For grade 2 hemorrhoids, I would recommend initial conservative treatment.
1. High fiber diet
2. Plenty of fluids, avg 1 liter for every 20 kg weight
3. Exercise 30 mts x 5/week
4. Avoid constipation. Take laxatives like lactose or PEG solution
5. Avoid straining at stools
6. Do not spend more than 3 to 5 mts in toilet. No paper, magazines, or phone in the toilet
7. Sitz bath plain 2-3 x daily. Sit for five mts in a tub of warm water
8. Tab Daflon 1000mg once daily for 2 months
9. Oint Crema Ano, anometrogyl, Sucral ano is applied thrice daily inside the anus
10. Regular eating time
Next Steps
if bleeding persists, go for office procedures like sclerotherapy or rubber band ligation
Health Tips
Usually, grade 1 and 2 can be managed without surgery