I get these as well..(twice so far) they are no fun to say the least. I’ve also read stories of the surgeries making “flare ups” more regular. Stress seems to be a big driver for me (first one at the start of college and second one during travel…)

All of the things you mentioned have helped me as well. I also have a couple of hemorrhoid cushions that I sit on to reduce pressure.

I’ve found that when I start to feel pain in my tailbone immediately taking some anti inflammatory medicine and getting antibiotics ASAP before the inflammation cuts off blood flow has stopped them in their tracks!