The defecation in the natural for a human being squatting posture will resolve this problem.
Try! It is not esthetic, but don't use the toilet bowl as a squatting device; it is dangerous (can break down) and may be not effective as doesn't permit natural squatting (see the instructions).
Hemorrhoids are only the tip of the iceberg:

 

Cardiovascular events at defecation
Probably every physician practicing emergency medicine has encountered tragic cases of cardio and cerebro- vascular events or even of sudden death in the toilet. room. The defecation act is a consequence of the voluntary straining, which raises the intra-abdominal and intro-thoracic pressures, chain of events known as the Valsalva maneuver. The Valsalva maneuver induces a sharp rise of intravenous, intra-arterial pressures and reduction of coronary flow velocity and cerebral blood flow (1, 2, 3).Different kinds of cardiac rhythm disturbances were found in the persons performing Valsalva maneuver. There is common agreement that the Valsalva maneuver adversely affects the cardio-vascular system and is the causative factor in the patients with the compromised cardio-vascular system of the defecation syncope and death. Therefore it is a routine practice in coronary care units to administer the laxatives and stool softeners hopefully to reduce the straining at defecation.
Two recent studies which compare the length of straining in the sitting comparatively to the squatting defecation posture found that sitting defecation posture obligate at least twice more straining than the squatting posture (4, 5). Accordingly the reduction of the intensity and length of the Valsalva maneuver during defecation in the natural for the human being squatting posture may prevent many cardio-and-cerebro-vascular events (6).
And now it is not merely theoretic advice, a new squatting device was designed and tailored for the sewage system of the Western world (see on the page: video-film of the new squatting device).
  1. McGuire J Am. Pract. Digest Treatment 1:23-28; 1950
  2. Benchimal A Annals of Internal Medicine 77: 357-360; 1972
  3. Greenfield J Stroke 15: 76-79, 1984
  4. Sikirov Isr. J. Med. Sci. 25: 55-56; 1989
  5. Sikirov Digestive Diseases and Sciences 48: 1201-1205,2003
  6. Sikirov Medical Hypotheses 32: 231-233; 1990
           

History of hemorrhoid research it is a history of great mistakes.

History of treatment of hemorrhoids is a history of needless and invasive treatment.  
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