Endless lists of remedies, and no one suggests a corkscrew.

Actually, I've been interested in this subject, or something similar, ever since I was a little lad, and noticed certain people had the mincing "haemorrhoid walk" and other people didn't. The former tended to be uptight local Democrats, such as they were in our small town.
And then as an adult working at the Nebraska Department of Health, I noticed bureaucrats who tended to be Democrats seemed to have more bowel problems than bureaucrats who tended to be Republicans.
And then much later, I noticed that discussion of bowel problems is much more prevalent on Democrat message boards than on Republican message boards.
I think "attitude" and behavior has a great deal to do with intestinal distress.