A few months ago I began feeling pain, itching, burning in my rectum area. I self diagnosed myself with a hemorrhoid. I used prepH cream a few times and didn't think much about it again.

When using the rest room yesterday, I had excruciating pain!! It wasn't like I was constipated ... it was more like ... I had very little that wanted to come out at all, but my body still wanted to make a bowel movement. I felt like I was practically pushing my guts out. I had a fair amount of blood (not just a few drops) and hope to get into my doc this week!!

Here's a bit of background ...
1. take 1 phentermine everyday
2. take 2 diuretics everyday
3. take yasmin birth control which also contains a diuretic everyday
4. have been taking 2 triple fiber pills
5. 2 stool softeners ... which have not softened my stool yet!!
6. Yesterday I also added 4 calcium pyruvate to my pill intake.
I take all of this under doctor's orders. I have a prescription for 1, 2, & 3. #6 I also take on doctor's recommendations.

I work out 6 times a week for an hour a day. I do not eat red meat. I usually only eat 1/2 turkey sandwich for lunch and raw (not fried!!) sushi for dinner.

Now that I've experienced this horrible hemy pain I'm researching and realizing that each of these meds individually can cause constipation, leading to straining, leading to hemorhhoids. Not to mention that when I combine all of this with lots of gym time and not exactly enough nutrition in a day ... i'm totaling up to major possibility of hemys.

My question is ... WHAT is the main reason for the hemorrhoid ... which medication or habit? I know combined they have all contributed, but if I had to change one thing what would it be??