Is there a natural approach to getting rid of hemorrhoids?

Depends: You may be able to avoid irritating the internal hemorrhoids and thus may allow them to be less bothersome, but they may not go away completely. Drink plenty of liquids, eat high fiber foods, take fiber supplements like metamucil, avoid constipation and straining or sitting too long at the toilet.

Time works but...: Depends on what you have already tried. The first things are conservative including infcreasing fluid and fiber in diet to ensure that you bms are soft, losing weight, limiting the time sitting on the toilet. Flare ups are then treated with creams, ointments. If still a problem you could try banding and finally excision/ligatiom. Surgery is really the only definitive treatment for this.