Rarely need to. First, see your doctor to make sure your problem really is hemorrhoids.Serious problems are frequently blamed on "hemorrhoids". Hemorrhoids can usually be treated medically by avoiding constipation and avoiding straning with a bowel movement. If pain/itching present, try soaking in tub. If not better they can be removed by different methods (band ligation or surgery) but i rarely recommend these.
No good tx. 1st dietary and lifestyle modification: fiber, fluids, grade 1 hemorrhoids, adjunt, topical corticosteroids, grade 2 prolapsing internal hemorrhoids plus rubber band ligation or sclerotherapy or infrared photocoagulation or hemorrhoid arterial ligation or stapled hemorrhoidopexy grade 3 prolapsing internal hemorrhoids plus rubber band ligation. Gde 4 internal, external, or mixed ...Surgery. Part 2.
Care of hemorrhoids. Hemorrhoids are a dilation and swelling of the expandable tissue around the rectal opening. Non operative treatment includes a bowel regimen (fiber, stool softeners, laxatives to goal of 2 soft bowel movements daily) local salves (prep h, desitin, (zinc oxide diaper cream) anti fungals) and hygiene (shower, hair dryer area daily). Surgery only if above fails. Read more...