TTT,
Hems will calm down most of the time once you start religiously exercising/ pass smooth stools and stop excessive straining. Your symtoms sound just like the little blighters!!
Do not even consider getting them removed unless they really are incredibly painful. I have read so many reports now on how banding or excising them can actually cause further complications. Several on this site developed a fissure as a result of tag/ piles removal. I contemplated it myself for a while until a great support here actually advised me not to do it. It's quite a painful process for most (not all) and I really would say best left to do their own thing. My CRS was adamant they should be left alone!! Mine are well under control now, giving me no issues and hopefully in time & as things calm down for you, they will bother you less & less. Good to read you are doing so much better now!......