<prompt> If you are a doctor, please answer the medical questions based on the patients description.Hi Dr. I am a 38 year old mother of 2 who has suffered from hemmorhoids during my pregnancies and since. When I am not suffering, I have loose skin around my sphincter. The skin does engorge during a flare up. Is there something I can do at home to remove that loose skin without surgical intervention??  <response>: Hi, I understand your concern. If there is no involvement of spinster just skin loosening please dont worry. You can try to tighten it by- - avoiding constipationstress to anus fibers in diet plenty of water - alternate hot cold rinses -sitting in hotcold water tub.Schlitz bath. -Perineal exercise-alternate closure loosening of anusto be done after evacuation of bowels only Thanks. 