not all people have them or get them just those that overload the digestive system and overload the liver. That certainly does not include everybody. I once had them until I changed my life and cleaned up my colon, this was many years ago and they have never returned because I no longer eat tons of fried shrimp or other clogging foods. I eat more vegetables and only small amounts of meat. The reason I got hemrroids was because I was a piggy, oink oink.Now since I am no long a face stuffing pig I do not have them, they just faded away never to be felt ever again.