HI Well come to HCM I really appreciate your concern, constipation is the main cause of hemorrhoid so first thing you really need to do it relieve the constipation and for this drink more water have lot of fiber containing diet, use stool softener that contains Isabgol powder and fiber, keep regular habit of defecation be inside even in absence of feeling of that, hemorrhoid can be managed conservatively and some time gives good result but surgery is the best option if it does not cures hope this information helps.