Hemorrhoids – GoodpillRx

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Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Home
Shop
For Providers
About us
Contact us

Generic selectors

Exact matches only

Exact matches only

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post

post

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Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Goodpillrx Pharmacy's Telehealth Dept Offers Prescriptions By U.S. Licensed Doctors

Men
- SEX
- Low Testosterone
  - Lab Testing
- SKIN
- Hair
- Anti-Aging Kits
- Pain
- Weight Loss
- Anxiety
- Migraine
- Lab Test Kits
- More
Women
- Sex
- Hormones
- Women’s Fertility
- SKIN
- Thyroid
- Weight Loss
- Hair
- Migraine
- Lab Test Kits
- Pain
- Anxiety
Pets
- Dogs
- Cats
- Horses
Lab Testing
Active Aging
Treatments
Therapies
Covid-19
Latest Medications

Hemorrhoids

"*" indicates required fields

Name*

First Last

Email*

Phone*

Address*

Street Address City State ZIP Code

What is your date of birth?*

MM slash DD slash YYYY

What is your height?*

What is your weight?*

Phone type*

What's the best method to contact you?*

What is your gender?*

Male

Female

Are you currently breastfeeding, currently pregnant, or may become pregnant in the near future?*

Yes

No

Not sure

Please list all medications prescribed to you even if you don't take them every day. Include vitamins, and dietary supplements. Enter medicines including name, dose, frequency, and reason for taking.*

Please list your allergies, including any allergies to medications.*

Have you had any rectal bleeding, including but not limited to, bright red blood on toilet paper, stool, or in the toilet bowl?*

Yes

No

Did a specific event cause these symptoms to start?*

Yes

No

Please briefly explain the event.*

Have you been examined by a physician for this symptom?*

Yes

No

what was the diagnosis?

Have you noticed any of the following?

Pain

Ache

Discomfort when sitting down

Have you noticed itching or increased irritation in your anal region?*

Yes

No

Would you describe your bowel movements as painful?*

Yes

No

Do you feel as though you have to strain when passing stool?*

Yes

No

Have you noticed any hard or painful lumps near the anus?*

Yes

No

How much fiber do you consume daily?*

Unknown

0-10 grams

11-20 grams

21-30 grams

How much water do you consume on a daily basis?*

One to two 8 fl. Oz glasses

Three to four 8 fl. Oz glasses

Five to six 8 fl. Oz glasses

Greater than seven

How often do you suffer from constipation?*

Never

Once or twice per week

Three or four times per week

More than 5 times per week

How often do you have a bowel movement?*

Once per week

Every other day

Almost daily

Daily

Are you experiencing any difficulty urinating?*

Yes

No

What medications, if any, have you tried in the past to treat your symptoms in the past?

Have you ever been diagnosed with rectal prolapse, chronic hemorrhoids, or fecal incontinence?*

Yes

No

Do you currently have a fungal infection?*

Yes

No

Have you ever been diagnosed with any of the following?

Heart arrhythmia

Cardiovascular disease

Hyperthyroidism

Diabetes

Glaucoma, angle-closure

Hypertension

Benign prostatic hyperplasia (englarged prostate)

Liver disease

what type of liver disease do you have? Is it ongoing? Have it been resolved?

Have you had any gastrointestinal procedures within the last 6 months?*

Yes

No

What procedure was it?

Provide a recent heart rate and blood pressure measurement. This can be from a recent appointment (within the past 6 months) or you can have these measured for free at most local pharmacies such as CVS or Walgreens.

Finally, is there anything else we should know?*

Yes

No

Please briefly explain

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