Dan, The only other suggestion I can think of depends on whether your stools are hard and dry and/or you are straining to have movements. If that is the case, the problem stools and/or straining could be injuring and reaggravating the swollen tissues. In that case I would suggest using a fiber supplement like Metamucil, Citrucel etc. If used regularly, these supplements cause a gel like coating to form around the stool making it easier to eliminate. This might allow healing to occur in your case.