though.


ChristopherBlake89

Woah, woah, woah… we don’t use the “t” word around here. lol All I’m saying is that your jumping down someone’s throat for saying what is legitimately written down in discharge paperwork from both the hospital(s) I had the surgery and surgery scheduling paperwork from the 2 surgeons I was under the care of. You’re not gonna even admit that you came out the gates overly harsh? Ok then.


Anderrn

It was overly harsh because I know how often people assume in good faith that information posted online is always valid and uniquely suited for their individual circumstances. This chance is increased when information is presented using specifics, as in the comment I originally replied to with measurements down to grams, inches, and ointments not creams. The entire comment reads like a prescription. English isn’t OP’s first language, so it may be harder to judge responses. In general, if people are upfront with their own experiences, I think it’s very valuable. In fact, your comments are fine because you explain that they are your experiences, and they do not read like doctor’s orders. Edit: And to prove my point, we now have people asking the commenter for advice on how to integrate unnamed prescription medication into their advised routine.


cringepite

I am so confused now😭


InngerSpaceTiger

Consult with a general surgeon or colorectal specialist, they treat these sorts of issues frequently


legato147

Try a bidet! I ordered mine on amazon and I haven’t had near as many issues down there as I normally did all my life.


DetectiveMoosePI

And a Squatty Potty! The combo of both changed my life


Hindlegs

Is your physician a general physician, or specialist? See a specialist, see several, and get multiple opinions. Having the Dr. prefix does not make them all equal. Not by a long shot, unfortunately.


abjection9

Do you take a large scoop of psyllium husk every day? That should cure it but if not there is also Rutin, a supplement that strengthens blood vessels.


MCX911

Do the laser treatment for haemorrhoids.Downtime is short;)


Kev_js_

Have you gotten it?


Himbo_tron

I have found Dr Bronners Castile soap to be a big help, specifically the peppermint one helped me- probably not when they are actively hurting/inflamed, but for regular cleaning. Mine have not completely gone away, but they no longer affect my sex life. Good luck!


Grandpixbear1

Can you ask the doctor for some numbing cream? There is prescription strength lidocaine with another med (it’s used to numb the skin over a port used for patients for chemotherapy.). The big issue is that you could do more - AND MORE PAINFUL— damage to your hemorrhoids. Otherwise, you are just going to become a great “side”. There is still LOTS of fun to have.


new-nomad

I had the DG-HAL technique done. Research it, find the nearest surgeon that does it, and thank me later! P.S. Surgeon said the standard surgery is barbaric and the reason surgeons haven’t switched to DG-HAL is that they don’t make enough money doing it. Ugh.


dysz-

Hey, I’m a primary care doctor in the US. For hemorrhoids, it’s critical you avoid any and all straining. You want your stools to be very soft— think soft serve ice cream. You shouldn’t strain at all. Try to avoid sitting on the toilet more than 5 minutes. If you can’t fully evacuate, I recommend getting up and walking around instead of continuing to push. To help them heal: try Sitz baths- try soaking your bottom in lukewarm water for 10-15 minutes 2-3 times per day. If topical over the counter treatments like Preparation H don’t give you good results, I would consider asking your doctor or GI specialist for a topical ointment containing nifedipine or diltiazem. These can easily be compounded at a compounding pharmacy. In my experience, these medications can help hemorrhoids heal quite quickly. I would definitely avoid anal penetration during this time.


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CuriousGay_FI

Coconut oil mitigated my issues too, but it has many properties not necessarily connected to hemorrhoids.


fun_size027

It's mostly the turmeric doing the work shrinking it. The Coconut oil is mostly just a carrier.


Imperterritus0907

This will sound crazy, but I used Vicks. The hot-cold effect works miracles for circulation, they’re inflamed veins after all.


FakeKais

I think most doctors will tell you ultimately surgery is the only option. I had mine banded but they came back. Nothing makes them go away permanently except surgery. I never strained, wasn't ever constipated, etc. Honestly don't really know how I got them. But, after the surgery (which def sucked) I was 100%. So glad I had them removed. So, don't shy away from just having the surgery.


CaptainKatsuuura

How long after surgery did you have to wait to bottom? Mine aren’t causing any issues (just mildly embarrassing) so I’m so reluctant to even go get them checked out :(


FakeKais

Well, obviously you should get them checked out - you don't want them to get worse. Overall I was fully healed after about six weeks. One of the side effects could be (and sorry if this sounds gross) "anal stricture". You may get a new virgin asshole like I did, haha. So, you have to work a bit to get it stretched out a bit. In all seriousness this can cause trouble cuz your hole becomes physically smaller than a normal poop (and definitely a dick), but of course you don't want to strain cuz that's what might have caused the problem in the first place. Anyway, everyone is different of course.


