Hemroids and bleeding , pain

Could anyone tell me what I can do , since the Surgery 4 years ago. I had RNY 4 years ago and I have Hemroids so bad they are painful , they bleed and nothing seems to help It hurts so very bad when I have a BM if anyone has any advice Please all is welcome. The creams and ointments dont seem to help the pain. Oh and lets not forget the ithching WHAT TO DO PLEASE HELP?

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