I know there a zillion posts in this group about hemorrhoids, but that's a lot to sort through to find ones that might be relevant, so I"ll start a new one. I've had IBS-C for years, and a few years ago began experiencing what are probably hemorrhoids. Amazingly, no primary care doctor or GI specialist has ever done an exam in that area; if hemorrhoids were visible on colonoscopy, the topic didn't come up. I've used one of the over the counter hemorrhoidal creams and found them helpful, but the label says not to use it for too many days at a time. I've reached a point where the discomfort is fairly constant, and sometimes if I have a bowel movement that's thicker or lumpier than usual, it's painful to release. Does this sound like a hemorrhoid symptom? I don't have any bleeding. I have an appointment with my GI doctor in a few weeks, and I will ask if he can do a physical exam, or if not on the spot, if it can be scheduled as a new appointment, ASAP. I've just started using a sitz bath, which is supposed to help but not necessarily resolve the situation. I assume that as long as I have constipation, I'll have hemorrhoids, so I don't know if the customary treatments would work. Any advice?