This worked for me. Eliminated my hemorrhoid symptoms completely.
I read this article in July and the first of Nov all my symptoms have abated.
Twice a day, I mix .75 tablespoon ACV, .5 teaspoon Cayenne Pepper and .75 tablespoon filtered honey in 10 to 12 oz of cold water. I do not sip this drink, a couple of chugs would be more approximate description. The honey helps the taste but it doesn't mix easily in the water.
I worked up to .5 teaspoons of Cayenne pepper over a couple of weeks. Expect some discomfort a burning sensation. The burning sensation passes within a couple of minutes and then faster each day. As I grew more accustomed and increasing the dose I was surprised that the burning moved from my stomach, to my ear canals, to the back of my throat. At some point the discomfort lessened to me not noticing other than, hey no burning.
In addition to my symptoms disappearing completely, the occasional bout of late night heartburn also stopped.
I never applied any thing directly to my affected areas once I started drinking this mixture.
I had tried dozens of different approaches over the years, none came close to this.