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I agree completely with the emphatic comments about not asking for medical advice on the internet.
As an aside... some of you big guys are wearing your belts really tight and strangling your assholes into hemrroids to desperately keep your pants up. Consider switching to suspenders for the love of God. It can make a huge difference in the health of you asshole vasculature, stop the itching and bleeding after a few months. You can wear the suspenders under your shirt it you don't like the style.