I doubt your receptive activity caused the hemorrhoid, but for the moment, I suspect even thinking about butt sex is painful.
Painful hemorrhoids are basically varicose veins that have formed a blood clot. The inflammed clot induces swelling and a lot of pain. If the Prep H isn't helping, get thee to a clinic later or tomorrow, and have them open it up. It sounds gross, but once the vein is opened (with a very small cut with a scalpel), and the clot is taken out, the pain vanishes almost immediately. You will need some minor after care, but healing is pretty quick.
Good luck, and keep me posted.
Dr Danny
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