If at work or home you must sit or stand for long periods, take quick walks or breaks from work. Try not to strain during bowel movements or sit on the toilet too long. Take warm baths. Apply ice packs. Keep in mind that these products can only help relieve mild itching and irritation.
Hemorrhoids become most painful when a clot forms in the enlarged vein.
If your hemorrhoids are extremely painful, your health care provider may prescribe a cream or suppository containing hydrocortisone to reduce inflammation. Some troublesome internal hemorrhoids may require procedures to shrink or eliminate them. Your doctor ties one or two tiny rubber bands around the base of an internal hemorrhoid to cut off its circulation. Within 7 to 10 days, the hemorrhoid falls off. This procedure is similar to infrared coagulation.