Hemorrhoids and standing

Yes, what you are describing are stage 3 hemmeroids. These are defined when they prolapse (pop out) and can be reinserted manually or by sitting down. The next stage is 4, where they will pop out and not be able to be re-inserted. It could be a good idea to consult with your doctor or a surgeon about options to have them removed or ways you can try to treat them in the meantime. Sometimes if you catch them early enough you can avoid the very pain full hemmerhoidectomy surgery by using less invasive methods.

Grade IV hems sufferer here. Yes, standing too long or sitting too long can irritate the hems or cause them to swell a little, making them feel uncomfortable. I use Emu oil, coconut oil, or "bag balm" (kind of a thick, greasy cream that comes in a can) to lubricate them and the skin around the anus. Those things seem to keep the hems skin moisturized and healthy.

I avoid constipation by drinking 90 ounces of water/daily (yes, it is a hard chore but worth the trouble) and take 1/2 half cap (half a usual dose) of Miralax every night to make sure that I have a BM every morning.

I manage my diet fastidiously - lots of beans, grains, very little if any red meat, or any meat. Vegetables that are fibrous, too, like broccoli, kale, spinach.

A source of any anal discomfort (burning, pain) in my anus is caused by my pelvic nerve (pudendal nerve) being inflammed and radiating to the anus. Verified by ob-gyn, and pelvic physical therapist. In my mind, removing the hems by hemorroidectomy would solve all the problems, but that is untrue (confirmed by a colo-rectal surgeon who would not do the surgery...two other surgeons would do it, but said it's a hard, hard road to recovery, which I am trying to avoid).

Probably too much information, but that's my hems story. For now, I am doing pelvic floor physical therapy, getting acupuncture and massage for pelvic, spine, and pelvic issues where pain radiates to the anus. When all of those is working, I don't notice the hems at all. Very confusing health issue to have.

Best of luck to you, and all who are here suffering with hems!