HELLO, FREQUENT CONSTIPATION IS CAUSE OF HAMMEROIED. SO STOOL SOFTENER IS BENEFICIAL. SOVFTOVAC THREE TEASPOON FUL AT NIGHT.REGULAR SO STOOL IS ALWAYS SOFT AS YOU HAVE INTERNAL PILLS GRADE 2. YOU HAVE TO APPLY LOCALLY XYLOCAIN GEL BY FINGER PROPERLY N ALL THE PILL S ARE PAINLESS N EASILY GOES INSIDE THAN APPLY IN INSIDE ALL AROUND XYLOCAIN GEL, BEFORE PASSING STOOL. AFTER DEFICATION N WASH APPLY OINTMENT PROCTOCEDIL AS MENTIONED ABOVE PROPERLY. THIS IS TO BE DONE TWO TIMES. IT IS THE BEST PROCEDURE TO AVOID OPERATION. O.K BYE.