Steroid-induced osteoporosis (SIOP) is osteoporosis arising due to use of glucocorticoids (steroid hormones) - analogous to Cushing's syndrome and involving mainly the axial skeleton. The synthetic glucocorticoid prescription drug prednisone is a main candidate after prolonged intake. Bisphosphonates are beneficial in reducing the risk of vertebral fractures.  Some professional guidelines recommend prophylactic calcium and vitamin D supplementation in patients who take the equivalent of more than 30 mg hydrocortisone ( mg of prednisolone), especially when this is in excess of three months.   The use of thiazide diuretics, and gonadal hormone replacement has also been recommended, with the use of calcitonin, bisphosphonates, sodium fluoride or anabolic steroids also suggested in refractory cases.  Alternate day use may not prevent this complication. 
It is important to remember that hemorrhoid symptoms when diagnosed properly are not life threatening. Other diseases, which produce the same symptoms, can be more serious. Therefore, if you have any of the above symptoms such as an anal lump, bleeding, discharge, pain, prolapse, or itching, it is important to call my office for a consultation. To help prevent hemorrhoid problems it is essential to increase the amount of fiber and water in your diet. Decreasing the amount of fat and cholesterol is also helpful. Furthermore, do not be afraid of having your hemorrhoids treated as the office procedures are quite painless and can prevent the need for a surgical hemorrhoidectomy.