Bird-lover, you mentioned you keep a water bottle on your desk. I got my hemorrhoid the day my daughter was born and it only bothers me a few times a year. You need to put a nice soft pillow on you desk chair if you sit there often. I noticed mine would flare up from sitting on the hard desk chair. Also try to never get constipated or real loose bowel movements, both will irritate the hemorrhoid. I keep a prescription of cortizone suppositories on hand because I never know when it will act up, even carry one in my purse in case I need it when I'm out. Hope this helps.