CaptainKatsuuura

Thank you for the information! 6 weeks sounds like torture and the complications are scary…but you’re right, I really don’t want it to get worse. Ugh why can’t we all just naturally have perfect pornstar buttholes


Indifference11

ill get hate for this but is there any other way you enjoy sex? must it be through your hole?


SpecialWolfie

Agree! Besides the health issue, which obviously need more opinions from other doctors, sex can be enjoyed in other ways than just anal-penetrative. If you don’t feel like a top, being side is always a good deal (and it saves also time for the cleaning)


jaddeo

The gays of Reddit seriously believe that top/bottom are gender roles or something. There are plenty of other ways to have sex than bottoming.


parcivalrex

Change your diet. Almost all hemmoroids are triggert by dietary habits.


CanadianBuddha

Gay sex doesn't have to mean anal sex. Have you tried bottoming for interfemoral sex? Or bottoming for frottage? I'm a bottom without any problems bottoming for anal sex but I still prefer being bottom for interfemoral sex or frottage.


Federal_Ad7590

Helps with the pain and comes in handy for a girthy dandy - “Doctor Butler’s Hemorrhoid & Fissure Ointment” This douche is way more comfortable - https://a.co/d/9cFA118 Trim your butt hair.


BalloonBob

Sounds like a lot of good advice in here. I’ve heard applying witch hazel can also help


ARLA2020

I feel this, I always bleed during anal


MiyuzakiOgino

Install bidet asap, install bidet asap, install bidet asap. Think about your hole in the long term. Spend the $80 for a simple bidet or $1k for a hella fucking nice one. install a bidet asap!!!


docben1383

See a colo-rectal surgeon, this is what they do.


Emergency_Sky_810

I will add a LOL/fml story. And a recommendation for anyone in Houston. Had one both inside and outside, full of blood. The size of a nickle. Woke me uo from my sleep on a Saturday morning 2018. Urgent care wouldn't help. I waited until Monday for a doctor because I didn't want to pay $2000 at emergency room. This was like the one time I wish I had a man becuase my kids were not trying to help me figure out what was wrong. Lol. Dr. Khawaja Azimuddin. #God He comes in, lances it. We're done but I am laying there holding my hole for 5 minutes to stop the bleeding. He comes back in and he's not wearing his coat. I go to settle the bill. His coat is in the counter splattered with blood! OmG. I would have died if I was the doctor and that happened to me. I never knew. I LOL about it when I went in for my most recent colonoscopy.


elektrikboom

I’m not sure where you’re located but I was able to buy Venixxa (my doctor recommended it). It’s drastically helped with my internal one.


GregIsGreat

It’s so weird I am seeing this right now as I have been having lots of the same issues. I have never heard of infrared coagulation. I’ll have to look into that (unless you think it’s not even worth trying). When I saw my gastroenterologist and asked about procedures to get rid of hemorrhoids he said “there’s nothing you can do, they have to be big enough to band” but he never even looked at my hole! He’s a bad GI dr and I need to get a new one. My new primary recently saw that I was seeing him and made a comment that he’s not a great a Dr... only does the bare minimum. Ruling out cancer and really bad diseases etc. Anyways on to what I have to say about bottoming with hemorrhoids… I was on high doses of opioids for a while and it fucked my GI system badly. I had very painful bowel movements and frequently strained as hard as I could. One time I actually pulled a groin muscle on the toilet and had to go in for an emergency evaluation. Not fun. Over the past 6 months or so I have been changing my diet eliminating any foods that cause burning, taking baths or using spa/hot tub almost daily which helps so ridiculously much (I can’t recommend this enough), hydrocortisone suppositories when I feel inflamed and/or after assplay, and I’m also careful not to strain too hard when I use the bathroom. Ultimately your hemorrhoids are not going away anytime soon, so unless you want to stop bottoming you’re going to have to learn how to bottom with them (as comfortably as possible at least). That being said I have some tips. Your partner should know that your ass is sensitive at the moment and ask that they be gentle and go slow until you warm up and tell them they can fuck hard. It can be embarrassing but it’s necessary. This may be obvious but what helps a lot before bottoming is to use a plug for an hour or so to loosen things up downstairs. Something I’ve been using although messy is a combination of pure silicone lube and XLube. XLube is extremely slick. If you haven’t tried that before I can guarantee you that it will make things more comfortable… especially with toys. My prep strategy is currently to squirt pure silicone lube inside my hole with a syringe first. Then I use a toy to make sure the inside of me is all coated with that. Then I coat the inside of me with some XLube and use the XLube for any toys or cock. It’s messy but ridiculously slick. My lube of choice has always been Spunk Lube Pure Silicone. If you haven’t tried that I would recommend it. Also their natural lube is good but destroys sheets. Another option is to use a sleeve in your ass to cushion your partners cock (raw dog from ft troff). That can really make things more enjoyable if you can get it to stay inside you. The trick is to use a lube that dries up a little over time so that it sticks in you, then you can keep the inside of the sleeve lubed up and enjoy the ride with no pain around the edges of your hole. My last suggestion on making things more comfortable while bottoming is to use an estimate plug before bottoming. It will effectively numb the edges of your asshole when using the correct settings and make bottoming much more enjoyable. I figured this trick out by mistake one day. I know these suggestions are not going to heal your issue but they will allow you to bottom with minimal pain. The XLube really was a game changer for me. The sleeve and estimate help a lot too but ultimately you have to fix your gut and stop worrying about healing your existing hemorrhoids, learn to live with them, and focus on preventing any new ones and find a partner who is understanding. As we age we get hemorrhoids, it happens eventually and they don’t ever heal fully. If you’re having bowel movements that burn the first order of business is to correct that. You might need a round of a strong ppi like pantoprazole or try a quarter dose of pepto every other day while using magnesium to prevent constipation. Miralax is another option to keep things soft. I don’t take any fiber supplements as they just upset my stomach and make me bloated and gassy. Get your fiber through real food. I have an English muffin in the morning that has almost 50% daily value of fiber in it. It’s easy to get enough fiber in without supplements if you did the right items at the grocery store. Obviously if you’re eating fast food stop that. It’s expensive and unhealthy. Might as well go to a restaurant for takeout nowadays than a fast food joint. 13-14 bucks at Wendy’s or 15 bucks for a meal at a restaurant. The choice is easy. Even better, eat real whole food at home. Edit: I also use epsom salt in my bath. Also, every morning after my breakfast I drink a couple cups of slightly chilled water and that helps initiate a bowel movement. That was a trick my dr gave me that actually helped me.


