As per the prescription sheet you uploaded, you are already on better conservative treatment. Just follow it for 6 weeks with less salt and spices intake, more on fruit diet if not diabetic.
It will definitely show Improvement. Otherwise can go with surgical management if still persist after 6 weeks or if you insist.
Next Steps
continue with prescription. if you insist for surgical management then consult surgeon.
Health Tips
less spicy and salt intake and be on fruit diet.