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This is extreme and was a PITA but it worked. My OB said to try this before going to a colon and rectal surgeon because mine had gotten so bad. He said the trick was giving them the chance to heal instead of aggrevating them every time I went to the bathroom.
Up your fiber to 20-25g a day (high fiber instant oatmeal and fiber bars made this easy for me). Drink a minimum of 12C water a day. Take 4 colace (max amount) each night before bed. Use a little vaseline before doing poo to help not aggrevate them. Only wipe with tucks pads And heres the hard part. Do 3-4 sitz baths a day for 10 minutes each. I ended up doing them in the bathroom sink because I could just fill the sink and sit on the counter. There was no way I could strip down and get in the bathtub that often when I was alone with LO. Do it as hot as you can handle.
Mine FINALLY started to feel better around day 4. and by day 7 they were gone. I've kept up the fiber, water and the colace (but only 2 pills now) but I want to wean off the stool softener soon.
ETA: Prior to this my OB gave me a prescription cream to use on while it helped a little they did not go away.