What hemorrhoid treatment options are available for reducing pain?

R U certain of Dx?: Hemorrhoids are classified as internal (which bleed and protrude) or external (which can cause pain when thrombosed). Pain from thrombosed hemorrhoids respond well to sitz baths; if ineffective, minor surgery is necessary. Internal hemorrhoids don't cause pain; these are often confused with fissures, which can be quite painful, yet responsive to medication +/- surgery.

Soak: Sitz baths (soaking in warm water) and ice can both help shrink hemorrhoids temporarily. Avoid pushing or straining when you have a bowel movement. Increase fiber and fluid intake. Don't use a donut pillow - this can actually aggravate hemorrhoids. Wipe gently and avoid irritating the hemorrhoids. Wipes can be irritating. An oily cleanser like balneol can be helpful. See doctor if no improvement.