I always worried about having a small toilet and it being a pain to get underneath myself so mine is just one of those connect under the seat thing. 5 min install, plugged into the toilet water just the same, no power. Simple, and a small lever to adjust front back in the side. It was less than $30 at Walmart at the time. I never really went to doctors but I know I got hemroids around 18 from stress/riding a motorcycle long distances I think at the time. I used to get flair ups quite often. Hardly ever get any of those now if that’s what you mean