★★★★★
Mix equal parts ginger and cayenne, and then throw in a dash of turmeric. Fill large gel caps you can get a a health store or online.
I take two pills in the morning, and two at night. You can take one with lunch too.
Make sure to drink a glass or two of water when you take them. This prevents burning your stomach and also drinking lots of water helps soften your stool, not to mention it makes everything in your body work better.
I try to cook with ginger and turmeric whenever possible. I'm not so good with spicy, but if I was, I would cook with cayenne too.
The swelling of the hemorrhoids should start to go away as soon as a day, as long as a week. I think it took two days for me to feel results. I've been taking them a month and I'm completely pain free for weeks now. I can use dry toilet paper (though I never recomend it) and I couldn't even touch myself down there last month without intense pain. I also take magnesium to help keep stool soft since fiber and water weren't cutting it.
This mix also helps with other vascular issues like varicose veins, and joint inflamation.
Good luck!