with the heamorroids, my doc would "pop" them. which involved slitting them and removing the clot. It sounds gross, but was done within the 15mins examination time ... and the relief!!! OMG!!! No aneasthetic required, and it feels no worse than a blister being lanced. Actually, "lancing" is how they referred to the haemorroid procedure.

Pear juice, correct posture ...