Hemorrhoids aren’t the only possible reason for these symptoms, though. See your doctor to rule out other problems.

Straining can cause an internal hemorrhoid to pass through the anus, a condition known as a protruding or prolapsed hemorrhoid. This can be a medical emergency if the hemorrhoid doesn’t shrink or return to normal with the application of hemorrhoid ointment.

Corticosteroid creams, which can reduce the itching and swelling. Creams containing lidocaine can also help reduce the pain. Vasoconstrictor ointments, creams, and suppositories.

As well, the fact that the hemorrhoids aren’t going away may be an indication of a deeper problem, such as bleeding coming from someplace other than the tip of the rectum or anus. Heat treatments and surgery are commonly used to treat severe hemorrhoids.

Prune juice is also a natural laxative and can help you go.