Been there myself....Havining them lanced isn't so bad, once you get by the injection....you walk out feeling like a new man wearing a tampax...once the local wears off....you can't possibly realize how many times you pucker your asshole during the course of the day....and sneezing is a bitch....heh heh heh
Here is a great topical cream, but you gotta get a script for it....it will take them away very quickly, but if yours have already clotted, lancing is the best method....the cream is this....
Nitro....2%
Proctosol...2.5%
60mg
Ranger