First, it is important to know if you do not have any inflammatory disease of the intestines (including infections). As you are not mentioning to have performed colonoscopy
, I'd suggest to do it to understand your current hemorrhoid's situation. That will also help the proctologist
to evaluate if you need surgery or not.
I personally advise my patients to use Doloproct (fluocortolone pivalate + lidocaine
hydrochloride) to relieve hemorrhoids pain together with a diet rich in fiber and water to avoid constipation
which can further aggravate hemorrhoids.