Brief Answer: Detailed below. Detailed Answer: Hello! Thank you for the query. Hemorrhoids are usually caused by constipation or hard stool. It can be also an external sign of colon condition. So the most important thing to improve its condition and to prevent from further problems is diet. You need to do everything to have regular bowel movements and avoid constipation. Please note that there is no medicine which can completely cure hemorrhoids. You have mentioned some agents which can be helpful in case of inflammation (which apparently is now present). Here is what you should do: 1. Increase fiber rich products and mineral water intake. Start probiotic intake. Have sitz baths with Oak Bark (or potassium permanganate if Oak Bark is not available) twice a day. Wash your rectum after every stool. Continue with Preparation H. 2. When inflammation will be gone, you should consult general surgeon and consider surgery. 3. You should have colonoscopy done (before any surgery) to rule out colon cancer (same factors which cause hemorrhoids, can cause colon cancer). Hope this will help. Feel free to ask further questions. Regards.

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