Hello and thank you for asking HCM. Nicotine (doesn t matter if taken with cigarettes or with gums)can cause vasoconstriction and worsen blood circulation. As a result, leads to the built-up of venous stasis in the rectum or anus and thereby the occurrence and deterioration of hemorrhoids. So, for people who suffer from hemorrhoids it is a good idea to minimize the amount of nicotine they take with gums/cigarettes. Also alcohol especially red wine have the same impact in hemorrhoids as nicotine. I suggest as following: -Reduce the amount of gum that you take each day. -Reduce the amount of alcohol especially red wine. -Try using kiwi and having a healthy diet with fresh fruits and vegetables,and food with a good amount of fibers. A high-fiber diet results in a large, soft, bulky stool that passes through the colon easily and quickly. A softer, larger stool helps prevent straining, which can help avoid or relieve hemorrhoidal symptoms. If your symptoms persist,than i suggest you check up with a proctologist. Feel free to contact me any time Dr.Endri Katro