A hemorrhoid is caused by inflamed veins and blood vessels. The 100% natural ingredients are proven to naturally reduce inflammation and also strengthen the blood vessel walls. Unlike greasy, messy creams, Hem Healer Extra Strength goes right to the cause of your hemorrhoids, not just the symptoms. The two main ingredients are simple extracts from the bitter orange. There are no chemicals in Hem Healer Extra Strength, period!Hemorrhoid sufferers that have tried the Hem Healer Extra Strength usually keep ordering it as it is one of a kind!