Breaking prolonged sitting hours with short walks and avoiding straining during bowel movement helps in hemorrhoids. While the differences between the simplex strains and the zoster strains is pretty significant, the difference between simplex strains 1 and 2 is not nearly so large. Results may vary and depend on the severity of your case, your life style and how well you follow the dosing protocol and the advice in our e-book. Kindly show me some way. After the initial contact with the herpes simplex virus, the initial outbreak usually happens between 2 and 20 days. Is there a way to tell a difference? Now after weeks of relief, I had a bit of constipation for couple of days and used to have trouble while bowel movement and had bleeding times…this itch came started again in the butt …this time majorly around butt hole…I used hemmarhoids relief ointment and some suppositories for 1 week…AT this point , i started to get little itch on scrotum too..