i am 21 and going through my first case of hemorrhoids. i am totally confused from all my internet research mostly because of all the things they say causes a hemorrhoid, i havent done or had any of them….i.e. no heavy lifting, pregnancy, no constipation etc. i am really bummed about this because for me it is really painful! it started hurting the most on sunday so this morning (monday) i did a saltz bath twice. then i worked from 3 in the afternoon until 11 and im not kidding, but by the end of the night….starting around 8 i was waddling around my work because it was so awful. i did one more saltz bath when i got home and took a vicodin for the pain so i feel okay now….but im worried about work tomorrow because i will be at work for 8 and a half hours! i obviously cant do a saltz bath so id like to know 1) what i can do for the pain
2) how long will this horrid pain last
3) is this really normal? cause according to my reading, everybody has this…it just doesnt seem right

I have constipation predominant IBS with occ. bouts of loose stools but mostly hard painful ones. Recently, the straining for the (lack) of bowel movement seems to have created an internal hemorrrhoid that pokes out during bowel movements and is causing a good deal of pressure and pain. I happen to be in an incredibly difficult time at work right now making taking off for a doctor’s appointment a last choice, although i could go to an urgent care after hours if i thought it would be best, and meant that I didn’t have to miss work tomorrow. What should I do? I’m on a very high fiber diet that includes both soluble and insoluble fiber and its done nothing, so please don’t start with the "more fiber" comments.