He even needs a looped blowup cushion to sit on. It's really very funny, but not for him as they have become very painful. They are thrombosed external hemorrhoids, meaning they are outside the anus and they are ruptured, i.e. bleeding. There are a few ways of treating these hemorrhoids, including hemorrhoid banding, or using a cream. Ultimately, prevention is the best form of saving yourself the trouble, pain and embarrassment of hemorrhoids. Not usually a talkable topic, haemorrhoids, and I admit I didn't know much about them. The article I linked to above has a lot of information about hemorroids that helped me a lot in understanding what they are, and what my friend is going through.