What is the best care for refractory hemorrhoids?

Please see a : General surgeon or a colorectal surgeon for this. It is important not to make hemorrhoids worse. Cleaning off after a bowel movement should be gentle. Pre-moistened towlettes can be used to dab the anus. Don’t wipe/rub. Pat the anus dry after cleaning. Avoid using harsh soaps that contain dyes or aromas. Cotton underwear is helpful as it absorbs moisture well. Sitz bathes can be helpful.