Very persistent hemorrhoids can be dealt with swifty and permanently with surgery. The surgery is not as bad as it sounds, and certainly not as bad as living with bad hemorrhoids. Anything that Preparation H won't take care of in a month or so should be referred to a doctor, so he can either set you up with stronger medicine or get you the surgery to get rid of them.
They hurt, yes
Inflammatory is anything that is swollen because of an irritant
"The Hemorrhoids"
Hemorrhoids are formed by the person's health condition, especially on the rectum part. When blood circulation is bad on the rectum part, you might have hemorrhoids. It could be external or internal or both. It is not turning into internal form from external. It is just where you have the hemorrhoids.
Hemorrhoids come from a dilated vein in the rectum. This is really a varicose vein.
Only surgery will get rid of them but they can still come back.
No. geckos don't get hemorrhoids
Hemingway did in fact suffer from hemorrhoids.
Hemorrhoids are also known as piles
Here is a link that offers symptoms of hemorrhoids.
Hemorrhoids can irritate you, especially itching.