need assistanceI am experiencing hemorrhoidal pain Xs 2 days.  I took a warm bath last night in Epsom Salt. I am also using Preparation H PRN. I have had this problem in the past where the hemmrhoid became thrombosed and had to be lanced by my MD. I would like to know at what point should I make an appointment to see my physician and if there is anything else I could do to relieve the symptoms.  age 26, 506, 165 NKDA
Hello, Welcome to Chat Doctor, Hemorrhoid is unlikely to cause pain unless complicated by thrombosis(clotting of blood). The cause of your symptom is likely to be anal fissure, which is a small ulceration at anal opening. Exact diagnosis will depend on clinical examination. In the meanwhile I would suggest you the following 1.  Chat Doctor.  2. High Fiber diet-Vegetable salad and Fruits especially citrus fruits. 3. Avoid Diet causing constipation- Especially those food stuffs containing refined flour like cakes, bread, biscuits, cookies 4. Hot Sat bath