If you are straining, you may need to take a stool softener. Straining may cause you worse problems in the long run, rectal prolapse is a big concern. Baths are great... I also take my symax for the pain. Have you tried good ole' tylenol for the pain?
Hemmhroids can hurt anytime w/ or w/out stool. I think that hemmies aren't always detected because the swelling can go down when they are not flaring.
Hope this helps a little :)
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