Ay nako, I feel you, pre-existing hemorrhoids during pregnancy is talagang double the struggle, especially as your belly gets bigger at everything's just pushing down there! A few of us sa barkada have the same situation, and honestly, it gets better postpartum, pero habang pregnant you really have to be strategic, high-fiber diet talaga (chia seeds, avocado, leafy greens), lots of water, at iwasan ang straining kahit kaano, plus sitz baths with warm water really helped my friend Marizza manage the pain between OB visits. Since you're already on FAKTU at doing what your OB suggested, best to loop her in again sa next visit kasi baka may iba pang option para sa third trimester pain na mas strong, or magkaroon kayo ng new plan para closer sa delivery, there are things she might recommend na safer as you get closer sa labor. Sending you strength, mama, you're almost there!