Hi and thank you so much for this query.
I am so sorry to hear about these pains you are experiencing caused by hemorrhoids. Treatment of hemorrhoids consist in controlling the pains and correcting the factor that provoked the flare. Also lifestyle modifications are very important as a component of this treatment plan.
The
hydrocortisone should be a cream or suppository for best pain control. Also, some other pain medications like
lidocaine creams are good at this. If the pains are not well controlled, other oral medications like tylenol/
ibuprofen can be added to the treatment.
Lifestyle modification include increased fiber, avoiding excessive sitting positions, avoid straining during defecation, exercise, etc.
However, if medical treatment should prove ineffective, you may need to be evaluated and considered for a
surgical treatment. I will advice that you talk to your doctor for treatment evaluation and possible modifications.
Please, read a summarized patient's education material from this well trusted site below. http://www.mayoclinic.com/health/hemorrhoids/DS00096/METHOD=print
I hope you find this helpful. Thank you for using our services and please feel free to request for more information if need be. I wish you well good health.
Dr. Ditah, MD.