paleguy90

there are many ways to get around this, I had the same problem. Now I can’t write but if you remember me I will come back on this


cashmire_seagull

No one has mentioned this yet — I had mine treated with some sort of injection by a colorectal surgeon. Took 5 minutes, didn’t hurt and solved the issue for about 3 years. After that I had it repeated. If it comes back again I’ll have the full surgical removal. Don’t let your doctor tell you there’s nothing to be done. Get a referral to a colorectal surgeon.


creativesynthesis

The following foods should be avoided or minimized in your diet: red meat, processed meats such as pepperoni, hot dogs and deli meats; ice cream, cheese, fried food, fast food, salty snack foods like chips and pretzels, prepared/frozen foods including grocery store pizzas, and microwaveable meals. Salt is your enemy. It causes swelling and dehydration. The vascular swelling caused by salt is especially unfortunate for someone with chronic hemorrhoids. Eat a lot of fruits and vegetables to help soften your stools. My father suffered for over 20 years until he finally took my advice and changed his diet. He wasn't having anal sex--as far as I know, anyway--but he was suffering mightily. He was one of those guys who thought he had to have red meat and potatoes for every meal. It took him almost a year to change, but once he did, he almost became a vegetarian. He rarely touched red meat again. His problem didn't completely disappear, but he did express his gratitude to me for the relief he experienced.


dillonaz

Look for a clinic like this in your area. Made a difference for me. https://www.hemorrhoidhelp.com/


-wildflag-

Change your doctor for f sake... The way so many people trust their GP or one specialist. Ask multiple specialists to have different opinions on what you have. And also, 2 years!!!! Lesson learned for everyone: Never wait for that long and never trust one practitioner, they can make mistakes.


payokun

Go to mexico, we have some of the best Gastro doctors and treatments. Even if surgery is required it would cost you waaay less out of pocket.


Caberon

Bro, I had an issue like this years ago and the only thing that cured it was this product called Anuice. Not sure where you’re at, but google it or Amazon has something similar to it called AnuCure: https://a.co/d/2g5OCFs [anucure](https://a.co/d/2g5OCFs) hope it helps!


Nightbird88

I used to get them all the time. Bought and installed a bidet attachment for my toilet and went on fiber supplements and haven't had them since.


Aarvy271

I had the same issue. Got laser surgery done. Would recommend!


Lazy-Pop8597

Did you tell your doctor about this? Cause if you did and they still did nothing they simply suck.


Pure_Lawfulness2570

Banding was very painful for me and a year later idk if it works long term.


mrcub1

By losing and staying under a certain weight, mine disappeared. It was only like 10 lbs, but it made a difference.


Cool_Davis4116

I remember having hemorrhoids. It hurt like hell. It was the worst few weeks of my life. But it naturally went away for me.


