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Are you experiencing protrusions in the vascular network beneath the anal canal in your rectum? In a healthy person, the tissue surrounding the anus, or "anal cushion," fills with blood to help regulate the elimination of waste materials from the body (i.e. bowel movements). When excessive pressure, or other factors, cause the veins within the "cushions" to become inflamed and stretch, anal protrusions and anal itching is the result. The following publications have reported how supplements in Avatrol can help alleviate anal discomfort: 1) Bioflavonoids are a type of plant compound that are thought to work by stabilizing and strengthening blood vessel walls and by decreasing tenderness in the affected area. They have been found to reduce anal itching, discomfort, and anal discharge. (About.com). 2) Horse chestnut seeds, leaves, bark, and flowers have been used for a variety of conditions and diseases (nccam.nih.gov). 3) Horse chestnut has been used for swelling and pain due to varicose veins and chronic circulation problems. It helps anal itching by reducing the swelling in the anus (medicinenet.com). 4) Bilberry extract, or Vaccinium myrtillus, is a potent flavonoid that protects and maintains venous strength and function (supplementnews.org). 5) Question: A reader recently reported using zinc oxide for anal protrusions symptoms. I just wanted you to know that I have been using zinc oxide for this purpose for years. I thought no one else knew about it! It's something I just tried on my own after little or no relief from such ointments as Preparation H. Zinc oxide provides almost instant relief. I told my doctor years ago, but she had never heard of using zinc oxide for anal discomfort. Answer: Zinc oxide cream appears to be a safe and inexpensive. When we looked for it at the drugstore, we found it sold as a diaper rash cream (chron.com). Avatrol contains a synergistic blend of all-natural ingredients that helps you alleviate anal discomfort.