Let’s talk about a pain in the butt. No, not your coworker or boss. But, a different kind of pain that is chronic, bothersome and annoying. We are talking about hemorrhoids, also known as piles, if you are listening outside the U.S. We will go over the two different types of hemorrhoids, internal or external, and how to determine which one your patient has. They could have both! Next, you’ll want to take a good history and physical to determine the treatments. Join Dr. Niket Sonpal to help take care of that pain in the gluteus maximus. — Never pay for another course, workshop or seminar again. Become a member and get full access to every resource we’ve ever made. You’ll also get 50 CAT 1 CMEs every calendar year as part of your membership. Click the link to learn more about becoming a member: Medgeeks All Access — Do you work in primary care medicine? Primary Care Medicine Essentials is our brand new program specifically designed for primary care providers to increase their core medical knowledge & improve patient flow optimization. Learn more here:  Primary Care Essentials —