As the title states, I unfortunately strained a bit too hard on Tuesday (4/28/26) morning and wound up with a stage 4 thrombosed hemorrhoid by Wednesday (4/29/26). I was able to almost completely recover and reduce it by today, Friday (5/1/26).
Tuesday was bearable, I was making tacos. I was sitting at my desk. But Wednesday I could barely move. I worked from the couch, I couldn’t walk. It was awful. My best friend said it was “the worst hemorrhoid she’d ever seen” and “you need to call a surgeon immediately”. I, however, have dealt with thrombosed hemmys before, so I took my chances, as my mother’s birthday is Saturday (5/2/26) and I was completely determined to have this thing shrunk by then.
Here’s what I did:
Tuesday and Wednesday I did “Sitz Baths” with Epsom salts, Tea tree oil, and Castor oil. Yeah, my tub is kinda gross now but that can be cleaned. Not only was the essential oil bath totally relaxing for me, but it was the ONLY relief from the pain on Wednesday. I lived in the bath pretty much all day as I contemplated going and having this thing lanced.
Tuesday and Wednesday I also alternated Prep H suppositories and some Amazon suppositories I found (Ariella Brand). Neither of these really helped. I also order Dr. Butler’s cream which arrived Wednesday. This did NOT help me whatsoever and for the price, I was incredibly disappointed.
Wednesday I ordered the coveted Mayinglong cream from Amazon. It will be delivered Thursday.
Wednesday night I finally decided to put white sugar directly on my hole and sleep with it there. I got sleep that night.
Thursday morning, I woke up and the pain was definitely not as intense. My husband put more sugar on that morning. I left the sugar on for about 30 more minutes, then had another bath.
Thursday throughout the day I continue my regimen of the Prep H suppositories and the Dr. Butler’s as I wait for the Chinese cream. There is barely any pain, but I’m just doing The Most because of Determination. I need this to go away.
Thursday night the cream finally comes but I wait to use it until it’s time for bed. I combine the Maylinglong cream AND the sugar for MAXIMUM effect (in my mind). Praying I don’t get some sort of chemical burn, my husband pours the sugar on my hole. The Maylinglong feels like icy hot. I go to sleep.
Friday morning, the pain is completely gone. The hemmy is still there. However it is 1/3 the size it was and the pain is gone. I can definitely make the two hour drive to see my mother on her birthday tomorrow. I hope this helps someone else.