Conversation: The conversation between human and AI assistant.
[|Human|] Hi Dr. I am a 38 year old mother of 2 who has suffered from hemmorhoids during my pregnancies and since. When I am not suffering, I have loose skin around my sphincter. The skin does engorge during a flare up. Is there something I can do at home to remove that loose skin without surgical intervention??
[|AI|]  Hi, I understand your concern.  If there is no involvement of spinster & just skin loosening please don't worry.  You can try to tighten it by- - avoiding constipation/stress to anus (fibers in diet/ plenty of water) - alternate hot & cold rinses/ -sitting in hot/cold water tub.Schlitz bath.  -Perineal exercise-alternate closure & loosening of anus(to be done after evacuation of bowels only) Thanks.