Sorry but this may be TMI. I need advice with regards my pile(s). It appears once or twice a year and is so painful. It pops out just south of my bum hole so that it feel continuously pressed on and a sneeze or cough is excruciating! I use haemorrhoid cream (and try to push it back inside) but it doesn't seem to make much difference. Can someone tell me what they are, why they recur, what I can do (if anything) to prevent them and is there anything I can do to ease the pain please! 🙏 or anyway to get rid of the little fecker(s) once they appear?