Brief Answer:
All options mentioned, discuss with your doctor

Detailed Answer:
Thank you for asking!
Haemorrhoids management depends on their grading. low grades one and two manage conservatively with diet and lifestyle modification and topical care. Grade 3 or 4 where haemorrhoid come out of anus and need manual retraction need surgical correction. In past dietary modifications, incantations, voodoo, quackery and hot pokers applications were used to treat haemorrhoids. Molten lead was also used.
Haemorrhoids can self resolve with diet and conservative medical therapy if low grade, and complications can arise once high grades and prop lapses are there along with increase recurrences. thrombosis, infection, abscess, ulceration, fissures, tags and incontinences and recurrences are some of them.
All you need is diet and lifestyle modification. Warm sitz baths and high fibrous diet like psyllium seeds(metamucil) and methylcellulose (citrucel) A diet of at least 25g fiber is recommended.
and trained toilet habits and stool softeners and topical agents like hydrocortisones, anaesthetic gels, suppositories, enema, foam etc.
Long term monitoring with weight loss preferences, avoiding sitting on toilet for long time, changing sedentary lifestyle to active and healthy one and hygiene of anorectal area will be the goals to reduce the trouble of constipation.
Some non surgical options which can be considered for hemorrhoids are following once ruled out the contraindications for them.they are as follow
Rubber band ligation
Coagulation, electrocautery, and electrotherapy
Sclerotherapy and cryotherapy
Laser therapy and radiowave ablation

following are the contraindications for such procedure and if you have any of them you wont be able to have these
Acquired immunodeficiency syndrome (AIDS): Human immunodeficiency virus (HIV) infection and anal disease often occur together—conservative therapy is suggested, especially if immunosuppression is evident; poor healing occurs with low CD4 counts, especially when less than 200 cells/mm3
Immunodeficiency disorders
Coagulopathy
Irritable bowel disease
Pregnancy: This condition is associated with many anorectal complaints; nonoperative treatment or office thrombectomy usually relieves complaints, although operative hemorrhoidectomy is safe in pregnant women
Immediate postpartum period
Rectal wall prolapse
Large anorectal fissure or infection
Tumor
SOme surgical options for haemorrhoids are as follows
Surgical hemorrhoidectomy both Nonlaser versus laser hemorrhoidectomy
Stapled hemorrhoid surgery/ procedure for prolapsing hemorrhoids (PPH)
Remember these 5 goals to prevent future troubles
Avoid constipation
Weight loss
Avoid prolonged sitting on the toilet
Avoid prolonged sitting at work
Improved anorectal hygiene
following group of medicines are usually prescribed , some are available over the counter.
Stool softeners like Docusate sodium (Colace, Correctol, Dok, Dulcolax) etc
Topical anesthetics like Lidocaine ointment 5% (Lidoderm, Regenecare, LidaMantle)
Mild astringents like Hamamelis water (Witch Hazel)
Analgesics like Acetaminophen (Tylenol, Aspirin Free Anacin, Feverall, Mapap)

I hope it helps. Get to a general surgeon and let him take care of you.discuss these all options with them and see what comes up best for you.
I hope it helps.Dont forget to close the discussion please.
Regards
S Khan

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