Hello Everyone,
I am a retired general/trauma surgeon. From 2011-2015 I was the director of Wound Care an Hyperbaric Medicine at the Nix Hospital in San Antonio. There is a supplement/Medical Food effective in the prevention and treatment of varicose veins and hemorrhoids, without surgery. Diosmin is a flavonoid taken from the pulp of oranges. 1,000 - 1,200 mg per day will do the trick. If the hemorrhoids are large and painful then1,800 mg/day for 14-21 days is advised. Vasculera is FDA approved for these diagnoses but requires an Rx in 30+ states and 600 mg tablets cost $3.00 each. OTC Diosmin can be purchased without an Rx for $0.10 to $0.40 per pill.
See.:
https://www.vasculera.com/
https://pubmed.ncbi.nlm.nih.gov/32399811/
I hope you find this helpful.
Robert Dunn, MD, Austin, TX
PS: Diosmin has an anti-diabetic effect ans may lower your blood sugar a little bit. This may be of concedrn if you have a tendency toward hypoglycemia.