Hello. As shown in the picture and with ur complaints it's definitely Grade 2 Hemorrhoids

No tablets will reduce the hemorrhoid swelling surgical management should be done for symptomatic relief sitz bath local lignocaine jelly application before passing stools

Hello! The image provided looks inadequate to diagnose, it looks like sentinel skin tags more which could be due to chronic fissure But final diagnosis Will require Per Rectal examination can you provide more details? Similar history in past? Is it painful? Is it associated with constipation/Hard stools or bleeding? History of alcoholism? And most importantly the Eating habits and defecation habits also(Long period on western type latrines/comods)

On basis of these images it is difficult to say that is there is haemorrhoids or not Get proctoscopic examination done by surgeon to rule Ot haemorhoids And if is painful unlikely to be harmorroids

If not reduced on conservative means Needs surgical interventions Without surgical interventions nothing is there

Without any surgical interventions not possible to reduce that swelling If it is grade 2 and not having any significant complaint like pain fever or pus discharge or any signs of inflammation then nothing to worry... Nothing to be done.

Grade 1/2 hemorrhoids are highly treatable and often resolve with conservative, non-surgical methods. Dietary Adjustments: Increasing fiber intake (fruits, vegetables, whole grains) to prevent constipation and straining. Hydration: Drinking plenty of fluids. Topical Treatments: Using over-the-counter creams, ointments, or suppositories (e.g., Preparation H, hydrocortisone) to reduce inflammation and itching. Hygiene: Using warm baths (sitz baths) to soothe the area. Medical Procedures (if needed): If bleeding persists, non-surgical, in-office procedures like rubber band ligation, sclerotherapy, or infrared coagulation may be recommended.

Hello 🙏 From your description, this appears to be grade 1–2 internal hemorrhoids. Swelling during stool passage is common, even without pain or bleeding. When swelling does not reduce despite medicines and creams, procedural options are available: Rubber band ligation Injection sclerotherapy Both are simple OPD procedures, usually painless, and do not require admission. They are effective for grade 1–2 piles. Along with this, it is important to keep stools soft (high-fibre diet, fluids, stool softener if needed), as hard stools will keep aggravating the swelling. Please consult a surgeon to decide the most suitable OPD procedure after examination. Hope this helps.