I'm really sorry to hear you're going through this. Hemorrhoids can be such a pain, literally! Here are a few things that might help:

1. Warm Baths: Try soaking in a warm bath for 15-20 minutes a few times a day. It can really soothe the area.

2. High-Fiber Diet: Eating more fiber can make things easier on your bowels. Think fruits, veggies, and whole grains. Sometimes a fiber supplement like Metamucil can help too.

3. Stay Hydrated: Drinking plenty of water can help keep things moving smoothly down there.

4. Cold Compresses: Applying a cold pack to the area can help reduce swelling and discomfort.

5. Over-the-Counter Options: I know you said you've tried some, but make sure you’re using them correctly. Creams, ointments, and suppositories with hydrocortisone can be more effective when used properly.

6. Avoid Straining: When you're in the bathroom, try not to strain too hard. If you're struggling, it might help to use a stool to elevate your feet while you sit.

7. Topical Pain Relievers: Some creams have pain-relieving ingredients that might give you a bit of extra relief.

Hang in there! I hope you find some relief soon. 😊

James