your next step may be surgery. not as bad as you may fear. see a proctologist.
hemorrhiods at 18. so i've had hemorrhoids for a few years now. (diagnosed by a doctor when i was 18 y/o & pretty positive they are hereditary) i like to believe i have a decent diet i exercise probably 5 days a week at least and drink plenty of fluids. also i am not overweight. i started taking a stool softener and i won't lie i wasn't consistent on taking it every night but i did take it at least 3 times a week for about 6 months. however i've had no change in my hemorrhoids (external) whats the next step?