I guess mine weren't that bad. After one "flared" I could still ride. Tho uncomfortably. But not really pain. Saw the Dr of course. Thrombosis he said. He recommended "cutting it out". Came in a couple of days later and he did that right there. Took 3 days off the bike and was fine.
There're more hemorrhoids in there but.. They're not bothering me for the most part. Itching and burning sometimes. Google hemorrhoids if you want advice.