I have hemorhoids, and I suffer with IBS-D, but have trouble going due to weak pelvic floor muscles and a slight mucosal lining prolapse , so have to strain some times, not good for the hemorhoidds, they sometimes bleed and are very red/purple and swollen, and so painful especially to sit down. I have a good cream from the doctor called proctacydl, but have been told I may need them dealt with.