What to do if you have hemorrhoids? how do you know if you need surgery?

Hemorrhoids: The treatment of hemorrhoids include putting your bottom in warm water 2 or 3 times a day, rectal suppositories such anusol or preparation H, and high fiber diet which softens the feces and prevents constipation. If the hemorrhoids do not respond to local therapy and diet and especially if they are very painful, protruding from your anus and bleeding surgery should be contemplated