i have had good luck with the following:
take metamucil or another fiber supplement, either the powder or wafer form, 2x each day.
never use toilet paper; i only use the medicated witch hazel pads when wiping myself.
drink lots of water.
i had an external thrombosed hemorrhoid (looked like a large purplish olive had attached itself to my asshole) which they said would require surgery to get rid of completely; these steps helped clear it up and i haven't had any flare ups in years.
that being said, seeing a dr is a good idea as are the other measures mentioned in the above postings.
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