Hemorrhoids and Jpouch

I’ve had a jpouch for almost 3 years now and have had the occasional hemorrhoid pop up, usually healing in less than a week. However, this one now is by far the worst I’ve ever had. Going to the bathroom is a nightmare (I still go on average 8 times a day) but the pain and discomfort is persistent throughout the day no matter what I’m doing. It’s a sharp and almost swollen feeling.
I’m wondering how you all deal with these, from diet to medication, etc. I’ve been using preparation H but haven’t had any effect this time.

Calmoseptine, ilex, steroid supps or cream. You should probably go to your surgeon and have him/her take a look to see if there's something you can use to help control the pain of the hemmies. Perhaps there is something more going on. Maybe you can take something to get the trips down to 5 or 6, and that might help with the discomfort, though 8 is not abnormal at all. You could also try eating foods that bind things, if the consistency is better, the hemmie might heal.