Exercise and hemorrhoids

M/37/5’11/180

Over 5 months ago I started having internal hemorrhoids. Pretty bad, uncomfortable to sit/stand/do anything. Decided to listen to my doc and take a month off the gym, yoga, Pilates and do nothing. That seemed to help, so after the month ended I started back up at the gym and yoga/Pilates and low-and-behold they start flaring a bit. I’m not power lifting here.. and I don’t think I’m holding my breath or channeling pressure to my bottom. They usually have a small flare after bathroom visits but now they’re back to being uncomfortable. Feel like I’ve done all the tricks I can possibly do listed on webmd (sitz, creams, quick bathroom breaks, no straining).

I’d also add I had a bout of back pain (lower/mid/upper) that came on strong but has lessened after some physical therapy exercises. Wondering if I’m having some kind of nerve issues that are causing the back + hems and doing exercises are aggrevating both.

Thanks