I have grade 4 external and internal prolapsed hemorrhoids for 5 years. nothing works. what else can i try to alleviate the discomfort?

HEMORRHOIDS: 1. Sitting in a few inches of warm water three times a day for 15 to 20 minutes may help decrease the inflammation of the hemorrhoids. 2. Increased fluid intake and dietary fiber (roughage) will decrease the potential for constipation and lessen the pressure on the rectum and anus during a bowel movement, minimizing further swelling, discomfort, and bleeding. Dietary fiber supplements may also hel