hi. yes, your doctor is right with his prescription. it is one of those medications to reduce inflammation in general. as you can see, the swelling is decreasing and it is not painful anymore. the dark spot you observe is probably a hematoma previously that is resolving. in cases of hemorrhoids, it is best if you have a consultation or regular follow-up with your doctor, preferably a general surgeon, for clinical evaluation. if there s occurrence of active bleeding, swelling or thrombosis and persistent pain, a consultation should be done as this may indicate surgical management already. be on a high fiber diet, so you will not have difficulty in bowel movement. hope this helps. good day!! ~dr.kaye