I have had occasional flareups over the years and have observed, in my case, a direct relation with my diet and stress level. I recently started making a simple morning shake to help cleanse my colon and an unexpected suprise occurred. My hemorrhoid inflammation went away and then they receded.
8-10 ounces of purified water
2-4 ounces of juice
1 packet of stevia
1 tablespoon of 100% psyllium husks (off brand of a generic Metamucil)
1 tablespoon of 100% hemp powder
2 grams of vitamin C powder (2 crushed 1 gram tablets in a mortar & pestle)
I think the main reason is the stool softening power of the high fiber content of the husks and hemp. I feel lighter and more relaxed when I go, and have no need to exert extra pressure. An en-lightning
observation I was happy to have.