Curly Sue is right. The suppositories melt and they’re very effective on the external type too. Additionally, they relax the area so that you don’t strain too hard for a b/m.

My top tip is to have a ’sitz bath’ 3 times a day. Run a few inches of warm/hot water and sit in it. Very calming, and helps to remove bacteria/ If you can deal with it, salt will help, but it hurts like hell the first time.

Tucks are good, but a bottle of plain old Witch Hazel is the same stuff for a fraction of the price; you just moisten the toilet paper with some before you wipe.

sometimes they have to be surgically treated if nothing helps

Call your doctor and they can call in some prescription strength suppositories.

Edit: Yep, yep. I read that. With a suppository, they melt. Thus coming out of the rectum. You may have better luck with that than trying cream that may come off in your undies.

Ask for a stronger prescription strength hemorrhoid cream. Also use Tucks (witch hazel) pads. Increase your fluid and fiber to avoid straining with a bowel movement and prevent them from worsening. That’s about all you can really do.

The first treatment of hemorrhoids is often with a high-fiber diet and lots of fluids to promote soft regular bowel movements. Cleansing and toilet habits are important. Toilet paper use after a bowel movement may be abrasive. Wiping with synthetic cotton swabs premoistened with warm water may be more comfortable. Vigorous rubbing should also be avoided. Take a sitz bath by soaking in warm water several times a day, especially after having a bowel movement, to keep the area clean.

TUCKS WITCH HAZEL PADS.
AND SOAKING YOUR BUTT IN WARM CLEAR WATER FOR 1/2 HOUR 3 TIMES A DAY.

IF THEY BLEED OR SEEM REALLY SORE AND PAINFUL,SEE A DOCTOR.