Reddit mentions of Anusol Haemorrhoids (Piles) Treatment Cream - 23g

Not sure about using laxatives, but psyllium husk definitely helps. Yes it adds bulk, but it's soft bulk. I guess it's the difference between a small hard stool and a large soft one. By far the most helpful thing has been anusol, you have to order it from the uk, but it has been a lifesaver.

Hemorrhoids are extremely common for young and old. Your symptoms are quite typical. The photo you provided is typical for mild external hemorrhoids. Anal fissures are doubtful, despite the small amount of blood with wiping. I would not be too embarrassed by the condition, it is very, very common - and probably not even noticed by an untrained eye. Here is a rendering giving you an idea of what exactly these are. BTW, those blue and purple items in the rendering are veins.

You can treat these by applying Anusol. It appears this product does not have hydrocortisone, but you could also buy some topical cream at a local pharmacy and apply it too. Apply it after a shower or bath and before bedtime. You can reapply after having a bowel movement as well. It should take care of symptoms within a day or so.

In the future, be sure to eat plenty of fiber. Even consider adding fiber via a supplement like Metamucil. If you are not straining, then the likelihood of the hemorrhoids flaring is reduced.

Good luck.