Ok. Delicate subject. Those who are squeamish can quit reading now.
I was probably 55 when the problem occurred. Doctors are my last line of defense. They usually charge an obscene amount of money to tell me what I already know, and surgery seems to be their first line of defense.
So, you know what you have. And you know the common solution. Preparation H is available over the counter. It comes in at least two forms. A tube with a long applicator, think caulking tube. You shove it up your ass, give it a healthy squeeze and put it out. You have to wipe it off for the next application. Seemed disgusting. The other form was a suppository. Basically a big pill you shove up your ass. I elected the suppository, and applied it in the shower.
In the course of putting the pill in position, I noticed it felt like something wasn't right. It was either really swollen or some of the insides had sort of come out side. The act of inserting the pill just pushed everything back where it was supposed to be. I am not sure if Preparation H is really even needed. I just started pushing everything back together during my morning shower.
The problem wet away. Of course I started doing everything I could to keep things nice and soft. Don't hold it in. Eat lots of fiber, etc.
I do live in fear of another attack. The surgical option just stitches everything back where it is supposed to be. I bet you can get Preparation H from Amazon.