Your doctor will start by increasing the amount of fibre you are eating so as to make your stool easier to evacuate. Aerobic exercises also help in stimulating bowel function. Over the counter creams can initially help with the symptoms but not the cause and they should not be used for more than a week. If initial treatment is not successful, haemorrhoid banding can be considered to remove internal haemorrhoids. Surgery is also an option that can be used but it is rare.