Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Question is regarding external hemorrhoids and detailed narration is that of vagina only. I would suggest guidelines for both the situations: • Plenty of liquids till possible • Avoid all oily, spicy, non-vegetarian stuffs, junk foods • Manage diet with green leafy vegetables, fibers, whole grains, cereals, pulses, fresh curd to get smooth bowel evacuation on regular basis • Keep genitals clean and dry • Use washroom whenever needed, do not withhold urine • Wear loose, clean, cotton undergarments • Sitz bath (sitting in a tub filled with lukewarm water for 10 to 15 minutes) in morning, evening, and especially after passing stools helps a lot • Remain ambulatory, regular walking, exercises, and yoga • Local application of Lignocaine (2%) gives soothing comfort • Clotrimazole vaginal suppositories once at night to be kept in vagina for 7 days • In our clinic we decide for need of systemic antibiotics, anti-inflammatory bulk-forming laxative in case of severe constipation according to the demand of time. • Refrain from sex activities at present • Wipe always from front to back after using washroom • Ultrasound of abdomen and pelvis is highly recommended with urine culture Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ashok Kumar Dash