I never had them until I got into remission. Probably because I didn't have to push poo out when I was flaring
Sometimes they're really bad and sometimes not. My GI gave me hydro-cortisone suppositories but they didn't really help but prep H helps with the itch. I kind of gave up but if they end up getting really bad again I'll probably just have them taken off.
Good luck. Hemmies are the WORST!