I decided to get more cream from the Doctor(refill prescription), it works better than preparation H over the counter. I guess I will have to live off of the cream for a while till I come up with a long term solution to the problem. Now that I been back on the cream much of the pain has gone away and I am enjoying riding the bike again. Doc also wants me to get a colonoscopy since my grandfather died of colon cancer in his 40's, but Doc is pretty sure that isn't it looks like just a hemmroid.