Hello, The treatment of hemorrhoids depends on various factor degree or stage, position, constipation or other accompanying factors. Although, medical treatment works well for some patients, few need surgical treatment. Moreover, I can assure you that are various minimally invasive procedures you can undergo to treat piles. I suggest you to see a general surgeon to find out what treatment suites you the best. Meanwhile, you can add fiber supplement like Lactifiber to your daily routine; this will ensure smooth passage of stool. In addition, procedure like Sitz bath done on everyday basis can help you with the symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ayesha Shareef, General & Family Physician