★★★★★
First of all, I'm NOT constipated. My bowel movements are remarkably predictable (daily, usually early morning) and strain-free. However, afterward, the hemorrhoids usually appear and will remain distended for hours UNLESS I perform my post-BM "ritual", which consists of lying face down on a flat surface and relaxing completely. I remain in this position for 5 or 10 minutes and during that time I can usually feel the hemorrhoids retract, after which I'm good to go.
This doesn't always work. When it doesn't, I apply a small blob of a product called Desitin. Sorry, I know I'm not supposed to submit product names, but this one is not widely known and is God's gift to hemorrhoid sufferers. It comes in a tube and is a white ointment containing zinc oxide. It won't cure the hemorrhoids, but it makes them a lot easier to live with. Don't confuse it with your toothpaste!
Another thing that has helped a lot: several years ago I visited a friend in Thailand. In that country and, I assume, many other Asian countries, most of the bathrooms are equipped with hoses that are used to clean the rectal area after a bowel movement. They are similar to the sprayers found on many kitchen sinks in the US, and those can probably be adapted for this purpose by a competent plumber or do-it-yourselfer. I brought one back with me from Thailand and I use it to clean up after a BM, followed by lightly patting the area dry with toilet paper. This is MUCH better than wiping with dry toilet paper, which just causes irritation and bleeding. You can also buy toilets with built-in bidets which serve the same purpose.
★★★★★
Last night was constantly awakened by pain and itching. This morning after a BM that had me yelling in pain and then was so itchy, I started googling and came across zinc oxide. We had some in the form of a diaper rash cream "paste" and I put it on. By the time I got to work it was much better and I was not itchy all day. It was still tender and the bump was still physically there, but I would say 80% better.
Zinc Oxide
Zinc Oxide
★★★★★
First time my hemorrhoids started 2 months ago, because of constipation. Constipation resulted in fissure and blood. Then perhaps because of baktery invasion, constantly I had lots of mucus, it itched badly. I washed with soap very often, but it became worse by time(a month). I found your site and applied apple cider vinegar on a cotton ball at first. It became better, mucus and itching reduced by half, 1 week passed, but it stopped at that point and never improved. I thought my hem was an internal one and cotton ball was shallow. So I found a nose spray which is smooth, emptied it and filled with ACV, applied a zinc oxide cream to the tip, injected it to my hole and sprayed it 3 times. I repeated it 3 times a day first days. Result was very effective, after 2 days there was no mucus and itching any more. Now after 2 weeks I am almost completely cured, external part has almost disappeared, now still I am applying it once a day, especially after stooling.
IMPORTANT: apply some zinc oxide cream (baby cream) to the tip of your nose spray before inserting, otherwise you may hurt your hemorrhoids further.
Also, it is important to stool at least once in 24 hours even if you don't feel the urge, when you go to toilet and sit as muslim way (foots on toilet, and knees almost touching your chest) and wait a little, stool comes by itself easily.