Hi, welcome to health care magic, I am sorry that you are unwell
Hemorrhoids or internal piles are swollen blood vessels in the rectum
, they are rarely common.
The most common causes of hemorrhoids are low fibre diets resulting in straining and constipation
, prolonged sitting on the toilet is thought to effect the return of blood to the heart and result in hemorrhoids, aging which can lead to weakening of the muscles. Excess weight and diarrhoea
can also result in hemorrhoids.
The treatment would consist of (1)warm baths ( you can use just plain water or add epsom salts or plain salt to it) 2 or 3 times a day this will reduce the swelling and pain(2) high fibre diet, plenty of water (3) some doctors also recommend a stool softener
to reduce the straining on the toilet (4)the use of the topical creams and agents you have described.
There are certain techniques to avoid making them worse such as : blotting NOT wiping after using the toilet, baby wipes would be good,
avoid sitting or standing for prolonged periods
, when sitting use a cushion,
use cotton underwear to reduce moisture as a result of sweating,
apply ice 2 or 3 times a day for about 10 mins, follow this by a warm compress,
use pain medication
The topical medication
works differently for everyone. Try the above techniques along with the medication and hopefully the pain would improve soon
Wishing you the best