It step clinical examination by a surgeon by per rectal examination and proctoscopy to confirm the diagnosis. Number and grades as per size and severity is also determined. Degree of infection /inflammation also noted. Mild form without associated problem can be treated by medical treatment. Larger and higher grades require surgical correction. Many minimally invasive techniques available nowadays. Consult a surgeon High fibre diet, avoiding fast food and Constipation helps in management. Mild stool softeners/bulk laxatives also help in management