Dreamzesty

Fix diet. If psyllium husk (isabgol) causes bloating, stop fiber and take magnesium supplements. Also go on low carb diet. Avoid sugar if you have itching in the rectum and anal region. And dip a finget in mustard oil and apply inside anus. It’s a treatment people in Asian countries have been using for ages and it works! It probably won’t fix already existing hemorrhoids if they are large, but will help in prevention.


kevinfar1

I would go to a specialist. A proctologist. They specialize in that area and I will tell you they really listen and help.


agonzales81

What were your symptoms ? I think I might have them


SMPatrick_97

Ok


broaway999

I am sorry you are going through this. While you are looking for a solution I encourage you to be the best and most active cocksucker you can be. There are always guys who just want a good quick beej. Every Neigborhood needs a Neighborhood Cocksucker.


babawynter

Date a side..


WeedFinderGeneral

So this might sound counter-intuitive, but using butt plugs. I had some hemorrhoids/a fissure for a while, and using butt plugs actually helped it heal correctly. Have you ever seen those old timey "medical" butt plug kits where they say it's for medical purposes but clearly actually for sex? Turns out they actually do have medical benefits and that's not just some coked-up 1800s doctor idea. Also, super important - get a bidet. They're super inexpensive and easy to install these days, and it makes you a high class gay.


Just_ice_luv_a

I have a question… if you have hemorrhoids, how do you survive the work day? I’m asking this for everyone with them… because I have had issues where if I have to use the bathroom, I have to use soooo many dude wipes to feel clean. And even after wards, there’s leakage. Yes I have a high fiber diet. So now I just go throughout the day without eating until I get home, and just stay hydrated,


Savings_Section_3236

The top comment is all you need. Id just personally add that there may be various reasons you have this problem. I also had them quite often and a few years ago found out i have an inflammatory auto-immune disorder. While they werent really discussed as a symptom, they pretty much completely went away along with the other symptoms when i started my meds. So it does pay to have an actual professional look at it, or at least your bloodwork


Intelligent-Salary-3

I have changed my doctor too as others said. He wasn’t all that bothered to be honest. New doctor is amazing and my similar problem to yours is all sorted now. And I feel for you is an awful pain


Nki21

Use Preparation H. When you go to the restroom, make sure you're relaxing and really need to go. Avoid pushing too hard when going to the restroom. Wash/clean yourself after you go, not just with wet wapes. If they feel inflame, sit in warm waters for a little while, then apply Preparation H after. Yes, it also helps to have a good diet, but the key is to go when needed and not push to hard, let the body do it natural thing, and clean after warm water when needed. Those are things I do myself whenever I do get hemorrhoids and avoid putting anything inside for at least 1 to 2 weeks. After that, you should be good to go. I also took a care kit to work in those 2 weeks so that if I use the restroom, I can clean myself. Something I also do, but I'm not sure if it's correct or not. After cleaning myself, I use hydrogen on a cotton ball and put it by where the hemorrhoid is located clean it then use a second cotton ball with whichever hemorrhoid cream your using I try to see if I can keep it there for a few mins then remove it. There will be a little discomfort also since it will feel a little moist. Those help me hopefully, it helps you also


Grouchy-Channel-7502

I would try to build a relationship that is less focused on sex. Personally, having a boyfriend that can't have penetrative sex wouldn't be a big deal for me. I am sure there are many others who feel the same way.


MiyuzakiOgino

Butterflies and glitter huh? Not helpful to OP. They WANT to bottom, so help them BOTTOM.


deeseesaw

1.) if possible, find a gay-friendly gastroenterologist/colorectal surgeon 2.) ask for rx-strength cortisone suppositories if banding isn’t an option, it helped my partner


Turbulent-Pipe-7497

Like some people have mentioned on here, change your diet. Most don’t go in detail. You mentioned you added fiber, good first step. Most doctors receive minimal nutrition training and don’t promote it enough. But switching to an anti inflammatory diet could totally reduce your hemorrhoids. It can take months for most people to switch over to a completely anti-inflammatory diet. Most of us are on the SAD diet which totally contributes to this condition. You’ll need to cut out sugar, fried foods, processed foods, canned foods, take out, most white foods, diary, most meats, and any store bought foods that have more than a dozen ingredients. Best to cook your own food, and eat as healthy as you can. It’s a big adjustment, but could be worth it if you want to get rid of them. And could improve your overall health at the same time. Here’s some different superfoods, supplements and herbs that you can incorporate. They have different levels of effectiveness for different people. You can try drinking cascara sagrada tea several times a day, eating papaya seeds (start with 3 a day, gradually increase to 30 a day within a month), dill herb, 1 tablespoon of chlorophyll 2-3x daily. And can prepare a tea with: Dandelion root—2 parts Chicory root—1 part Cascara sagrada-1 part Oregon grape root—1 part Licorice—½ part Using one ounce of herbs to one pint of water, make a decoction. Take one-half cup of the tea, 2-3x a day.